Evidence map›Paper›PMID 41480089›Full record

ArticleFrontiers in public health2025

Associations of physical activity and sedentary behavior with insomnia in middle-aged and older adults: a cross-sectional study.

Yiying Lu, Min Liu, Sijing Chen, Xiujun Liu

Abstract read
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Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Yiying Lu *Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Min Liu *Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Sijing ChenWuhan Mental Health Center, Wuhan, China.
Xiujun LiuWuhan Mental Health Center, Wuhan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To explore the relationships between physical activity (PA) and sedentary behavior (SB) levels and insomnia among middle-aged and older adults. Methods: This cross-sectional study involved 3,752 middle-aged and older adults aged 50 years or older from Wuhan, China. PA and SB levels were assessed via the International Physical Activity Questionnaire (IPAQ)-Short Form. Insomnia severity was evaluated by the Insomnia Severity Index (ISI). Multivariate logistic regression was employed to estimate the impact of PA and SB on insomnia. Results: A total of 3,752 middle-aged and older adults in Wuhan were included. Among them, 18.0% reported insomnia symptoms, with 13.6% classified as mild insomnia and 4.4% as moderate-to-severe insomnia. After adjustment for confounders, high levels of physical activity were found to be associated with lower odds ratios for mild insomnia than low levels of PA (OR (95% CIs) = 0.67 (0.50, 0.90)), whereas 3-6 h/day and ≥6 h/day of sedentary behavior were associated with higher odds ratios for mild insomnia than were <3 h/day of sedentary behavior (OR (95% CIs) = 1.41 (1.09, 1.83) and 1.71 (1.19, 2.45), respectively). Similarly, moderate and high levels of physical activity were associated with lower odds ratios for moderate insomnia (OR (95% CIs) = 0.45 (0.28, 0.72) and 0.47 (0.30, 0.73), respectively), whereas ≥6 h per day of sedentary behavior was associated with higher odds ratios for moderate insomnia (OR (95% CIs) = 2.47 (1.37, 4.45)). Conclusion: High PA levels were associated with a reduced risk of both mild and moderate-to-severe insomnia in middle-aged and older adults, while SB ≥ 3 h/day increased insomnia risk-with the highest risk observed at SB ≥ 6 h/day. Clinically, these findings support non-pharmacological interventions for insomnia prevention and management in this population: recommending achievement of high PA levels (e.g., ≥1,500 MET-minutes/week of vigorous activity or ≥3,000 MET-minutes/week of combined activity) and limiting daily SB to <3 h. Targeted PA/SB intervention programs should be prioritized for high-risk subgroups, such as women and low-income individuals.

Indexed as

ExerciseSedentary BehaviorSleep Initiation and Maintenance DisordersAgedChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairesa cross-sectional studyinsomniamiddle-aged and older adultsphysical activitysedentary behavior

Identifiers

PMID41480089
PMCPMC12753475

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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.