scholarly journals Descriptive epidemiology of objectively-measured, free-living sleep parameters in a rural African setting.

2020 ◽  
Author(s):  
Ian Cook ◽  
Matlawa Mohlabe ◽  
Marianne Alberts

Abstract Objectives: To investigate the descriptive nature of objectively-measured, free-living sleep quantity and quality, and the relationship to adiposity, in a rural African setting in 145 adults (≥40 years, female: n=104, male: n=41). Wrist-mounted, triaxial accelerometry data was collected over nine days. Measures of sleep quantity and quality, and physical activity were extracted from valid minute-by-minute data. Adiposity indices were body-mass-index, waist circumference and conicity index. Self-reported data included behavioural, health and socio-demographic variables. Community consultation followed the quantitative data analyses, for validation and interpretation of findings. Results: Females had more nocturnal sleep than males (7.2 vs. 6.8 hours/night, p=0.0464) while males recorded more diurnal sleep time (p=0.0290). Wake after sleep onset and number of awakenings were higher in females, and sleep efficiency was higher in males (p≤0.0225). Sleep indices were generally similar between weekdays and weekends, except for sleep fragmentation index (p=0.0458). Sleep quantity, but not sleep quality was independently and inversely associated with adiposity (p=0.0453). Physical activity and morbidity measures were significantly and consistently associated with sleep and adiposity measures (p<0.0458). The preliminary qualitative data suggests that future studies should include more detailed data around contextual issues of sleep (social, cultural, economic, environment).

2020 ◽  
Author(s):  
Ian Cook ◽  
Matlawa Mohlabe ◽  
Marianne Alberts

Abstract Objectives To investigate the descriptive nature of objectively-measured, free-living sleep quantity and quality, and the relationship to adiposity, in a rural African setting in 145 adults (≥40 years, female: n=104, male: n=41). Wrist-mounted, tri-axial accelerometry data was collected over nine days. Measures of sleep quantity and quality, and physical activity were extracted from valid minute-by-minute data. From stature, body mass and waist circumference, body-mass-index and conicity index were calculated. Self-reported data included behavioural, health and socio-demographic variables. Community consultation followed the quantitative data analyses, for validation and interpretation of findings. Results Females had more nocturnal sleep than males (7.2 vs. 6.8 hours/night, p=0.0464) while males recorded more diurnal sleep time (p=0.0290). Wake after sleep onset and number of awakenings were higher in females, and sleep efficiency was higher in males (p≤0.0225). Sleep indices were generally similar between weekdays and weekends, except for sleep fragmentation index (p=0.0458). Sleep quantity, but not sleep quality was independently and inversely associated with adiposity (p=0.0453). Physical activity and morbidity measures were significantly and consistently associated with sleep and adiposity measures (p<0.0458). The qualitative data explained some of the unexpected associational directions of the independent variables correlated with sleep variables.


2020 ◽  
Author(s):  
Ian Cook ◽  
Matlawa Mohlabe ◽  
Herbert Mabalane Makgopa

Abstract Objectives To investigate the relationship between objectively-measured, free-living sleep quantity and quality, and cardiometabolic health, in a rural African setting in 139 adults (≥40 years, female: n=99, male: n=40). Wrist-mounted, tri-axial accelerometry data was collected over nine days. Measures of sleep quantity and quality, and physical activity were extracted from valid minute-by-minute data. Self-reported data included behavioural, health and socio-demographic variables. Biological data included body composition, resting blood pressure and fasting blood glucose, insulin and lipids. Regression models were constructed with insulin resistance (IR), Cardiometabolic (CM) risk and a metabolic z-score, as dependent variables, adjusting for socio-demographic, behavioural and biological factors. Results Nocturnal sleep time was longer in females (p=0.054) and sleep quality was better in males (p≤0.017). Few participants slept >9 hours/night (4-5%), and 46-50% slept <7 hours/night. IR and CM risk was higher in females (p≤0.006). In adjusted models, sleep variables were independently associated with IR (p<0.05). Sleep quantity was linearly (p<0.05) and non-linearly (p≤0.0196) associated with IR, and non-linearly (p≤0.0398) associated with CM risk. Sleep quality was linearly related with IR (p<0.05). A number of non-sleep behavioural variables were independently associated with CM risk (alcohol and tobacco use, p≤0.034) and IR (physical activity, sugar-sweetened beverage consumption, p<0.05).


2020 ◽  
Author(s):  
Ian Cook ◽  
Matlawa Mohlabe ◽  
Herbert Mabalane Makgopa

Abstract Objectives To investigate the relationship between objectively-measured, free-living sleep quantity and quality, and cardiometabolic health, in a rural African setting in 139 adults (≥40 years, female: n=99, male: n=40). Wrist-mounted, tri-axial accelerometry data was collected over nine days. Measures of sleep quantity and quality, and physical activity were extracted from valid minute-by-minute data. Self-reported data included behavioural, health and socio-demographic variables. Biological data included body composition, resting blood pressure and fasting blood glucose, insulin and lipids. Logistic regression models were constructed with insulin resistance (IR) and Cardiometabolic (CM) risk, as dependent variables, adjusting for socio-demographic, behavioural and biological factors. Results Nocturnal sleep time was longer in females (p=0.054) and sleep quality was better in males (p≤0.017). Few participants slept >9 hours/night (4-5%), and 46-50% slept <7 hours/night. IR and CM risk was higher in females (p≤0.006). In adjusted models, sleep variables were independently associated with IR (p<0.05). Sleep quantity was non-linearly associated with CM risk (p≤0.0398), and linearly associated with IR (p≤0.0444). Sleep quality was linearly related with CM risk and IR (p≤0.0201). In several models, sleep quantity and sleep quality measures were concurrently and significantly associated with IR (p≤0.044).


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Ian Cook ◽  
Matlawa Mohlabe ◽  
Herbert Mabalane Makgopa

Abstract Objectives To investigate the relationship between objectively-measured, free-living sleep quantity and quality, and cardiometabolic health, in a rural African setting in 139 adults (≥40 years, female: n = 99, male: n = 40). Wrist-mounted, tri-axial accelerometry data was collected over 9 days. Measures of sleep quantity and quality, and physical activity were extracted from valid minute-by-minute data. Self-reported data included behavioural, health and socio-demographic variables. Biological data included body composition, resting blood pressure and fasting blood glucose, insulin and lipids. Logistic regression models were constructed with insulin resistance (IR) and cardiometabolic (CM) risk, as dependent variables, adjusting for socio-demographic, behavioural and biological factors. Results Nocturnal sleep time was longer in females (p = 0.054) and sleep quality was better in males (p ≤ 0.017). Few participants slept > 9 h/night (4–5%), and 46–50% slept < 7 h/night. IR and CM risk was higher in females (p ≤ 0.006). In adjusted models, sleep variables were independently associated with IR (p < 0.05). Sleep quantity was non-linearly associated with CM risk (p ≤ 0.0398), and linearly associated with IR (p ≤ 0.0444). Sleep quality was linearly related with CM risk and IR (p ≤ 0.0201). In several models, sleep quantity and sleep quality measures were concurrently and significantly associated with IR (p ≤ 0.044).


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A99-A99
Author(s):  
V Rognvaldsdottir ◽  
E Johannsson ◽  
H M Soffia ◽  
R S Stefansdottir ◽  
S A Arngrimsson ◽  
...  

Abstract Introduction Sleep and physical activity are both important to health, but the demands of our modern schedule often require individuals to choose one over the other. In adolescents, the association between objectively measured sleep and physical activity is not well established in the literature. The aim of current study was to assess associations between free-living and physical activity and sleep among 15-year-old adolescents. Methods Free-living physical activity and sleep were assessed with wrist-worn accelerometers, sleep diary, and questionnaires during a 7-day period including school days and non-school days in 270 (161 girls) adolescents (mean age 15.8±0.3y) in Reykjavik, Iceland. Linear regression analysis was used to explore the associations between objectively measured physical activity and sleep. T-test was used to determine if there is a significant difference in objectively measured sleep between those who reported sports or exercising &lt;6 versus ≥6 h/week. Results Weekly mean physical activity (2040±466 counts/min of wear/day) was negatively associated with total sleep time (6.6±0.64 h/night) (β±SE=-3.5±0.7, p&lt;0.001). However, physical activity was also negatively associated with minutes of wake after sleep onset on non-school days (p=0.047) and standard deviation (i.e. night-to-night variability) of total sleep time over the week (p=0.028). Subjects who reported exercising ≥6 h/week (n=116) had lower night-to-night variability in bedtime (41.2±27.9 min) than those who did not (49.8±37.5 min), p=0.033. Conclusion The negative association between physical activity and sleep duration suggests that in more active individuals’ physical activity may be displacing sleep. However, greater physical activity is also associated with fewer minutes of awakening and a less variable sleep schedule, indicating better sleep quality. These findings suggest that physical activity is important for good sleep quality, but students should more closely consider sleep guidelines when designing an exercise schedule. Future studies should test how change in sleep patterns might influence physical activity. Support Icelandic Centre for Research, National Institute of Diabetes and Digestive and Kidney Diseases.


2021 ◽  
Vol 27 (2) ◽  
pp. 174-178
Author(s):  
Arilene Maria da Silva Santos ◽  
Sérgio Luiz Galan Ribeiro ◽  
Antônio Valdeci Marreiro de Sousa Junior ◽  
Dionis de Castro Dutra Machado ◽  
Paula Alves Monteiro ◽  
...  

ABSTRACT Introduction: High-performance athletes often undergo periods of exhaustive training and insufficient recovery, which can lead to decreased performance, but it is not clear whether there are any differences between the sexes in the level of habitual physical activity, sedentary time or sleep quantity and quality in young highly trained badminton athletes. Objectives: The aim of this study was to compare the habitual physical activity (PA), sedentary time and sleep quantity and quality of highly trained young male and female badminton athletes and non-athletes. Methods: Twenty-seven young badminton athletes and twenty-one non-athletes (control group) were recruited. Sleep duration and quality (total time in bed, total sleep time, wake after sleep onset, sleep efficiency and latency), total counts, vigorous activity time and sedentary time were measured using a tri-axial accelerometer. Results: Male athletes spent less sedentary time (p=0.028), more time in vigorous activity (p=0.016) and had higher total counts (p<0.001) than the male control group. There were no significant differences in sedentary time (p=0.702) or vigorous activity time (p=0.205) between the female athletes and non-athletes, but the female athletes accumulated higher total counts than the female control group (p=0.003). There were no significant differences between the sexes or groups for time in bed, total sleep time, sleep efficiency, wake after sleep onset and latency (p> 0.05). Conclusion: Among males but not females, young highly trained badminton athletes had less sedentary time and more time in vigorous activity than the non-athletes, however, there were no significant differences between the sexes or groups in sleep quantity and quality. Level of evidence III; Case-control study .


Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Jessica A Parascando ◽  
Fan He ◽  
Steriani Elavsky ◽  
Edward O Bixler ◽  
Julio Fernandez-Mendoza ◽  
...  

Introduction: A decrease in sleep quantity and quality is a growing concern in the adolescent population. Concurrently, an increase in physical inactivity has been shown to be related to numerous health consequences. There is a lack of literature on the relationship between sleep, physical activity (PA) and sedentary behavior (SB) in the adolescent population, particularly looking at night-to-night sleep irregularity. Hypothesis: We hypothesized that increased PA and decreased SB in both objective and subject modalities would be associated with greater habitual sleep duration (HSD) and lesser habitual sleep variability (HSV) in this adolescent population. Methods: Objective and subjective sleep and activity measurements were collected from 295 adolescents in the Penn State Child Cohort follow-up examination. Objectively-measured variables were obtained through 7 consecutive days of actigraphy collection. HSD was calculated as the average sleep duration across 7 nights, and HSV was calculated as the standard deviation (SD) of intra-individual sleep duration. Subjects with <5 nights of sleep data were excluded from analysis. Self-administered questionnaires were used to collect subjectively-measured sleep, PA, and SB data. The relationships between sleep and behavior measures were assessed using linear regressions. All models were adjusted for age, sex, race and BMI percentile. Results: On average, our sample was 16.8 years, 52% male, and 79% white. We found that higher SB was associated with shorter HSD. With one SD change in objectively-measured SB (1014 minutes), HSD is reduced by 16 (3.6) minutes (p<0.05). Although not statistically significant, subjective SB showed a similar pattern. Unexpectedly, both objective and subjective measures of increased PA were associated with shorter HSD. In terms of HSV, we found that higher subjective SB was associated with greater HSV; specifically, with one SD change in subjectively-measured SB (8.64 points), HSV increased by 0.011 (0.004) minutes. None of the PA measures were significantly associated with HSV. Conclusions: In conclusion, objectively-measured sleep patterns are related to physical activity/inactivity. Our results emphasize the need of future studies to systematically assess the inter-relationship of sleep and physical activity in this population.


BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e042669
Author(s):  
Justyna Wyszyńska ◽  
Piotr Matłosz ◽  
Muhammad Asif ◽  
Agnieszka Szybisty ◽  
Paweł Lenik ◽  
...  

ObjectiveAssociations between self-reported sleep duration and obesity indices in children are well recognised; however, there are no studies on associations between objectively measured other sleep parameters and physical activity with body composition in preschoolers. Therefore, the aim of this study was to determine the associations between sleep parameters and moderate-to-vigorous physical activity (MVPA) with body composition indices in preschoolers using objective measures.DesignA cross-sectional study.ParticipantsThe study group consisted of 676 children aged 5–6 years, who were enrolled in kindergartens in the 2017/2018 school year.Outcome measuresSleep parameters and MVPA were measured using accelerometers for 7 days. Bioelectrical impedance analysis was used to estimate body composition.ResultsSleep duration and sleep efficiency were inversely associated with body fat percentage (BFP) (β=−0.013 and β from –0.311 to −0.359, respectively) and body mass index (BMI) (β from −0.005 to −0.006 and from −0.105 to –0.121, respectively), and directly associated with fat-free mass (FFM) (β from 0.010 to 0.011 and from 0.245 to 0.271, respectively) and muscle mass (β from 0.012 to 0.012 and from 0.277 to 0.307, respectively) in unadjusted and adjusted models. BFP was inversely associated with MVPA and positively associated with number of awakenings and sleep periods. Number of sleep periods was inversely associated with FFM, and positively with BMI and muscle mass. Correlation matrix indicated significant correlation between BFP, FFM and muscle mass with sleep duration, sleep efficiency, number of sleep periods and MVPA.ConclusionsPeriodic assessment of sleep parameters and MVPA in relation to body composition in preschool children may be considered, especially in those who are at risk for obesity.


2021 ◽  
Author(s):  
Kaja Kastelic ◽  
Marina Dobnik ◽  
Stefan Loefler ◽  
Christian Hofer ◽  
Nejc Šarabon

BACKGROUND Wrist worn consumer-grade activity trackers are popular devices, developed mainly for personal use, but with the potential to be used also for clinical and research purposes. OBJECTIVE The objective of this study was to explore the validity, reliability and sensitivity to change of movement behaviours metrics from three popular activity trackers (POLAR Vantage M, Garmin Vivosport and Garmin Vivoactive 4s) in controlled and free-living conditions when worn by older adults. METHODS Participants (n = 28; 74 ± 5 years) underwent a videotaped laboratory protocol while wearing all three activity trackers. On a separate occasion, participants wore one (randomly assigned) activity tracker and a research grade physical activity monitor ActiGraph wGT3X-BT simultaneously for six consecutive days for comparisons. RESULTS Both Garmin activity trackers showed excellent performance for step counts, with mean absolute percentage error (MAPE) below 20 % and intraclass correlation coefficient (ICC2,1) above 0.90 (P < .05), while Polar Vantage M substantially over counted steps (MAPE = 84 % and ICC2,1 = 0.37 for free-living conditions). MAPE for sleep time was within 10 % for all the trackers tested, while far beyond 20 % for all the physical activity and calories burned outputs. Both Garmin trackers showed fair agreement (ICC2,1 = 0.58–0.55) for measuring calories burned when compared with ActiGraph. CONCLUSIONS Garmin Vivoactive 4s showed overall best performance, especially for measuring steps and sleep time in healthy older adults. Minimal detectible change was consistently lower for an average day measures than for a single day measure, but still relatively high. The results provided in this study could be used to guide choice on activity trackers aiming for different purposes – individual use/care, longitudinal monitoring or in clinical trial setting.


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