KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium; KU Leuven, University Psychiatric Center KU Leuven, Kortenberg, Belgium.
Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London, UK; Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, UK; Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford, UK.
Sleep Med. 2018 Aug;48:140-147. doi: 10.1016/j.sleep.2018.04.013. Epub 2018 May 24.
Although physical activity (PA) is associated with a reduction of a wide range of sleep problems, it remains uncertain whether complying with the international guidelines of 150 min of moderate to vigorous PA per week can reduce sleep problems in adults. This research investigated the relationship between compliance with the PA recommendations of the World Health Organization and sleep problems in 38 low- and middle-income countries (LMICs).
Cross-sectional, community-based data from the World Health Survey were analyzed. Adjusted logistic regression analyses were undertaken to explore the relationship between PA levels using the International Physical Activity Questionnaire and self-reported sleep problems (such as difficulties falling asleep, waking up frequently during the night or waking up too early in the morning) in the last 30 days.
Across 204,315 individuals (38.6 ± 16.1 years; 49.3% males), the overall prevalence (95% CI) of low PA and sleep problems were 29.9% (29.1-30.8%) and 7.5% (7.2-7.9%), respectively. After adjusting for socio-demographics, obesity, chronic physical conditions, depression, and anxiety; not complying with PA recommendations was associated with higher odds for sleep problems overall [odds ratio (OR) = 1.23, 95% CI = 1.10-1.38] as well as across the entire age range: 18-34 years (OR = 1.26; 95% CI = 1.02-1.57); 35-64 years (OR = 1.17; 95% CI = 1.01-1.35); and age ≥65 years (OR = 1.40; 95% CI = 1.11-1.76).
Not complying with international PA recommendations is associated with higher odds of sleep problems, independently of depression and anxiety in LMICs. Future longitudinal and interventional studies are warranted to assess whether increasing PA levels may improve sleep problems in this setting.
尽管身体活动（PA）与广泛的睡眠问题减少有关，但仍不确定每周遵循国际 150 分钟中等至剧烈 PA 指南是否可以减少成年人的睡眠问题。本研究调查了遵守世界卫生组织 PA 建议与 38 个低收入和中等收入国家（LMICs）睡眠问题之间的关系。
使用国际体力活动问卷分析了来自世界卫生调查的横断面、社区为基础的数据。采用调整后的逻辑回归分析，探讨了 PA 水平与过去 30 天内自我报告的睡眠问题（如入睡困难、夜间频繁醒来或清晨过早醒来）之间的关系。
在 204315 名个体（38.6±16.1 岁；49.3%为男性）中，低 PA 和睡眠问题的总体患病率（95%CI）分别为 29.9%（29.1-30.8%）和 7.5%（7.2-7.9%）。在调整了社会人口统计学、肥胖、慢性身体状况、抑郁和焦虑因素后，不遵守 PA 建议与睡眠问题的总体发生几率较高相关[比值比（OR）=1.23，95%CI=1.10-1.38]，且在整个年龄范围内均如此：18-34 岁（OR=1.26；95%CI=1.02-1.57）；35-64 岁（OR=1.17；95%CI=1.01-1.35）；和年龄≥65 岁（OR=1.40；95%CI=1.11-1.76）。
在 LMICs 中，不遵守国际 PA 建议与睡眠问题发生几率较高相关，且独立于抑郁和焦虑。需要进一步进行前瞻性和干预性研究，以评估增加 PA 水平是否可以改善该环境中的睡眠问题。
