Abstract
Background
Adolescents with sedentary behavior, spending many hours in front of the television and electronic devices, develop early involvement of cardiovascular disease and obesity. These sedentary behaviors increased significantly in this age group during the pandemic of 2020/2021. Sleep directly influences aspects of health, such as blood pressure and cardiac autonomic balance and exercise has a protective effect on these same physiological parameters.
Objective
This study aimed to examine whether or not physically active adolescents positively influence HRV and cardiovascular parameters despite poor sleep quality.
Methods
This is an analytic and transversal study. Sleep quality, physical activity levels, blood pressure, and heart rate variability (HRV) were measured. Two-way ANOVA and Tuckey post hoc test evaluated the difference between groups.
Results
Among 352 adolescents entrolled, mean age was 15.8 ± 0.24 years. It was observed that compared to the physically active group with poor sleep quality, the sedentary poor sleep quality group presented a more significant deficit in blood pressure and autonomic parameters such as pNN50, SD1, and HF.
Conclusion
Adolescents who practiced physical activity regularly have shown better HRV and sleep quality compared with sedentary adolescents.
Similar content being viewed by others
Data availability
The data that support the findings of this study are not openly available due to reasons of sensitivity human data and are available from the corresponding author upon reasonable request.
References
Barroso R, Silva-Filho AC, Dias CJ, Soares N Jr, Mostarda A, Azoubel LA, Melo L, Garcia ADM, Rodrigues B, Mostarda CTJJOHP (2019) Effect of exercise training in heart rate variability, anxiety, depression, and sleep quality in kidney recipients: a preliminary study. J Health Psychol 24(3):299–308
Kahlhöfer J, Karschin J, Breusing N, Bosy-Westphal A (2016) Relationship between actigraphy-assessed sleep quality and fat mass in college students. Obesity 24(2):335–341
Jenni OG, Achermann P, Carskadon MAJS (2005) Homeostatic sleep regulation in adolescents. Sleep 28(11):1446–1454
Crowley SJ, Van Reen E, LeBourgeois MK, Acebo C, Tarokh L, Seifer R, Barker DH, Carskadon MAJPO (2014) A longitudinal assessment of sleep timing, circadian phase, and phase angle of entrainment across human adolescence. PLoS One 9(11):e112199
Ohayon MM, Carskadon MA, Guilleminault C, Vitiello MVJS (2004) Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep 27(7):1255–1273
Woods HC, Scott H (2016) #Sleepyteens: social media use in adolescence is associated with poor sleep quality, anxiety, depression and low self-esteem. J Adolesc 51:41–49
Cappuccio FP, Stranges S, Kandala N-B, Miller MA, Taggart FM, Kumari M, Ferrie JE, Shipley MJ, Brunner EJ, Marmot MGJH (2007) Gender-specific associations of short sleep duration with prevalent and incident hypertension: the Whitehall II Study. Hypertension 50(4):693–700
Fiorentini A, Valente R, Perciaccante A, Tubani LJIJOC (2007) Sleep’s quality disorders in patients with hypertension and type 2 diabetes mellitus. Int J Cardiol 114(2):E50–E52
Narang I, Manlhiot C, Davies-Shaw J, Gibson D, Chahal N, Stearne K, Fisher A, Dobbin S, McCrindle BW (2012) Sleep disturbance and cardiovascular risk in adolescents. CMAJ 184(17):E913–E920
Rodríguez-Colón SM, He F, Bixler EO, Fernandez-Mendoza J, Vgontzas AN, Calhoun S, Zheng Z-J, Liao DJSM (2015) Sleep variability and cardiac autonomic modulation in adolescents–Penn State Child Cohort (PSCC) study. Sleep Med 16(1):67–72
de JS Soares-Junior N, Dias-Filho CA, Dias CJ, Rodrigues B, Ferreira AC, Costa HA, Dibai-Filho AV, Sena CDS, Ribeiro Rm, de Brito-Monzani JJJOEPOO (2019) Active lifestyle can contribute to attenuation of cardiac autonomic dysfunction in adolescent offspring of hypertensive parents. Journal of Exercise Physiology Online 22(3):64
Kelley GA, Kelley KSJJOEBM (2017) Exercise and sleep: a systematic review of previous meta-analyses. J Evid Based Med 10(1):26–36
Park H, Suh BJJOSR (2020) Association between sleep quality and physical activity according to gender and shift work. J Sleep Res 29(6):e12924
Kalak N, Gerber M, Kirov R, Mikoteit T, Yordanova J, Pühse U, Holsboer-Trachsler E, Brand S (2012) Daily morning running for 3 weeks improved sleep and psychological functioning in healthy adolescents compared with controls. J Adolesc Health 51(6):615–622
Bonnar D, Bartel K, Kakoschke N, Lang C (2018) Sleep interventions designed to improve athletic performance and recovery: a systematic review of current approaches. Sports Med 48(3):683–703
Xiao Q, Keadle SK, Hollenbeck AR, Matthews CEJAJOE (2014) Sleep duration and total and cause-specific mortality in a large US cohort: interrelationships with physical activity, sedentary behavior, and body mass index. Am J Epidemiol 180(10):997–1006
Bellavia A, Åkerstedt T, Bottai M, Wolk A, Orsini N (2014) Sleep duration and survival percentiles across categories of physical activity. Am J Epidemiol 179(4):484–491
Beevers G, Lip GY, O’Brien EJB (2001) Blood pressure measurement: part II—conventional sphygmomanometry: technique of auscultatory blood pressure measurement. BMJ 322(7293):1043–1047
National High Blood Pressure Education Program (2005) The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. US Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute, National High Blood Pressure Education Program
Ayub-Ferreira SM, Souza J, Almeida DR, Biselli B, Avila MS, Colafranceschi AS, Stefanello B, Carvalho BMD, Polanczyk CA, Galantini DRJABDC (2016) Diretriz de assistência circulatória mecânica da Sociedade Brasileira de Cardiologia. Arq Bras Cardiol 107:1–33
NHLBI Obesity Education Initiative et al (2002) The practical guide: identification, evaluation, and treatment of overweight and obesity in adults. The Institute
Gordon D et al (2013) Publication of trials funded by the National Heart, Lung, and Blood Institute. New England Journal of Medicine 369(20):1926–1934
Matsudo S et al (2001) Questinário internacional de atividade f1sica (IPAQ): estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ Fís Saúde, p 05–18
Guedes DP, Lopes CC, Guedes JERP (2005) Reproducibility and validity of the International Physical Activity Questionnaire in adolescents. Revista Brasileira de Medicina do Esporte 11:151–158
Mannocci A et al (2018) International Physical Activity Questionnaire for Adolescents (IPAQ A): reliability of an Italian version. Minerva Pediatrics 73(5):383–390
Rachele JN et al (2017) Adolescent’s perceptions of parental influences on physical activity. International Journal of Adolescent Medicine and Health 29(3):20150093. https://doi.org/10.1515/ijamh-2015-0093
Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JFJM (2003) International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35(8):1381–1395
Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, da Silva Miozzo IC, de Barba MEF, Barreto SSM (2011) Validation of the Brazilian Portuguese version of the Pittsburgh sleep quality index. Sleep Med 12(1):70–75
Costa JA et al (2021) Monitoring individual sleep and nocturnal heart rate variability indices: the impact of training and match schedule and load in high-level female soccer players. Frontiers in Physiology 12:678462
Wennman H et al (2015) Interrelationships of physical activity and sleep with cardiovascular risk factors: a person-oriented approach. International journal of behavioral medicine 22(6):735–747
Loredo JS, Nelesen R, Ancoli-Israel S, Dimsdale JE (2004) Sleep quality and blood pressure dipping in normal adults. Sleep 27(6):1097–1103
Kobayashi R, Koike Y, Hirayama M, Ito H, Sobue G (2003) Skin sympathetic nerve function during sleep—a study with effector responses. Auton Neurosci 103(1–2):121–126
Lyu B, Hagen EW, Finn LA, Peppard PEJJOH (2020) Blood pressure dipping and sleep quality in Wisconsin Sleep Cohort. J Hypertens 38(3):448
Santa-Rosa FA et al (2020) Impact of an active lifestyle on heart rate variability and oxidative stress markers in offspring of hypertensives. Scientific reports 10(1):1–10
Gomes Raul LM et al (2018) Effect of Regular Wheelchair Basketball Practice on Autonomic Modulation and Sleep Quality of Spinal Cord Injured Subjects. Journal of Exercise Physiology Online 21(3)
Moraes ÍAP, Silva TD, Massetti T, Menezes LDC, Ribeiro VF, Tropiano LMCC, Barnabé V, Hoshi RA, Monteiro CBM, Fernandes M (2019) Fractal correlations and linear analyses of heart rate variability in healthy young people with different levels of physical activity. Cardiol Young 29(10):1236–1242
Werner GG, Ford BQ, Mauss IB, Schabus M, Blechert J, Wilhelm FH (2015) High cardiac vagal control is related to better subjective and objective sleep quality. Biol Psychol 106:79–85
Glos M, Fietze I, Blau A, Baumann G, Penzel TJP (2014) behavior, cardiac autonomic modulation and sleepiness: physiological consequences of sleep deprivation due to 40 h of prolonged wakefulness. Physiol Behav 125:45–53
Meerlo P, Sgoifo A, Suchecki DJSMR (2008) Restricted and disrupted sleep: effects on autonomic function, neuroendocrine stress systems and stress responsivity. Sleep Med Rev 12(3):197–210
Acknowledgements
We would like to thank Fundação de Amparo à Pesquisa e ao Desenvolvimento Científico e Tecnológico do Maranhão - FAPEMA (Universal - 01293/16); Fundação de Amparo à Pesquisa e ao Desenvolvimento Científico e Tecnológico do Maranhão - FAPEMA- (BEPP-01404/21, universal 00919/17) and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethics approval
All procedures performed in studies involving human participants were following the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Consent to participate
Informed consent was obtained from all individual participants included in the study.
Conflict of interest
All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements) or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.
Additional information
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
de Jesus Silva Soares Junior, N., Dias-Filho, C.A.A., Ferreira, A.C. et al. Sleep quality and regular physical activity in reducing cardiac risk. Sleep Breath 27, 953–960 (2023). https://doi.org/10.1007/s11325-022-02688-x
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11325-022-02688-x