Advertisement

Joint association of physical activity and sleep difficulties with the incidence of hypertension in mid-age Australian women

  • Mitch J DUNCAN
    Correspondence
    Corresponding author: ATC-315, University of Newcastle, The University of Newcastle, University Drive, Callaghan NSW 2308, Australia.
    Affiliations
    School of Medicine & Public Health; College of Health, Medicine, and Wellbeing, The University of Newcastle, University Drive, Callaghan NSW 2308, Australia

    Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia
    Search for articles by this author
  • Elizabeth G HOLLIDAY
    Affiliations
    School of Medicine & Public Health; College of Health, Medicine, and Wellbeing, The University of Newcastle, University Drive, Callaghan NSW 2308, Australia
    Search for articles by this author
  • Stina OFTEDAL
    Affiliations
    School of Medicine & Public Health; College of Health, Medicine, and Wellbeing, The University of Newcastle, University Drive, Callaghan NSW 2308, Australia

    Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia
    Search for articles by this author
  • Matthew BUMAN
    Affiliations
    College of Health Solutions, Arizona State University, Phoenix, AZ, 85004, USA
    Search for articles by this author
  • Wendy J BROWN
    Affiliations
    School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, QLD 4072, Australia
    Search for articles by this author

      Highlights

      • Inactivity and sleep difficulties jointly increase the risk of hypertension.
      • Inactive women with more sleep difficulties were at greater risk.
      • Physical activity appeared to alleviate the effect of sleep difficulties.

      Abstract

      Introduction

      Little is known about the joint effects of physical activity and sleep difficulties on hypertension. The aim of this study was to examine the joint associations of physical activity and sleep difficulties with the incidence of hypertension in mid-aged women.

      Study Design

      Prospective cohort study.

      Main Outcome Measures

      Mid-aged participants (n = 5,300) in the Australian Longitudinal Study on Women's Health completed four triennial surveys starting in 2004, when they had a mean age of 55 years. The presence of hypertension, physical activity and the number of sleep difficulties (range 0-4) were reported at each survey. Total MET.min/week of physical activity was assessed, and dichotomised as inactive (<500 MET.min/wk) or active (≥500 MET.min/wk). Joint categories of physical activity and sleep difficulties were created using six mutually exclusive groups. Associations of joint physical activity and sleep difficulty groups with incident hypertension were examined via discrete-time survival analysis using logit-hazard models.

      Results

      There were 1,175 cases of incident hypertension (22.2%). Compared with the Active and No Difficulties group, women in the Inactive and 1 Difficulty (Odds Ratio (95% confidence interval) (1.31 (1.06, 1.62)) and Inactive and 2-4 Difficulties (1.44 (1.16, 1.78)) groups were more likely to develop hypertension. Sleep difficulties were not associated with hypertension among active women.

      Conclusions

      Mid-aged inactive women with sleep difficulties were more likely to develop hypertension. Physical activity appeared to protect against the increased risk of hypertension in women with sleeping difficulties.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Maturitas
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Forouzanfar M.H.
        • Liu P.
        • Roth G.A.
        • Ng M.
        • Biryukov S.
        • Marczak L.
        • Alexander L.
        • Estep K.
        • Hassen Abate K.
        • Akinyemiju T.F.
        • Ali R.
        • Alvis-Guzman N.
        • Azzopardi P.
        • Banerjee A.
        • Bärnighausen T.
        • Basu A.
        • Bekele T.
        • Bennett D.A.
        • Biadgilign S.
        • Catalá-López F.
        • Feigin V.L.
        • Fernandes J.C.
        • Fischer F.
        • Gebru A.A.
        • Gona P.
        • Gupta R.
        • Hankey G.J.
        • Jonas J.B.
        • Judd S.E.
        • Khang Y.-H.
        • Khosravi A.
        • Kim Y.J.
        • Kimokoti R.W.
        • Kokubo Y.
        • Kolte D.
        • Lopez A.
        • Lotufo P.A.
        • Malekzadeh R.
        • Melaku Y.A.
        • Mensah G.A.
        • Misganaw A.
        • Mokdad A.H.
        • Moran A.E.
        • Nawaz H.
        • Neal B.
        • Ngalesoni F.N.
        • Ohkubo T.
        • Pourmalek F.
        • Rafay A.
        • Rai R.K.
        • Rojas-Rueda D.
        • Sampson U.K.
        • Santos I.S.
        • Sawhney M.
        • Schutte A.E.
        • Sepanlou S.G.
        • Shifa G.T.
        • Shiue I.
        • Tedla B.A.
        • Thrift A.G.
        • Tonelli M.
        • Truelsen T.
        • Tsilimparis N.
        • Ukwaja K.N.
        • Uthman O.A.
        • Vasankari T.
        • Venketasubramanian N.
        • Vlassov V.V.
        • Vos T.
        • Westerman R.
        • Yan L.L.
        • Yano Y.
        • Yonemoto N.
        • Zaki M.E.S.
        • Murray C.J.L.
        Global Burden of Hypertension and Systolic Blood Pressure of at Least 110 to 115 mm Hg, 1990-2015Global Burden of Hypertension and Systolic Blood Pressure of at Least 110 to 115 mm Hg, 1990-2015Global Burden of Hypertension and Systolic Blood Pressure of at Least 110 to 115 mm Hg, 1990-2015.
        JAMA. 2017; 317: 165-182
        • Jarrin D.C.
        • Alvaro P.K.
        • Bouchard M.A.
        • Jarrin S.D.
        • Drake C.L.
        • Morin C.M.
        Insomnia and hypertension: A systematic review.
        Sleep Med Rev. 2018; 41: 3-38
        • Warburton D.E.R.
        • Bredin S.S.D.
        Health benefits of physical activity: a systematic review of current systematic reviews.
        Current opinion in cardiology. 2017; 32: 541-556
        • Buysse D.J.
        Sleep health: can we define It? does it matter?.
        Sleep. 2014; 37: 9-17
        • Ohayon M.
        • Wickwire E.M.
        • Hirshkowitz M.
        • Albert S.M.
        • Avidan A.
        • Daly F.J.
        • Dauvilliers Y.
        • Ferri R.
        • Fung C.
        • Gozal D.
        • Hazen N.
        • Krystal A.
        • Lichstein K.
        • Mallampalli M.
        • Plazzi G.
        • Rawding R.
        • Scheer F.A.
        • Somers V.
        • Vitiello M.V.
        National Sleep Foundation's sleep quality recommendations: first report.
        Sleep Health. 2017; 3: 6-19
        • Meng L.
        • Zheng Y.
        • Hui R.
        The relationship of sleep duration and insomnia to risk of hypertension incidence: a meta-analysis of prospective cohort studies.
        Hypertension Research. 2013; 36: 985
        • Duncan M.J.
        • Oftedal S.
        • Rebar A.L.
        • Murawski B.
        • Short C.E.
        • Rayward A.T.
        • Vandelanotte C.
        Patterns of physical activity, sitting time, and sleep in Australian adults: A latent class analysis.
        Sleep Health. 2020;
        • Rayward A.T.
        • Burton N.W.
        • Brown W.J.
        • Holliday E.G.
        • Plotnikoff R.C.
        • Duncan M.J.
        Associations between Changes in Activity and Sleep Quality and Duration over Two Years.
        Medicine and science in sports and exercise. 2018;
        • Diaz K.M.
        • Shimbo D.
        Physical Activity and the Prevention of Hypertension.
        Current Hypertension Reports. 2013; 15: 659-668
        • Van Ryswyk E.
        • Mukherjee S.
        • Chai-Coetzer C.L.
        • Vakulin A.
        • McEvoy R.D.
        Sleep Disorders, Including Sleep Apnea and Hypertension.
        American journal of hypertension. 2018; 31: 857-864
        • Wennman H.
        • Kronholm E.
        • Heinonen O.J.
        • Kujala U.M.
        • Kaprio J.
        • Partonen T.
        • Bäckmand H.
        • Sarna S.
        • Borodulin K.
        Leisure Time Physical Activity and Sleep Predict Mortality in Men Irrespective of Background in Competitive Sports.
        Progress in Preventive Medicine. 2017; 2: e0009
        • Xiao Q.
        • Keadle S.K.
        • Hollenbeck A.R.
        • Matthews C.E.
        Sleep duration and total and cause-specific mortality in a large US cohort: interrelationships with physical activity, sedentary behavior, and body mass index.
        American journal of epidemiology. 2014; 180: 997-1006
        • Lee C.
        • Dobson A.J.
        • Brown W.J.
        • Bryson L.
        • Byles J.
        • Warner-Smith P.
        • Young A.F.
        Cohort Profile: the Australian Longitudinal Study on Women's Health.
        Int J Epidemiol. 2005; 34: 987-991
        • Brown W.J.
        • Bauman A.
        • Chey T.
        • Trost S.
        • Mummery K.
        Comparison of surveys used to measure physical activity.
        Aust N Z J Public Health. 2004; 28: 128-134
        • Brown W.J.
        • Pavey T.
        Physical activity in mid-age and older women: Lessons from the Australian Longitudinal Study on Women's Health.
        Kinesiology Review. 2016; 5: 87-97
        • Hunt S.M.
        • McKenna S.P.
        • McEwen J.
        • Williams J.
        • Papp E.
        The Nottingham Health Profile: subjective health status and medical consultations, Social science & medicine. Part A.
        Medical sociology. 1981; 15 (3 Pt 1): 221-229
        • Laugsand L.E.
        • Strand L.B.
        • Platou C.
        • Vatten L.J.
        • Janszky I.
        Insomnia and the risk of incident heart failure: a population study.
        Eur Heart J. 2014; 35: 1382-1393
        • Australian Government
        Australia's Physical Activity and Sedentary Behaviour Guidelines.
        Australian Government, Canberra2014
        • van Uffelen J.G.
        • Watson M.J.
        • Dobson A.J.
        • Brown W.J.
        Sitting time is associated with weight, but not with weight gain in mid-aged Australian women.
        Obesity (Silver Spring). 2010; 18: 1788-1794
        • Knol M.J.
        • VanderWeele T.J.
        Recommendations for presenting analyses of effect modification and interaction.
        Int J Epidemiol. 2012; 41: 514-520
        • Huai P.
        • Xun H.
        • Reilly K.H.
        • Wang Y.
        • Ma W.
        • Xi B.
        Physical activity and risk of hypertension: a meta-analysis of prospective cohort studies.
        Hypertension. 2013; 62: 1021-1026
        • Kredlow M.A.
        • Capozzoli M.C.
        • Hearon B.A.
        • Calkins A.W.
        • Otto M.W.
        The effects of physical activity on sleep: a meta-analytic review.
        J Behav Med. 2015; 38: 427-449
        • van der Zweerde T.
        • Bisdounis L.
        • Kyle S.D.
        • Lancee J.
        • van Straten A.
        Cognitive behavioral therapy for insomnia: A meta-analysis of long-term effects in controlled studies.
        Sleep Med Rev. 2019; 48101208
        • St-Onge M.-P.
        • Grandner M.A.
        • Brown D.
        • Conroy M.B.
        • Jean-Louis G.
        • Coons M.
        • Bhatt D.L.
        Sleep Duration and Quality: Impact on Lifestyle Behaviors and Cardiometabolic Health.
        Circulation. 2016;
        • Ding D.
        • Rogers K.
        • van der Ploeg H.
        • Stamatakis E.
        • Bauman A.E.
        Traditional and Emerging Lifestyle Risk Behaviors and All-Cause Mortality in Middle-Aged and Older Adults: Evidence from a Large Population-Based Australian Cohort.
        PLoS Med. 2015; 12e1001917
        • Meader N.
        • King K.
        • Wright K.
        • Graham H.M.
        • Petticrew M.
        • Power C.
        • White M.
        • Sowden A.J.
        Multiple Risk Behavior Interventions: Meta-analyses of RCTs.
        Am J Prev Med. 2017; 53: e19-e30
        • Murawski B.
        • Plotnikoff R.C.
        • Rayward A.T.
        • Oldmeadow C.
        • Vandelanotte C.
        • Brown W.J.
        • Duncan M.J.
        Efficacy of an m-Health Physical Activity and Sleep Health Intervention for Adults: A Randomized Waitlist-Controlled Trial.
        Am. J. Prev. Med. 2019; 57: 503-514
        • Rayward A.T.
        • Murawski B.
        • Duncan M.J.
        • Holliday E.G.
        • Vandelanotte C.
        • Brown W.J.
        • Plotnikoff R.C.
        Efficacy of an m-Health Physical Activity and Sleep Intervention to Improve Sleep Quality in Middle-Aged Adults: The Refresh Study Randomized Controlled Trial.
        Annals of Behavioral Medicine. 2020;
        • Lowe J.
        • Byles J.
        • Dolja-Gore X.
        • Young A.
        Does systematically organized care improve outcomes for women with diabetes?.
        Journal of evaluation in clinical practice. 2010; 16: 887-894
        • Boivin D.B.
        • Boudreau P.
        Impacts of shift work on sleep and circadian rhythms.
        Pathol Biol (Paris). 2014; 62: 292-301