Daytime activity and risk factors for late‐life insomnia
Abstract
Summary: Laboratory evidence linking exercise with improved sleep quality raises the possibility that the lower levels of physical activity characteristic of older age groups may contribute to late‐life insomnia. While support for this hypothesis appears to come from epidemiological surveys, few such studies have distinguished satisfactorily between social and physical activities which differ widely in terms of energy cost and theoretical significance. The present analyses were, therefore, designed to assess the independent influence of physical and social activity levels on the prevalence and natural history of late‐life insomnia. Survivors from a nationally representative UK sample (n = 1042) of elderly people originally interviewed in 1985 were reassessed in 1989 (n = 690) and 1993 (n = 410). Detailed assessments of physical and social activities, mental and physical health status, and sleep quality were made at each survey wave. Logistic regression models, adjusted for age, sex and health status, were used to assess relationships between activity levels and the prevalence, remission/persistence, and incidence of late‐life insomnia. Lower physical health, depressed mood and lower physical (but not social) activity levels consistently emerged as significant risk factors for prevalent, persistent and incident insomnia. Age was unrelated to insomnia variables in all the cross‐sectional models, but did emerge as a significant risk for cumulative 4–8‐year insomnia incidence. These findings suggest that, independent of those activities more closely associated with social engagement, higher levels of customary physical activity per se appear to be protective against incident and chronic late‐life insomnia.
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A one-sided α of .05 was applied.
“a one-sided α of .05 was applied as recommended by statistical experts in the field (24,25).”
From Effects of moderate-intensity exercise on polysomnographic and subjective sleep quality in older adults with mild to moderate sleep complaints (2008) · cites this paper as [24]
Lower levels of physical activity are associated with a greater prevalence of insomnia.
“as well as a relationship between lower levels of physical activity and a greater prevalence of insomnia (Morgan, 2003).”
From Exercise can improve sleep quality: A systematic review and meta-analysis (2018) · cites this paper as Morgan, 2003
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Hawkins, M., Marcus, B. H., Pekow, P. S., Rosal, M. C., Tucker, K. L., Spencer, R. M. C., & Chasan‐Taber, L. (2018) · Behavioral Sleep Medicine · doi:10.1080/15402002.2018.1518225 · Cited by 34 · see citing works
Morgan, K., & Hartescu, I. (2018) · Sleep Medicine · doi:10.1016/j.sleep.2018.11.008 · Cited by 34 · see citing works
Self-citationKaraki, G. A., Hallit, S. R., Malaeb, D. N., Kheir, N., Sacre, H., Salameh, P., & Hallit, R. R. (2020) · Journal of Epidemiology and Global Health · doi:10.2991/jegh.k.200117.001 · Cited by 32 · see citing works
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Cognitive-Behavioral Therapy for Chronic Insomnia
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Body mass index and sleep disturbances: a systematic review and meta-analysis
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Sleep Quality and Recommended Levels of Physical Activity in Older People
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Self-citationPhysical Activity in Relation to Sleep Among Community-Dwelling Older Adults in China
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Sleep Disturbance Trajectories in Osteoarthritis
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Age-dependent associations among insomnia, depression, and inflammation in nurses
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Insomnia and Information and Communication Technologies (ICT) in Elderly People: A Systematic Review
Salvemini, A., D’Onofrio, G., Ciccone, F., Greco, A., Tullio, A. D., Addante, F., Sancarlo, D., Vendemiale, G., Serviddio, G., Ricciardi, F., et al. (2019) · Medical Sciences · doi:10.3390/medsci7060070 · Cited by 21 · see citing works
- Authors
- Morgan, K.
- Affiliations
- Loughborough University (GB)
- Corresponding author
- Morgan, Kevin
- ORCID
- Morgan, Kevin
- Venue
- Journal of Sleep Research
- Publisher
- Wiley
- Published
- 2003-08-27
- Volume
- 12
- Issue
- 3
- Pages
- 231-238
- ISSN
- 0962-1105 (ISSN-L)
- 1365-2869
- OpenAlex
- W2034392065
- Cited by
- 219
- References
- 24
- Citations by year
- 2025: 6 · 2024: 5 · 2023: 7 · 2022: 6 · 2021: 17 · 2020: 6 · 2019: 18 · 2018: 13 · 2017: 14 · 2016: 11 · 2015: 7 · 2014: 18 · 2013: 9 · 2012: 12
- FWCI
- 9.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Sleep Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- physical activity, social activity, sleep quality, risk factors, older adults, depression, physical health, diurnal activity
- MeSH terms
- Aged, Aging, Circadian Rhythm, Cross-Sectional Studies, Follow-Up Studies, Humans, Sleep Initiation and Maintenance Disorders, Obesity, Primary Health Care, Psychomotor Performance, Surveys and Questionnaires, Risk Factors, Sampling Studies, Comorbidity
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