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美国成年人的身体活动、久坐时间、睡眠时间与日间嗜睡之间的关联。

Associations between physical activity, sedentary time, sleep duration and daytime sleepiness in US adults.

作者信息

McClain James J, Lewin Daniel S, Laposky Aaron D, Kahle Lisa, Berrigan David

机构信息

Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD 20892, USA.

Children's National Medical Center, George Washington University School of Medicine, Washington, DC 20310, USA.

出版信息

Prev Med. 2014 Sep;66:68-73. doi: 10.1016/j.ypmed.2014.06.003. Epub 2014 Jun 12.

Abstract

OBJECTIVE

To examine the associations between objectively measured physical activity (PA) or sedentary behavior and self-reported sleep duration or daytime sleepiness in a nationally representative sample of healthy US adults (N=2128).

METHODS

We report analyses of four aspects of sedentary behavior and PA derived from accelerometry data (minutes of sedentary time, activity counts/minute, Minutes of Moderate and Vigorous PA [MVPA], and MVPA in 10-minute bouts) versus self-report of sleep duration and frequency of daytime sleepiness from the 2005-2006 National Health and Nutrition Examination Survey.

RESULTS

Age and sex dependence of associations between PA and sleep were observed. Aspects of PA were significantly lower in adults reporting more frequent daytime sleepiness in younger (20-39) and older (≥ 60) age groups, but not in middle-aged (40-59), respondents. In younger respondents, PA increased with sleep duration, but in middle aged and older respondents PA was either unrelated to sleep duration or lower in those reporting ≥ 8 h of sleep. Objectively measured sedentary time showed limited evidence of associations with sleep duration.

CONCLUSIONS

Further research delineating the relationships between sleep and PA is important because both activities have been implicated in diverse health outcomes as well as in the etiology of obesity.

摘要

目的

在美国健康成年人的全国代表性样本(N = 2128)中,研究客观测量的身体活动(PA)或久坐行为与自我报告的睡眠时间或日间嗜睡之间的关联。

方法

我们报告了对久坐行为和PA四个方面的分析,这些数据来自加速度计数据(久坐时间分钟数、每分钟活动计数、中度和剧烈PA [MVPA]分钟数以及10分钟时段内的MVPA),并与2005 - 2006年国家健康和营养检查调查中自我报告的睡眠时间和日间嗜睡频率进行对比。

结果

观察到PA与睡眠之间的关联存在年龄和性别依赖性。在较年轻(20 - 39岁)和较年长(≥60岁)年龄组中,报告日间嗜睡频率较高的成年人,其PA方面显著较低,但在中年(40 - 59岁)受访者中并非如此。在较年轻的受访者中,PA随睡眠时间增加,但在中年和老年受访者中,PA与睡眠时间要么无关,要么在报告睡眠≥8小时的人群中较低。客观测量的久坐时间与睡眠时间之间的关联证据有限。

结论

进一步研究阐明睡眠与PA之间的关系很重要,因为这两种活动都与多种健康结果以及肥胖病因有关。

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