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Bi-directional association between sleep and outdoor active play among 10-13 year olds
Yingyi Lin1, Michael M Borghese2, Ian Janssen3,4
1Department of Public Health Sciences, Queen's University, Kingston, ON, K7L 3N6, Canada.
Insights
Children's outdoor active play was linked to longer time in bed, but not other sleep metrics. Sleep characteristics did not predict subsequent outdoor play, suggesting a one-way relationship.
Area of Science:
- Pediatric Health
- Sleep Science
- Physical Activity Research
Background:
- Understanding the relationship between children's sleep and physical activity is crucial for public health.
- Previous research has explored this connection, but bidirectional influences require further investigation.
Purpose of the Study:
- To examine the bidirectional relationship between sleep characteristics and outdoor active play in children.
- To determine if sleep patterns influence subsequent outdoor play and vice versa.
Main Methods:
- A cohort of 433 children (10-13 years) in Kingston, ON, Canada, was studied.
- Sleep (time in bed, duration, chronology, efficiency) was measured over 8 nights using sleep logs and accelerometers.
- Outdoor active play was assessed over 7 days using accelerometers, GPS, and GIS, with statistical models accounting for confounders.
Main Results:
- No significant association was found between sleep characteristics and the following day's outdoor active play.
- Increased outdoor active play was significantly associated with a longer time in bed the following night (4.0 min increase per hour of play).
- Outdoor active play did not significantly impact sleep duration, sleep chronology, or sleep efficiency.
Conclusions:
- Sleep characteristics do not predict subsequent daily outdoor active play in children.
- Increased outdoor active play is associated with longer time in bed, indicating a potential one-way influence.
- Further research may explore the mechanisms behind this association and its impact on overall sleep quality.
Background:
The purpose of this study was to investigate whether there is a bi-directional relationship between sleep characteristics (time in bed, sleep duration, sleep chronology, and sleep efficiency) and time spent participating in outdoor active play among children.
Methods:
Participants consisted of 433 children aged 10-13 years from Kingston, ON, Canada. Time in bed, sleep duration, sleep chronology, and sleep efficiency were measured for 8 consecutive nights using data from a sleep log and Actical accelerometer. Outdoor active play was measured for the 7 days that fell in between these 8 nights using a combination of data from accelerometers, global positioning system loggers, and geographic information systems. Generalized estimating equation models were used to assess the relationships between sleep characteristics and outdoor active play. These models accounted for the repeated measures nested within participants and adjusted for several confounders (e.g., age, sex, family income, neighborhood traffic and green space).
Results:
Time in bed, sleep duration, sleep chronology, and sleep efficiency were not significantly associated with the following day's outdoor active play. There was a significant (p = 0.017) association between outdoor active play and the following night's time in bed, which suggested that each hour increase in outdoor active play was associated with a 4.0 min increase in time in bed. Outdoor active play was not significantly associated with sleep duration, sleep chronology, or sleep efficiency.
Conclusions:
None of the sleep characteristics predicted the following day's outdoor active play. Increase time spent in outdoor active play predicted a longer time in bed, but not sleep duration, sleep chronology, or sleep efficiency.
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