Sleep quality, sedentary behavior and cardiovascular risk in young adults
Conteúdo do artigo principal
Resumo
Sleep is an essential process for maintaining the body's essential biological functions, and disorders associated with it can cause various health problems, including cardiovascular disorders. The practice of physical activity comprises one of the most beneficial habits for a correct sleep regulation, improving its duration and depth. However, the cycle that involves the practice of physical activities, quality of sleep and cardiovascular diseases needs further elucidation, therefore, the objective of this work was to compare and correlate the quality of sleep with the risk of developing Obstructive Sleep Apnea Syndrome (OSAS), and the practice of physical activities, as well as cardiovascular diseases. For this, we carried out a cross-sectional, observational, prospective, epidemiological study, in which volunteers of both sexes, aged between 20 and 50 years, were evaluated regarding anthropometry, questioned using questionnaires on cardiovascular risk, sleep quality (Pittsburgh), presence of OSAS (Berlin) and physical activity practice (IPAQ) and had their lipid profiles evaluated. Comparisons and correlations between variables were established by different statistical analyzes (using p values ≤0.05). Volunteers with poor sleep quality had a higher BMI value, sum of four folds and body fat, less time of vigorous physical activity and lower HDL value, as well as a positive correlation with systolic blood pressure, waist-to-height ratio and risk of developing of SAOS. Volunteers at high risk of developing OSAS had higher values for SBP, DBP, BMI, waist/height ratio, sum of four folds and less time of vigorous physical activity, in addition to a positive correlation with poor sleep quality, total cholesterol and LDL. Thus, we conclude that volunteers classified as having poor sleep quality and high risk for OSAS practice physical activities less frequently and with reduced load, in addition to presenting higher values in the variables of the cardiac, anthropometric and lipid profiles, indicating a greater cardiovascular risk.
Detalhes do artigo
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Declaração de Direito Autoral - Proposta de Política para Periódicos de Acesso Livre
Autores que publicam no Brazilian Journal of Natural Sciences (BJNS) concordam com os seguintes termos: 1 - Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Creative Commons Attribution License que permitindo o compartilhamento do trabalho com reconhecimento da autoria do trabalho e publicação inicial nesta revista. 2 - Autores têm autorização para assumir contratos adicionais separadamente, para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista. 3 - Autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) a qualquer ponto antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado.
Este é um artigo de acesso aberto sob a licença CC- BY
(http://creativecommons.org/licenses/by/4.0)
Referências
Ferreira SC, Jesus TB, Santos AS. Sleep quality and cardiovascular risk factors in nursing students. Rev Electronic Health Management. 2015;6(1):390-404.
Ohayon M, Wickwire EM, Hirshkowitz M, Albert SM, Avidan A, Daly FJ, et al. National Sleep Foundation's sleep quality recommendations: first report. Sleep Heal. 2017;
Chennaoui M, Arnal PJ, Sauvet F, Léger D. Sleep and exercise: A reciprocal issue? Sleep Medicine Reviews. 2015.
Stöberl AS, Schwarz EI, Haile SR, Turnbull CD, Rossi VA, Stradling JR, et al. Night-to-night variability of obstructive sleep apnea. J Sleep Res. 2017 Dec 1;26(6):782–8.
Sateia MJ. International classification of sleep disorders-third edition highlights and modifications. Chest. 2014 Nov 1;146(5):1387–94.
Campostrini DDA, Prado LBF, Prado GF. Obstructive sleep apnea syndrome and cardiovascular disease. Vol. 22, Neurosciences Magazine. Federal University of Sao Paulo; 2014. p. 102-12.
Filho GL, Genta PR, Pedrosa RP, Drager LF, Martinez D. Cardiovascular consequences in OSAS. J Bras Pneumol. 2010;36(SUPPL. 2):38-42.
Kline CE, Krafty RT, Mulukutla S, Hall MH. Associations of sedentary time and moderate-vigorous physical activity with sleep-disordered breathing and polysomnographic sleep in community-dwelling adults. Sleep Breath. 2017 May 1;21(2):427–34.
From Lima DF, Levy RB, Luiz ODC. Recommendations for physical activity and health: Consensus, controversies and ambiguities. Rev Panam Salud Publica/Pan Am J Public Heal. 2014 Sep 1;36(3):164-70.
Mello MT, Boscolo RA, Maculano Esteves A, Tufik S. Physical exercise and psychobiological aspects. Vol. 11, Revista Brasileira de Medicina do Esporte. 2005. p. 203-7.
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psichiatry Research. 1989;28(2):193-213.
Sharma SK, Vasudev C, Sinha S, Banga A, Pandey RM, Handa KK. Validation of the modified Berlin questionnaire to identify patients at risk for the obstructive sleep apnoea syndrome. Indian J Med Res. 2006;124:281-90.
Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Vol. 854, World Health Organization technical report series. 1995: 1–452.
Bray GA, Gray DS. Obesity. Part I Pathogenesis. Western Journal of Medicine. 1988;149:429-41.
Durnin JV, Womersley J. Body fat assessed from body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years. Br J Nutr. 1974;32:77-97.
Brazilian Society of Cardiology. VII Brazilian Directive on Arterial Hypertension. Arq Bras Cardiol. 2016;107(3).
Malta DC, Gonçalves RPF, Machado ÍE, Freitas MI de F, Azeredo C, Szwarcwald CL. Prevalence of arterial hypertension according to different diagnostic criteria, National Health Survey. Rev Bras Epidemiol. 2018;21.
Wang Q, Xu L, Li J, Sun L, Qin W, Ding G, et al. Association of anthropometric indices of obesity with hypertension in Chinese elderly: An analysis of age and gender differences. Int J Environ Res Public Health. 2018 Apr 19;15(4).
Pereira-Lancha LO, Campos-Ferraz PL, Lancha AH. Obesity: Considerations about etiology, metabolism, and the use of experimental models. Vol. 5, Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. Dove Medical Press Ltd.; 2012;5:75–87.
Deere K, Sayers A, Smith GD, Rittweger J, Tobias JH. High impact activity is related to lean but not fat mass: Findings from a population-based study in adolescents. Int J Epidemiol. 2012 Aug;41(4):1124–31.
Vgontzas AN, Bixler EO, Chrousos GP. Metabolic Disorders In Sleep Apnea.Pdf. 2003;32–44.
Fett CA, Fett WCR, Marchini JS, Ribeiro RPP. Lifestyle and risk factors associated with increased body fat in women. Cien Saude Colet. 2010;15(1):131-40.
Seegers V, Petit D, Falissard B, Vitaro F, Tremblay RE, Montplaisir J, et al. Short sleep duration and body mass index: A prospective longitudinal study in preadolescence. Am J Epidemiol. 2011;173(6):621–9.
Carvalho JB, De Andrade GKP, Do Nascimento LA, Rodrigues ALCC, Suiter É, Bolognesi J, et al. Risk for obstructive sleep apnea syndrome and its relationship with food consumption. Rev Neurosciences. 2015;23(4):567–74.
Pinto JA, Godoy LBM, Pinto VW, Marquis B, Sonego TB, De Farias C, et al. Anthropometric data as predictors of Obstructive Sleep Apnea severity. Brazilian Journal of otorhinolaryngology. 2011;77(4):516-21.
Friedman M, Vidysagar R, Bliznikas D, Joseph N. Does severity of obstructive sleep apnea/hypopnea syndrome predict uvulopalatopharyngoplasty outcome? Laryngoscope. 2005;115(12):2109-13.
Karen H, Antunes M, Andersen ML, Tufik S, Tulio De Mello M. Sleep deprivation and physical exercise. Rev Bras Med Sport. 2008;14(1):51-6.
Cintra F, Tufik S, de Paola A, Feres MC, Mello-Fujita L, Oliveira W, et al. Cardiovascular profile in patients with obstructive sleep apnea. Arq Bras Cardiol. 2011 Apr;96(4):293-9.
Kono M, Tatsumi K, Saibara T, Nakamura A, Tanabe N, Takiguchi Y, et al. Obstructive sleep apnea syndrome is associated with some components of metabolic syndrome. Chest. 2007;131(5):1387–92.
Silva HGV da, Moreira ASM, Santos VR dos, Santos S de O dos, Rêgo AFB. Factors Associated with the Gravity of Obstructive Sleep Apnea: Obesity and Excessive Daytime Sleepiness. Rev Bras Cardiol. 2014;27(2):76-82.