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Vol. 152. Issue 9.
Pages 339-345 (May 2019)
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Vol. 152. Issue 9.
Pages 339-345 (May 2019)
Original article
DOI: 10.1016/j.medcle.2019.02.013
Relationship between the presence of insomnia and walking physical activity and diet quality: A cross-sectional study in a sample of Spanish adults
Relación entre la presencia de insomnio y la actividad física caminando y la calidad de la dieta: un estudio transversal en una muestra de adultos españoles
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Jesus Gonzalez-Sancheza,b,
Corresponding author
jesusgonzsan@gmail.com

Corresponding author.
, Jose I. Recio-Rodrigueza,c, Manuel A. Gomez-Marcosa,d, Maria C. Patino-Alonsoe, Cristina Agudo-Condea, Luis Garcia-Ortiza,f
a Primary Care Research Unit, The Alamedilla Health Centre, Castilla and León Health Service (SACYL), Biomedical Research Institute of Salamanca (IBSAL), Salamanca, Spain
b Department of Nursing, University of Extremadura, Plasencia (Cáceres) , Spain
c Department of Nursing and Physiotherapy, University of Salamanca, Salamanca, Spain
d Department of Medicine, University of Salamanca, Salamanca, Spain
e Department of Statistics, University of Salamanca, Biomedical Research Institute of Salamanca (IBSAL), Salamanca, Spain
f Department of Biomedical and Diagnostic Sciences, University of Salamanca, Salamanca, Spain
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Figures (1)
Tables (3)
Table 1. Demographic and clinical characteristics in relation to sleep quality Atenas score global.
Table 2. Results of Sleep quality according of Atenas score global.
Table 3. Estimated marginal mean according of Atenas score global adjusting for potential confounders.
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Abstract
Introduction and objectives

Certain lifestyle habits may influence aspects of sleep quality, such as insomnia. The main objective of the present study was to analyze the relationship of the presence of insomnia, with walking physical activity and diet quality in an adult population.

Patients and methods

A cross-sectional descriptive study was performed (subanalysis of the TRIPLE A study) between January of 2014 to June of 2015. A total of 454 subjects were selected by consecutive sampling. Insomnia was evaluated with the Atenas scale, diet quality using the diet quality index (DQI) questionnaire, and physical activity using pedometers for seven days, evaluating the total number of steps, aerobic steps, and energy expended.

Results

Of all patients, 26.8% presented with insomnia (33.8% in women and 17.5% in men). In a adjusted model, the mean differences of total steps/day, aerobic steps/day, and kilocalories/day spent in performing physical activity, between no insomnia group and insomnia group were: 1022.5 (95% CI: 177.9–1867.0), 743.9 (95% CI: 68.3–1419.4) and 39.8 (95% CI: 5.7–73.9), respectively. We did not find an association between the diet quality index (DQI) and insomnia.

Conclusions

The findings suggest that completing daily a greater total number of steps, aerobic steps, and energy expended by walking, could be correlated with less insomnia, independent of age, sex, and other confounding variables. However, no relationship was observed between diet quality and insomnia.

Keywords:
Insomnia
Diet quality
Walking
Adult
Sleep
Resumen
Introducción y objetivo

Ciertos hábitos y estilos de vida pueden influir en algunos aspectos de la calidad del sueño, como el insomnio. El objetivo principal del presente estudio fue analizar la relación de la presencia de insomnio, con la actividad física caminando y la calidad de la dieta en una población adulta.

Pacientes y métodos

Se realizó un estudio descriptivo transversal (subanálisis del estudio TRIPLE A) desde enero de 2014 a junio de 2015. Se seleccionó una muestra de 454 sujetos mediante muestreo consecutivo. El insomnio fue evaluado con la escala Atenas, la calidad de la dieta mediante el cuestionario del índice de calidad de la dieta (DQI) y la actividad física mediante podómetros durante 7 días, evaluando el número de pasos totales, pasos aeróbicos y gasto energético.

Resultados

Presentaron insomnio el 26,8% (el 33,8% en mujeres y el 17,5% en varones). Las diferencias de media de los pasos totales/día, pasos aeróbicos/día y las kilocalorías/día gastadas en la realización de la actividad física, entre el grupo de sujetos sin insomnio y el grupo de sujetos con insomnio fueron: 1.022,5 (IC 95%: 177,9–1.867,0), 743,9 (IC 95%: 68,3–1.419,4) y 39,8 (IC 95%: 5,7–73,9),respectivamente. No hemos encontrado asociación entre el DQI y el insomnio.

Conclusiones

Un mayor número total de pasos, pasos aeróbicos y gasto energético gastado, realizando actividad física caminando, podría estar relacionado con menor presencia de insomnio, independientemente de la edad, sexo y otras variables de confusión. Sin embargo no se ha encontrado relación entre la calidad de la dieta y el insomnio.

Palabras clave:
Insomnio
Calidad de la dieta
Caminar
Adulto
Sueño

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