Relationships between Sleep, Sedentary Behavior, and Physical Activity in Young Adults

Authors

  • Ya-Wen Hsu School of Community Health Sciences, University of Nevada, Reno, NV 89557, USA; Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy & Science,Tainan,Taiwan
  • Chun-Ping Chang Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy & Science,Tainan,Taiwan
  • Chia-Chang Liu Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy & Science,Tainan,Taiwan

DOI:

https://doi.org/10.17140/OROJ-6-138

Keywords:

Accelerometer; Sleep; Sedentary; Physical activity.

Abstract

Purpose
While there are some studies on sleep and physical activity, little is known regarding the associations between sleep and sedentary behavior. This study investigated the associations between sleep, sedentary behavior, and physical activity among young adults.
Methods
Cross-sectional data from 124 undergraduate students were included in the analysis (age=21±1 years). Both accelerometer-based and
self-report assessments of sleep were included; physical activity and sedentary behavior were assessed by accelerometers. Participants
were asked to fill out sleep questionnaires and wear accelerometers for 7 days. Pearson correlations, partial correlations, and analysis
of covariance (ANCOVA) analyses were performed to investigate the relationships between sleep, sedentary behavior, and physical
activity.
Results
After adjusting for age, gender, percent body fat, educational level, and monthly allowance, prolonged sedentary time was correlated
with a shorter sleep onset latency (r=-0.19, p=0.04), shorter time in bed (r=-0.43, p<0.001), and shorter sleep duration (r=-0.38,
p<0.001). Moderate-to-vigorous physical activity (MVPA) was positively correlated with sleep onset latency (r=0.43, p<0.001). Sedentary behavior and MVPA were not correlated with sleep quality or daytime sleepiness. After further categorizing sleep duration
into three subgroups, individuals with ≤6 hours (p<0.001) of sleep spent more time being sedentary than did those with 6-7 hours
(p<0.001) and ≥7 hours (p=0.007) of sleep. Individuals with 6-7 hours of sleep had a higher level of MVPA than did those with ≥7
hours of sleep.
Conclusion
Improving the duration of sleep may be a viable approach to help reduce sedentary behavior among young adults. Future studies
with longitudinal designs are needed to further investigate the directionality of these associations and their potential mediators and
moderators.

References

Tremmel M, Gerdtham UG, Nilsson PM, Saha S. Economic burden of obesity: A systematic literature review. Int J Environ Res Public Health. 2017; 14(4): pii: E435. doi: 10.3390/ijerph14040435

Chang HC, Yang HC, Chang HY, et al. Morbid obesity in Tai-wan: Prevalence, trends, associated social demographics, and life-style factors. PLoS One. 2017; 12(2): e0169577. doi: 10.1371/jour-nal.pone.0169577

Chaput JP, Barnes JD, Tremblay MS, et al. Inequality in physical activity, sedentary behaviour, sleep duration and risk of obesity in children: A 12-country study. Obes Sci Pract. 2018; 4(3): 229-237. doi: 10.1002/osp4.271

Ogilvie RP, Patel SR. The epidemiology of sleep and obesity. Sleep Health. 2017; 3(5): 383-388. doi: 10.1016/j.sleh.2017.07.013

Kredlow MA, Capozzoli MC, Hearon BA, Calkins AW, Otto MW. The effects of physical activity on sleep: A meta-analytic re-view. J Behav Med. 2015;38(3):427-449. doi: 10.1007/s10865-015- 9617-6

Schwartz S, McDowell Anderson W, Cole SR, Cornoni-Hunt-ley J, Hays JC, Blazer D. Insomnia and heart disease: A review of epidemiologic studies. J Psychosom Res. 1999; 47(4): 313-333. doi: 10.1016/s0022-3999(99)00029-x

Ströhle A. Physical activity, exercise, depression and anxiety dis-orders. J Neural Transm. 2009; 116: 777-784. doi: 10.1007/s00702- 008-0092-x

Johnson J, Cohen P, Kasen S, First M, Brook J. Association be-tween television viewing and sleep problems during adolescence and early adulthood. Arch Pediatr Adolesc Med. 2004; 158(6): 562- 568. doi: 10.1001/archpedi.158.6.562

Chen M-Y, Wang E, Jeng Y-J. Adequate sleep among adolescents is positively associated with health status and health-related behav-iors. BMC Public Health. 2006; 6: 59. doi: 10.1186/1471-2458-6-59

Yang Y, Shin JC, Li D, An R. Sedentary behavior and sleep problems: A systematic review and meta-analysis. Int J Behav Med. 2017; 24(4): 481-492. doi: 10.1007/s12529-016-9609-0

Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, Mc-Dowell M. Physical activity in the United States measured by accel-erometer. Med Sci Sports Exerc. 2008; 40(1): 181-188. doi: 10.1249/ mss.0b013e31815a51b3

Arem H, Moore SC, Patel A, et al. Leisure time physical activity and mortality: A detailed pooled analysis of the dose-response re-lationship. JAMA Intern Med. 2015; 175(6): 959-967. doi: 10.1001/ jamainternmed.2015.0533

Korsiak J, Tranmer J, Leung M, Borghese MM, Aronson KJ. 23 Hsu Actigraph measures of sleep among female hospital employees working day or alternating day and night shifts. J Sleep Res. 2018; 27(4): e12579. doi: 10.1111/jsr.12579

Shrivastava D, Jung S, Saadat M, Sirohi R, Crewson K. How to interpret the results of a sleep study. J Community Hosp Intern Med Perspect. 2014; 4(5): 24983. doi: 24910.23402/jchimp.v24984.24983

Berger I, Obeid J, Timmons BW, DeMatteo C. Exploring ac-celerometer versus self-report sleep assessment in youth with concussion. Glob Pediatr Health. 2017; 4: 2333794x17745973. doi: 10.1177/2333794X17745973

Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The pittsburgh sleep quality index: A new instrument for psy-chiatric practice and research. Psychiatry Res. 1989; 28(2): 193-213. doi: 10.1016/0165-1781(89)90047-4

Tsai PS, Wang SY, Wang MY, et al. Psychometric evaluation of the Chinese version of the Pittsburgh Sleep Quality Index (CP-SQI) in primary insomnia and control subjects. Qual Life Res. 2005; 14(8): 1943-1952. doi: 10.1007/s11136-005-4346-x

Chen NH, Johns MW, Li HY, et al. Validation of a Chinese version of the Epworth sleepiness scale. Qual Life Res. 2002; 11(8): 817-821. doi: 10.1023/A:1020818417949

Silva GE, Vana KD, Goodwin JL, Sherrill DL, Quan SF. Iden-tification of patients with sleep disordered breathing: Comparing the four-variable screening tool, STOP, STOP-Bang, and Ep-worth sleepiness scales. J Clin Sleep Med. 2011; 7(5): 467-472. doi: 10.5664/JCSM.1308

Creasy SA, Crane TE, Garcia DO, et al. Higher amounts of sedentary time are associated with short sleep duration and poor sleep quality in postmenopausal women. Sleep. 2019; 42(7): pii: zsz093. doi: 10.1093/sleep/zsz093

Teychenne M, Ball K, Salmon J. Sedentary behavior and de-pression among adults: A review. Int J Behav Med. 2010; 17(4): 246- 254. doi: 10.1007/s12529-010-9075-z

Pengpid S, Peltzer K. Sedentary behaviour and 12 sleep prob-lem indicators among middle-aged and elderly adults in South Africa. Int J Environ Res Public Health. 2019;16(8): pii: E1422. doi: 10.3390/ijerph16081422

Maglione JE, Ancoli-Israel S, Peters KW, et al. Subjective and objective sleep disturbance and longitudinal risk of depression in a cohort of older women. Sleep. 2014; 37(7): 1179-1187. doi: 10.5665/sleep.3834

Chen PJ, Huang CL, Weng SF, et al. Relapse insomnia increases greater risk of anxiety and depression: Evidence from a popula-tion-based 4-year cohort study. Sleep Med. 2017; 38: 122-129. doi: 10.1016/j.sleep.2017.07.016 Y-W et al Original Research | Volume 6 | Number 1|

de Rezende LF, Rodrigues Lopes M, Rey-Lopez JP, Matsudo VK, Luiz Odo C. Sedentary behavior and health outcomes: An overview of systematic reviews. PLoS One. 2014; 9(8): e105620. doi: 10.1371/journal.pone.0105620

Gennuso KP, Gangnon RE, Matthews CE, Thraen-Borowski KM, Colbert LH. Sedentary behavior, physical activity, and mark-ers of health in older adults. Med Sci Sports Exerc. 2013; 45(8): 1493- 1500. doi: 10.1249/MSS.0b013e318288a1e5

Exelmans L, Van den Bulck J. Sleep quality is negatively related to video gaming volume in adults. J Sleep Res. 2015; 24(2): 189-196. doi: 10.1111/jsr.12255

Buman MP, Kline CE, Youngstedt SD, Phillips B, Tulio de Mello M, Hirshkowitz M. Sitting and television viewing: novel risk factors for sleep disturbance and apnea risk? results from the 2013 National Sleep Foundation Sleep in America Poll. Chest. 2015; 147(3): 728-734. doi: 10.1378/chest.14-1187

Bromley LE, Booth JN 3rd, Kilkus JM, Imperial JG, Penev PD. Sleep restriction decreases the physical activity of adults at risk for type 2 diabetes. Sleep. 2012; 35(7): 977-984. doi: 10.5665/ sleep.1964

Chasens ER, Umlauf MG, Weaver TE. Sleepiness, physical ac-Submit your article to this journal | https://openventio.org/submit-manuscript/ Original Research | Volume 6 | Number 1| Hsu tivity, and functional outcomes in veterans with type 2 diabetes. Appl Nurs Res. 2009; 22(3): 176-182. doi: 10.1016/j.apnr.2007.12.001

Madden KM, Ashe MC, Lockhart C, Chase JM. Sedentary behavior and sleep efficiency in active community-dwelling older adults. Sleep Sci. 2014; 7(2): 82-88. doi: 10.1016/j.slsci.2014.09.009

Willis EA, Creasy SA, Honas JJ, Melanson EL, Donnelly JE. The effects of exercise session timing on weight loss and compo-nents of energy balance: Midwest exercise trial 2. Int J Obes (Lond). 2019. doi: 10.1038/s41366-019-0409-x

Kakinami L, O’Loughlin EK, Brunet J, et al. Associations be-tween physical activity and sedentary behavior with sleep quality and quantity in young adults. Sleep Health. 2017; 3(1): 56-61. doi: 10.1016/j.sleh.2016.11.001

Zhai L, Zhang Y, Zhang D. Sedentary behaviour and the risk of depression: A meta-analysis. Br J Sports Med. 2015; 49(11): 705-709. doi: 10.1136/bjsports-2014-093613

Chang VC, Chaput JP, Roberts KC, Jayaraman G, Do MT. Fac-tors associated with sleep duration across life stages: Results from the Canadian Health Measures Survey. Health Promot Chronic Dis Prev Can. 2018; 38(11): 404-418. doi: 10.24095/hpcdp.38.11.02 Y-W et al 24

Downloads

Published

2019-09-30

How to Cite

Ya-Wen Hsu, Chun-Ping Chang, & Chia-Chang Liu. (2019). Relationships between Sleep, Sedentary Behavior, and Physical Activity in Young Adults. Obesity Research, 18–24. https://doi.org/10.17140/OROJ-6-138

Issue

Section

Articles