Yan Yuge, Yang Yuqi, Li Yan, Guo Jing, Zhu Ping, Tuoheti Buweimairiyemu, Chen Lu, Gu Jie, Huang Jiaoling, Shen Jie
School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shanghai Institute of Infectious Disease and Biosecurity, Fudan University, Shanghai, 200032, China.
BMC Public Health. 2025 Jun 7;25(1):2136. doi: 10.1186/s12889-025-23226-w.
Growing evidence suggests that insufficient physical activity is a risk factor for poor sleep quality. However, few studies have investigated their relationship in healthcare workers. This study aims to fill this research gap by assessing the association between leisure-time physical activity and sleep quality among healthcare workers in China.
Our data came from a cross-sectional study conducted from October to December 2022. Using stratified random sampling, we collected behavioral and health data from 2,896 healthcare workers in Shanghai. We applied multiple linear and logistic regressions to assess the association between leisure-time physical activity and sleep quality measured by the Pittsburgh Sleep Quality Index (PSQI), controlling for confounders.
Among the 2,896 participants included in the analytical sample, the prevalence of sleep disturbance was 62.88% and the average PSQI score was 6.94 (SD = 3.45). Sleep disturbance was associated with nurses and other occupations, chronic diseases, stress, and increased workload. Leisure-time physical activity (OR = 0.770 (0.651, 0.911), p = 0.002) was a significant protective factor of sleep disturbance.
Leisure-time physical activity may be a protective factor for sleep quality among healthcare workers in China. Actionable policies and interventions, such as paid time off and subsidized gym membership, should be invested to increase physical activity among Chinese healthcare workers and, ultimately, improve their sleep quality and overall health.
越来越多的证据表明，身体活动不足是睡眠质量差的一个风险因素。然而，很少有研究调查医护人员中身体活动不足与睡眠质量之间的关系。本研究旨在通过评估中国医护人员休闲时间身体活动与睡眠质量之间的关联来填补这一研究空白。
我们的数据来自于2022年10月至12月进行的一项横断面研究。我们采用分层随机抽样的方法，收集了上海2896名医护人员的行为和健康数据。我们应用多元线性回归和逻辑回归来评估休闲时间身体活动与匹兹堡睡眠质量指数（PSQI）所衡量的睡眠质量之间的关联，并对混杂因素进行控制。
在纳入分析样本的2896名参与者中，睡眠障碍的患病率为62.88%，PSQI平均得分为6.94（标准差=3.45）。睡眠障碍与护士及其他职业、慢性病、压力和工作量增加有关。休闲时间身体活动（比值比=0.770（0.651，0.911），p=0.002）是睡眠障碍的一个显著保护因素。
休闲时间身体活动可能是中国医护人员睡眠质量的一个保护因素。应投入可行的政策和干预措施，如带薪休假和补贴健身房会员资格，以增加中国医护人员的身体活动，最终改善他们的睡眠质量和整体健康状况。
