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International Journal of Behavioral Medicine
Published in: International Journal of Behavioral Medicine 2/2016

01-04-2016

Leisure-Time Physical Activity and Sedentary Behavior and Their Cross-Sectional Associations with Excessive Daytime Sleepiness in the French SU.VI.MAX-2 Study

Authors: Roland M. Andrianasolo, Mehdi Menai, Pilar Galan, Serge Hercberg, Jean-Michel Oppert, Emmanuelle Kesse-Guyot, Valentina A. Andreeva

Published in: International Journal of Behavioral Medicine | Issue 2/2016

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Abstract

Background

The potential benefit of physical activity in terms of decreasing excessive daytime sleepiness (EDS) prevalence is unclear, especially in aging adults.

Purpose

We aimed to elucidate the associations among physical activity, sedentariness, and EDS in middle-aged and older adults.

Methods

We conducted a cross-sectional analysis using data from a subsample of participants in the SU.VI.MAX-2 observational study (2007–2009; N = 4179; mean age = 61.9 years). EDS was defined as a score >10 on the Epworth Sleepiness Scale. Leisure-time physical activity and different types of sedentary behavior were assessed with the Modifiable Activity Questionnaire. The associations were examined with multivariable logistic regression models.

Results

In the adjusted multivariable model, total leisure-time physical activity (modeled in quartiles, Q) was significantly, inversely associated with EDS (odds ratios (OR)Q4 vs Q1 = 0.70, 95 % confidence interval (CI) = 0.54–0.89). The association persisted in analyses restricted to individuals not taking sleep medication (ORQ4 vs Q1 = 0.72, 95 % CI = 0.54–0.95). In turn, time spent watching television and time spent reading appeared protective against EDS (ORQ4 vs Q1 = 0.73, 95 % CI = 0.57–0.94; ORQ4 vs Q1 = 0.76, 95 % CI = 0.60–0.97, respectively), whereas time spent on a computer appeared to confer an increased risk for EDS (ORQ4 vs Q1 = 1.30, 95 % CI = 1.05–1.62). When physical activity and sedentariness were modeled jointly, using WHO recommendation-based cutoffs for high/low levels, no significant associations were observed in the fully adjusted models.

Conclusions

The findings reinforce public health recommendations promoting behavior modification and specifically moderate-intensity exercise in middle-aged and older adults. The association of high physical activity/low sedentariness with EDS, which was not supported by the data, merits further investigation before firm conclusions could be drawn.
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Metadata
Title
Leisure-Time Physical Activity and Sedentary Behavior and Their Cross-Sectional Associations with Excessive Daytime Sleepiness in the French SU.VI.MAX-2 Study
Authors
Roland M. Andrianasolo
Mehdi Menai
Pilar Galan
Serge Hercberg
Jean-Michel Oppert
Emmanuelle Kesse-Guyot
Valentina A. Andreeva
Publication date
01-04-2016
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 2/2016
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-015-9501-3

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