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Association Between Physical Activity and Sleep Health Among Community-Dwelling Adults Aged ≥50 in Ghana: The Mediating Role of Psychosomatic Factors
Journal article   Peer reviewed

Association Between Physical Activity and Sleep Health Among Community-Dwelling Adults Aged ≥50 in Ghana: The Mediating Role of Psychosomatic Factors

Razak M Gyasi, Emmanuel Nyaaba, Desmond Agyei, Priscilla Appiah, Emmanuel Konadu, Jones Opoku-Ware, Nelson Gyasi Boadu, Margaret Makafui Tayviah, Masoud Rahmati, Kabila Abass, …
Clinical gerontologist, Vol.First online, pp.1-13
17/12/2024
PMID: 39686744

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UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

Source: InCites

Abstract

psychosomatic factors pain burden older adults Depression mobility limitations sleep quality physical activity
Objectives: Data on the direct and indirect associations between physical activity (PA) and sleep quality in old age via psychosomatic mechanisms (e.g. mobility, pain, loneliness, depression, and anxiety) remain scarce in low- and middle-income countries (LMICs). We explored the association of PA with poor sleep quality (PSQ) among individuals aged ≥ 50 in Ghana and explored the potential mediating factors in this association. Methods: We analyzed community-based data from the Aging, Health, Psychological Well-being, and Health-seeking Behavior Study. We assessed PA using the International Physical Activity Questionnaire (IPAQ). Two items on nighttime and daytime sleep problems in the last 30 days were used to measure PSQ. Multivariable ordinary least square (OLS) regressions and bootstrapping models were performed to evaluate the associations. Results: Overall, 1,201 participants (Mage = 66.15 ± 11.58 years; 63.3% female) were included in the analysis. PA was independently associated with decreased PSQ in the overall sample (B = -0.181, 95%I = -0.271 to -0.092) and in women (B = -0.195, 95%I = -0.305 to -0.084). The association was stronger in the ≥ 65 (B = -0.138) than in the 50-64 age group (B = -0.213). Mobility (37.06%), pain (23.66%), loneliness (6.71%), and comorbid anxiety and depression (8.95%) mediated the PA-PSQ association. Conclusion: PA was associated with decreased PSQ levels, which was particularly explained by psychosomatic factors. Clinical implications: Clinicians encourage older adults to engage in regular PA and manage psychosomatic problems may improve their sleep health.

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