Research Article| Volume 5, ISSUE 5, P487-494, October 2019

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Walk to a better night of sleep: testing the relationship between physical activity and sleep



      Many do not sleep well, particularly middle-aged and older adults. Physical activity (PA) shows promise for improving sleep; however, populations with clinical sleep disturbances have been a research focus. It remains unclear whether low-impact daily PA, like walking, can affect sleep in healthy adults.


      The current study was embedded within a 4-week randomized controlled trial to increase PA.


      Participants from the greater Boston area were recruited to participate in a 4-week walking intervention on a rolling basis between October 2015 and August 2016.


      Fifty-nine participants (72% female) were enrolled in the study, with an average age of 49.43 (±8.40) years.


      The 4-week intervention was aimed at increasing participants’ daily steps as the primary outcome. The current, supplementary study examined relationships between monthly and daily PA and sleep.


      Steps and active minutes were measured daily using a Fitbit Zip. Self-reports of sleep quality and duration were assessed daily, along with before and after the intervention.

      Results and conclusions

      Averaged across the month, daily active minutes were positively related to sleep quality but not duration. Sex moderated this relationship; women who took more steps and were more active reported sleeping better than those less active. Within persons, on days that participants were more active than average, they reported better sleep quality and duration in both sexes. Results suggest that low-impact PA is positively related to sleep, more so in women than men. Findings also showed that PA plays a greater role in predicting sleep quality than duration.
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        • Spencer R.M.C.
        Neurophysiological basis of sleep’s function on memory and cognition.
        ISRN Physiol. 2013; 2013619319
        • Hoevenaar-Blom M.P.
        • Spijkerman A.M.W.
        • Kromhout D.
        • Verschuren W.M.M.
        Sufficient sleep duration contributes to lower cardiovascular disease risk in addition to four traditional lifestyle factors: the MORGEN study.
        Eur J Prev Cardiol. 2014; 21: 1367-1375
        • Czeisler C.A.
        Duration, timing and quality of sleep are each vital for health, performance and safety.
        Sleep Heal. 2015; 1: 5-8
      1. Institute of Medicine. Sleep Disorders and Sleep Deprivation. Vol (Colten HR, Altevogt BM, eds.). Washington (DC): National Academies Press (US); 2006. [Accessed December 7, 2015].

        • Liu Y.
        • Wheaton A.G.
        • Chapman D.P.
        • Cunningham T.J.
        • Lu H.
        • Croft J.B.
        Prevalence of healthy sleep duration among adults—United States, 2014.
        MMWR Morb Mortal Wkly Rep. 2016; 65: 137-141
        • Chong Y.
        • Fryer C.D.
        • Gu Q.
        Prescription sleep aid use among adults: United States, 2005-2010.
        NCHS Data Brief. 2013; 127: 1-8
        Date accessed: December 7, 2015
        • Kripke D.F.
        • Langer R.D.
        • Kline L.E.
        Hypnotics’ association with mortality or cancer: a matched cohort study.
        BMJ Open. 2012; 2e000850
        • Spencer R.M.C.
        • Gouw A.M.
        • Ivry R.B.
        Age-related decline of sleep-dependent consolidation.
        Learn Mem. 2007; 14: 480-484
        • Morin C.M.
        • Hauri P.J.
        • Espie C.A.
        • Spielman A.J.
        • Buysse D.J.
        • Bootzin R.R.
        Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review.
        Sleep. 1999; 22 ([Accessed October 22, 2015]): 1134-1156
        • Howell A.J.
        • Digdon N.L.
        • Buro K.
        • Sheptycki A.R.
        Relations among mindfulness, well-being, and sleep.
        Pers Individ Dif. 2008; 45: 773-777
        • 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
        • Warburton D.E.R.
        • Nicol C.W.
        • Bredin S.S.D.
        Health benefits of physical activity: the evidence.
        Can Med Assoc J. 2006; 174: 801-809
        • Irish L.A.
        • Kline C.E.
        • Gunn H.E.
        • Buysse D.J.
        • Hall M.H.
        The role of sleep hygiene in promoting public health: a review of empirical evidence.
        Sleep Med Rev. 2015; 22: 23-36
        • Hirshkowitz M.
        • Whiton K.
        • Albert S.M.
        • et al.
        National Sleep Foundation’s updated sleep duration recommendations: final report.
        Sleep Heal. 2015; 1: 233-243
      2. Centers for Disease Control (CDC). Effect of short sleep duration on daily activities—United States, 2005–2008. Morb Mortal Wkly Rep 2011;60(8):239–242 [Accessed November 9, 2015].

      3. National Highway Traffic Safety Administration (NHTSA).
        (Research on drowsy driving)
        • Shahly V.
        • Berglund P.A.
        • Coulouvrat C.
        • et al.
        The associations of insomnia with costly workplace accidents and errors: results from the America Insomnia Survey.
        Arch Gen Psychiatry. 2012; 69: 1054-1063
        • Sutter C.
        • Zöllig J.
        • Allemand M.
        • Martin M.
        Sleep quality and cognitive function in healthy old age: the moderating role of subclinical depression.
        Neuropsychology. 2012; 26: 768-775
        • Buman M.
        • King A.
        Exercise as a treatment to enhance sleep.
        Am J Lifestyle Med. 2010; 4: 500-514
        • Uchida S.
        • Shioda K.
        • Morita Y.
        • Kubota C.
        • Ganeko M.
        • Takeda N.
        Exercise effects on sleep physiology.
        Front Neurol. 2012; 348
        • Ward B.W.
        • Clarke T.C.
        • Nugent C.N.
        • Schiller J.S.
        Early release of selected estimates based on data from the 2015 National Health Interview Survey (05/2016).
      4. CDC. Facts about physical activity. 2014. Accessed December 7, 2015.

        • Morris J.N.
        • Hardman A.E.
        Walking to health.
        Sport Med. 1997; 23: 306-332
        • Richards K.C.
        • Lambert C.
        • Beck C.K.
        • et al.
        Strength training, walking, and social activity improve sleep in nursing home and assisted living residents: randomized controlled trial.
        J Am Geriatr Soc. 2011; 59: 214-223
        • Lam L.C.
        • Chan W.C.
        • Leung T.
        • Fung A.W.
        • Leung E.M.
        Would older adults with mild cognitive impairment adhere to and benefit from a structured lifestyle activity intervention to enhance cognition? A cluster randomized controlled trial.
        PLoS One. 2015; 10e0118173
        • McCurry S.M.
        • LaFazia D.M.
        • Pike K.C.
        • Logsdon R.G.
        • Teri L.
        Development and evaluation of a sleep education program for older adults with dementia living in adult family homes.
        Am J Geriatr Psychiatry. 2012; 20: 494-504
        • Elavsky S.
        • McAuley E.
        Lack of perceived sleep improvement after 4-month structured exercise programs.
        Menopause. 2007; 14: 535-540
      5. Passos GS, Poyares DLR, Santana MG, Tufik S, Mello MT de. Is exercise an alternative treatment for chronic insomnia? Clinics 2012;67(6):653–660. doi:

        • Kishida M.
        • Elavsky S.
        An intensive longitudinal examination of daily physical activity and sleep in midlife women.
        Sleep Heal. 2016; 2: 42-48
        • Youngstedt S.D.
        • Perlis M.L.
        • O’Brien P.M.
        • et al.
        No association of sleep with total daily physical activity in normal sleepers.
        Physiol Behav. 2003; 78: 395-401
        • Yao C.J.
        • Basner M.
        Healthy behaviors competing for time: associations of sleep and exercise in working Americans.
        Sleep Heal. 2018; : 0
        • Buman M.P.
        • Phillips B.A.
        • Youngstedt S.D.
        • Kline C.E.
        • Hirshkowitz M.
        Does nighttime exercise really disturb sleep? Results from the 2013 National Sleep Foundation Sleep in America Poll.
        Sleep Med. 2014; 15: 755-761
        • Youngstedt S.D.
        • O’Connor P.J.
        • Dishman R.K.
        The effects of acute exercise on sleep: a quantitative synthesis.
        Sleep. 1997; 20 ([Accessed January 20, 2018]): 203-214
        • Robinson S.A.
        • Bisson A.N.
        • Hughes M.L.
        • Ebert J.
        • Lachman M.E.
        Time for change: Using implementation intentions to promote physical activity in a randomised pilot trial.
        Psychology & Health. 2019; 34: 232-254
        • Diaz K.M.
        • Krupka D.J.
        • Chang M.J.
        • et al.
        Fitbit®: an accurate and reliable device for wireless physical activity tracking.
        Int J Cardiol. 2015; 185: 138-140
        • Sasaki J.E.
        • Hickey A.
        • Mavilia M.
        • et al.
        Validation of the Fitbit wireless activity tracker for prediction of energy expenditure.
        J Phys Act Health. 2014; 12: 149-155∖n10.1123/jpah.2012-0495
        • Buysse D.J.
        • Reynolds C.F.
        • Monk T.H.
        • Berman S.R.
        • Kupfer D.J.
        The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research.
        Psychiatry Res. 1989; 28: 193-213
        • Kubitz K.A.
        • Landers D.M.
        • Petruzzello S.J.
        • Han M.
        The effects of acute and chronic exercise on sleep. A meta-analytic review.
        Sports Med. 1996; 21 ([Accessed December 31, 2017]): 277-291
        • Cheng H.-P.
        • Chen C.-H.
        • Lin M.-H.
        • et al.
        Gender differences in the relationship between walking activity and sleep disturbance among community-dwelling older adult with diabetes in Taiwan.
        J Women Aging December. 2017; : 1-9
        • Pennebaker J.W.
        The Psychology of Physical Symptoms.
        Springer-Verlag, New York, NY1982
        • Thosar S.S.
        • Niederhausen M.
        • Lapidus J.
        • et al.
        Self-regulated use of a wearable activity sensor is not associated with improvements in physical activity, cardiometabolic risk or subjective health status.
        Br J Sports Med. 2018; 52: 1217-1218
        • Sullivan A.N.
        • Lachman M.E.
        Behavior change with fitness technology in sedentary adults: a review of the evidence for increasing physical activity.
        Front Public Heal. 2017; 4: 289
        • Pilcher J.J.
        • Ginter D.R.
        • Sadowsky B.
        • et al.
        Sleep quality versus sleep quantity: relationships between sleep and measures of health, well-being and sleepiness in college students.
        J Psychosom Res. 1997; 42: 583-596
        • Hayashino Y.
        • Fukuhara S.
        • Suzukamo Y.
        • Okamura T.
        • Tanaka T.
        • Ueshima H.
        Relation between sleep quality and quantity, quality of life, and risk of developing diabetes in healthy workers in Japan: the High-risk and Population Strategy for Occupational Health Promotion (HIPOP-OHP) study.
        BMC Public Health. 2007; 7: 129
        • Chen H.-M.
        • Tsai C.-M.
        • Wu Y.-C.
        • Lin K.-C.
        • Lin C.-C.
        Effect of walking on circadian rhythms and sleep quality of patients with lung cancer: a randomised controlled trial.
        Br J Cancer. 2016; 115: 1304-1312
        • Chiu H.-Y.
        • Huang H.-C.
        • Chen P.-Y.
        • Hou Wen-Hsuan
        • Tsai P.-S.
        Walking improves sleep in individuals with cancer: a meta-analysis of randomized, controlled trials.
        Oncol Nurs Forum. 2015; 42: E54-E62
        • McCurry S.M.
        • Pike K.C.
        • Vitiello M.V.
        • Logsdon R.G.
        • Larson E.B.
        • Teri L.
        Increasing walking and bright light exposure to improve sleep in community-dwelling persons with Alzheimer’s disease: results of a randomized, controlled trial.
        J Am Geriatr Soc. 2011; 59: 1393-1402
        • Pace-Schott E.F.
        • Spencer R.M.C.
        Age-related changes in the cognitive function of sleep.
        in: Green A.M. Chapman C.E. Kalaska J.F. Lepore F. Progress in Brain Research. Vol 191. 2011: 75-89
        • Tully M.
        • McBride C.
        • Heron L.
        • Hunter R.F.
        The validation of Fibit Zip™ physical activity monitor as a measure of free-living physical activity.
        BMC Res Notes. 2014; 7: 952
        • Ferguson T.
        • Rowlands A.V.
        • Olds T.
        • Maher C.
        The validity of consumer-level, activity monitors in healthy adults worn in free-living conditions: a cross-sectional study.
        Int J Behav Nutr Phys Act. 2015; 12: 1-9