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Introduction <p>This study aimed to investigate the interrelationship between sleep quality, physical activity (PA), sedentary behavior (SB), asthma control, and clinical outcomes.</p> Methods <p>Thirty-nine participants, with 48 ± 18&#xa0;years, underwent assessment for sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and a Sleep Monitor Actiwatch®. Physical activity and sedentary behavior were measured using a Physical Activity Monitor Actigraph®. Anthropometric data were collected, and asthma control was evaluated using the Asthma Control Questionnaire (ACQ). Dyspnea was assessed using the modified Medical Research Council scale (mMRC), anxiety and depression were measured using the Hospital Anxiety and Depression Scale (HADS). Quality of life was evaluated using the Asthma Quality of Life Questionnaire (AQLQ).</p> Results <p>Poor sleep quality, as indicated by the PSQI, was negatively correlated with daily step count (r = – 0.428), mMRC (r = – 0.325), and positively correlated with HADS anxiety (r = 0.570) and depression (r = 0.621). Time awake after sleep onset (WASO), assessed by Actiwatch, was positively correlated with ACQ (r = 0.456), BMI (r = 0.579), mMRC (r = 0.473), and negatively correlated with AQLQ (r = – 0.458). Sedentary time showed no correlation with sleep quality, but sedentary participants exhibited poorer sleep quality compared to non-sedentary participants (10[6–13] vs 5[5–9] points; P = 0.016).</p> Discussion <p>Poor sleep quality is associated with fewer daily steps, more sedentary behavior, and worse asthma control, suggesting that interventions targeting sleep and physical activity may improve clinical outcomes.</p> Conclusions <p>In adults with asthma, poor sleep quality is linked to fewer daily steps, more sedentary behavior, and worse asthma control, highlighting the importance of modifying sleep and activity for better disease management.</p>

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Are the quantity and quality of sleep associated with physical activity, sedentary behavior and disease control in adults with asthma?

  • 期刊论文

  • 发表日期：

    2025年3月26日

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  • Ariele Pedroso,
  • Thainá Bessa Alves,
  • Raquel Pastrello Hirata,
  • Fabio Pitta,
  • Vitória Cavalheiro Puzzi,
  • Jéssica Priscila da Conceição Silva,
  • Jéssica Lane Felippe Montes,
  • Joice Mara de Oliveira,
  • Arthur Eumann Mesas,
  • Nidia Aparecida Hernandes,
  • Marcelo Moreira Barbosa,
  • Karina Couto Furlanetto

摘要

Introduction

This study aimed to investigate the interrelationship between sleep quality, physical activity (PA), sedentary behavior (SB), asthma control, and clinical outcomes.

Methods

Thirty-nine participants, with 48 ± 18 years, underwent assessment for sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and a Sleep Monitor Actiwatch®. Physical activity and sedentary behavior were measured using a Physical Activity Monitor Actigraph®. Anthropometric data were collected, and asthma control was evaluated using the Asthma Control Questionnaire (ACQ). Dyspnea was assessed using the modified Medical Research Council scale (mMRC), anxiety and depression were measured using the Hospital Anxiety and Depression Scale (HADS). Quality of life was evaluated using the Asthma Quality of Life Questionnaire (AQLQ).

Results

Poor sleep quality, as indicated by the PSQI, was negatively correlated with daily step count (r = – 0.428), mMRC (r = – 0.325), and positively correlated with HADS anxiety (r = 0.570) and depression (r = 0.621). Time awake after sleep onset (WASO), assessed by Actiwatch, was positively correlated with ACQ (r = 0.456), BMI (r = 0.579), mMRC (r = 0.473), and negatively correlated with AQLQ (r = – 0.458). Sedentary time showed no correlation with sleep quality, but sedentary participants exhibited poorer sleep quality compared to non-sedentary participants (10[6–13] vs 5[5–9] points; P = 0.016).

Discussion

Poor sleep quality is associated with fewer daily steps, more sedentary behavior, and worse asthma control, suggesting that interventions targeting sleep and physical activity may improve clinical outcomes.

Conclusions

In adults with asthma, poor sleep quality is linked to fewer daily steps, more sedentary behavior, and worse asthma control, highlighting the importance of modifying sleep and activity for better disease management.