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Updated: Jan 8, 2026

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Published on: July 27, 2022
Associations of objectively measured physical activity and sleep in preschoolers aged 3 to 6 years
Laura Miller1, Mya Dockrill2, Penny V Corkum2,3
1School of Health and Human Performance, Dalhousie University, Halifax, NS, Canada.
Insights
Daily physical activity in preschool children can improve sleep efficiency. This study found activity levels predicted better sleep efficiency but not sleep duration or latency in young children.
Area of Science:
- Pediatric Sleep Science
- Childhood Physical Activity Research
Background:
- Poor sleep negatively impacts children's health.
- Physical activity is recommended for better sleep in children.
- Limited research exists on physical activity and sleep in preschoolers.
Purpose of the Study:
- To examine the relationship between objectively measured sleep and physical activity in preschool children.
- To investigate sleep efficiency, sleep onset latency, and sleep duration in relation to physical activity.
- To assess physical activity's impact on sleep in Nova Scotian preschoolers.
Main Methods:
- Utilized objective measures: wrist accelerometers for sleep and waist accelerometers for physical activity.
- Collected data over nine consecutive days from 29 preschool-aged children.
- Employed linear regression analyses to determine relationships between variables.
Main Results:
- Objectively measured physical activity was a significant predictor of sleep efficiency.
- Physical activity did not predict total sleep time or sleep onset latency.
- Findings highlight a specific link between activity and sleep quality.
Conclusions:
- Physical activity may enhance sleep efficiency in preschool children.
- Further research, including intervention studies, is needed to confirm causality.
- Interventions increasing physical activity could potentially improve preschooler sleep efficiency.
Abstract:
Research has demonstrated various negative effects of poor sleep on overall health in children. Engaging in physical activity during the day is often recommended to help children sleep better. Limited research has examined this recommendation for preschool children, although physical activity is generally supported as a healthy sleep practice. When measuring physical activity and sleep, objective measures (e.g., accelerometers) are recommended as opposed to subjective measures (e.g., parental reports). The purpose of the current study was to examine the relationship between objectively measured sleep (key variables included sleep efficiency, sleep onset latency, and sleep duration) and physical activity (operationalized as mean daily total physical activity) among preschool-aged children in Nova Scotia, Canada. Children (n = 29) wore a wrist accelerometer to objectively measure sleep and wore an accelerometer on their waist to measure physical activity for nine consecutive days. Overall, linear regression analyses demonstrate physical activity as a predictor of sleep efficiency but not total sleep time or sleep onset latency among preschool-aged children. Future research should examine the causal relationships between sleep efficiency and physical activity by conducting interventions to increase physical activity and determining the impact on sleep efficiency.
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