Julia T. Boyle PsyD , Spencer A. Nielson MS , Michael L. Perlis PhD , Joseph M. Dzierzewski PhD
{"title":"动一动，睡一觉：对自我报告的运动、久坐行为和失眠症状进行纵向动态分析。","authors":"Julia T. Boyle PsyD , Spencer A. Nielson MS , Michael L. Perlis PhD , Joseph M. Dzierzewski PhD","doi":"10.1016/j.sleh.2024.02.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Insomnia symptoms are associated with poor physical and mental health. Exercise is associated with good sleep while sedentary behavior is associated with poor sleep. This study investigated the longitudinal, dynamic associations among exercise, sedentary behavior, and insomnia symptoms.</p></div><div><h3>Methods</h3><p>Seven hundred and fifty-six adults (M<sub>age</sub> <!-->=<!--> <!-->47.2<!--> <!-->years, 54.9% female) took part in an online longitudinal study investigating sleep and health across the lifespan. Participants reported duration of moderate-to-strenuous exercise, percentage of day spent sitting, and insomnia symptoms (Insomnia Severity Index [ISI]). The ISI was scored as a total score and two-factor scores: (1) Sleep Disturbance (items 1, 2, 3) and (2) Daytime Dysfunction (items 4, 5, 6, 7). Multilevel modeling was used to examine the typical (i.e., between-persons) and individual (i.e., within-persons) associations among sedentary behavior, exercise, and insomnia symptoms.</p></div><div><h3>Results</h3><p>Sedentary behavior was significantly associated with total ISI scores at both the between-person and within-person levels (<em>β</em> = 0.036, <em>t</em> = 3.23, <em>p</em> = .001; <em>β</em> = 0.014, <em>t</em> = 1.99, <em>p</em> = .048). Both between-persons and within-person levels of sedentary behavior were associated with Daytime Dysfunction (<em>β</em> = 0.028, <em>t</em> = 3.79, <em>p</em> < .001; <em>β</em> = 0.009, <em>t</em> = 2.08, <em>p</em> = .039). Exercise was associated with total ISI and Daytime Dysfunction scores at the between-persons level but not at the within-persons level (<em>β</em> = 0.028, <em>t</em> = 2.57, <em>p</em> = .01<em>; β</em> = −<!--> <!-->0.002, <em>t</em> = −<!--> <!-->3.02, <em>p</em> = .003).</p></div><div><h3>Conclusions</h3><p>Sedentary behavior was a more consistent and robust predictor of insomnia symptoms than exercise. The association between sedentary behavior and insomnia symptoms was dynamic in that when an individual reported being more sedentary than their norm, they also reported more insomnia symptoms. Future analyses should examine potential moderator variables and comorbid conditions.</p></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":null,"pages":null},"PeriodicalIF":3.4000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Move your feet and sleep: A longitudinal dynamic analysis of self-reported exercise, sedentary behavior, and insomnia symptoms\",\"authors\":\"Julia T. Boyle PsyD , Spencer A. Nielson MS , Michael L. Perlis PhD , Joseph M. Dzierzewski PhD\",\"doi\":\"10.1016/j.sleh.2024.02.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Insomnia symptoms are associated with poor physical and mental health. Exercise is associated with good sleep while sedentary behavior is associated with poor sleep. This study investigated the longitudinal, dynamic associations among exercise, sedentary behavior, and insomnia symptoms.</p></div><div><h3>Methods</h3><p>Seven hundred and fifty-six adults (M<sub>age</sub> <!-->=<!--> <!-->47.2<!--> <!-->years, 54.9% female) took part in an online longitudinal study investigating sleep and health across the lifespan. Participants reported duration of moderate-to-strenuous exercise, percentage of day spent sitting, and insomnia symptoms (Insomnia Severity Index [ISI]). The ISI was scored as a total score and two-factor scores: (1) Sleep Disturbance (items 1, 2, 3) and (2) Daytime Dysfunction (items 4, 5, 6, 7). Multilevel modeling was used to examine the typical (i.e., between-persons) and individual (i.e., within-persons) associations among sedentary behavior, exercise, and insomnia symptoms.</p></div><div><h3>Results</h3><p>Sedentary behavior was significantly associated with total ISI scores at both the between-person and within-person levels (<em>β</em> = 0.036, <em>t</em> = 3.23, <em>p</em> = .001; <em>β</em> = 0.014, <em>t</em> = 1.99, <em>p</em> = .048). Both between-persons and within-person levels of sedentary behavior were associated with Daytime Dysfunction (<em>β</em> = 0.028, <em>t</em> = 3.79, <em>p</em> < .001; <em>β</em> = 0.009, <em>t</em> = 2.08, <em>p</em> = .039). Exercise was associated with total ISI and Daytime Dysfunction scores at the between-persons level but not at the within-persons level (<em>β</em> = 0.028, <em>t</em> = 2.57, <em>p</em> = .01<em>; β</em> = −<!--> <!-->0.002, <em>t</em> = −<!--> <!-->3.02, <em>p</em> = .003).</p></div><div><h3>Conclusions</h3><p>Sedentary behavior was a more consistent and robust predictor of insomnia symptoms than exercise. The association between sedentary behavior and insomnia symptoms was dynamic in that when an individual reported being more sedentary than their norm, they also reported more insomnia symptoms. Future analyses should examine potential moderator variables and comorbid conditions.</p></div>\",\"PeriodicalId\":48545,\"journal\":{\"name\":\"Sleep Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sleep Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2352721824000305\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sleep Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352721824000305","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Move your feet and sleep: A longitudinal dynamic analysis of self-reported exercise, sedentary behavior, and insomnia symptoms
Introduction
Insomnia symptoms are associated with poor physical and mental health. Exercise is associated with good sleep while sedentary behavior is associated with poor sleep. This study investigated the longitudinal, dynamic associations among exercise, sedentary behavior, and insomnia symptoms.
Methods
Seven hundred and fifty-six adults (Mage = 47.2 years, 54.9% female) took part in an online longitudinal study investigating sleep and health across the lifespan. Participants reported duration of moderate-to-strenuous exercise, percentage of day spent sitting, and insomnia symptoms (Insomnia Severity Index [ISI]). The ISI was scored as a total score and two-factor scores: (1) Sleep Disturbance (items 1, 2, 3) and (2) Daytime Dysfunction (items 4, 5, 6, 7). Multilevel modeling was used to examine the typical (i.e., between-persons) and individual (i.e., within-persons) associations among sedentary behavior, exercise, and insomnia symptoms.
Results
Sedentary behavior was significantly associated with total ISI scores at both the between-person and within-person levels (β = 0.036, t = 3.23, p = .001; β = 0.014, t = 1.99, p = .048). Both between-persons and within-person levels of sedentary behavior were associated with Daytime Dysfunction (β = 0.028, t = 3.79, p < .001; β = 0.009, t = 2.08, p = .039). Exercise was associated with total ISI and Daytime Dysfunction scores at the between-persons level but not at the within-persons level (β = 0.028, t = 2.57, p = .01; β = − 0.002, t = − 3.02, p = .003).
Conclusions
Sedentary behavior was a more consistent and robust predictor of insomnia symptoms than exercise. The association between sedentary behavior and insomnia symptoms was dynamic in that when an individual reported being more sedentary than their norm, they also reported more insomnia symptoms. Future analyses should examine potential moderator variables and comorbid conditions.
期刊介绍：
Sleep Health Journal of the National Sleep Foundation is a multidisciplinary journal that explores sleep''s role in population health and elucidates the social science perspective on sleep and health. Aligned with the National Sleep Foundation''s global authoritative, evidence-based voice for sleep health, the journal serves as the foremost publication for manuscripts that advance the sleep health of all members of society.The scope of the journal extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology. The journal welcomes original research articles, review articles, brief reports, special articles, letters to the editor, editorials, and commentaries.
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