Physical activity and sleep profiles in Finnish men and women

BMC Public Health

Katja Borodulin³  Tommi Vasankari¹  Markku Peltonen³  Asko Tolvanen²  Timo Partonen³  Erkki Kronholm³  Heini Wennman³ 

[1] UKK Institute for Health Promotion and Research, P.O. Box 30, 33501 Tampere, Finland;University of Jyväskylä, P.O. Box 35, 40014 Jyväskylä, Finland;National Institute for Health and Welfare, P.O. Box 30, 00271 Helsinki, Finland

关键词: Health behavior;    Latent class analysis;    Chronotype;    Sleep;    Physical activity;   

Others  :  1161302
DOI  :  10.1186/1471-2458-14-82

 received in 2013-09-13, accepted in 2014-01-25,  发布年份 2014

【 摘 要 】

Background

Physical activity (PA) and sleep are related to cardiovascular diseases (CVD) and their risk factors. The interrelationship between these behaviors has been studied, but there remain questions regarding the association of different types of PA, such as occupational, commuting, and leisure time to sleep, including quality, duration and sufficiency. It is also unclear to what extent sleep affects peoples’ PA levels and patterns. Our aim is to investigate the interrelationship between PA and sleep behaviors in the Finnish population, including employment status and gender.

Methods

The study comprised population based data from the FINRISK 2012 Study. A stratified, random sample of 10,000 Finns, 25 to 74 years-old, were sent a questionnaire and an invitation to a health examination. The participation rate was 64% (n = 6,414). Latent class analysis was used to search for different underlying profiles of PA and sleep behavior in men and women, respectively. Models with one through five latent profiles were fitted to the data. Based on fit indicators, a four-class model for men and women, respectively, was decided to be the best fitted model.

Results

Four different profiles of PA and sleep were found in both men and women. The most common profile of men comprised 45% of the total participants, and in women, 47%. These profiles were distinguished by probabilities for high leisure time PA and sleep, subjectively rated as sufficient, as well as sleep duration of 7–7.9 hours. The least common profiles represented 5% (men) and 11% (women) of the population, and were characterized by probabilities for physical inactivity, short sleep, and evening type for women and morning type for men. There was also one profile in both genders characterized by likelihood for both high occupational PA and subjectively experienced insufficient sleep.

Conclusions

The use of latent class analysis in investigating the interrelationship between PA and sleep is a novel perspective. The method provides information on the clustering of behaviors in people and the profiles found suggest an accumulative nature of leisure time PA, and better sleep. Our data also suggest that high levels of occupational PA are associated with shorter and poorer sleep.

【 授权许可】

   
2014 Wennman et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Conry MC, Morgan K, Curry P, McGee H, Harrington J, Ward M, Shelley E: The clustering of health behaviours in Ireland and their relationship with mental health, self-rated health and quality of life. BMC Public Health 2011, 11:692. BioMed Central Full Text
• [2]Eguchi E, Iso H, Tanabe N, Wada Y, Yatsuya H, Kikuchi S, Inaba Y, Tamakoshi A, Japan Collaborative Cohort Study Group: Healthy lifestyle behaviours and cardiovascular mortality among Japanese men and women: the Japan collaborative cohort study. Eur Heart J 2012, 33(4):467-477.
• [3]Liu K, Daviglus ML, Loria CM, Colangelo LA, Spring B, Moller AC, Lloyd-Jones D: Healthy lifestyle through young adulthood and the presence of low cardiovascular disease risk profile in middle age: the Coronary Artery Risk Development in (Young) Adults (CARDIA) study. Circulation 2012, 125(8):996-1004.
• [4]Petersen CB, Gronbaek M, Helge JW, Thygesen LC, Schnohr P, Tolstrup JS: Changes in physical activity in leisure time and the risk of myocardial infarction, ischemic heart disease, and all-cause mortality. Eur J Epidemiol 2012, 27(2):91-99.
• [5]Li J, Siegrist J: Physical activity and risk of cardiovascular disease–a meta-analysis of prospective cohort studies. Int J Environ Res Public Health 2012, 9(2):391-407.
• [6]Ford ES, Caspersen CJ: Sedentary behaviour and cardiovascular disease: a review of prospective studies. Int J Epidemiol 2012, 41(5):1338-1353.
• [7]Cappuccio FP, Cooper D, D'Elia L, Strazzullo P, Miller MA: Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies. Eur Heart J 2011, 32(12):1484-1492.
• [8]Knutson KL: Sleep duration and cardiometabolic risk: a review of the epidemiologic evidence. Best Pract Res Clin Endocrinol Metab 2010, 24(5):731-743.
• [9]Kronholm E, Laatikainen T, Peltonen M, Sippola R, Partonen T: Self-reported sleep duration, all-cause mortality, cardiovascular mortality and morbidity in Finland. Sleep Med 2011, 12(3):215-221.
• [10]Youngstedt SD, Kline CE: Epidemiology of exercise and sleep. Sleep and Biological Rhythms 2006, 4(3):215-221.
• [11]Morgan K: Daytime activity and risk factors for late-life insomnia. J Sleep Res 2003, 12(3):231-238.
• [12]Ohida T, Kamal A, Uchiyama M, Kim K, Takemura S, Sone T, Ishii T: The influence of lifestyle and health status factors on sleep loss among the Japanese general population. Sleep 2001, 24(3):333-338. ER
• [13]Loprinzi PD, Cardinal BJ: Association between objectively-measured physical activity and sleep, NHANES 2005–2006. Mental Health and Physical Activity 2011, 4(2):65-69.
• [14]Soltani M, Haytabakhsh MR, Najman JM, Williams GM, O'Callaghan MJ, Bor W, Dingle K, Clavarino A: Sleepless nights: the effect of socioeconomic status, physical activity, and lifestyle factors on sleep quality in a large cohort of Australian women. Arch Womens Ment Health 2012, 15(4):237-247.
• [15]Flausino NH, Da Silva Prado JM, de Queiroz SS, Tufik S, de Mello MT: Physical exercise performed before bedtime improves the sleep pattern of healthy young good sleepers. Psychophysiology 2012, 49(2):186-192.
• [16]Youngstedt SD, O'Connor PJ, Dishman RK: The effects of acute exercise on sleep: a quantitative synthesis. Sleep 1997, 20(3):203-214.
• [17]Driver H, Taylor S: Exercise and sleep. Sleep Medicine Reviews 2000, 4(4):387-402.
• [18]Merrill RM, Aldana SG, Greenlaw RL, Diehl HA, Salberg A: The effects of an intensive lifestyle modification program on sleep and stress disorders. Journal of Nutrition Health & Aging 2007, 11(3):242-248.
• [19]Paparrigopoulos T, Tzavara C, Theleritis C, Soldatos C, Tountas Y: Physical activity may promote sleep in cardiac patients suffering from insomnia. Int J Cardiol 2010, 143(2):209-211.
• [20]Passos GS, Poyares D, Santana MG, Rodrigues D'Aurea CV, Youngstedt SD, Tufik S, de Mello MT: Effects of moderate aerobic exercise training on chronic primary insomnia. Sleep Med 2011, 12(10):1018-1027.
• [21]Schmid SM, Hallschmid M, Jauch-Chara K, Wilms B, Benedict C, Lehnert H, Born J, Schultes B: Short-term sleep loss decreases physical activity under free-living conditions but does not increase food intake under time-deprived laboratory conditions in healthy men. Am J Clin Nutr 2009, 90(6):1476-1482.
• [22]Kronholm E, Härmä M, Hublin C, Aro AR, Partonen T: Self-reported sleep duration in Finnish general population. J Sleep Res 2006, 15(3):276-290.
• [23]Stenholm S, Kronholm E, Sainio P, Borodulin K, Era P, Fogelholm M, Partonen T, Porkka-Heiskanen T, Koskinen S: Sleep-related factors and mobility in older men and women. J Gerontol A Biol Sci Med Sci 2010, 65(6):649-657.
• [24]Haario P, Rahkonen O, Laaksonen M, Lahelma E, Lallukka T: Bidirectional associations between insomnia symptoms and unhealthy behaviours. J Sleep Res 2012, 22(1):89-95.
• [25]Green MJ, Espie CA, Hunt K, Benzeval M: The longitudinal course of insomnia symptoms: inequalities by sex and occupational class among two different age cohorts followed for 20 years in the west of Scotland. Sleep 2012, 35(6):815-823.
• [26]Trinkoff AM, Storr CL, Lipscomb JA: Physically demanding work and inadequate sleep, pain medication use, and absenteeism in registered nurses. J Occup Environ Med 2001, 43(4):355-363.
• [27]Merikanto I, Kronholm E, Peltonen M, Laatikainen T, Lahti T, Partonen T: Relation of chronotype to sleep complaints in the general Finnish population. Chronobiol Int 2012, 29(3):311-317.
• [28]Roenneberg T, Kuehnle T, Juda M, Kantermann T, Allebrandt K, Gordijn M, Merrow M: Epidemiology of the human circadian clock. Sleep Med Rev 2007, 11(6):429-438.
• [29]Urban R, Magyarodi T, Rigo A: Morningness-eveningness, chronotypes and health-impairing behaviors in adolescents. Chronobiol Int 2011, 28(3):238-247.
• [30]Schaal S, Peter M, Randler C: Morningness-eveningness and physical activity in adolescents. International Journal of Sport and Exercise Psychology 2010, 8(2):147-159.
• [31]Yamanaka Y, Honma K, Hashimoto S, Takasu N, Miyazaki T, Honma S: Effects of physical exercise on human circadian rhythms. Sleep and Biological Rhythms 2006, 4(3):199-206.
• [32]Grandner MA, Patel NP, Gehrman PR, Perlis ML, Pack AI: Problems associated with short sleep: bridging the gap between laboratory and epidemiological studies. Sleep Medicine Reviews 2010, 14(4):239-247.
• [33]Grandner MA, Drummond SPA: Who are the long sleepers? Towards an understanding of the mortality relationship. Sleep Med Rev 2007, 11(5):341-360.
• [34]Stenholm S, Kronholm E, Bandinelli S, Guralnik JM, Ferrucci L: Self-reported sleep duration and time in bed as predictors of physical function decline: results from the InCHIANTI Study. Sleep: Journal of Sleep and Sleep Disorders Research 2011, 34(11):1583-1593.
• [35]Borodulin K, Saarikoski L, Lund L, Juolevi A, Grönholm M, Helldán A, Peltonen M, Laatikainen T, Vartiainen E: Kansallinen FINRISKI 2012-terveystutkimus. Osa 1: Tutkimuksen toteutus ja menetelmät. (National FINRISK 2012 Health Study). National Institute for Health and Welfare 2013., 22http://urn.fi/URN:ISBN:978-952-302-053-5 webcite
• [36]Horne JA, Ostberg O: A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol 1976, 4(2):97-110.
• [37]Nagin D: Group-Based Modeling of Development. Cambridge, Massachusetts: Harvard University Press; 2005.
• [38]Collins LM, Lanza ST: Latent Class and Latent Transition Analysis. With applications in the Social, Behavioral, and Health Sciences. Wiley series in probability and statistics: Hoboken, New Jersey, USA; 2010.
• [39]Lanza ST, Collins LM, Lemmon DR, Schafer JL: PROC LCA: a SAS procedure for latent class analysis. Struct Equ Modeling 2007, 14(4):671-694.
• [40]Lubke G, Muthen B: Investigating population heterogeneity with factor mixture models. Psychol Methods 2005, 10(1):21-39.
• [41]University Park: PROC LCA & PROC LTA. 2013, 1.3.0. Penn State: The Methodology Center; http://methodology.psu.edu webcite
• [42]Jean-Louis G, Kripke DF, Ancoli-Israel S: Sleep and quality of well-being. Sleep 2000, 23(8):1115-1121.
• [43]Strine TW, Chapman DP: Associations of frequent sleep insufficiency with health-related quality of life and health behaviors. Sleep Med 2005, 6(1):23-27.
• [44]Borodulin K, Laatikainen T, Juolevi A, Jousilahti P: Thirty-year trends of physical activity in relation to age, calendar time and birth cohort in Finnish adults. Eur J Public Health 2008, 18(3):339-344.
• [45]Lallukka T, Sares-Jaske L, Kronholm E, Saaksjarvi K, Lundqvist A, Partonen T, Rahkonen O, Knekt P: Sociodemographic and socioeconomic differences in sleep duration and insomnia-related symptoms in Finnish adults. BMC Public Health 2012, 12:565. BioMed Central Full Text
• [46]Hublin C, Kaprio J, Partinen M, Koskenvuo M: Insufficient sleep–a population-based study in adults. Sleep 2001, 24(4):392-400.
• [47]Brassington G, Hicks R: Aerobic exercise and self-reported sleep quality in elderly individuals. J Aging Phys Act 1995, 3(2):120-134.
• [48]Sabanayagam C, Shankar A: Sleep duration and cardiovascular disease: results from the National Health Interview Survey. Sleep 2010, 33(8):1037-1042.
• [49]Talala KM, Martelin TP, Haukkala AH, Harkanen TT, Prattala RS: Socio-economic differences in self-reported insomnia and stress in Finland from 1979 to 2002: a population-based repeated cross-sectional survey. BMC Public Health 2012, 12(1):650. BioMed Central Full Text
• [50]Akerstedt T, Knutsson A, Westerholm P, Theorell T, Alfredsson L, Kecklund G: Sleep disturbances, work stress and work hours - a cross-sectional study. J Psychosom Res 2002, 53(3):741-748.
• [51]Roenneberg T, Allebrandt KV, Merrow M, Vetter C: Social jetlag and obesity. Curr Biol 2012, 22(10):939-943.
• [52]Harma M, Tenkanen L, Sjoblom T, Alikoski T, Heinsalmi P: Combined effects of shift work and life-style on the prevalence of insomnia, sleep deprivation and daytime sleepiness. Scand J Work Environ Health 1998, 24(4):300-307.
• [53]Kronholm E, Partonen T, Laatikainen T, Peltonen M, Harma M, Hublin C, Kaprio J, Aro AR, Partinen M, Fogelholm M, Valve R, Vahtera J, Oksanen T, Kivimaki M, Koskenvuo M, Sutela H: Trends in self-reported sleep duration and insomnia-related symptoms in Finland from 1972 to 2005: a comparative review and re-analysis of Finnish population samples. J Sleep Res 2008, 17(1):54-62.
• [54]McAloney K, Graham H, Law C, Platt L: A scoping review of statistical approaches to the analysis of multiple health-related behaviours. Prev Med 2013, 56(6):365-371.