Association between physical activity and sleep quality in Algerian adults during COVID-19 lockdown
Keywords:
adults, sleep quality, Algerian, survey, students
Abstract
Background and Study Aim. There is no doubt that the Coronavirus disease (COVID-19) pandemic, and its related containment measures such as lockdown and social distancing, is affecting physical activity and sleep quality of the general population worldwide. Algeria, one of the most affected countries in Africa, entered the lockdown on March 9, 2020. Numerous studies have explored the interaction between physical activity and sleep quality showing the effect of physical activity levels on sleep, yet previous researches have not investigated the relationship between physical activity and sleep quality during lockdown. The main purpose of the present study was to investigate the association between physical activity and sleep quality in quarantined individuals. Material and Methods. A national Google online survey was conducted between 16th April and 25th May 2020. 1002 Participants responded to the Pittsburgh Sleep Quality Index (PSQI) questionnaire and the short form of the International Physical Activity Questionnaire (IPAQ). Of the 1002 participants who completed the survey, 358 were students. The final data were collected from the respondents. Results. The COVID-19 home confinement led to a decrease in physical activity levels. However, the majority of the study population had good sleep quality (61.9%), while only (38.1%) had poor sleep quality. In addition, women are less physically active than men (p < 0.01). Moreover, there was a significant difference in sleep quality between sufficient and insufficient physical activity groups (p < 0.05). Conclusions. Our results show that Algerian adults have low levels of physical activity, good sleep quality, and poor sleep quality is associated with insufficient physical activity in adults during lockdown.Downloads
Download data is not yet available.
| Abstract views: 327 | PDF Downloads: 189 |
References
1. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet Lond Engl. 2020;395(10223):497– 506.
https://doi.org/10.1016/S0140-6736(20)30183-5
2. Han J, Qian K, Song M, Yang Z, Ren Z, Liu S, et al. An Early Study on Intelligent Analysis of Speech Under COVID-19: Severity, Sleep Quality, Fatigue, and Anxiety. Interspeech 2020, ISCA; 2020. P. 4946–50.
https://doi.org/10.21437/Interspeech.2020-2223
3. Coronavirus 2019 [Internet]. 2021 [cited 2021 Jan 1]. Available from: http://www.sante.gov.dz/coronavirus/coronavirus-2019.html
4. Rubin GJ, Wessely S. The psychological effects of quarantining a city. BMJ, 2020:m313.
https://doi.org/10.1136/bmj.m313
5. Kontsevaya AV, Mukaneeva DK, Myrzamatova AO, Okely AD, Drapkina OM. Changes in physical activity and sleep habits among adults in Russian Federation during COVID-19: a cross-sectional study. BMC Public Health, 2021;21:893.
https://doi.org/10.1186/s12889-021-10946-y
6. Luciano F, Cenacchi V, Vegro V, Pavei G. COVID-19 lockdown: Physical activity, sedentary behaviour and sleep in Italian medicine students. European Journal of Sport Science, 2021;21:1459–68.
https://doi.org/10.1080/17461391.2020.1842910
7. Stanton R, To QG, Khalesi S, Williams SL, Alley SJ, Thwaite TL, et al. Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults. Int J Environ Res Public Health. 2020;17:4065.
https://doi.org/10.3390/ijerph17114065
8. Chennaoui M, Arnal PJ, Sauvet F, Léger D. Sleep and exercise: A reciprocal issue? Sleep Med Rev. 2015;20:59–72.
https://doi.org/10.1016/j.smrv.2014.06.008
9. Besedovsky L, Lange T, Haack M. The Sleep-Immune Crosstalk in Health and Disease. Physiol Rev. 2019;99(3):1325–80.
https://doi.org/10.1152/physrev.00010.2018
10. Bryant PA, Trinder J, Curtis N. Sick and tired: does sleep have a vital role in the immune system? Nat Rev Immunol. 2004;4(6):457–67.
https://doi.org/10.1038/nri1369
11. Sateia MJ, Buysse DJ, Krystal AD, Neubauer DN, Heald JL. Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults: An American Academy of Sleep Medicine Clinical Practice Guideline. Journal of Clinical Sleep Medicine, 2017;13:307–49.
https://doi.org/10.5664/jcsm.6470
12. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International Physical Activity Questionnaire: 12-Country Reliability and Validity: Medicine & Science in Sports & Exercise, 2003;35:1381–95.
https://doi.org/10.1249/01.MSS.0000078924.61453.FB
13. Štefan L, Sporiš G, Krističević T, Knjaz D. Associations between sleep quality and its domains and insufficient physical activity in a large sample of Croatian young adults: a cross-sectional study. BMJ Open. 2018;8(7):e021902.
https://doi.org/10.1136/bmjopen-2018-021902
14. International Physical Activity Questionnaire [Internet]. [cited 2021 Jan 9]. Available from: https://sites.google.com/site/theipaq/
15. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.
https://doi.org/10.1016/0165-1781(89)90047-4
16. Suleiman KH, Yates BC, Berger AM, Pozehl B, Meza J. Translating the Pittsburgh Sleep Quality Index Into Arabic. West J Nurs Res. 2009;32(2):250–68.
https://doi.org/10.1177/0193945909348230
17. Cellini N, Conte F, De Rosa O, Giganti F, Malloggi S, Reyt M, et al. Changes in sleep timing and subjective sleep quality during the COVID-19 lockdown in Italy and Belgium: age, gender and working status as modulating factors. Sleep Med. 2021;77:112–9.
https://doi.org/10.1016/j.sleep.2020.11.027
18. Pinto J, van Zeller M, Amorim P, Pimentel A, Dantas P, Eusébio E, et al. Sleep quality in times of Covid-19 pandemic. Sleep Med. 2020;74:81–5.
https://doi.org/10.1016/j.sleep.2020.07.012
19. da Silva Santos AM, Rossi FE, dos Santos Nunes de Moura HP, de Sousa Junior AVM, Machado DCD, Neves LM, et al. COVID-19 pandemic impacts physical activity levels and sedentary time but not sleep quality in young badminton athletes. Sport Sci Health, 2021;17:969–77.
https://doi.org/10.1007/s11332-021-00763-6
20. Martínez-de-Quel Ó, Suárez-Iglesias D, López-Flores M, Pérez CA. Physical activity, dietary habits and sleep quality before and during COVID-19 lockdown: A longitudinal study. Appetite, 2021;158:105019.
https://doi.org/10.1016/j.appet.2020.105019
21. The Lancet Public Health. Time to tackle the physical activity gender gap. Lancet Public Health, 2019;4(8): e360.
https://doi.org/10.1016/S2468-2667(19)30135-5
22. Wang F, Boros S. The effect of physical activity on sleep quality: a systematic review. Eur J Physiother. 2021;23(1):11–8.
https://doi.org/10.1080/21679169.2019.1623314
23. Dolezal BA, Neufeld EV, Boland DM, Martin JL, Cooper CB. Interrelationship between Sleep and Exercise: A Systematic Review. Advances in Preventive Medicine, 2017;2017:1–14.
https://doi.org/10.1155/2017/1364387
24. Mahfouz MS, Ali SA, Bahari AY, Ajeebi RE, Sabei HJ, Somaily SY, et al. Association Between Sleep Quality and Physical Activity in Saudi Arabian University Students. Nat Sci Sleep. 2020;12:775–82.
https://doi.org/10.2147/NSS.S267996
25. Kontsevaya A, Shalnova S, Deev A, Breda J, Jewell J, Rakovac I, et al. Overweight and Obesity in the Russian Population: Prevalence in Adults and Association with Socioeconomic Parameters and Cardiovascular Risk Factors. Obes Facts. 2019;12(1):103–14.
https://doi.org/10.1159/000493885
26. Zammit C, Liddicoat H, Moonsie I, Makker H. Obesity and respiratory diseases. Int J Gen Med. 2010;3:335–43.
https://doi.org/10.2147/IJGM.S11926
27. Diniz TA, Christofaro DGD, Tebar WR, Cucato GG, Botero JP, Correia MA, et al. Reduction of Physical Activity Levels During the COVID-19 Pandemic Might Negatively Disturb Sleep Pattern. Front Psychol. 2020;11: 3356.
https://doi.org/10.3389/fpsyg.2020.586157
28. Farzan S. The Asthma Phenotype in the Obese: Distinct or Otherwise? Journal of Allergy, 2013;2013:1–8.
https://doi.org/10.1155/2013/602908
29. Dietz W, Santos-Burgoa C. Obesity and its Implications for COVID-19 Mortality. Obesity. 2020;28(6):1005–1005.
https://doi.org/10.1002/oby.22818
30. SciELO - Brazil - Sleep quality and its associations with leisure-time exercise and excess weight among civil servants Sleep quality and its associations with leisure-time exercise and excess weight among civil servants [Internet]. 2021 [cited 2021 Aug 2]. Available from: https://www.scielo.br/j/rbcdh/a/V66qZZzVBJWVhkGVgJP3thq/?lang=en
31. Altena E, Baglioni C, Espie CA, Ellis J, Gavriloff D, Holzinger B, et al. Dealing with sleep problems during home confinement due to the COVID-19 outbreak: Practical recommendations from a task force of the European CBT-I Academy. J Sleep Res. 2020;29(4): e13052.
https://doi.org/10.1111/jsr.13052
32. 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.277.1.32
33. Ammar A, Trabelsi K, Brach M, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of home confinement on mental health and lifestyle behaviours during the COVID-19 outbreak: Insight from the ECLB-COVID19 multicenter study. Biology of Sport, 2021;38:9–21.
https://doi.org/10.5114/biolsport.2020.96857
34. Trabelsi K, Ammar A, Masmoudi L, Boukhris O, Chtourou H, Bouaziz B, et al. Globally altered sleep patterns and physical activity levels by confinement in 5056 individuals: ECLB COVID-19 international online survey. Biol Sport. 2021;38(4):495–506.
https://doi.org/10.5114/biolsport.2021.101605
35. Cavalcante MV, Siqueira RCL, Costa RC, Lima TF, Costa TM, Costa CLA. Associations between physical activity and sleep quality in the pandemic context of social distancing. Res Soc Dev. 2021;10(1):e8610111471.
https://doi.org/10.33448/rsd-v10i1.11471
36. Mitchell JA, Godbole S, Moran K, Murray K, James P, Laden F, et al. No Evidence of Reciprocal Associations between Daily Sleep and Physical Activity. Med Sci Sports Exerc. 2016;48(10):1950–6.
https://doi.org/10.1249/MSS.0000000000001000
37. Kim M. Association between Objectively Measured Sleep Quality and Obesity in Community-dwelling Adults Aged 80 Years or Older: A Cross-sectional Study. J Korean Med Sci, 2015;30:199.
https://doi.org/10.3346/jkms.2015.30.2.199
38. Wendt A, Flores TR, Silva ICM, Wehrmeister FC. Association of physical activity with sleep health: A systematic review. Rev Bras Ativ Fís Saúde, 2019;23:1–26.
https://doi.org/10.12820/rbafs.23e0057
https://doi.org/10.1016/S0140-6736(20)30183-5
2. Han J, Qian K, Song M, Yang Z, Ren Z, Liu S, et al. An Early Study on Intelligent Analysis of Speech Under COVID-19: Severity, Sleep Quality, Fatigue, and Anxiety. Interspeech 2020, ISCA; 2020. P. 4946–50.
https://doi.org/10.21437/Interspeech.2020-2223
3. Coronavirus 2019 [Internet]. 2021 [cited 2021 Jan 1]. Available from: http://www.sante.gov.dz/coronavirus/coronavirus-2019.html
4. Rubin GJ, Wessely S. The psychological effects of quarantining a city. BMJ, 2020:m313.
https://doi.org/10.1136/bmj.m313
5. Kontsevaya AV, Mukaneeva DK, Myrzamatova AO, Okely AD, Drapkina OM. Changes in physical activity and sleep habits among adults in Russian Federation during COVID-19: a cross-sectional study. BMC Public Health, 2021;21:893.
https://doi.org/10.1186/s12889-021-10946-y
6. Luciano F, Cenacchi V, Vegro V, Pavei G. COVID-19 lockdown: Physical activity, sedentary behaviour and sleep in Italian medicine students. European Journal of Sport Science, 2021;21:1459–68.
https://doi.org/10.1080/17461391.2020.1842910
7. Stanton R, To QG, Khalesi S, Williams SL, Alley SJ, Thwaite TL, et al. Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults. Int J Environ Res Public Health. 2020;17:4065.
https://doi.org/10.3390/ijerph17114065
8. Chennaoui M, Arnal PJ, Sauvet F, Léger D. Sleep and exercise: A reciprocal issue? Sleep Med Rev. 2015;20:59–72.
https://doi.org/10.1016/j.smrv.2014.06.008
9. Besedovsky L, Lange T, Haack M. The Sleep-Immune Crosstalk in Health and Disease. Physiol Rev. 2019;99(3):1325–80.
https://doi.org/10.1152/physrev.00010.2018
10. Bryant PA, Trinder J, Curtis N. Sick and tired: does sleep have a vital role in the immune system? Nat Rev Immunol. 2004;4(6):457–67.
https://doi.org/10.1038/nri1369
11. Sateia MJ, Buysse DJ, Krystal AD, Neubauer DN, Heald JL. Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults: An American Academy of Sleep Medicine Clinical Practice Guideline. Journal of Clinical Sleep Medicine, 2017;13:307–49.
https://doi.org/10.5664/jcsm.6470
12. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International Physical Activity Questionnaire: 12-Country Reliability and Validity: Medicine & Science in Sports & Exercise, 2003;35:1381–95.
https://doi.org/10.1249/01.MSS.0000078924.61453.FB
13. Štefan L, Sporiš G, Krističević T, Knjaz D. Associations between sleep quality and its domains and insufficient physical activity in a large sample of Croatian young adults: a cross-sectional study. BMJ Open. 2018;8(7):e021902.
https://doi.org/10.1136/bmjopen-2018-021902
14. International Physical Activity Questionnaire [Internet]. [cited 2021 Jan 9]. Available from: https://sites.google.com/site/theipaq/
15. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.
https://doi.org/10.1016/0165-1781(89)90047-4
16. Suleiman KH, Yates BC, Berger AM, Pozehl B, Meza J. Translating the Pittsburgh Sleep Quality Index Into Arabic. West J Nurs Res. 2009;32(2):250–68.
https://doi.org/10.1177/0193945909348230
17. Cellini N, Conte F, De Rosa O, Giganti F, Malloggi S, Reyt M, et al. Changes in sleep timing and subjective sleep quality during the COVID-19 lockdown in Italy and Belgium: age, gender and working status as modulating factors. Sleep Med. 2021;77:112–9.
https://doi.org/10.1016/j.sleep.2020.11.027
18. Pinto J, van Zeller M, Amorim P, Pimentel A, Dantas P, Eusébio E, et al. Sleep quality in times of Covid-19 pandemic. Sleep Med. 2020;74:81–5.
https://doi.org/10.1016/j.sleep.2020.07.012
19. da Silva Santos AM, Rossi FE, dos Santos Nunes de Moura HP, de Sousa Junior AVM, Machado DCD, Neves LM, et al. COVID-19 pandemic impacts physical activity levels and sedentary time but not sleep quality in young badminton athletes. Sport Sci Health, 2021;17:969–77.
https://doi.org/10.1007/s11332-021-00763-6
20. Martínez-de-Quel Ó, Suárez-Iglesias D, López-Flores M, Pérez CA. Physical activity, dietary habits and sleep quality before and during COVID-19 lockdown: A longitudinal study. Appetite, 2021;158:105019.
https://doi.org/10.1016/j.appet.2020.105019
21. The Lancet Public Health. Time to tackle the physical activity gender gap. Lancet Public Health, 2019;4(8): e360.
https://doi.org/10.1016/S2468-2667(19)30135-5
22. Wang F, Boros S. The effect of physical activity on sleep quality: a systematic review. Eur J Physiother. 2021;23(1):11–8.
https://doi.org/10.1080/21679169.2019.1623314
23. Dolezal BA, Neufeld EV, Boland DM, Martin JL, Cooper CB. Interrelationship between Sleep and Exercise: A Systematic Review. Advances in Preventive Medicine, 2017;2017:1–14.
https://doi.org/10.1155/2017/1364387
24. Mahfouz MS, Ali SA, Bahari AY, Ajeebi RE, Sabei HJ, Somaily SY, et al. Association Between Sleep Quality and Physical Activity in Saudi Arabian University Students. Nat Sci Sleep. 2020;12:775–82.
https://doi.org/10.2147/NSS.S267996
25. Kontsevaya A, Shalnova S, Deev A, Breda J, Jewell J, Rakovac I, et al. Overweight and Obesity in the Russian Population: Prevalence in Adults and Association with Socioeconomic Parameters and Cardiovascular Risk Factors. Obes Facts. 2019;12(1):103–14.
https://doi.org/10.1159/000493885
26. Zammit C, Liddicoat H, Moonsie I, Makker H. Obesity and respiratory diseases. Int J Gen Med. 2010;3:335–43.
https://doi.org/10.2147/IJGM.S11926
27. Diniz TA, Christofaro DGD, Tebar WR, Cucato GG, Botero JP, Correia MA, et al. Reduction of Physical Activity Levels During the COVID-19 Pandemic Might Negatively Disturb Sleep Pattern. Front Psychol. 2020;11: 3356.
https://doi.org/10.3389/fpsyg.2020.586157
28. Farzan S. The Asthma Phenotype in the Obese: Distinct or Otherwise? Journal of Allergy, 2013;2013:1–8.
https://doi.org/10.1155/2013/602908
29. Dietz W, Santos-Burgoa C. Obesity and its Implications for COVID-19 Mortality. Obesity. 2020;28(6):1005–1005.
https://doi.org/10.1002/oby.22818
30. SciELO - Brazil - Sleep quality and its associations with leisure-time exercise and excess weight among civil servants Sleep quality and its associations with leisure-time exercise and excess weight among civil servants [Internet]. 2021 [cited 2021 Aug 2]. Available from: https://www.scielo.br/j/rbcdh/a/V66qZZzVBJWVhkGVgJP3thq/?lang=en
31. Altena E, Baglioni C, Espie CA, Ellis J, Gavriloff D, Holzinger B, et al. Dealing with sleep problems during home confinement due to the COVID-19 outbreak: Practical recommendations from a task force of the European CBT-I Academy. J Sleep Res. 2020;29(4): e13052.
https://doi.org/10.1111/jsr.13052
32. 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.277.1.32
33. Ammar A, Trabelsi K, Brach M, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of home confinement on mental health and lifestyle behaviours during the COVID-19 outbreak: Insight from the ECLB-COVID19 multicenter study. Biology of Sport, 2021;38:9–21.
https://doi.org/10.5114/biolsport.2020.96857
34. Trabelsi K, Ammar A, Masmoudi L, Boukhris O, Chtourou H, Bouaziz B, et al. Globally altered sleep patterns and physical activity levels by confinement in 5056 individuals: ECLB COVID-19 international online survey. Biol Sport. 2021;38(4):495–506.
https://doi.org/10.5114/biolsport.2021.101605
35. Cavalcante MV, Siqueira RCL, Costa RC, Lima TF, Costa TM, Costa CLA. Associations between physical activity and sleep quality in the pandemic context of social distancing. Res Soc Dev. 2021;10(1):e8610111471.
https://doi.org/10.33448/rsd-v10i1.11471
36. Mitchell JA, Godbole S, Moran K, Murray K, James P, Laden F, et al. No Evidence of Reciprocal Associations between Daily Sleep and Physical Activity. Med Sci Sports Exerc. 2016;48(10):1950–6.
https://doi.org/10.1249/MSS.0000000000001000
37. Kim M. Association between Objectively Measured Sleep Quality and Obesity in Community-dwelling Adults Aged 80 Years or Older: A Cross-sectional Study. J Korean Med Sci, 2015;30:199.
https://doi.org/10.3346/jkms.2015.30.2.199
38. Wendt A, Flores TR, Silva ICM, Wehrmeister FC. Association of physical activity with sleep health: A systematic review. Rev Bras Ativ Fís Saúde, 2019;23:1–26.
https://doi.org/10.12820/rbafs.23e0057
Published
2022-02-28
How to Cite
1.
Oudjedi A, Derouiche M, Allali A, Malek R, Latreche Z. Association between physical activity and sleep quality in Algerian adults during COVID-19 lockdown. Physical Education of Students. 2022;26(1):18-6. https://doi.org/10.15561/20755279.2022.0103
Issue
Section
Articles
Copyright (c) 2022 Adda Oudjedi et al.
Copyright Holder - Author(s). more