a Department of Neonatology , University of Tuebingen , Tuebingen , Germany.
b Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology , Brigham & Women's Hospital , Boston , Massachusetts.
Behav Sleep Med. 2019 Jul-Aug;17(4):398-410. doi: 10.1080/15402002.2017.1376206. Epub 2017 Oct 9.
: Understanding variation in physical activity (PA) and sleep is necessary to develop novel intervention strategies targeting adolescents' health behaviors. We examined the extent to which PA and sleep vary by aspects of the physical environment. : We performed a cross-sectional analysis of 669 adolescents in the Project Viva cohort. : We estimated total PA, sleep duration, sleep efficiency, and sleep midpoint timing from wrist accelerometers. We used multivariable linear regression models and generalized estimated equations to assess associations of PA and sleep with season and daily weather conditions obtained from the National Oceanic and Atmospheric Administration archive. : Mean age was 12.9 ( 0.6) years; 51% were female and 68% were white. Mean sleep duration was 466 ( 42) min per night and total PA was 1,652 ( 431) counts per min per day. Sleep midpoint time was 41 (95% CI: 27 to 54) min later in summer, 28 (95% CI: -41 to -14) min earlier in spring, and 29 (95% CI: -43 to -15) min earlier in autumn compared to winter. Higher temperature and longer day length both were associated with small reductions of nightly sleep duration. Adolescents were less physically active during winter and on rainy and short sunlight days. There was an inverse U-shaped relationship between PA and mean temperature. : Season was associated with large changes in sleep timing, and smaller changes in other sleep and PA measurements. Given the importance of sleep and circadian alignment, future health behavioral interventions may benefit by targeting "season-specific" interventions.
了解体力活动 (PA) 和睡眠的变化对于制定针对青少年健康行为的新干预策略是必要的。我们研究了 PA 和睡眠在多大程度上因物理环境的各个方面而有所不同。
我们对 Project Viva 队列中的 669 名青少年进行了横断面分析。
我们使用腕部加速度计估计总 PA、睡眠时间、睡眠效率和睡眠中点时间。我们使用多变量线性回归模型和广义估计方程来评估 PA 和睡眠与季节以及从国家海洋和大气管理局档案中获得的每日天气条件之间的关联。
平均年龄为 12.9(0.6)岁;51%为女性,68%为白人。平均睡眠时间为每晚 466(42)分钟,总 PA 为每天每分 1652(431)次。睡眠中点时间在夏季晚 41(95%CI:27 至 54)分钟,春季早 28(95%CI:-41 至-14)分钟,秋季早 29(95%CI:-43 至-15)分钟,与冬季相比。较高的温度和较长的昼长都与夜间睡眠时间的少量减少有关。青少年在冬季和雨天以及阳光较短的日子里活动量较少。PA 与平均温度之间存在反 U 形关系。
季节与睡眠时间的大幅变化有关,与其他睡眠和 PA 测量的变化较小。鉴于睡眠和昼夜节律调整的重要性,未来的健康行为干预措施可能受益于针对“季节特异性”干预措施。