Sleep

The Effect of Progressive Relaxation Exercises Applied to Individuals With Type 2 Diabetes on FATIQUE Level and Sleep Quality: A Randomised Controlled Study.

TL;DR

Progressive relaxation exercises produced a statistically significant reduction in fatigue severity and improvements in blood glucose levels in individuals with type 2 diabetes, though improvements in sleep quality did not reach statistical significance.

Key Findings

Progressive relaxation exercises produced a statistically significant reduction in fatigue severity scale scores in the experimental group.

  • The fatigue severity scale pretest-posttest comparison in the experimental group showed Z = -4.718; p = 0.000
  • The experimental group consisted of 33 individuals with type 2 diabetes
  • A randomized controlled pretest/posttest design was used
  • The control group consisted of 30 individuals, for a total sample of 63 participants

Fasting and postprandial blood glucose levels showed a significant difference between pretest and posttest measurements in the experimental group.

  • The difference in both fasting and postprandial blood glucose levels was statistically significant (p < 0.05)
  • This finding was observed only in the experimental group receiving progressive relaxation exercises
  • Participants were individuals diagnosed with type 2 diabetes who applied to outpatient treatment

Pittsburgh Sleep Quality Index scores decreased in the experimental group after the intervention, but the change was not statistically significant.

  • A decrease was observed in Pittsburgh Sleep Quality Index posttest scores in the experimental group
  • The change did not reach statistical significance (p > 0.05)
  • The Pittsburgh Sleep Quality Index was one of two primary outcome measures used for data collection
  • ANCOVA analysis was applied to examine differences between groups after eliminating the effect of the pretest on the posttest

The study used progressive relaxation exercise videos as the intervention delivery method for individuals with type 2 diabetes.

  • Progressive relaxation exercises involve systematically tensing and relaxing all muscle groups in the body to achieve relaxation
  • Data collection tools included the Pittsburgh Sleep Quality Index, Fatigue Severity Scale, and progressive relaxation exercise videos
  • Simple randomization was used to create the experimental (n = 33) and control (n = 30) groups
  • The trial was registered as NCT05893784

Statistical analysis included both parametric and non-parametric tests, with ANCOVA used to control for pretest scores when comparing groups.

  • Independent Sample-t test (with Z-table value) was used for comparing measurement values between two independent groups
  • ANOVA test (with F-table value) was used for comparing three or more independent groups
  • Mann-Whitney U test (with Z-table value) and Kruskal-Wallis H test (with χ2-table value) were used as non-parametric alternatives
  • Pearson-χ2 cross-tables and Fisher-Exact test were used to examine relationships between categorical variables

What This Means

This research suggests that a structured program of progressive muscle relaxation exercises — where a person systematically tenses and then releases different muscle groups throughout the body — can meaningfully reduce fatigue in people living with type 2 diabetes. In this randomized controlled trial of 63 diabetic outpatients, those who performed the relaxation exercises showed a statistically significant improvement in fatigue scores compared to before the intervention, while the control group did not receive the exercises. Blood sugar levels, both before and after meals, also improved significantly in the exercise group. The study also found that sleep quality scores (measured by the Pittsburgh Sleep Quality Index) improved in the exercise group, but this improvement was not large enough to be considered statistically significant. This means the relaxation exercises may have some benefit for sleep, but the study was not able to confirm this with confidence, possibly due to the relatively small sample size or the duration of the intervention. This research suggests that progressive relaxation exercises could be a practical, low-cost complementary approach to managing fatigue and potentially supporting blood glucose control in people with type 2 diabetes. The exercises were delivered via video, making them potentially accessible outside of clinical settings. However, larger studies would be needed to confirm the sleep-related benefits and to understand how long these effects last.

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Citation

Vardar Inkaya B, Ko&#xe7; A, Gen&#xe7; B, Mumcu C, G&#xfc;ng&#xf6;r C, Ersoy R. (2026). The Effect of Progressive Relaxation Exercises Applied to Individuals With Type 2 Diabetes on FATIQUE Level and Sleep Quality: A Randomised Controlled Study.. Scandinavian journal of caring sciences. https://doi.org/10.1111/scs.70220