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Zare MJ, Masoumi SJ, Zare M. The association between energy-adjusted dietary inflammatory index and physical activity with sleep quality: a cross-sectional study. BMC Nutr 2024; 10:26. [PMID: 38310318 PMCID: PMC10838418 DOI: 10.1186/s40795-024-00834-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 01/30/2024] [Indexed: 02/05/2024] Open
Abstract
BACKGROUND The study aimed to assess the independent and interactive association of energy-adjusted dietary inflammatory index (E-DII) and physical activity (PA) with sleep quality. METHOD A cross-sectional study was conducted on the 2466 participants (60% women). A 116-item food frequency questionnaire (FFQ) was applied to calculate E-DII, the International Physical Activity Questionnaire (IPAQ) long form for PA, and the Pittsburgh sleep quality index (PSQI) to assess sleep quality were collected via interview. Multivariate logistic regression was applied to assess independent and interactive associations of E-DII and PA with sleep quality. RESULT No significant association was observed between E-DII and sleep quality (OR: 0.96, 95% CI: 0.92_1.01). Also, there was no significant association between the levels of PA and sleep quality. Women had 70% increased odds for poor sleep quality (OR: 1.7, 95% CI: 1.39_2.09) compared with men. No interactive association was observed between E-DII and PA levels with sleep quality. CONCLUSION No significant association was observed between E-DII and PA levels with sleep quality. The study indicates a gender difference in sleep quality. Future prospective studies are required to confirm these findings.
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Affiliation(s)
- Mohammad Javad Zare
- Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Science, Razi Boulevard, Shiraz, Iran
| | - Seyed Jalil Masoumi
- Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Science, Razi Boulevard, Shiraz, Iran.
- Center for Cohort Study of SUMS Employees' Health, Shiraz University of Medical Sciences, Shiraz, Iran.
- Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Morteza Zare
- Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Science, Razi Boulevard, Shiraz, Iran
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2
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Costa M, Re M. Chronotype and quality of sleep in alpine skiers. Chronobiol Int 2023:1-11. [PMID: 37080773 DOI: 10.1080/07420528.2023.2203236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/22/2023]
Abstract
Alpine skiing is among the most demanding sporting activities in terms of physical effort and mental workload. The aim of the study was to compare sleep quality and chronotype distribution between 84 highly trained alpine skiers and a control sample of 84 non-athletes matched by age and sex ratio. Quality of sleep was assessed by the Pittsburgh Quality of Sleep Index (PSQI), and chronotype was assessed by the Morningness-Eveningness Questionnaire (MEQ). Additional questions assessed sleep management during training or competitions. The results showed a marked skewed chronotype distribution towards morningness in alpine skiers (52.4% morning type, 42.8% intermediate, and 4.8% evening type) in comparison to the control group. The midpoint of sleep was significantly anticipated among alpine skiers. Differently from the previous literature that showed poor sleep quality and quantity in competitive athletes, the quality and quantity of sleep in alpine skiers was within the normal range in all the PSQI subcomponents.
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Affiliation(s)
- Marco Costa
- Department of Psychology, University of Bologna, Bologna, Italy
| | - Matteo Re
- Department of Psychology, University of Bologna, Bologna, Italy
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3
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Rodríguez-Romo G, Acebes-Sánchez J, García-Merino S, Garrido-Muñoz M, Blanco-García C, Diez-Vega I. Physical Activity and Mental Health in Undergraduate Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:195. [PMID: 36612516 PMCID: PMC9819335 DOI: 10.3390/ijerph20010195] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 12/20/2022] [Accepted: 12/21/2022] [Indexed: 06/17/2023]
Abstract
Most research support positive relationships between physical activity and mental health. However, possible moderating variables of these relationships have also been identified, such as age, gender, level of physical activity, and the scope of physical activity. This study aimed to analyze the relationships between physical activity and mental health levels in undergraduate students, assessing whether these associations can change depending on the level of physical activity (low, medium, or high) and the setting (occupational, commuting, or leisure time physical activity) in which it was performed. A descriptive and cross-sectional study was conducted. The sample comprised 847 undergraduate students. Physical activity and mental health were measured by the Global Physical Activity Questionnaire (GPAQv2) and the General Health Questionnaire (GHQ-12). We found relationships between students' physical activity level and their mental health status. The higher the total physical activity, the better their mental health scores. High levels of commuting and leisure time physical activity is also associated with better mental health, while only moderate levels of occupational physical activity are associated with better mental health status. Regarding the possible associations between physical activity and vulnerability to mental health problems, with the fully adjusted regression model, leisure time and occupational physical activity remain protective of a poor state of mental health. Leisure time physical activity, performed at a high level, and moderate occupational physical activity seems to be the best combination of physical activity to reduce students' vulnerability to potential mental health problems.
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Affiliation(s)
- Gabriel Rodríguez-Romo
- Faculty of Physical Activity and Sport Sciences (INEF), Universidad Politécnica de Madrid, 28040 Madrid, Spain
| | - Jorge Acebes-Sánchez
- Faculty of Health Sciences, Universidad Francisco de Vitoria (UFV), 28223 Madrid, Spain
| | - Sonia García-Merino
- Faculty of Psychology, Universidad Francisco de Vitoria (UFV), 28223 Madrid, Spain
| | - María Garrido-Muñoz
- Faculty of Physical Activity and Sport Sciences (INEF), Universidad Politécnica de Madrid, 28040 Madrid, Spain
| | - Cecilia Blanco-García
- Faculty of Physical Activity and Sport Sciences (INEF), Universidad Politécnica de Madrid, 28040 Madrid, Spain
| | - Ignacio Diez-Vega
- Departamento de Enfermería y Fisioterapia, Facultad de Ciencias de la Salud, Universidad de León, 24007 León, Spain
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4
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Kearns JC, Kittel JA, Schlagbaum P, Pigeon WR, Glenn CR. Worry-related sleep problems and suicidal thoughts and behaviors among adolescents in 88 low-, middle-, and high-income countries: an examination of individual- and country-level factors. Eur Child Adolesc Psychiatry 2022; 31:1995-2011. [PMID: 34213638 DOI: 10.1007/s00787-021-01838-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 06/25/2021] [Indexed: 01/26/2023]
Abstract
A strong association between sleep problems and suicidal thoughts and behaviors (STBs) has been demonstrated in high-income countries. The sleep-STB relationship, however, is minimally understood among youth in low and middle-incomes countries. There also is a limited understanding of how individual- (i.e., age, sex) and country-level (i.e., economic inequality, economic quality) factors may moderate the magnitude of the sleep-STB association among youth. Data were analyzed from the cross-national Global School-based Health Survey 2003-2017, which assessed a range of health behaviors among school-enrolled adolescents aged 11-18 years from 88 low-, lower-middle, upper-middle, and high-income countries. Multilevel models were used to examine the influence of individual- and country-level factors on the association between past-year worry-related sleep problems and past-year suicide ideation, suicide plans, and suicide attempts. Worry-related sleep problems were significantly associated with suicide ideation, plans, and attempts. Adolescent sex, country economic quality (income group designation), and country economic inequality moderated the sleep-STB association, but age did not. The sleep-STB relationship was stronger for males and across macroeconomic indices, the relationship was generally strongest among upper-middle income countries (economic quality) and countries with a big income gap (economic inequality). When examining how individual-level factors differentially affected the sleep-STB relationship within economic quality (income group designation), the effects were driven by older adolescents in high-income countries for suicide ideation and suicide plans. Study findings suggest an important role for global macroeconomic factors, for males, and older adolescents in high-income countries in the sleep-STB relationship. Future directions include expanding worldwide coverage of countries, assessing a wider range of sleep problems, and longitudinal work to understand potential mechanisms in the sleep-STB relationship.
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Affiliation(s)
- Jaclyn C Kearns
- Department of Psychology, University of Rochester, 180 Meliora Hall, Box 270266, Rochester, NY, 14627, USA.
| | - Julie A Kittel
- Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA
| | - Paige Schlagbaum
- Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA
| | - Wilfred R Pigeon
- VA Center for Excellence for Suicide Prevention, Finger Lakes Healthcare System, Canandaigua, NY, USA.,Sleep and Neurophysiology Research Lab, University of Rochester Medical Center Rochester, Rochester, NY, USA
| | - Catherine R Glenn
- Department of Psychology, Old Dominion University, Norfolk, VA, USA.,Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA
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5
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Association between Poor Quality of Sleep and Metabolic Syndrome in Ghanaian University Students: A Cross-Sectional Study. SLEEP DISORDERS 2022; 2022:8802757. [PMID: 36276192 PMCID: PMC9581681 DOI: 10.1155/2022/8802757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Accepted: 09/21/2022] [Indexed: 11/18/2022]
Abstract
Aim. This study aimed to determine the association between quality of sleep and metabolic syndrome (MetS) and physical activity level in young adults at the University of Ghana. Method. In a cross-sectional design, 340 university students, aged between 20-30 years were recruited. Quality of sleep was assessed using the Pittsburgh Sleep Quality index (PSQI) and physical activity with the short form of the International Physical Activity Questionnaire (IPAQ-SF). Poor quality of sleep was defined as a global PSQI score>5 and low physical activity level as those not meeting the criteria for vigorous-moderate physical activity. Anthropometric features and blood pressures were measured, and fasting blood samples were collected from the participants to measure plasma levels of glucose, lipid profile, urea, and creatinine. MetS was defined using the Joint Scientific Statement criteria. Results. In our study population of young adults from Ghana, the prevalence of poor quality of sleep as measured by PSQI was 54.1%, and MetS was 12.4%. MetS was associated with poor quality of sleep in females [
(1.04–4.25),
] and entire study participants [2.18 (1.09–4.37)
] in both crude and adjusted models; no association was found in male participants. Low physical activity status was not associated with poor sleep status. Obesity [1.32 (1.02–3.56),
], but not overweight [0.99 (0.58–2.34),
], was associated with poor quality of sleep. Conclusion. Young adults in a Ghanaian university have a high prevalence of poor quality of sleep and is associated with MetS and obesity. Physical activity status was not associated with poor quality of sleep.
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Ji D, Francesconi M, Flouri E, Papachristou E. The role of inflammatory markers and cortisol in the association between early social cognition abilities and later internalising or externalising problems: Evidence from a UK birth cohort. Brain Behav Immun 2022; 105:225-236. [PMID: 35835432 DOI: 10.1016/j.bbi.2022.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 05/29/2022] [Accepted: 07/03/2022] [Indexed: 10/17/2022] Open
Abstract
OBJECTIVE Deficits in social cognition are associated with internalising (emotional and peer problems) and externalising (conduct problems and hyperactivity/inattention) symptoms in youth. It has been suggested that stress may be one of the mechanisms underlying these associations. However, no empirical studies have investigated if physiological stress can explain the prospective associations between social cognition deficits and internalising and externalising symptoms in the general youth population. This study addressed this question and focused on two indicators of physiological stress, dysregulated diurnal cortisol patterns and systemic inflammation. METHOD Participants were 714 individuals from the Avon Longitudinal Study of Parents and Children (ALSPAC), a UK population-based birth cohort. Bayesian structural equation modelling was used to investigate a) the associations of social cognition abilities at ages 8, 11, and 14 years with internalising and externalising problems at age 17 years and b) the potential mediating effects of cortisol parameters at age 15 years and inflammatory markers [interleukin 6 (IL-6) and C-reactive protein (CRP)] at ages 9 and 16 years. RESULTS We found that social cognition difficulties were associated with later internalising and externalising problems. Flattened diurnal cortisol slope was associated with hyperactivity/inattention problems two years later. Lower morning cortisol partially mediated the direct association between social communication deficits at 8 years and hyperactivity/inattention and conduct problems at 17 years, even after adjustments for inflammation and confounders (for hyperactivity/inattention: indirect effect = 0.07, 95% CI [0.00, 0.18], p = .042; for conduct problems: indirect effect = 0.04, 95% CI [0.00, 0.11], p = .040). We did not find a significant association between systemic inflammation and social cognition difficulties, internalising problems, or externalising problems. CONCLUSION Our findings suggest that part of the effect of social communication difficulties in childhood on externalising problems in adolescence was mediated by lower morning cortisol. Hence, our study indicates that the hypoactivity of the hypothalamic-pituitary-adrenal (HPA) axis may be one of the physiological mechanisms linking some social cognition deficits to externalising problems.
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Affiliation(s)
- Dongying Ji
- Department of Psychology and Human Development, UCL Institute of Education, 25 Woburn Square, London WC1H 0AA, UK.
| | - Marta Francesconi
- Department of Psychology and Human Development, UCL Institute of Education, 25 Woburn Square, London WC1H 0AA, UK.
| | - Eirini Flouri
- Department of Psychology and Human Development, UCL Institute of Education, 25 Woburn Square, London WC1H 0AA, UK.
| | - Efstathios Papachristou
- Department of Psychology and Human Development, UCL Institute of Education, 25 Woburn Square, London WC1H 0AA, UK.
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7
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Prevalence and Associated Factors of Physical Activity among Medical Students from the Western Balkans. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137691. [PMID: 35805346 PMCID: PMC9265687 DOI: 10.3390/ijerph19137691] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 06/18/2022] [Accepted: 06/20/2022] [Indexed: 02/01/2023]
Abstract
The student population includes young adults who need nutrition and regular physical activity (PA) for mental, cognitive, and physical development. It is estimated that, globally, only 25–40% of the university student population is involved in regular PA. To date, no research has been conducted in the Western Balkans to address the PA of medical students. The aim of this study was to investigate the prevalence and factors influencing PA among medical students from the Western Balkans. A cross-sectional study included 2452 students from 14 medical faculties in five countries (Slovenia, Croatia, Bosnia and Herzegovina, North Macedonia and Serbia). There were significantly more students who engaged than those who did not engage in some type of regular (daily) PA. Gender, overweight or obesity, and household income are significantly associated with students’ PA. Students who are more often involved in regular daily PA and have higher daily PA levels are more likely to be males whose household income is above average. In order to improve the health of the student population, the public health authorities need to continuously investigate the PA of students and introduce appropriate activities to increase their level of PA.
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8
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Dubinina E, Korostovtseva LS, Rotar O, Amelina V, Boyarinova M, Bochkarev M, Shashkova T, Baranova E, Libis R, Duplyakov D, Sviryaev Y, Konradi A, Shlyakhto E. Physical Activity Is Associated With Sleep Quality: Results of the ESSE-RF Epidemiological Study. Front Psychol 2021; 12:705212. [PMID: 34447339 PMCID: PMC8383779 DOI: 10.3389/fpsyg.2021.705212] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Accepted: 07/09/2021] [Indexed: 11/26/2022] Open
Abstract
Background and hypothesis Physical activity (PA) is an important behavioral factor associated with the quality of life and healthy longevity. We hypothesize that extremely low and extremely high levels of daily PA (including occupational PA) may have a negative impact on sleep quality and psychological well-being. Objective The aim of the study is to investigate the association between the level and type of PA and sleep problems in adult population. Materials and methods The sample of the study consisted of the participants from the population-based cohort of The Epidemiology of Cardiovascular Risk Factors and Diseases in Regions of the Russian Federation Study (ESSE-RF). The data of three regions (Saint Petersburg, Samara, Orenburg), varying in geographic, climatic, socioeconomic characteristics, was included into analysis. The total sample consisted of 4,800 participants (1,600 from each region; 1,926 males, 2,874 females), aged 25–64. The level of PA was evaluated using three parameters: the type of PA at work, the frequency of an intensive/high PA including sport (times a week), the mean duration of leisure-time walking (minutes a day). The measures of sleep quality were sleep duration and the frequency of difficulty falling asleep, difficulty maintaining sleep, daytime sleepiness, and sleep medication use. PA and sleep characteristics were assessed by interview carried by the trained medical staff. Results When controlling for gender, age and socioeconomic status (SES) extremely high occupational PA was a significant risk factor for difficulty falling asleep three or more times a week [OR(CI95%) = 1.9(1.2–3.0), p = 0.003] while working in a sitting position or having moderate physical load at work were not associated with sleep characteristics. Having a high physical load six or more times a week was a risk factor for difficulty falling asleep controlling for gender, age and SES [OR(CI95%) = 1.9(1.4–3.4), p = 0.001]. The association between leisure-time walking and sleep characteristics was insignificant. Walking less than an hour a day was associated with increased depression scores (46.5 vs. 41.9%, p = 0.006). Conclusion High physical load at work and excessively frequent intensive PA are associated with difficulties initiating sleep and may represent a risk factor for insomnia.
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Affiliation(s)
- Elena Dubinina
- Clinical Psychology Department, Herzen State Pedagogical University of Russia, Saint Petersburg, Russia.,Laboratory of Clinical Psychology and Psychodiagnostics, V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Saint Petersburg, Russia
| | | | - Oxana Rotar
- Almazov National Medical Research Centre, Saint Petersburg, Russia
| | - Valeria Amelina
- Clinical Psychology Department, Herzen State Pedagogical University of Russia, Saint Petersburg, Russia.,Almazov National Medical Research Centre, Saint Petersburg, Russia
| | - Maria Boyarinova
- Almazov National Medical Research Centre, Saint Petersburg, Russia
| | | | - Tatiana Shashkova
- Department of Health of Khanty-Mansi Autonomous Region Yugra, Khanty-Mansiysk State Medical Academy, Khanty-Mansi, Russia
| | - Elena Baranova
- Department of Internal Diseases #2 with the course of endocrinology, cardiology and functional diagnostics n.a. G.F. Lang with the in-patient clinic, Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russia
| | - Roman Libis
- Department of Internal Diseases, Orenburg State Pedagogical University, Orenburg, Russia
| | - Dmitry Duplyakov
- Department of Cardiology and Cardiosurgery, Samara State Medical University, Samara, Russia
| | - Yurii Sviryaev
- Almazov National Medical Research Centre, Saint Petersburg, Russia
| | - Aleksandra Konradi
- Laboratory of Clinical Psychology and Psychodiagnostics, V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology, Saint Petersburg, Russia.,Institute of Translational Medicine, ITMO University, Saint Petersburg, Russia
| | - Eugene Shlyakhto
- Almazov National Medical Research Centre, Saint Petersburg, Russia
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9
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Tan SL, Jetzke M, Vergeld V, Müller C. Independent and Combined Associations of Physical Activity, Sedentary Time, and Activity Intensities With Perceived Stress Among University Students: Internet-Based Cross-Sectional Study. JMIR Public Health Surveill 2020; 6:e20119. [PMID: 33174855 PMCID: PMC7688394 DOI: 10.2196/20119] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Revised: 10/06/2020] [Accepted: 10/24/2020] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND Mental health is an emerging topic on university campuses, with students reporting higher levels of psychological distress than the general population of the same age. Increasing physical activity and reducing sedentary time have been proved promising measures to promote mental health in the general population. However, to derive and implement effective measures to promote mental health among university students, further exploration of the associations between physical activity, sedentary time, and perceived stress in this specific setting is needed. OBJECTIVE This study aims to identify associations between physical activity, sedentary time, and perceived stress after controlling for sociodemographic and behavioral variables among university students in Germany. We hypothesize that perceived stress is inversely related to physical activity and positively associated with sedentary time. Furthermore, we hypothesize that combined associations of concurrently high physical activity and low sedentary time on perceived stress are stronger compared with either alone and that the association between physical activity and perceived stress depends on activity intensity. METHODS We conducted cross-sectional analyses from a large-scale internet-based student health survey (n=4189; response rate=10.0%). Physical activity, sedentary time, and engaging in moderate and vigorous activity intensities were assessed using the International Physical Activity Questionnaire Short Form with categorization into low, intermediate, and high levels. We measured perceived stress using the 10-item Perceived Stress Scale (range 0-40). RESULTS The results indicate that higher physical activity and lower sedentary time are associated with reduced levels of perceived stress. Following adjustment for gender, BMI, income, fruit and vegetable intake, alcohol consumption, and sleep quality, perceived stress scores were lower for students reporting high physical activity levels and low sedentary time compared with the least active and highly sedentary students (Perceived Stress Scale -2.2, 95% CI -2.9 to -1.5, P<.001 for physical activity and -1.1, CI 95% -1.7 to -0.5, P<.001 for sedentary time). Combined associations with perceived stress revealed that students concurrently reporting high total physical activity and low sedentary time reported the lowest perceived stress scores of all possible combinations following adjustment for confounders (Perceived Stress Scale -3.5, CI 95% -4.6 to -2.5, P<.001 compared with students reporting low physical activity levels and concurrently high sedentary time). Associations between vigorous physical activities and perceived stress were not stronger compared with moderate activity intensities. CONCLUSIONS Self-reported physical activity and low sedentary time are favorably associated with perceived stress, while the intensity of physical activities seems to be of minor importance. These results help to effectively implement health-promoting measures on campus among university students through increasing physical activity and reducing sedentary time.
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Affiliation(s)
- Shu Ling Tan
- Department for Social Sciences of Sport, Institute for Sport and Exercise Science, University of Münster, Münster, Germany
| | - Malte Jetzke
- Department for Social Sciences of Sport, Institute for Sport and Exercise Science, University of Münster, Münster, Germany
| | - Vera Vergeld
- Department of Sport and Exercise Psychology, Institute for Sport and Exercise Science, University of Münster, Münster, Germany
| | - Carsten Müller
- University Sports, University of Münster, Münster, Germany
- Department of Physical Therapy, European University of Applied Sciences, Cologne (Köln), Germany
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10
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Fochesatto CF, Gaya A, Brand C, Mota J, Bandeira DR, Lemes VB, Martins CMDL, Gaya AR. SLEEP AND CHILDHOOD MENTAL HEALTH: ROLE OF PHYSICAL ACTIVITY AND CARDIORESPIRATORY FITNESS. REV BRAS MED ESPORTE 2020. [DOI: 10.1590/1517-869220202601218097] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
ABSTRACT Introduction: Sleep is considered an important health indicator and plays a key role in brain development and plasticity. Objective: To ascertain whether there is a relationship between sleep quality and mental health indicators and whether organized physical activity (PA) or cardiorespiratory fitness (CRF) act as moderators of this association. Methods: This is a cross-sectional study with a quantitative approach. The sample consisted of 226 students between six and 11 years of age, male and female, in the early years of elementary education at a public school in Porto Alegre, Brazil, which was selected for convenience. CRF was measured by running test and six-minute walk. Sleep quality and organized physical activity outside of school were verified through an anamnesis, socioeconomic status through an adaptation of the ABEP (Brazilian Association of Research Companies) questionnaire, and mental health indicators with the assistance of the Strengths and Difficulties Questionnaire, all answered by parents. Frequencies, means, standard deviations and generalized linear models were used for the data analysis, while a 95% confidence interval was used for the analyses. Results: Sleep quality was associated with total difficulties (β=7.659, p<0.001), emotional symptoms (β= 1.754; p=0.001), hyperactivity/inattentiveness (β=3.054, p <0.001), conduct problems (β=1.619, p<0.001) and peer relationship problems (β=1.231; p=0.007) in boys. In girls it was related to total difficulties (β=3.421; p=0.006), and conduct problems (β=1.235; p=0.003). However, the interactions were not significant. Conclusion: Although they occur independently, stress is placed on the importance of sleeping well, engaging in organized PA and having good CRF levels for the improvement and maintenance of mental health. Level of evidence III; Case-control study.
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11
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Tong LQ. Correlation among mental resilience, perceived stress, and sleep quality in elderly patients with functional dyspepsia. Shijie Huaren Xiaohua Zazhi 2019; 27:1391-1395. [DOI: 10.11569/wcjd.v27.i22.1391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Repeated epiodes of functional dyspepsia (FD) in the elderly tend to affect the psychological mood and sleep quality of patients. Sleep disorders and negative psychological mood can affect each other, forming a vicious circle. In this study, the psychological resilience, perceived pressure, and sleep quality of elderly FD patients were investigated, in order to provide important objective evidence for clinical management of this population.
AIM To analyze the correlation among perceived stress, mental resilience, and sleep quality in elderly FD patients.
METHODS One hundred and twenty elderly patients with FD admitted to the Second Hospital of Jinhua City, Zhejiang Province from March 2017 to June 2019 were selected as study subjects, and Pittsburgh sleep quality index (PSQI), perceived stress scale (PSS), and mental resilience scale (CD-RISC-10) were used to analyze the sleep quality, perceived stress, and mental resilience.
RESULTS Mean PSS score was 15.3 ± 4.8, mean mental resilience score was 26.1 ± 6.2, and mean PSQI score was 7.3 ± 2.7. Mean mental resilience scores were negatively correlated with PSS scores and PSQI scores (r = -0.58, -0.41, P < 0.05). PSS scores were positively correlated with PSQI scores (r = 0.33, P < 0.05). PSS scores can positively predict PSQI scores (β= 0.31, P < 0.05), and negatively predict PSQI scores (β= -0.28, P < 0.05).
CONCLUSION Elderly FD patients have poor sleep quality, and perceived pressure and mental resilience are risk factors affecting sleep quality. In clinical practice, sleep can be improved by reducing psychological pressure.
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Affiliation(s)
- Li-Qin Tong
- the Second Hospital of Jinhua City, Jinhua 321016, Zhejiang Province, China
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12
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Kintziou E, Nikolaidis PT, Kefala V, Rosemann T, Knechtle B. Validity of Self-Reported Body Mass, Height, and Body Mass Index in Female Students: The Role of Physical Activity Level, Menstrual Cycle Phase, and Time of Day. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16071192. [PMID: 30987087 PMCID: PMC6479733 DOI: 10.3390/ijerph16071192] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Revised: 03/24/2019] [Accepted: 04/01/2019] [Indexed: 12/05/2022]
Abstract
A large part of research using questionnaires for female university students relies on self-reported body mass, height, and body mass index (BMI) data; however, the validity of these data in this population group is unknown. Therefore, the aim of the present study is to examine the validity of self-reported body mass, height, and BMI in female students. Female students of biomedical sciences (n = 93, age 21.8 ± 4.7 years, height 1.63 ± 0.06 m, weight 60.5 ± 11.9 kg, and BMI 22.7 ± 3.8 kg/m2) completed the short version of the International Physical Activity Questionnaire and were tested for anthropometric characteristics at three different times of the day (12–2 p.m., n = 36; 2–4 p.m., n = 20; 4–6 p.m., n = 37). Participants over-reported height (+0.01 ± 0.02 m, +0.9 ± 1.2%, Cohen’s d = 0.22) and under-reported weight (−0.8 ± 2.1 kg, −1.2 ± 3.6%, d = −0.07) and BMI (−0.7 ± 1.0 kg/m2, −2.9 ± 4.2%, d = −0.19) (p < 0.001). A moderate main effect of time of day on %Δweight (p = 0.017, η2 = 0.086) and %ΔBMI (p = 0.045, η2 = 0.067), but not on %Δheight (p = 0.952, η2 = 0.001), was observed, where the group tested at 4–6 p.m. under-reported weight and BMI more than the 2–4 p.m. group. The weekly metabolic equivalent (MET) × min did not correlate with %Δheight (r = 0.06, p = 0.657), but its correlations with %Δweight (r = −0.27, p = 0.051) and %ΔBMI (r = −0.238, p = 0.089) reached statistical significance. Participants in the early follicular phase reported BMI more accurately (p = 0.084, d = 0.68) than those in the mid-luteal phase. In conclusion, female students over-reported height and under-reported weight and BMI. Under-reporting weight and BMI is influenced by time of day and menstrual cycle phase. These findings should be considered by health professionals and researchers when administering questionnaires to female students.
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Affiliation(s)
- Eleni Kintziou
- Faculty of Biomedical Sciences, University of West Attica, 12243 Egaleo, Greece.
| | - Pantelis T Nikolaidis
- Faculty of Biomedical Sciences, University of West Attica, 12243 Egaleo, Greece.
- Exercise Physiology Laboratory, 18450 Nikaia, Greece.
| | - Vasiliki Kefala
- Faculty of Biomedical Sciences, University of West Attica, 12243 Egaleo, Greece.
| | - Thomas Rosemann
- Gesundheitszentrum St. Gallen, 9001 St. Gallen, Switzerland.
| | - Beat Knechtle
- Gesundheitszentrum St. Gallen, 9001 St. Gallen, Switzerland.
- Institute of Primary Care, University of Zurich, 8006 Zurich, Switzerland.
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