Association between physical activity and sleep in community-dwelling older adults and the mediation of pain

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-04-18 DOI:10.1016/j.gerinurse.2025.03.051

Sofia Liu MSN , Mengchi Li PhD , Qiwei Li PhD , Russell Calderon BA , Nada Lukkahatai PhD , Junxin Li PhD

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Abstract

Objective

This study aimed to assess the associations between physical activity (PA) and sleep in sedentary community-dwelling older adults with poor sleep quality, and to explore the mediating roles of pain intensity, interference, and behavior.

Design

Data from 122 participants (mean age = 70.45±6.18 years) were analyzed using multiple linear regression and structural equation modeling. PA and sleep were measured objectively using ActiGraph Link and Actiwatch 2, and subjectively with the Physical Activity Scale for the Elderly and the Pittsburgh Sleep Quality Index. Pain was measured using the Patient-Reported Outcomes Measurement Information System® pain instruments.¹

Results

Higher PA levels were associated with better sleep quantity and quality. Pain measures significantly mediated these relationships, with pain interference showing the most substantial effect.

Conclusion

The study suggests incorporating pain management strategies into PA programs may optimize sleep health in older adults. Future longitudinal studies are needed to confirm the associations.

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社区老年人身体活动和睡眠与疼痛中介之间的关系

目的探讨久坐不动、睡眠质量差的社区老年人身体活动与睡眠的关系，并探讨疼痛强度、干扰和行为在二者之间的中介作用。122名参与者（平均年龄= 70.45±6.18岁）的设计数据采用多元线性回归和结构方程模型进行分析。客观上使用ActiGraph Link和Actiwatch 2测量PA和睡眠，主观上使用老年人体力活动量表和匹兹堡睡眠质量指数。使用患者报告结果测量信息系统®疼痛仪器测量疼痛。结果较高的PA水平与较好的睡眠时间和质量相关。疼痛测量显着调节了这些关系，疼痛干扰显示出最实质性的影响。结论：将疼痛管理策略纳入PA计划可以优化老年人的睡眠健康。未来的纵向研究需要证实这些关联。

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

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.