Andrianasolo Roland M, Menai Mehdi, Galan Pilar, Hercberg Serge, Oppert Jean-Michel, Kesse-Guyot Emmanuelle, Andreeva Valentina A
Université Paris 13, Equipe de Recherche en Epidémiologie Nutritionnelle (EREN), Centre de Recherche en Epidémiologie et Statistiques, Inserm U1153, Inra U1125, Cnam, COMUE Sorbonne Paris Cité, 93017, Bobigny, France.
Département de Santé Publique, Hôpital Avicenne, 93017, Bobigny, France.
Int J Behav Med. 2016 Apr;23(2):143-52. doi: 10.1007/s12529-015-9501-3.
The potential benefit of physical activity in terms of decreasing excessive daytime sleepiness (EDS) prevalence is unclear, especially in aging adults.
We aimed to elucidate the associations among physical activity, sedentariness, and EDS in middle-aged and older adults.
We conducted a cross-sectional analysis using data from a subsample of participants in the SU.VI.MAX-2 observational study (2007-2009; N = 4179; mean age = 61.9 years). EDS was defined as a score >10 on the Epworth Sleepiness Scale. Leisure-time physical activity and different types of sedentary behavior were assessed with the Modifiable Activity Questionnaire. The associations were examined with multivariable logistic regression models.
In the adjusted multivariable model, total leisure-time physical activity (modeled in quartiles, Q) was significantly, inversely associated with EDS (odds ratios (OR)Q4 vs Q1 = 0.70, 95 % confidence interval (CI) = 0.54-0.89). The association persisted in analyses restricted to individuals not taking sleep medication (ORQ4 vs Q1 = 0.72, 95 % CI = 0.54-0.95). In turn, time spent watching television and time spent reading appeared protective against EDS (ORQ4 vs Q1 = 0.73, 95 % CI = 0.57-0.94; ORQ4 vs Q1 = 0.76, 95 % CI = 0.60-0.97, respectively), whereas time spent on a computer appeared to confer an increased risk for EDS (ORQ4 vs Q1 = 1.30, 95 % CI = 1.05-1.62). When physical activity and sedentariness were modeled jointly, using WHO recommendation-based cutoffs for high/low levels, no significant associations were observed in the fully adjusted models.
The findings reinforce public health recommendations promoting behavior modification and specifically moderate-intensity exercise in middle-aged and older adults. The association of high physical activity/low sedentariness with EDS, which was not supported by the data, merits further investigation before firm conclusions could be drawn.
体育活动在降低白天过度嗜睡（EDS）患病率方面的潜在益处尚不清楚，尤其是在老年人中。
我们旨在阐明中年及老年人体育活动、久坐行为与EDS之间的关联。
我们使用SU.VI.MAX-2观察性研究（2007 - 2009年；N = 4179；平均年龄 = 61.9岁）参与者子样本的数据进行横断面分析。EDS定义为Epworth嗜睡量表得分>10分。通过可修改活动问卷评估休闲时间的体育活动和不同类型的久坐行为。使用多变量逻辑回归模型检验关联。
在调整后的多变量模型中，总休闲时间体育活动（按四分位数建模，Q）与EDS显著负相关（比值比（OR）Q4 vs Q1 = 0.70，95%置信区间（CI） = 0.54 - 0.89）。在仅限于未服用睡眠药物个体的分析中，该关联持续存在（ORQ4 vs Q1 = 0.72，95% CI = 0.54 - 0.95）。反过来，看电视时间和阅读时间似乎对EDS有保护作用（ORQ4 vs Q1 = 0.73，95% CI = 0.57 - 0.94；ORQ4 vs Q1 = 0.76，95% CI = 0.60 - 0.97），而使用电脑的时间似乎会增加EDS风险（ORQ4 vs Q1 = 1.30，95% CI = 1.05 - 1.62）。当将体育活动和久坐行为联合建模，使用基于世界卫生组织建议的高低水平临界值时，在完全调整模型中未观察到显著关联。
研究结果强化了促进行为改变特别是中年及老年人进行中等强度运动的公共卫生建议。高体育活动/低久坐行为与EDS的关联，未得到数据支持，在得出明确结论之前值得进一步研究。
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