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Walk to a better night of sleep: testing the relationship between physical activity and sleep.

Sleep health
October 1, 2019
Alycia N Sullivan Bisson et al. (3 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether low-impact daily physical activity, specifically walking, could improve sleep quality and duration in healthy middle-aged and older adults.

Results Summary

The study found that daily active minutes were positively related to sleep quality but not duration, with women showing a stronger benefit than men. On days participants were more active than average, they reported better sleep quality and duration in both sexes.

Population

59 participants (72% female) from the greater Boston area, average age 49.43 (±8.40) years.

Effective Dosage

Not specified (intervention aimed at increasing daily steps).

Duration

4 weeks.

Interactions

None mentioned.

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-impact daily PA, like walking
increase
sleep
healthy adults
-
positively related to
#1
daily active minutes
increase
sleep quality
participants
-
positively related to
#2
daily active minutes
no change
sleep duration
participants
-
not related to
#3
taking more steps and being more active
increase
sleep quality
women
-
reported sleeping better than
#4
being more active than average
increase
sleep quality
participants in both sexes
-
reported better
#5
being more active than average
increase
sleep duration
participants in both sexes
-
reported better
#6
low-impact PA
increase
sleep
women
-
positively related to
#7
low-impact PA
increase
sleep
men
-
positively related to
#8
PA
increase
sleep quality
-
-
plays a greater role in predicting
#9
PA
no change
sleep duration
-
-
plays a greater role in predicting
#10
Abstract

OBJECTIVES: Many do not sleep well, particularly middle-aged and older adults. Physical activity (PA) shows promise for improving sleep; however, populations with clinical sleep disturbances have been a research focus. It remains unclear whether low-impact daily PA, like walking, can affect sleep in healthy adults. DESIGN: The current study was embedded within a 4-week randomized controlled trial to increase PA. SETTING: Participants from the greater Boston area were recruited to participate in a 4-week walking intervention on a rolling basis between October 2015 and August 2016. PARTICIPANTS: Fifty-nine participants (72% female) were enrolled in the study, with an average age of 49.43 (±8.40) years. INTERVENTION: The 4-week intervention was aimed at increasing participants' daily steps as the primary outcome. The current, supplementary study examined relationships between monthly and daily PA and sleep. MEASUREMENTS: Steps and active minutes were measured daily using a Fitbit Zip. Self-reports of sleep quality and duration were assessed daily, along with before and after the intervention. RESULTS AND CONCLUSIONS: Averaged across the month, daily active minutes were positively related to sleep quality but not duration. Sex moderated this relationship; women who took more steps and were more active reported sleeping better than those less active. Within persons, on days that participants were more active than average, they reported better sleep quality and duration in both sexes. Results suggest that low-impact PA is positively related to sleep, more so in women than men. Findings also showed that PA plays a greater role in predicting sleep quality than duration.

Medical Subject Headings (MeSH)
AdultBostonFemaleHumansMaleMiddle AgedSleepTime FactorsWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality70/10
Citation Metrics
Total Citations73
Citations/Year12.2
Relative Citation Ratio5.42
NIH Percentile93.9%
Research Impact Scores
APT Score0.95
Weight Score2.30
Normalized Score0.64
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