Move your feet and sleep: A longitudinal dynamic analysis of self-reported exercise, sedentary behavior, and insomnia symptoms

IF 3.4 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health Pub Date : 2024-06-01 DOI:10.1016/j.sleh.2024.02.005

Julia T. Boyle PsyD , Spencer A. Nielson MS , Michael L. Perlis PhD , Joseph M. Dzierzewski PhD

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Abstract

Introduction

Insomnia symptoms are associated with poor physical and mental health. Exercise is associated with good sleep while sedentary behavior is associated with poor sleep. This study investigated the longitudinal, dynamic associations among exercise, sedentary behavior, and insomnia symptoms.

Methods

Seven hundred and fifty-six adults (M_age = 47.2 years, 54.9% female) took part in an online longitudinal study investigating sleep and health across the lifespan. Participants reported duration of moderate-to-strenuous exercise, percentage of day spent sitting, and insomnia symptoms (Insomnia Severity Index [ISI]). The ISI was scored as a total score and two-factor scores: (1) Sleep Disturbance (items 1, 2, 3) and (2) Daytime Dysfunction (items 4, 5, 6, 7). Multilevel modeling was used to examine the typical (i.e., between-persons) and individual (i.e., within-persons) associations among sedentary behavior, exercise, and insomnia symptoms.

Results

Sedentary behavior was significantly associated with total ISI scores at both the between-person and within-person levels (β = 0.036, t = 3.23, p = .001; β = 0.014, t = 1.99, p = .048). Both between-persons and within-person levels of sedentary behavior were associated with Daytime Dysfunction (β = 0.028, t = 3.79, p < .001; β = 0.009, t = 2.08, p = .039). Exercise was associated with total ISI and Daytime Dysfunction scores at the between-persons level but not at the within-persons level (β = 0.028, t = 2.57, p = .01; β = − 0.002, t = − 3.02, p = .003).

Conclusions

Sedentary behavior was a more consistent and robust predictor of insomnia symptoms than exercise. The association between sedentary behavior and insomnia symptoms was dynamic in that when an individual reported being more sedentary than their norm, they also reported more insomnia symptoms. Future analyses should examine potential moderator variables and comorbid conditions.

查看原文本刊更多论文

动一动，睡一觉：对自我报告的运动、久坐行为和失眠症状进行纵向动态分析。

简介失眠症状与身心健康状况不佳有关。运动与良好睡眠有关，而久坐不动与睡眠不佳有关。本研究调查了运动、久坐行为和失眠症状之间的纵向动态关联：756 名成年人（年龄 47.2 岁，54.9% 为女性）参加了一项在线纵向研究，调查整个生命周期的睡眠和健康状况。参与者报告了中度到剧烈运动的持续时间、一天中坐着的时间比例以及失眠症状（失眠严重程度指数 [ISI]）。失眠严重程度指数分为总分和两个因子分：(1) 睡眠紊乱（项目 1、2、3）和 (2) 白天功能障碍（项目 4、5、6、7）。采用多层次模型研究了久坐行为、运动和失眠症状之间的典型（即人与人之间）和个体（即人与人之间）关联：在人与人之间和人与人之间的水平上，久坐行为与 ISI 总分都有明显关联（β = 0.036，t = 3.23，p = .001；β = 0.014，t = 1.99，p = .048）。人与人之间和人与人之间的久坐行为水平都与日间功能障碍有关（β = 0.028，t = 3.79，p 结论）：与运动相比，久坐行为对失眠症状的预测更稳定、更可靠。久坐行为与失眠症状之间的关系是动态的，当一个人报告的久坐程度高于常人时，他也会报告更多的失眠症状。未来的分析应研究潜在的调节变量和合并症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep Health CLINICAL NEUROLOGY-

CiteScore

6.30

自引率

9.80%

发文量

114

审稿时长

54 days

期刊介绍： Sleep Health Journal of the National Sleep Foundation is a multidisciplinary journal that explores sleep''s role in population health and elucidates the social science perspective on sleep and health. Aligned with the National Sleep Foundation''s global authoritative, evidence-based voice for sleep health, the journal serves as the foremost publication for manuscripts that advance the sleep health of all members of society.The scope of the journal extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology. The journal welcomes original research articles, review articles, brief reports, special articles, letters to the editor, editorials, and commentaries.