Evidence map›Paper›PMID 29860437›Full record

ArticleSleep2018

The bidirectional association between physical activity and sleep in middle-aged and older adults: a prospective study based on polysomnography.

Arthur E Mesas, Erika W Hagen, Paul E Peppard

Open access · bronzeAbstract read
In one paragraph

Article in Sleep, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
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  8. Metabolic health disparities driven by financial stress: Behavioural adaptation or modification?Stress and health : journal of the International Society for the Investigation of Stress · 2023
    Article
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  10. Observational
  11. Article
  12. Article
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  15. Article
  16. Review
  17. Effects of Occupational and Leisure-Time Physical Activities on Insomnia in Korean Firefighters.International journal of environmental research and public health · 2020
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Arthur E MesasDepartment of Public Health, Health Sciences Center, State University of Londrina, Av. Robert Koch, Londrina, PR, Brazil.
Erika W HagenDepartment of Population Health Sciences, University of Wisconsin - School of Medicine and Public Health, Madison, WI.
Paul E PeppardDepartment of Population Health Sciences, University of Wisconsin - School of Medicine and Public Health, Madison, WI.
University of Wisconsin–Madison · USUniversidade Estadual de Londrina · BR

Funding

EPIDEMIOLOGY OF SLEEP-DISORDERED BREATHING IN ADULTSR01HL062252 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI PEPPARD, PAUL E · 1999 to 2013
$14.1M
The REST Study: A Longitudinal, Bidirectional Examination of Retirement And SleepR01AG036838 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI PEPPARD, PAUL E · 2010 to 2014
$2.5M
NHLBI NIH HHS R01 HL062252NIA NIH HHS R01 AG036838
6 · The paper itself

Abstract

Study Objectives: To examine the bidirectional association between physical activity (PA) and polysomnographically (PSG)-assessed sleep parameters characterized by total sleep time (TST), sleep onset latency (SOL), wake time after sleep onset (WASO), sleep efficiency and percentage of TST in N1, N2, and N3 stages and rapid eye movement (REM) sleep in middle-aged and older adults. Methods: Longitudinal study based on a subsample of the Wisconsin Sleep Cohort. Self-reported PA information was used to estimate the metabolic equivalents of task (MET-minutes/week) activity and in-laboratory PSG exams provided information on sleep parameters at baseline and after 3-11 years of follow-up between 2004 and 2015. Poisson and linear regression models controlling for confounders estimated associations of sleep outcomes with changes in PA. Results: A total of 424 participants (45.8% female; mean ± SD age 60.1 ± 7.5 years) were followed over an average of 5.0 ± 1.6 years. Compared to baseline PA of <500 MET-minutes/week (reference category), 500 to 1500 MET-minutes/week of PA was associated with lower incidences of TST <6 hours (relative risk, RR: 0.49; 95% confidence interval, CI: 0.27; 0.88), WASO >60 minutes (RR: 0.58; 95% CI: 0.41; 0.82) and sleep efficiency <80% (RR: 0.61; 95% CI: 0.39; 0.94), adjusting for sociodemographic, health behaviors and medical conditions. No significant associations were observed between baseline sleep characteristics and changes in PA through the follow-up. Conclusion: In this prospective study, an intermediate level of PA at baseline predicted lower risk of incident short sleep time, higher WASO and lower sleep efficiency measured with PSG.

Indexed as

AgedAge FactorsCohort StudiesExerciseFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedPolysomnographyProspective StudiesRiskSleepSleep LatencySleep, REM

Identifiers

PMID29860437
PMCPMC6132624
OpenAlexW2806462023

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.