Association Between Physical Activity and Sleep Health Among Community-Dwelling Adults Aged ≥50 in Ghana: The Mediating Role of Psychosomatic Factors.

IF 2.6 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2024-12-17 DOI:10.1080/07317115.2024.2442743

Razak M Gyasi, Emmanuel Nyaaba, Desmond Agyei, Priscilla Appiah, Emmanuel Konadu, Jones Opoku-Ware, Nelson Gyasi Boadu, Margaret Makafui Tayviah, Masoud Rahmati, Kabila Abass, Louis Jacob

{"title":"Association Between Physical Activity and Sleep Health Among Community-Dwelling Adults Aged ≥50 in Ghana: The Mediating Role of Psychosomatic Factors.","authors":"Razak M Gyasi, Emmanuel Nyaaba, Desmond Agyei, Priscilla Appiah, Emmanuel Konadu, Jones Opoku-Ware, Nelson Gyasi Boadu, Margaret Makafui Tayviah, Masoud Rahmati, Kabila Abass, Louis Jacob","doi":"10.1080/07317115.2024.2442743","DOIUrl":null,"url":null,"abstract":"Objectives: Data on the direct and indirect associations between physical activity (PA) and sleep quality in old age via psychosomatic mechanisms (e.g. mobility, pain, loneliness, depression, and anxiety) remain scarce in low- and middle-income countries (LMICs). We explored the association of PA with poor sleep quality (PSQ) among individuals aged ≥ 50 in Ghana and explored the potential mediating factors in this association.Methods: We analyzed community-based data from the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study. We assessed PA using the International Physical Activity Questionnaire (IPAQ). Two items on nighttime and daytime sleep problems in the last 30 days were used to measure PSQ. Multivariable ordinary least square (OLS) regressions and bootstrapping models were performed to evaluate the associations.Results: Overall, 1,201 participants (Mage = 66.15 ± 11.58 years; 63.3% female) were included in the analysis. PA was independently associated with decreased PSQ in the overall sample (B = -0.181, 95%I = -0.271 to -0.092) and in women (B = -0.195, 95%I = -0.305 to -0.084). The association was stronger in the ≥ 65 (B = -0.138) than in the 50-64 age group (B = -0.213). Mobility (37.06%), pain (23.66%), loneliness (6.71%), and comorbid anxiety and depression (8.95%) mediated the PA-PSQ association.Conclusions: PA was associated with decreased PSQ levels, which was particularly explained by psychosomatic factors.Clinical implications: Clinicians encourage older adults to engage in regular PA and manage psychosomatic problems may improve their sleep health.","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"1-13"},"PeriodicalIF":2.6000,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Gerontologist","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/07317115.2024.2442743","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: Data on the direct and indirect associations between physical activity (PA) and sleep quality in old age via psychosomatic mechanisms (e.g. mobility, pain, loneliness, depression, and anxiety) remain scarce in low- and middle-income countries (LMICs). We explored the association of PA with poor sleep quality (PSQ) among individuals aged ≥ 50 in Ghana and explored the potential mediating factors in this association.

Methods: We analyzed community-based data from the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study. We assessed PA using the International Physical Activity Questionnaire (IPAQ). Two items on nighttime and daytime sleep problems in the last 30 days were used to measure PSQ. Multivariable ordinary least square (OLS) regressions and bootstrapping models were performed to evaluate the associations.

Results: Overall, 1,201 participants (M_age = 66.15 ± 11.58 years; 63.3% female) were included in the analysis. PA was independently associated with decreased PSQ in the overall sample (B = -0.181, 95%I = -0.271 to -0.092) and in women (B = -0.195, 95%I = -0.305 to -0.084). The association was stronger in the ≥ 65 (B = -0.138) than in the 50-64 age group (B = -0.213). Mobility (37.06%), pain (23.66%), loneliness (6.71%), and comorbid anxiety and depression (8.95%) mediated the PA-PSQ association.

Conclusions: PA was associated with decreased PSQ levels, which was particularly explained by psychosomatic factors.

Clinical implications: Clinicians encourage older adults to engage in regular PA and manage psychosomatic problems may improve their sleep health.

查看原文本刊更多论文

加纳≥50岁社区居民体力活动与睡眠健康的关系：心身因素的中介作用

目的：在低收入和中等收入国家（LMICs），通过心身机制（如活动能力、疼痛、孤独、抑郁和焦虑）研究老年人身体活动（PA）与睡眠质量之间直接和间接关联的数据仍然很少。我们在加纳年龄≥50岁的个体中探讨了PA与睡眠质量差（PSQ）的关联，并探讨了这种关联的潜在中介因素。方法：我们分析了来自老龄化、健康、心理健康和寻求健康行为研究的社区数据。我们使用国际体育活动问卷（IPAQ）评估PA。使用近30天夜间和白天睡眠问题两个项目来测量PSQ。采用多变量普通最小二乘（OLS）回归和自举模型来评估相关性。结果：共有1201名参与者(年龄= 66.15±11.58岁；63.3%为女性)纳入分析。在整体样本（B = -0.181, 95%I = -0.271至-0.092）和女性（B = -0.195, 95%I = -0.305至-0.084）中，PA与PSQ下降独立相关。与50-64岁年龄组（B = -0.213）相比，≥65岁年龄组的相关性更强（B = -0.138）。活动（37.06%）、疼痛（23.66%）、孤独（6.71%）和共病焦虑和抑郁（8.95%）介导PA-PSQ相关性。结论：PA与PSQ水平降低有关，这主要与心身因素有关。临床意义：临床医生鼓励老年人参与定期PA和管理身心问题可能会改善他们的睡眠健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.