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Evaluating the efficacy of hot footbath in elderly sleep disorders: a systematic review
Maryam Azimi
Abstract:   (203 Views)
Background and Objective:
 Sleep disorders are one of the most prevalent disorders in the elderly associated with significant impairment of their quality of life. It is estimated that up to 48% of older adults have chronic sleep disturbance. According to a review of literature, sleep disorders include five subgroups: insomnia, sleep apnea, narcolepsy, restless legs syndrome, REM sleep disorder. The most common sleep disorder in the elderly is insomnia. Due to serious side effects of sleep medication, non-pharmacological treatment such as having a regular bedtime, establishing pre-sleep rituals, exercising regularly, avoiding caffeine, smoking, and alcohol before bedtime recommended alleviating sleep problems.
Also, complementary and alternative medicine (CAM) is frequently used for the treatment of sleep disorders in the elderly. Several studies reported the efficacy of CAM in the improvement of sleep disorders in the elderly. Thi Chi, acupuncture, yoga, meditation, and herbal medicine are mentioned as potential CAM therapy in sleep disturbance in the elderly. In this review article, we aimed to evaluate the efficacy and safety of hot footbath (immersion of feet into hot water at 40-42 C) in improving sleep in the elderly.
Search Method:
 We searched on electronic databases including Pubmed, Scopus, Cochrane, Embase, Science Direct, Web of science, and SID with the aim to find clinical articles related to a footbath and sleep disorders in the elderly since 2021. We used such keywords as a hot footbath, warm footbath, sleep, insomnia, elderly. The non-randomized clinical trials and non-relevant studies were excluded.
Findings:
Finally, we found 5 randomized control trials that potentially improve sleep disturbance in the elderly. Kalantari et al. (2013), indicated that a hot footbath for 20 minutes before sleeping, for 6 weeks significantly improved the sleep duration, and total sleep quality of life in the elderly. Seyed Rasooli et al. (2013), showed hot footbath for 20 minutes before sleeping, for 6 weeks significantly improved the elderly sleep quality. Valizadeh et al. (2015), reported the significant effect of hot footbath, one hour before sleeping, on the sleep quality of elderly people. Widyatuti et al. (2017), indicated the potential efficacy of hot footbath, once per day during the 5 weeks, on improving elderly sleep quality. Parsad & Giresh (2018), reported the significant efficacy of hot footbath, for 3 consecutive weeks, on the sleep quality of the elderly.
Conclusion:
A review of the literature showed the efficacy of hot footbath as a non-invasive, easily accessible, and safe method that can significantly improve the sleep quality of life without the need for special equipment. It is suggested that this method can be included in the elderly health programs
Keywords: Hot footbath, Warm footbath, Elderly, Sleep, Insomnia
     
Type of Study: Systematic review | Subject: General
Received: 2021/06/11 | Accepted: 2021/07/24 | Published: 2021/08/1
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Azimi M. Evaluating the efficacy of hot footbath in elderly sleep disorders: a systematic review. 3. 2021; 1
URL: http://elderhealth.jmu.ac.ir/article-1-72-en.html


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همایش ملی سلامت سالمندی National Conference on Elderly Health
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