Impact of Physical Fitness and Daily Energy Expenditure on Sleep Efficiency in Young and Older Humans

Oudegeest-Sander, Madelijn H.; Eijsvogels, Thijs M. H.; Verheggen, Rebecca J. H. M.; Poelkens, Fleur; Hopman, Maria T. E.; Jones, Helen; Thijssen, Dick H. J.

doi:10.1159/000342213

Cited by 46 publications

(50 citation statements)

References 89 publications

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“…The older sample in our study demonstrated a larger range in MVPA than young, which may have led to the observation of a stronger relationship with sleep quality in this group. Previous research has shown that increasing fitness, while maintaining daily energy expenditure in older adults was not associated with changes in sleep quality (Oudegeest-Sander et al , 2013). Taken together with the results of the present study, it is suggested that habitual physical activity levels, rather than fitness, are associated with sleep quality in older adults.…”

Section: Discussionmentioning

confidence: 98%

Physical activity, sleep quality, and self-reported fatigue across the adult lifespan

Christie

Seery

Kent

2016

Experimental Gerontology

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Deteriorating sleep quality and increased fatigue are common complaints of old age, and poor sleep is associated with decreased quality of life and increased mortality rates. To date, little attention has been given to the potential effects of physical activity on sleep quality and fatigue in aging. The purpose of this study was to examine the relationships between activity, sleep and fatigue across the adult lifespan. Sixty community-dwelling adults were studied; 22 younger (21–29 years), 16 middle-aged (36–64 years), and 22 older (65–81 years). Physical activity was measured by accelerometer. Sleep quality was assessed using the Pittsburg Sleep Quality Index. Self-reported fatigue was evaluated with the Patient-Reported Outcomes Measurement Information System (PROMIS). Regression analysis revealed a positive relationship between activity and sleep quality in the older (r2=0.18, p=0.05), but not the younger (r2=0.041, p=0.35) or middle-aged (r2=0.001, p=0.93) groups. This association was mainly established by the relationship between moderate-vigorous activity and sleep quality (r2=0.37, p=0.003) in older adults. No association was observed between physical activity and self-reported fatigue in any of the groups (r2≤0.14, p≥0.15). However, an inverse relationship was found between sleep quality and fatigue in the older (r2=0.29, p=0.05), but not the younger or middle-aged (r2≤0.13, p≥0.10) groups. These results support the hypothesis that physical activity may be associated with sleep quality in older adults, and suggest that improved sleep may mitigate self-reported fatigue in older adults in a manner that is independent of activity.

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Section: Discussionmentioning

confidence: 98%

Physical activity, sleep quality, and self-reported fatigue across the adult lifespan

Christie

Seery

Kent

2016

Experimental Gerontology

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“…Finally, while the average level of physical activity did not predict sleep quality, fluctuations in sleep quality did predict subsequent sleep quality. Previous research has revealed that exercise is associated with sleep in various ways (Morgan, ; Sherrill et al ., ) and that this relationship might change with age (Oudegeest‐Sander et al ., ); however, Buman and King () suggest the cross‐sectional nature of these studies ‘precludes an understanding of the temporal nature of the relationship (i.e. individuals experiencing better sleep may be more inclined or disposed to be more physically active during the day)’.…”

Section: Discussionmentioning

confidence: 99%

Exercise and sleep in community‐dwelling older adults: evidence for a reciprocal relationship

Dzierzewski

Buman

Giacobbi

et al. 2013

Journal of Sleep Research

102

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Summary Exercise behavior and sleep are both important health indicators that demonstrate significant decreases with age, and remain modifiable well into the later life. The current investigation examined both the chronic and acute relationships between exercise behavior and self-reported sleep in older adults through a secondary analysis of a clinical trial of a lifestyle intervention. Seventy-nine community-dwelling, initially sedentary, older adults (Mean age = 63.58, SD = 8.66 years) completed daily home-based assessments of exercise behavior and sleep using daily diary methodology. Assessments were collected weekly and continued for 18 consecutive weeks. Multilevel models revealed a small positive chronic (between-person mean-level) association between exercise and wake time after sleep onset, and a small positive acute (within-person, day-to-day) association between exercise and general sleep quality rating. The within-person exercise and general sleep quality rating relationship was found to be reciprocal (i.e., sleep quality also predicted subsequent exercise behavior). As such, it appears exercise and sleep are dynamically related in older adults. Efforts to intervene on either sleep or exercise in late-life would be wise to take the other into account. Light exposure, temperature regulation, and mood may be potential mechanisms of action through which exercise can impact sleep in older adults.

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“…TST referred to the sum of the minutes scored as sleeping from sleep onset to the end of the sleep episode . Sleep efficiency was calculated as TST/time in bed × 100 (%) …”

Section: Methodsmentioning

confidence: 99%

Effect of Subjective and Objective Sleep Quality on Subsequent Peptic Ulcer Recurrence in Older Adults

Fang¹,

Liu²,

Yang

et al. 2019

J American Geriatrics Society

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OBJECTIVE To examine the effect of subjective and objective sleep quality on subsequent recurrence of peptic ulcer disease (PUD) among older patients after Helicobacter pylori eradication. SETTING Eight grade A hospitals in China. PARTICIPANTS Of 1689 older Chinese with H. pylori–infected PUD recruited between January 2011 and October 2014, H. pylori were eradicated and PUD was cleared in 1538 patients by the end of 2014; 1420 of these patients were followed up for up to 36 months. MEASUREMENTS Using multiple measures at 6‐month intervals, PUD recurrence was determined with esophagogastroduodenoscopy. Subjective sleep quality was measured using the Pittsburgh Sleep Quality Index. Objective sleep quality domains were measured using an accelerometer, including sleep onset latency, sleep efficiency, total sleep time, and number of awakenings. RESULTS This study documented a 36‐month cumulative PUD recurrence of 8.3% (annual rate = 2.8%). Multivariate analyses showed that participants who reported poorer sleep quality were more likely to experience PUD recurrence during the 36‐month follow‐up period (hazard ratio [HR] = 1.895; 95% confidence interval [CI] = 1.008‐3.327). Regarding objective sleep quality domains, longer sleep onset latency (HR = 1.558; 95% CI = 1.156‐2.278) and more nighttime awakenings (HR = 1.697; 95% CI = 1.168‐2.665) increased the risk of PUD recurrence. However, a longer total sleeping time protected against PUD recurrence (HR = 0.768; 95% CI = 0.699‐0.885). CONCLUSIONS Poor sleep quality predicts a greater risk of PUD recurrence. Accurate diagnosis and effective treatments should, therefore, be provided for older adults afflicted with poor sleep, particularly for those who previously had PUD. It is equally important to include sleep assessment as an integral part while dealing with these patients.

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Impact of Physical Fitness and Daily Energy Expenditure on Sleep Efficiency in Young and Older Humans

Cited by 46 publications

References 89 publications

Physical activity, sleep quality, and self-reported fatigue across the adult lifespan

Physical activity, sleep quality, and self-reported fatigue across the adult lifespan

Exercise and sleep in community‐dwelling older adults: evidence for a reciprocal relationship

Effect of Subjective and Objective Sleep Quality on Subsequent Peptic Ulcer Recurrence in Older Adults

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