scholarly journals Sleep disturbance as a moderator of the association between physical activity and later pain onset among American adults aged 50 and over: evidence from the Health and Retirement Study

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e036219
Author(s):  
Daniel Whibley ◽  
Heidi M Guyer ◽  
Leslie M Swanson ◽  
Tiffany J Braley ◽  
Anna L Kratz ◽  
...  

ObjectiveTo examine whether sleep disturbance modifies the association between physical activity and incident pain.DesignProspective population-based study.SettingHealth and Retirement Study.ParticipantsAmerican adults aged ≥50 years who reported no troublesome pain in 2014 were re-assessed for pain in 2016. Of 9828 eligible baseline respondents, 8036 (82%) had complete follow-up data for adjusted analyses (weighted analysis population N=42 407 222).ExposuresPhysical activity was assessed via interview with questions about time spent in moderate and vigorous physical activity. Sleep disturbance, assessed using a modified form of the Jenkins Sleep Scale, was examined as a potential moderator.Main outcome measureTroublesome pain.ResultsIn weighted analyses, 37.9% of the 2014 baseline pain-free sample participated in moderate or vigorous physical activity once a week or less, with an overall mean Physical Activity Index Score of 9.0 (SE=0.12). 18.6% went on to report troublesome pain in 2016. Each one-point higher on the Physical Activity Index Score was associated with a reduced odds ratio (OR) of incident pain for those who endorsed sleep disturbance never/rarely (OR=0.97, 95% CI 0.94 to 0.99), but not for those who endorsed sleep disturbance sometimes (OR=0.99, 95% CI 0.97 to 1.01) or most of the time (OR=1.01, 95% CI 0.99 to 1.03). The analysis of possible interaction demonstrated that frequency of sleep disturbance moderated the physical activity and incident pain association (Wald test: p=0.02).ConclusionsThe beneficial association of physical activity on reduced likelihood of later pain was only observed in persons who endorsed low levels of sleep disturbance.

Retos ◽  
2020 ◽  
pp. 192-199
Author(s):  
Javier Arturo Hall-López

Abstract. Objective: To design and evaluate a training program to increase the moderate to vigorous physical activity index in physical education teachers. Method: the volunteer subjects participated in the educational training program whose goal was to obtain competences on how to create a pedagogical climate in physical education class oriented to the participation of students in moderate to vigorous physical activity at least 50% of the class evaluated quantitatively using the system for observing fitness instruction time (SOFIT), during their university studies and when they have graduated as physical education teachers. Results: The physical activity index increased from 36.6% to 61.2%. Conclusions: The application of the program showed effectiveness with didactic strategies to involve the student in moderate to vigorous physical activity as established by the World Health Organization. Resumen.  Objetivo: Diseñar y evaluar un programa de formación educativa para aumentar el índice de actividad física moderada a vigorosa en profesores de educación física. Método: los sujetos voluntarios participaron en el programa de formación que tuvo como meta obtener competencias sobre cómo crear un clima pedagógico en la clase de educación física orientado a la participación de los estudiantes en actividad física moderada a vigorosa por lo menos el 50% de la clase evaluado de manera cuantitativa mediante el sistema para observar el tiempo de instrucción de actividad física (SOFIT), durante sus estudios universitarios y al ser egresados como profesores de educación física. Resultados: el índice de actividad física se incrementó de 36.6% a 61.2%. Conclusiones: La aplicación del programa mostro efectividad con estrategias didácticas para involucrar al alumno en actividad física moderada a vigorosa como lo establece la Organización Mundial de la Salud.


2021 ◽  
Vol 13 (14) ◽  
pp. 7806
Author(s):  
Rubén Navarro-Patón ◽  
Víctor Arufe-Giráldez ◽  
Alberto Sanmiguel-Rodríguez ◽  
Oliver Ramos-Álvarez

The World Health Organization (WHO) has warned that a large majority of children do not reach its recommendations on physical activity for health, i.e., 60 min a day of moderate to vigorous physical activity. The objective of this study was to know the index of habitual physical activity in different contexts where the child interacts: school index (SCHOOL-I), extracurricular/sports activity index (SPORT-I), free time index (LEISURE-I) and the total habitual physical activity index (GLOBAL-I) based on age and gender. 900 Primary Education schoolchildren from Galicia (Spain) aged 10–12 years (M = 10.84; SD = 0.67) participated, of which 454 (50.40%) were boys and 446 (49.6%) girls. For data collection, the validated Inventory of Habitual Physical Activity in Schoolchildren (IAFHE) questionnaire was used. The results show a significant main effect on the age factor in SCHOOL-I (p < 0.001), and in GLOBAL-I (p = 0.034), the rates being higher in 10-year-old children compared to 11 and 12. A significant main effect has also been found in the gender factor in SCHOOL-I (p < 0.001), SPORT-I (p < 0.001) and in GLOBAL-I (p < 0.001), being greater in boys than in girls. It is concluded that, as school age increases, a lower index of physical activity is registered, this being higher in boys compared to girls. It is necessary to establish strategies to promote the practice of physical activity from different agents and in different contexts.


Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 380
Author(s):  
Iago Portela-Pino ◽  
Myriam Alvariñas-Villaverde ◽  
Javier Martínez-Torres ◽  
Margarita Pino-Juste

Background: Sedentarism is an important risk factor for non-communicable diseases. To avoid it, it is necessary to establish the barriers which influence a low level of practice of Physical Activity. Methods: This study, conducted with 833 students, aims to describe a model to explain the barriers determining the level of practice of Physical Activity in adolescents according to age, school year, BMI and gender. The inclusion of the analyzed barriers followed the tetra-factorial model: Body image/physical and social anxiety; Tiredness/laziness; Responsibilities/lack of time and Environment/facilities. Results: The barriers to Physical Activity in adolescents are fatigue and sloth, and temporary obligations. The barrier that least influences the practice of Physical Activity is the environment and body image. It is determined that the subjects with the lowest Physical Activity index were those with a high fatigue and laziness score and higher age. The level of physical activity of this population is medium (95% CI, 2.8274–2.9418). Conclusions: It is necessary to overcome tiredness or apathy towards the practice of Physical Activity, especially in those under 16 years of age.


1994 ◽  
Vol 14 (5) ◽  
pp. 321
Author(s):  
Mitchell H. Whaley ◽  
Leonard A. Kaminsky ◽  
Gregory B. Dwyer ◽  
Leroy H. Getchell

2017 ◽  
Vol 23 (18) ◽  
pp. 3322 ◽  
Author(s):  
Basavaraj Kerur ◽  
Heather J Litman ◽  
Julia Bender Stern ◽  
Sarah Weber ◽  
Jenifer R Lightdale ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S892-S893
Author(s):  
Fadi Youkhana ◽  
Yanyan Wu ◽  
Mika Thompson ◽  
Catherine M Pirkle

Abstract Type 2 diabetes (T2D) is a complex chronic disorder influenced by genetic and environmental factors. Studies that use a combined polygenetic score (PGS), calculated based on the number of risk alleles an individual may have, are rarely applied to a representative national sample. We used data from the Health and Retirement Study (HRS), a nationally representative study of older U.S. adults 50-years or older to examine the impact of PGS and behavioral risk factors (education, poverty ratio, BMI, smoking status, alcohol consumption and physical activity) with incident T2D. We used ethnic-straitifed Poisson generalized estimating equation (GEE) models with robust standard errors to estimate prevalence ratios (PRs) and risk ratios (RRs). Our sample included genotyped Black (N=2,823) and White (N=11,178) men and women.The highest PRs for T2D were among those in the 5th PGS quintile in both Whites (PR=2.24, 95%CI 1.89, 2.65, P-value &lt;0.0001) and Blacks (PR=1.73, 95%CI 1.28,2.33, P-value 0.0003). The highest risk for T2D was among obese Whites (RR=3.35, 95%CI 2.93,3.82, P-value &lt;0.0001) and Blacks (RR=1.60, 95%CI 1.28, 2.00, P-value &lt;0.0001). Our findings found associations between PGS and T2D as well as some lifestyle factors among both Black and White individuals in a nationally representative sample with similar patterns in age, physical activity and poverty ratio. Our study supports the importance of including modifiable and non-modifiable life-style factors in the analysis of risk alleles for T2D to continue addressing the disparities between T2D risk between race/ethnicity groups


2014 ◽  
Vol 46 ◽  
pp. 601
Author(s):  
Anjuli Gairola ◽  
Robert Robertson ◽  
Constance Bayles ◽  
Fredric Goss ◽  
Irene Kane ◽  
...  

Author(s):  
Christopher N Kaufmann ◽  
Mark W Bondi ◽  
Wesley K Thompson ◽  
Adam P Spira ◽  
Sonia Ancoli-Israel ◽  
...  

Abstract BACKGROUND Sleep disturbances are associated with risk of cognitive decline but it is not clear if treating disturbed sleep mitigates decline. We examined differences in cognitive trajectories before and after sleep treatment initiation. METHODS Data came from the 2006-2014 Health and Retirement Study. At each of five waves, participants were administered cognitive assessments and scores were summed. Participants also reported if, in prior two weeks, they had taken medications or used other treatments to improve sleep. Our sample (N=3,957) included individuals who at HRS 2006 were &gt;50 years, had no cognitive impairment, reported no sleep treatment, and indicated experiencing sleep disturbance. We identified differences between those receiving vs. not receiving treatment in subsequent waves, and among those treated (N=1,247), compared cognitive trajectories before and after treatment. RESULTS At baseline, those reporting sleep treatment at subsequent waves were more likely to be younger, female, Caucasian, to have more health conditions, to have higher BMI, and more depressive symptoms (all p’s≤0.015). Decline in cognitive performance was mitigated in periods after sleep treatment vs. periods before (B=-0.20, 95% CI=-0.25, -0.15, p&lt;0.001; vs., B=-0.26, 95% CI=-0.32, -0.20, p&lt;0.001), and this same trend was seen for self-initiated and doctor-recommended treatments. Trends were driven by those with higher baseline cognitive performance—those with lower performance saw cognitive declines following sleep treatment. CONCLUSIONS In middle-aged and older adults with sleep disturbance, starting sleep treatment may slow cognitive decline. Future research should assess types, combinations, and timing of treatments most effective in improving cognitive health in later life.


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