Worse Sleep Quality Predicts Early Drop out from Physical Exercise Programs

Overview

Journal Sleep Sci

Publisher Thieme

Date 2022 Nov 24

PMID 36419810

Authors

Flavio Augustino Back

Adriano Akira Ferreira Hino

Wilynson Gomes Bojarski

Eduardo Henrique Rosa Santos

Leandro Dos Santos Afonso

Lucelia Justino Borges

Fernando Mazzilli Louzada

Affiliations

Soon will be listed here.

Abstract

Introduction And Objective: Sleep quality (SQ) benefits from regular physical exercise (PE) practice, but the effect of SQ over behavioral aspects of PE is not well known. In this study, we tested whether sleep variables can predict the drop out risk for PE programs during a six-week critical period for habit formation at gyms.

Material And Methods: We assessed 153 volunteers, freshly enrolled at three different gyms and from both sexes, with average age of 33.6 (±11.9) years. Questionnaires provided sociodemographic, health, sleep, physical activity and circadian rhythmicity information. Daily PE practice frequency was monitored using the gym's turnstiles electronic records. We created a multivariate model using Cox regression in order to test the risk of PE program drop out during the first six weeks.

Results: Worse SQ predicted a higher drop out risk (HR=1.11; 95%CI = 1.02-1.21; <0.05), even when adjusted for other potential confounding variables.

Conclusion: We found that worse SQ predicted a higher early drop out from PE programs in the formal context of gyms during the first six weeks, along with other variables related to PE practice.

References

Soldatos C, Allaert F, Ohta T, Dikeos D . How do individuals sleep around the world? Results from a single-day survey in ten countries. Sleep Med. 2005; 6(1):5-13. DOI: 10.1016/j.sleep.2004.10.006. View

Buysse D, Reynolds 3rd C, Monk T, BERMAN S, Kupfer D . The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2):193-213. DOI: 10.1016/0165-1781(89)90047-4. View

Shang J, Wenzel J, Krumm S, Griffith K, Stewart K . Who will drop out and who will drop in: exercise adherence in a randomized clinical trial among patients receiving active cancer treatment. Cancer Nurs. 2012; 35(4):312-22. PMC: 3326216. DOI: 10.1097/NCC.0b013e318236a3b3. View

Lee I, Shiroma E, Lobelo F, Puska P, Blair S, Katzmarzyk P . Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012; 380(9838):219-29. PMC: 3645500. DOI: 10.1016/S0140-6736(12)61031-9. View

Huang B, Hamer M, Duncan M, Cistulli P, Stamatakis E . The bidirectional association between sleep and physical activity: A 6.9 years longitudinal analysis of 38,601 UK Biobank participants. Prev Med. 2020; 143:106315. DOI: 10.1016/j.ypmed.2020.106315. View

Irish L, Kline C, Gunn H, Buysse D, Hall M . The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Med Rev. 2014; 22:23-36. PMC: 4400203. DOI: 10.1016/j.smrv.2014.10.001. View

Roenneberg T, Wirz-Justice A, Merrow M . Life between clocks: daily temporal patterns of human chronotypes. J Biol Rhythms. 2003; 18(1):80-90. DOI: 10.1177/0748730402239679. View

Holfeld B, Ruthig J . A longitudinal examination of sleep quality and physical activity in older adults. J Appl Gerontol. 2014; 33(7):791-807. DOI: 10.1177/0733464812455097. View

Yang P, Ho K, Chen H, Chien M . Exercise training improves sleep quality in middle-aged and older adults with sleep problems: a systematic review. J Physiother. 2012; 58(3):157-63. DOI: 10.1016/S1836-9553(12)70106-6. View

10.

Horne J, Ostberg O . A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976; 4(2):97-110. View

11.

Czeisler C . Duration, timing and quality of sleep are each vital for health, performance and safety. Sleep Health. 2017; 1(1):5-8. DOI: 10.1016/j.sleh.2014.12.008. View

12.

Dzierzewski J, Buman M, Giacobbi Jr P, Roberts B, Aiken-Morgan A, Marsiske M . Exercise and sleep in community-dwelling older adults: evidence for a reciprocal relationship. J Sleep Res. 2013; 23(1):61-8. PMC: 3844037. DOI: 10.1111/jsr.12078. View

13.

Kaushal N, Rhodes R . Exercise habit formation in new gym members: a longitudinal study. J Behav Med. 2015; 38(4):652-63. DOI: 10.1007/s10865-015-9640-7. View

14.

Kredlow M, Capozzoli M, Hearon B, Calkins A, Otto M . The effects of physical activity on sleep: a meta-analytic review. J Behav Med. 2015; 38(3):427-49. DOI: 10.1007/s10865-015-9617-6. View

15.

Kline C . The bidirectional relationship between exercise and sleep: Implications for exercise adherence and sleep improvement. Am J Lifestyle Med. 2015; 8(6):375-379. PMC: 4341978. DOI: 10.1177/1559827614544437. View

16.

Chennaoui M, Arnal P, Sauvet F, Leger D . Sleep and exercise: a reciprocal issue?. Sleep Med Rev. 2014; 20:59-72. DOI: 10.1016/j.smrv.2014.06.008. View

17.

Bertolazi A, Fagondes S, Hoff L, Dartora E, Miozzo I, de Barba M . Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med. 2010; 12(1):70-5. DOI: 10.1016/j.sleep.2010.04.020. View