Tossing and turning: association of sleep quantity–quality with physical activity in COPD
The association between characteristics of sleep and physical activity in daily life (PADL) has not yet been investigated in depth in subjects with COPD. This study evaluated whether time spent per day in physical activity (PA) and sedentary behaviour are associated with sleep quantity and quality i...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
European Respiratory Society
2020-12-01
|
| Series: | ERJ Open Research |
| Online Access: | http://openres.ersjournals.com/content/6/4/00370-2020.full |
| _version_ | 1831739784434810880 |
|---|---|
| author | Raquel Pastrello Hirata Daniele Caroline Dala Pola Lorena Paltanin Schneider Mariana Pereira Bertoche Karina Couto Furlanetto Nidia Aparecida Hernandes Arthur Eumann Mesas Fabio Pitta |
| author_facet | Raquel Pastrello Hirata Daniele Caroline Dala Pola Lorena Paltanin Schneider Mariana Pereira Bertoche Karina Couto Furlanetto Nidia Aparecida Hernandes Arthur Eumann Mesas Fabio Pitta |
| author_sort | Raquel Pastrello Hirata |
| collection | DOAJ |
| description | The association between characteristics of sleep and physical activity in daily life (PADL) has not yet been investigated in depth in subjects with COPD. This study evaluated whether time spent per day in physical activity (PA) and sedentary behaviour are associated with sleep quantity and quality in this population. Sleep and PADL were objectively assessed by an activity monitor for 7 days and analysed on a minute-by-minute basis. Subjects also underwent spirometry and 6-min walking test (6MWT). Fifty-five subjects with moderate-to-severe COPD (28 male, 67±8 years) were studied. Subjects with total time in bed (TIB) per night ≥9 h had higher wake-after-sleep onset than TIB 7–9 h and TIB ≤7 h (195 (147–218) versus 117 (75–167) and 106 (84–156) min) and more fragmented sleep than TIB ≤7 h (8.2 (6.7–14.3) versus 6.3 (5.6–6.9) sleeping bouts; p<0.05 for all). Subjects with TIB ≥9 h also spent more time per day in sedentary behaviour and less time per day in PA of light and moderate-to-vigorous intensity than those with TIB 7–9 h and ≤7 h. In multiple linear regression, TIB ≥9 h was the only significant predictor of physical inactivity (β=−3.3 (−5.1, −1.6), p≤0.0001), accounting for 20% of its variation. Sleep fragmentation was frequent and more pronounced in physically inactive than active patients (7.5 (6.3–9.6) versus 6.4 (5.5–7.3) sleeping bouts; p=0.027). In summary, subjects with COPD with TIB ≥9 h·night−1 have more fragmented sleep, are more sedentary and less physically active than those with <9 h·night−1, independently of the awake time. Sleep quality is frequently poor and even worse in patients classified as physically inactive. |
| first_indexed | 2024-12-21T13:45:45Z |
| format | Article |
| id | doaj.art-a7d1bdc30fc944e09b075cc40ee2739c |
| institution | Directory Open Access Journal |
| issn | 2312-0541 |
| language | English |
| last_indexed | 2024-12-21T13:45:45Z |
| publishDate | 2020-12-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | ERJ Open Research |
| spelling | doaj.art-a7d1bdc30fc944e09b075cc40ee2739c2022-12-21T19:01:54ZengEuropean Respiratory SocietyERJ Open Research2312-05412020-12-016410.1183/23120541.00370-202000370-2020Tossing and turning: association of sleep quantity–quality with physical activity in COPDRaquel Pastrello Hirata0Daniele Caroline Dala Pola1Lorena Paltanin Schneider2Mariana Pereira Bertoche3Karina Couto Furlanetto4Nidia Aparecida Hernandes5Arthur Eumann Mesas6Fabio Pitta7 Laboratory of Research in Respiratory Physiotherapy, Dept of Physiotherapy, State University of Londrina (UEL), Londrina, Brazil Laboratory of Research in Respiratory Physiotherapy, Dept of Physiotherapy, State University of Londrina (UEL), Londrina, Brazil Laboratory of Research in Respiratory Physiotherapy, Dept of Physiotherapy, State University of Londrina (UEL), Londrina, Brazil Laboratory of Research in Respiratory Physiotherapy, Dept of Physiotherapy, State University of Londrina (UEL), Londrina, Brazil Laboratory of Research in Respiratory Physiotherapy, Dept of Physiotherapy, State University of Londrina (UEL), Londrina, Brazil Laboratory of Research in Respiratory Physiotherapy, Dept of Physiotherapy, State University of Londrina (UEL), Londrina, Brazil Postgraduate Program in Public Health, UEL, Londrina, Brazil Laboratory of Research in Respiratory Physiotherapy, Dept of Physiotherapy, State University of Londrina (UEL), Londrina, Brazil The association between characteristics of sleep and physical activity in daily life (PADL) has not yet been investigated in depth in subjects with COPD. This study evaluated whether time spent per day in physical activity (PA) and sedentary behaviour are associated with sleep quantity and quality in this population. Sleep and PADL were objectively assessed by an activity monitor for 7 days and analysed on a minute-by-minute basis. Subjects also underwent spirometry and 6-min walking test (6MWT). Fifty-five subjects with moderate-to-severe COPD (28 male, 67±8 years) were studied. Subjects with total time in bed (TIB) per night ≥9 h had higher wake-after-sleep onset than TIB 7–9 h and TIB ≤7 h (195 (147–218) versus 117 (75–167) and 106 (84–156) min) and more fragmented sleep than TIB ≤7 h (8.2 (6.7–14.3) versus 6.3 (5.6–6.9) sleeping bouts; p<0.05 for all). Subjects with TIB ≥9 h also spent more time per day in sedentary behaviour and less time per day in PA of light and moderate-to-vigorous intensity than those with TIB 7–9 h and ≤7 h. In multiple linear regression, TIB ≥9 h was the only significant predictor of physical inactivity (β=−3.3 (−5.1, −1.6), p≤0.0001), accounting for 20% of its variation. Sleep fragmentation was frequent and more pronounced in physically inactive than active patients (7.5 (6.3–9.6) versus 6.4 (5.5–7.3) sleeping bouts; p=0.027). In summary, subjects with COPD with TIB ≥9 h·night−1 have more fragmented sleep, are more sedentary and less physically active than those with <9 h·night−1, independently of the awake time. Sleep quality is frequently poor and even worse in patients classified as physically inactive.http://openres.ersjournals.com/content/6/4/00370-2020.full |
| spellingShingle | Raquel Pastrello Hirata Daniele Caroline Dala Pola Lorena Paltanin Schneider Mariana Pereira Bertoche Karina Couto Furlanetto Nidia Aparecida Hernandes Arthur Eumann Mesas Fabio Pitta Tossing and turning: association of sleep quantity–quality with physical activity in COPD ERJ Open Research |
| title | Tossing and turning: association of sleep quantity–quality with physical activity in COPD |
| title_full | Tossing and turning: association of sleep quantity–quality with physical activity in COPD |
| title_fullStr | Tossing and turning: association of sleep quantity–quality with physical activity in COPD |
| title_full_unstemmed | Tossing and turning: association of sleep quantity–quality with physical activity in COPD |
| title_short | Tossing and turning: association of sleep quantity–quality with physical activity in COPD |
| title_sort | tossing and turning association of sleep quantity quality with physical activity in copd |
| url | http://openres.ersjournals.com/content/6/4/00370-2020.full |
| work_keys_str_mv | AT raquelpastrellohirata tossingandturningassociationofsleepquantityqualitywithphysicalactivityincopd AT danielecarolinedalapola tossingandturningassociationofsleepquantityqualitywithphysicalactivityincopd AT lorenapaltaninschneider tossingandturningassociationofsleepquantityqualitywithphysicalactivityincopd AT marianapereirabertoche tossingandturningassociationofsleepquantityqualitywithphysicalactivityincopd AT karinacoutofurlanetto tossingandturningassociationofsleepquantityqualitywithphysicalactivityincopd AT nidiaaparecidahernandes tossingandturningassociationofsleepquantityqualitywithphysicalactivityincopd AT arthureumannmesas tossingandturningassociationofsleepquantityqualitywithphysicalactivityincopd AT fabiopitta tossingandturningassociationofsleepquantityqualitywithphysicalactivityincopd |