Association of physical activity with sleep health: A systematic review
Palavras-chave:Epidemiology, Sleep, Motor activity
Examinar sistematicamente a literatura sobre atividade física e sono em amostras não clínicas e de base populacional. Foram incluídos artigos originais testando a associação entre atividade física (como exposição) e sono (como desfecho) em amostras representativas da população em geral, de trabalhadores ou de universitários. Os desfechos incluídos foram duração do sono, qualidade do sono e insônia. Estudos que avaliaram amostras que incluíram somente indivíduos com alguma doença ou condição de saúde foram excluídos. A busca foi realizada em março de 2018 nas seguintes bases: PubMed, Scopus, Lilacs, CINAHL e SPORTdiscus. As informações extraídas dos dados foram ano, autor, país, população, faixa etária, tamanho da amostra, delineamento, mensuração e definição das variáveis de desfecho e exposição, variáveis de ajuste e principais resultados. Foram selecionados 57 estudos. A maioria foi conduzida em países de renda alta e com delineamento tranversal. Atividade física foi associada a menor odds de insônia (10 de 17 estudos), qualidade ruim do sono (12 de 19 estudos) e longa duração (7 de 11 estudos). Os resultados sobre curta duração ou duração avaliada de forma contínua permanecem inconclusivos. Os estudos selecionados usaram instrumentos heterogêneos tanto para atividade física quanto sono. Atividade física parece estar associada com qualidade do sono e insônia especialmente entre adultos e idosos onde estes desfechos foram mais frequentemente avaliados. Os efeitos a curto e longo prazo da atividade física em diferentes intensidades ainda precisam ser melhor explorados em futuros estudos originais.
Morgan D, Tsai SC. Sleep and the endocrine system. Crit Care Clin. 2015;31(3):403-18.
Shukla C, Basheer R. Metabolic signals in sleep regulation: recent insights. Nat Sci Sleep. 2016;8:9-20.
Bougard C, Davenne D, Espie S, Moussay S, Leger D. Sleepiness, attention and risk of accidents in powered two-wheelers. Sleep Med Rev. 2016;25:40-51.
Covassin N, Singh P. Sleep duration and cardiovascular disease risk: epidemiologic and experimental evidence. Sleep Med Clin. 2016;11(1):81-9.
Schafer AA, Domingues MR, Dahly DL, Meller FO, Goncalves H, Wehrmeister FC, et al. Sleep duration trajectories and body composition in adolescents: prospective birth cohort study. PloS One. 2016;11(3):e0152348.
Wolfson AR, Carskadon MA. Understanding adolescents' sleep patterns and school performance: a critical appraisal. Sleep Med Rev. 2003;7(6):491-506.
Stranges S, Dorn JM, Shipley MJ, Kandala N, Trevisan M, Miller MA, et al. Correlates of short and long sleep duration: a cross-cultural comparison between the United Kingdom and the United States: the Whitehall II Study and the Western New York Health Study. Am J Epidemiol. 2008;168(12):1353-64.
Paparrigopoulos T, Tzavara C, Theleritis C, Psarros C, Soldatos C, Tountas Y. Insomnia and its correlates in a representative sample of the Greek population. BMC Public Health. 2010;10:531.
Garcia AN, Salloum IM. Polysomnographic sleep disturbances in nicotine, caffeine, alcohol, cocaine, opioid, and cannabis use: A focused review. Am J Addict. 2015;24(7):590-8.
Krueger PM, Friedman EM. Sleep duration in the United States: a cross-sectional population-based study. Am J Epidemiol. 2009;169(9):1052-63.
Phillips B, Ancoli-Israel S. Sleep disorders in the elderly. Sleep Med. 2001;2(2):99-114.
Schwartz AR, Patil SP, Laffan AM, Polotsky V, Schneider H, Smith PL. Obesity and obstructive sleep apnea: pathogenic mechanisms and therapeutic approaches. Proc Am Thorac Soc. 2008;5(2):185-92.
Yoon HS, Yang JJ, Song M, Lee HW, Han S, Lee SA, et al. Correlates of self-reported sleep duration in middle-aged and elderly Koreans: from the Health Examinees Study. PloS One. 2015;10(5):e0123510.
Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al. Recommended amount of sleep for a healthy adult: a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep. 2015;38(6):843-4.
Driver HS, Taylor SR. Exercise and sleep. Sleep Med Rev. 2000;4(4):387-402.
Uchida S, Shioda K, Morita Y, Kubota C, Ganeko M, Takeda N. Exercise effects on sleep physiology. Front Neurol. 2012;3:48.
Kredlow MA, Capozzoli MC, Hearon BA, Calkins AW, Otto MW. The effects of physical activity on sleep: a meta-analytic review. J Behav Med. 2015;38(3):427-49.
Montgomery I, Trinder J, Paxton SJ. Energy expenditure and total sleep time: effect of physical exercise. Sleep. 1982;5(2):159-68.
O'Connor PJ, Youngstedt SD. Influence of exercise on human sleep. Exer Sport Sci Rev. 1995;23:105-34.
Haario P, Rahkonen O, Laaksonen M, Lahelma E, Lallukka T. Bidirectional associations between insomnia symptoms and unhealthy behaviours. J Sleep Res. 2013;22(1):89-95.
Pettee Gabriel K, Sternfeld B, Shiroma EJ, Perez A, Cheung J, Lee IM. Bidirectional associations of accelerometer-determined sedentary behavior and physical activity with reported time in bed: Women's Health Study. Sleep Health. 2017;3(1):49-55.
Liu X, Uchiyama M, Okawa M, Kurita H. Prevalence and correlates of self-reported sleep problems among Chinese adolescents. Sleep. 2000;23(1):27-34.
Morgan K, Clarke D. Risk factors for late-life insomnia in a representative general practice sample. Br J Gen Pract. 1997;47(416):166-9.
Sherrill DL, Kotchou K, Quan SF. Association of physical activity and human sleep disorders. Arch Intern Med.1998; 28;158(17):1864-8.
Ito Y, Tamakoshi A, Yamaki K, Wakai K, Kawamura T, Takagi K, et al. Sleep disturbance and its correlates among elderly Japanese. Arch Gerontol Geriatr. 2000;30(2):85-100.
Janson C, Lindberg E, Gislason T, Elmasry A, Boman G. Insomnia in men-a 10-year prospective population based study. Sleep. 2001;24(4):425-30.
Kronholm E, Härmä M, Hublin C, Aro AR, Partonen T. Self-reported sleep duration in Finnish general population. J Sleep Res. 2006;15(3):276-90.
Park S, Cho MJE, Chang SM, Bae JN, Jeon HJ, Cho SJ, et al. Relationships of sleep duration with sociodemographic and health-related factors, psychiatric disorders and sleep disturbances in a community sample of Korean adults. J Sleep Res. 2010;19(4):567-77.
Tu X, Cai H, Gao YT, Wu X, Ji BT, Yang G, et al. Sleep duration and its correlates in middle-aged and elderly Chinese women: The Shanghai Women's Health Study. Sleep Med. 2012;13(9):1138-45.
Inoue S, Yorifuji T, Sugiyama M, Ohta T, Ishikawa-Takata K, Doi H. Does habitual physical activity prevent insomnia? A cross-sectional and longitudinal study of elderly japanese. J Aging Phys Act. 2013;21(2):119-39.
Buman MF, Phillips BA, Youngstedt SD, Kline CE, Hirshkowitz M. Does nighttime exercise really disturb sleep? Results from the 2013 National Sleep Foundation Sleep in America Poll. Sleep Med. 2014;15(7):755-61.
Chen LJ, Fox KR, Sun WJ, Lo MK, Ku PW. Prospective associations between different categories of physical activity and insomnia in older adults. Int J Sport Psychol. 2014;45(3):173-86.
Monteiro NT, Neri AL, Ceolim MF. Insomnia symptoms, daytime naps and physical leisure activities in the elderly: FIBRA study Campinas. Rev Esc Enferm USP. 2014;48(2):239-46.
Uhlig BL, Sand T, Ødegård SS, Hagen K. Prevalence and associated factors of DSM-V insomnia in Norway: The Nord-Trøndelag Health Study (HUNT 3). Sleep Med. 2014;15(6):708-13.
Fusz K, Faludi B, Pusztai D, Sebok N, Olah A. Insomnia and habits to help to fall asleep among adults. Orv Hetil. 2016;157(49):1955-9.
Hartescu I, Morgan K, Stevinson CD. Sleep Quality and recommended levels of physical activity in older people. J Aging Phys Act. 2016;24(2):201-6.
Smagula S, Koh W, Wang R, Yuan JM. Chronic disease and lifestyle factors associated with change in sleep duration among older adults in the Singapore Chinese Health Study. J Sleep Res. 2016;25(1):57-61.
Wu Y, Yang L, Shen X, Zhai L, Fan C, Zhang D. Effect of leisure-time aerobic exercise and muscle strength activity on sleep duration: results from the 2012 National Health Interview Survey. J Public Health. 2016;24(2):117-24.
Murillo R, Lambiase MJ, Rockette-Wagner BJ, Kriska AM, Haibach JP, Thurston RC. Racial/ethnic differences in the associations between physical activity and sleep duration: a population-based study. J Phys Act Health. 2017;14(2):138-44.
Sporndly-Nees S, Asenlof P, Lindberg E. High or increasing levels of physical activity protect women from future insomnia. Sleep Med. 2017;32:22-7.
Zhang HS, Li Y, Mo HY, Qiu DX, Zhao J, Luo JL, et al. A community-based cross-sectional study of sleep quality in middle-aged and older adults. Qual Life Res. 2017;26(4):923-33.
Wang S, Li B, Wu Y, Ungvari GS, Ng CH, Fu Y, et al. Relationship of sleep duration with sociodemographic characteristics, lifestyle, mental health, and chronic diseases in a large Chinese adult population. J Clin Sleep Med. 2017;13(3):377-84.
Gubelmann C, Heinzer R, Haba-Rubio J, Vollenweider P, Marques-Vidal P. physical activity is associated with higher sleep efficiency in the general population: The CoLaus Study. Sleep. 2018;41(7).
Vézina-Im L, Lebel A, Gagnon P, Nicklas TA, Baranowski T. Individual correlates of sleep among childbearing age women in Canada. Behav Sleep Med. 2018:1-12.
LeBlanc M, Merette C, Savard J, Ivers H, Baillargeon L, Morin CM. Incidence and risk factors of insomnia in a population-based sample. Sleep. 2009;32(8):1027-37.
Kim K, Uchiyama M, Okawa M, Liu X, Ogihara R. An epidemiological study of insomnia among the Japanese general population. Sleep. 2000;23(1):41-7.
Nixon GM, Thompson JM, Han DY, Becroft DM, Clark PM, Robinson E, et al. Short sleep duration in middle childhood: risk factors and consequences. Sleep. 2008;31(1):71-8.
Li S, Zhu S, Jin X, Yan C, Wu S, Jiang F, et al. Risk factors associated with short sleep duration among Chinese school-aged children. Sleep Med. 2010;11(9):907-16.
Hense S, Barba G, Pohlabeln H, De Henauw S, Marild S, Molnar D, et al. Factors that influence weekday sleep duration in European children. Sleep. 2011;34(5):633-9.
Pesonen AK, Sjöstén NM, Matthews KA, Heinonen K, Martikainen S, Kajantie E, et al. Temporal associations between daytime physical activity and sleep in children. PloS One. 2011;6(8):e22958.
Narang I, Manlhiot C, Davies-Shaw J, Gibson D, Chahal N, Stearne K, et al. Sleep disturbance and cardiovascular risk in adolescents. CMAJ. 2012;184(17):E913-20.
Al-Hazzaa HM, Musaiger AO, Abahussain NA, Al-Sobayel HI, Qahwaji DM. Lifestyle correlates of self-reported sleep duration among Saudi adolescents: a multicentre school-based cross-sectional study. Child Care Health Devt. 2014;40(4):533-42.
Chen T, Wu Z, Shen Z, Zhang J, Shen X, Li S. Sleep duration in Chinese adolescents: biological, environmental, and behavioral predictors. Sleep Med. 2014; 15(11):1345-53.
Stea TH, Knutsen T, Torstveit MK. Association between short time in bed, health-risk behaviors and poor academic achievement among Norwegian adolescents. Sleep Med. 2014;15(6):666-71.
Jiang X, Hardy LL, Baur LA, Ding D, Wang L, Shi H. Sleep duration, schedule and quality among urban Chinese children and adolescents: associations with routine after-school activities. PloS One. 2015;10(1):e0115326.
Felden ÉPG, Filipin D, Barbosa DG, Andrade RD, Meyer C, Louzada FM. Factors associated with short sleep duration in adolescents. Rev Paul Pediatr. 2016;34(1):64-70.
Gong QH, Li H, Zhang XH, Zhang T, Cui J, Xu GZ. Associations between sleep duration and physical activity and dietary behaviors in Chinese adolescents: results from the Youth Behavioral Risk Factor Surveys of 2015. Sleep Med. 2017;37:168-73.
Kakinami L, O'Loughlin EK, Brunet J, Dugas EN, Constantin E, Sabiston CM, et al. Associations between physical activity and sedentary behavior with sleep quality and quantity in young adults. Sleep Health. 2017;3(1):56-61.
Herring MP, Monroe DC, Kline CE, O'Connor PJ, MacDonncha C. Sleep quality moderates the association between physical activity frequency and feelings of energy and fatigue in adolescents. Eur Child Adolesc Psychiatry. 2018;27(11):1425-32.
Lima TR, Silva DAS. Association of sleep quality with sociodemographic factors and lifestyle in adolescents from southern Brazil. World J Pediatr. 2018;14(4):383-391.
Ekstedt M, Nyberg G, Ingre M, Ekblom O, Marcus C. Sleep, physical activity and BMI in six to ten-year-old children measured by accelerometry: a cross-sectional study. Int J Behav Nutr Phys Act. 2013;10:82.
Saeki U, Nasermoaddeli A, Sekine M, Kagamimori S. Relationships of positive and negative affectivity to sleep quality in Japanese civil servants: 3-year follow-up study. Sangyo Eiseigaku Zasshi. 2008;50(6):219-25.
Hoefelmann LP, Lopes Ada S, Silva KS, Silva SG, Cabral LG, Nahas MV. Lifestyle, self-reported morbidities, and poor sleep quality among Brazilian workers. Sleep Med. 2012;13(9):1198-201.
Tsunoda K, Kai Y, Kitano N, Uchida K, Kuchiki T, Okura T, et al. Influence of physical activity on sleep duration and quality: A prospective cohort study. Bull Phys Fitness Res Inst. 2014(112):8-17.
Tsunoda K, Kitano N, Kai Y, Uchida K, Kuchiki T, Okura T, et al. Prospective study of physical activity and sleep in middle-aged and older adults. Am J Prev Med. 2015;48(6):662-73.
Kitano N, Tsunoda K, Kai Y, Jindo T, Uchida K, Onodera Y, et al. Impact of leisure-time physical activity pattern on subjective sleep quality in Japanese workers: A 1-year follow-up study. Bull Phys Fitness Res Inst. 2017;115:15-22.
Skarpsno ES, Mork PJ, Lund Nilsen TI, Jørgensen MB, Holtermann A. Objectively measured occupational and leisure-time physical activity: cross-sectional associations with sleep problems. Scand J Wor Environ Health. 2018;44(2):202-11.
Ban DJ, Lee TJ. Sleep duration, subjective sleep disturbances and associated factors among university students in Korea. J Korean Med Sci. 2001;16(4):475-80.
Yu QC, Ma WJ, Zou YF, Chen GM, Yao YY, Su PY, et al. Impact of evening exercise on college students' sleep quality. Zhonghua Yu Fang Yi Xue Za Zhi. 2013;47(6):542-6.
Feng Q, Zhang QL, Du Y, Ye YL, He QQ. Associations of physical activity, screen time with depression, anxiety and sleep quality among Chinese college freshmen. PloS One. 2014;9(6):e100914.
Wu X, Tao S, Zhang Y, Zhang S, Tao F. Low physical activity and high screen time can increase the risks of mental health problems and poor sleep quality among Chinese college students. PloS One. 2015;10(3):e0119607.
Chang SP, Shih KS, Chi CP, Chang CM, Hwang KL, Chen YH. Association between exercise participation and quality of sleep and life among university students in Taiwan. Asia Pac J Public Health. 2016;28(4):356-67.
Štefan L, Krističević T, Sporiš G. The associations of self-reported physical fitness and physical activity with sleep quality in young adults: A population-based study. Ment Health Phys Act 2018;14:131-5.
Dolezal BA, Neufeld EV, Boland DM, Martin JL, Cooper CB. Interrelationship between sleep and exercise: a systematic review. Adv Prev Med. 2017;2017:1364387.
Sylvia LG, Bernstein EE, Hubbard JL, Keating L, Anderson EJ. Practical guide to measuring physical activity. J Acad Nutr Diet. 2014;114(2):199-208.
Cappuccio FP, D'Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep. 2010;33(5):585-92.
Lo JC, Groeger JA, Cheng GH, Dijk DJ, Chee MW. Self-reported sleep duration and cognitive performance in older adults: a systematic review and meta-analysis. Sleep Med. 2016;17:87-98.
Shen X, Wu Y, Zhang D. Nighttime sleep duration, 24-hour sleep duration and risk of all-cause mortality among adults: a meta-analysis of prospective cohort studies. Sci Rep. 2016;6:21480.
Soldatos CR, Dikeos DG, Paparrigopoulos TJ. Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria. J Psychosom Res. 2000;48(6):555-60.
Shahid A., Wilkinson K., Marcu S., Shapiro C.M. Springer NY, NY. Jenkins Sleep Scale. In: .STOP, THAT and One Hundred Other Sleep Scales. NY: Springer; 2011.
Morin CM, Belleville G, Belanger L, Ivers H. The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011;34(5):601-8.
Buysse DJ, Reynolds CF, 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
Dumuid D, Stanford TE, Martin-Fernandez JA, Pedisic Z, Maher CA, Lewis LK, et al. Compositional data analysis for physical activity, sedentary time and sleep research. Stat Methods Med Res. 2017:27(12):3726-38
Buysse DJ. Sleep health: can we define it? Does it matter? Sleep. 2014;37(1):9-17.
Beenackers MA, Kamphuis CB, Giskes K, Brug J, Kunst AE, Burdorf A, et al. Socioeconomic inequalities in occupational, leisure-time, and transport related physical activity among European adults: a systematic review. Int J Behav Nutr Phys Act. 2012;9:116.
Drenowatz C, Eisenmann JC, Pfeiffer KA, Welk G, Heelan K, Gentile D, et al. Influence of socio-economic status on habitual physical activity and sedentary behavior in 8- to 11-year old children. BMC Public Health. 2010;10:214.