Cai XiaoTao, Xian Yi, Zhou YuXin, Liu TongYi, Zhang Xinyue, Chen Qing
Institute of Physical Education, Sichuan University, Chengdu, China.
School of Physical Education and Spout Science, Fujian Normal University, Fuzhou, China.
Front Public Health. 2025 Aug 20;13:1635020. doi: 10.3389/fpubh.2025.1635020. eCollection 2025.
OBJECTIVE: This study aimed to examine the relationship between physical activity volume and sleep duration in older adults, using objective monitoring data to investigate their non-linear association and threshold effects, thereby providing references for developing exercise programs to improve sleep duration. METHODS: The study used two consecutive waves of NHANES cross-sectional data (2011-2014) as the derivation cohort and NHANES 2005-2006 data as the validation cohort. Analysis of the derivation cohort included weighted univariate analysis, weighted multivariate logistic regression, and interpretable machine learning analysis. The machine learning interpretability process involved dividing a 20% internal validation test set, using the grid search method and five-fold cross-validation to construct RF, GBDT, XGBoost, and LightGBM models, as well as a two-layer stacked ensemble model for model comparison, with external validation of the optimal model's performance. The final model was used for SHAP interpretability analysis. RESULTS: Logistic regression results showed a positive correlation between physical activity volume and the probability of good sleep duration. Among the constructed models, GBDT performed best, with internal validation AUC = 0.859 (0.821-0.897, < 0.001) and external validation AUC = 0.707 (0.690-0.730, < 0.001). SHAP analysis results indicated that physical activity volume was particularly important for sleep duration, with the association direction consistent with logistic regression results, demonstrating strong robustness of the positive correlation. The association showed non-linear relationships and threshold effects: the marginal effects of physical activity volume changes were relatively low below 7,000 MIMS and above 15,000 MIMS, with 11461.51 MIMS being the key threshold point for predicting whether older adults would have good sleep duration. CONCLUSION: In studies targeting sleep duration improvement in older adults, physical activity may be considered as a non-invasive intervention. When designing such programs, special attention should be given to critical thresholds and zone effects of physical activity volume. We recommend that older adults maintain a daily activity level of at least 12,000 MIMS, with 15,000 MIMS representing the optimal standard. However, potential risks associated with excessive exercise should be noted.
目的:本研究旨在探讨老年人身体活动量与睡眠时间之间的关系,利用客观监测数据研究它们的非线性关联和阈值效应,从而为制定改善睡眠时间的运动计划提供参考。 方法:本研究使用连续两波的美国国家健康与营养检查调查(NHANES)横断面数据(2011 - 2014年)作为推导队列,以及NHANES 2005 - 2006年数据作为验证队列。对推导队列的分析包括加权单变量分析、加权多变量逻辑回归和可解释机器学习分析。机器学习可解释性过程包括划分20%的内部验证测试集,使用网格搜索方法和五折交叉验证来构建随机森林(RF)、梯度提升决策树(GBDT)、极端梯度提升(XGBoost)和轻量级梯度提升机(LightGBM)模型,以及用于模型比较的两层堆叠集成模型,并对最优模型的性能进行外部验证。最终模型用于SHAP可解释性分析。 结果:逻辑回归结果显示身体活动量与良好睡眠时间概率之间呈正相关。在所构建的模型中,GBDT表现最佳,内部验证AUC = 0.859(0.821 - 0.897,<0.001),外部验证AUC = 0.707(0.690 - 0.730,<0.001)。SHAP分析结果表明身体活动量对睡眠时间尤为重要,其关联方向与逻辑回归结果一致,表明正相关具有很强的稳健性。该关联呈现非线性关系和阈值效应:身体活动量变化的边际效应在低于7000代谢当量(MIMS)和高于15000 MIMS时相对较低,11461.51 MIMS是预测老年人是否有良好睡眠时间的关键阈值点。 结论:在旨在改善老年人睡眠时间的研究中,身体活动可被视为一种非侵入性干预措施。在设计此类计划时,应特别关注身体活动量的关键阈值和区间效应。我们建议老年人保持每日至少12000 MIMS的活动水平,15000 MIMS代表最佳标准。然而,应注意过度运动带来的潜在风险。
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