Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
권호 표지
DOI QR코드

DOI QR Code

Associations of Abnormal Sleep Duration with Occupational and Leisure-time Physical Activity in the Working Population: A Nation-wide Population-based Study

  • Beak, Myeonghun (College of Medicine, Gachon University) ;
  • Choi, Won-Jun (Department of Occupational and Environmental Medicine, Gil Medical Center, Gachon University College of Medicine) ;
  • Lee, Wanhyung (Department of Occupational and Environmental Medicine, Gil Medical Center, Gachon University College of Medicine) ;
  • Ham, Seunghon (Department of Occupational and Environmental Medicine, Gil Medical Center, Gachon University College of Medicine)
  • Received : 2021.01.12
  • Accepted : 2021.05.27
  • Published : 2021.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: The present study investigated the association between two domains of physical activity (occupational physical activity [OPA] and leisure-time physical activity [LTPA]) and sleep duration. Methods: We investigated 3,421 paid workers from the Korea National Health and Nutrition Examination Survey, 2014-2015. Sleep duration was categorized into three categories (short for less than 5 h, optimal for 5-9 h, and long for more than 9 h). OPA and LTPA were defined in terms of answers to relevant questions. Odds ratios were calculated for sleep duration according to each physical activity domain using multinomial logistic regression models. Results: There were 464 subjects (13.6%) who showed short sleep duration, and 169 subjects (4.9%) who showed long sleep duration. Prevalence of OPA and LTPA was higher in male workers than in female workers (for OPA: 3.67% and 1.76%, respectively, p = 0.0108; for LTPA: 16.14% and 6.07%, respectively, p < 0.0001). The odds ratio of OPA for long sleep duration in female workers was 3.35 (95% confidence interval, 1.37-8.21). Otherwise, LTPA was not associated with sleep duration in female paid workers, nor both physical activity domains in male paid workers. Conclusion: Female paid workers with work-related physical activity were at risk of oversleeping. These findings also suggested that physical activity has distinct associations with sleep duration according to the physical activity domains and sex.

Keywords

References

  1. Holtermann A, Hansen JV, Burr H, Sogaard K, Sjogaard G. The health paradox of occupational and leisure-time physical activity. Br J Sports Med 2012;46(4):291-5. https://doi.org/10.1136/bjsm.2010.079582
  2. Krause N, Brand RJ, Arah OA, Kauhanen J. Occupational physical activity and 20-year incidence of acute myocardial infarction: results from the Kuopio Ischemic heart disease risk factor study. Scand J Work Environ Health 2015;41(2):124-39. https://doi.org/10.5271/sjweh.3476
  3. Holtermann A, Krause N, van der Beek AJ, Straker L. The physical activity paradox: six reasons why occupational physical activity (OPA) does not confer the cardiovascular health benefits that leisure time physical activity does. Br J Sports Med 2018;52(3):149-50. https://doi.org/10.1136/bjsports-2017-097965
  4. Loprinzi PD, Cardinal BJ. Association between objectively-measured physical activity and sleep, NHANES 2005-2006. Ment Health Phys Activ 2011;4(2):65-9. https://doi.org/10.1016/j.mhpa.2011.08.001
  5. Ohida T, Kamal AM, Uchiyama M, Kim K, Takemura S, Sone T, Ishii T. The influence of lifestyle and health status factors on sleep loss among the Japanese general population. Sleep 2001;24(3):333-8. https://doi.org/10.1093/sleep/24.3.333
  6. Kredlow MA, Capozzoli MC, Hearon BA, Calkins AW, Otto MW. The effects of physical activity on sleep: a meta-analytic review. J Behav Med 2015;38(3):427-49. https://doi.org/10.1007/s10865-015-9617-6
  7. Basner M, Fomberstein KM, Razavi FM, Banks S, William JH, Rosa RR, Dinges DF. American time use survey: sleep time and its relationship to waking activities. Sleep 2007;30(9):1085-95. https://doi.org/10.1093/sleep/30.9.1085
  8. McClain JJ, Lewin DS, Laposky AD, Kahle L, Berrigan D. Associations between physical activity, sedentary time, sleep duration and daytime sleepiness in US adults. Prev Med 2014;66:68-73. https://doi.org/10.1016/j.ypmed.2014.06.003
  9. Park S, Cho MJ, Chang SM, Bae JN, Jeon HJ, Cho SJ, Kim BS, Chung IW, Ahn JH, Lee HW, Hong JP. Relationships of sleep duration with sociodemographic and health-related factors, psychiatric disorders and sleep disturbances in a community sample of Korean adults. J Sleep Res 2010;19(4):567-77. https://doi.org/10.1111/j.1365-2869.2010.00841.x
  10. Xiang YT, Ma X, Lu JY, Cai ZJ, Li SR, Xiang YQ, Guo HL, Hou YZ, Li ZB, Li ZJ, Tao YF, Dang WM, Wu XM, Deng J, Lai KY, Ungvari GS. Relationships of sleep duration with sleep disturbances, basic socio-demographic factors, and BMI in Chinese people. Sleep Med 2009;10(10):1085-9. https://doi.org/10.1016/j.sleep.2009.03.002
  11. Tamakoshi A, Ohno Y. Self-reported sleep duration as a predictor of allcause mortality: results from the JACC study, Japan. Sleep 2004;27(1):51-4.
  12. Itani O, Jike M, Watanabe N, Kaneita Y. Short sleep duration and health outcomes: a systematic review, meta-analysis, and meta-regression. Sleep Med 2017;32:246-56. https://doi.org/10.1016/j.sleep.2016.08.006
  13. Jike M, Itani O, Watanabe N, Buysse DJ, Kaneita Y. Long sleep duration and health outcomes: a systematic review, meta-analysis and meta-regression. Sleep Med Rev 2018;39:25-36. https://doi.org/10.1016/j.smrv.2017.06.011
  14. Gingerich SB, Seaverson ELD, Anderson DR. Association between sleep and productivity loss among 598 676 employees from multiple industries. Am J Health Promot 2018;32(4):1091-4. https://doi.org/10.1177/0890117117722517
  15. Lemke MK, Apostolopoulos Y, Hege A, Sonmez S, Wideman L. Understanding the role of sleep quality and sleep duration in commercial driving safety. Accid Anal Prev 2016;97:79-86. https://doi.org/10.1016/j.aap.2016.08.024
  16. Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, Choi S, Chun C, Khang YH, Oh K. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol 2014;43(1):69-77. https://doi.org/10.1093/ije/dyt228
  17. Thorpy MJ. Classification of sleep disorders. Neurotherapeutics 2012;9(4):687-701. https://doi.org/10.1007/s13311-012-0145-6
  18. Ministry of Health and Welfare. Korea Health Statistics 2015: Korea National Health and Nutrition Examination Survey (KNHANES VI-3).
  19. World Health Organization. The Asia-Pacific perspective: redefining obesity and its treatment. Sydney: Health Communications Australia; 2000. Regional Office for the Western Pacific.
  20. Boivin DB, Boudreau P. Impacts of shift work on sleep and circadian rhythms. Pathol Biol (Paris) 2014;62(5):292-301. https://doi.org/10.1016/j.patbio.2014.08.001
  21. King AC, Oman RF, Brassington GS, Bliwise DL, Haskell WL. Moderate-intensity exercise and self-rated quality of sleep in older adults: a randomized controlled trial. JAMA 1997;277(1):32-7. https://doi.org/10.1001/jama.1997.03540250040029
  22. Youngstedt SD. Effects of exercise on sleep. Clin Sports Med 2005;24(2):355-65. https://doi.org/10.1016/j.csm.2004.12.003
  23. Ament W, Verkerke GJ. Exercise and fatigue. Sports Med 2009;39(5):389-422. https://doi.org/10.2165/00007256-200939050-00005
  24. Reeth O, Weibel L, Spiegel K, Leproult R, Dugovic C, Maccari S. Interactions between stress and sleep: from basic research to clinical situations. Sleep Med Rev 2000;4:201-19. https://doi.org/10.1053/smrv.1999.0097
  25. Goldman SE, Ancoli-Israel S, Boudreau R, Cauley JA, Hall M, Stone KL, Rubin SM, Satterfield S, Simonsick EM, Newman AB, Health. Aging and body composition study. Sleep problems and associated daytime fatigue in community-dwelling older individuals. J Gerontol A Biol Sci Med Sci 2008;63(10):1069-75. https://doi.org/10.1093/gerona/63.10.1069
  26. de Vries JD, Claessens BJC, van Hooff MLM, Geurts SAE, van den Bossche SNJ, Kompier MAJ. Disentangling longitudinal relations between physical activity, work-related fatigue, and task demands. Int Arch Occup Environ Health 2016;89(1):89-101. https://doi.org/10.1007/s00420-015-1054-x
  27. Craft LL. Exercise and clinical depression: examining two psychological mechanisms. Psychol Sport Exerc 2005;6(2):151-71. https://doi.org/10.1016/j.psychsport.2003.11.003
  28. Benetos A, Rudnichi A, Thomas F, Safar M, Guize L. Influence of heart rate on mortality in a French population. Hypertension 1999;33(1):44-52. https://doi.org/10.1161/01.hyp.33.1.44
  29. Morrell MJ, Finn L, Kim H, Peppard PE, Badr MS, Young T. Sleep fragmentation, awake blood pressure, and sleep-disordered breathing in a population-based study. Am J Respir Crit Care Med 2000;162(6):2091-6. https://doi.org/10.1164/ajrccm.162.6.9904008
  30. Nilsson PM, Nilsson JA, Hedblad B, Berglund G. Sleep disturbance in association with elevated pulse rate for prediction of mortality-consequences of mental strain? J Intern Med 2001;250(6):521-9. https://doi.org/10.1046/j.1365-2796.2001.00913.x
  31. Murakami Y, Hozawa A, Okamura T, Ueshima H. Relation of blood pressure and all-cause mortality in 180 000 Japanese participants. Hypertension 2008;51(6):1483-91. https://doi.org/10.1161/HYPERTENSIONAHA.107.102459
  32. Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol 2001;52(1):397-422. https://doi.org/10.1146/annurev.psych.52.1.397
  33. McLean CP, Asnaani A, Litz BT, Hofmann SG. Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. J Psychiatr Res 2011;45(8):1027-35. https://doi.org/10.1016/j.jpsychires.2011.03.006
  34. Li SH, Graham BM. Why are women so vulnerable to anxiety, trauma-related and stress-related disorders? The potential role of sex hormones. Lancet Psychiatry 2017;4(1):73-82. https://doi.org/10.1016/S2215-0366(16)30358-3
  35. KOSIS. Time use survey. Statistics Korea; 2019 [cited May 4, 2021]. Available from: https://kosis.kr/.