Association of leisure-time physical activity and sleep quality among healthcare workers in China: a cross-sectional study | BMC Public Health

Association of leisure-time physical activity and sleep quality among healthcare workers in China: a cross-sectional study | BMC Public Health

  • Alimoradi Z, Broström A, Tsang HW, Griffiths MD, Haghayegh S, Ohayon MM et al. Sleep Problems During Covid-19 Pandemic and Its’ Association to Psychological Distress: A Systematic Review and Meta-Analysis. EClinicalMedicine (2021) 36:100916.

  • Zeng L-N, Yang Y, Wang C, Li X-H, Xiang Y-F, Hall BJ, et al. Prevalence of poor sleep quality in nursing staff: A Meta-Analysis of observational studies. Behav Sleep Med. 2020;186:746–59.

    Article 

    Google Scholar 

  • Nena E, Katsaouni M, Steiropoulos P, Theodorou E, Constantinidis TC, Tripsianis G. Effect of shift work on sleep, health, and quality of life of Health-Care workers. Indian J Occup Environ Med. 2018;221:29.

    Article 

    Google Scholar 

  • Patterson PD, Weaver MD, Frank RC, Warner CW, Martin-Gill C, Guyette FX, et al. Association between poor sleep, fatigue, and safety outcomes in emergency medical services providers. Prehospital Emerg Care. 2012;161:86–97.

    Article 

    Google Scholar 

  • Buysse D, Reynolds C, Monk T, Berman S. The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Res. 1989;282:193–213.

    Article 

    Google Scholar 

  • Qiu D, Yu Y, Li R-Q, Li Y-L, Xiao S-Y. Prevalence of sleep disturbances in Chinese healthcare professionals: A systematic review and Meta-Analysis. Sleep Med. 2020;67:258–66.

    Article 
    PubMed 

    Google Scholar 

  • de Almeida CMO, Malheiro A, Sleep. Immunity and shift workers: A review. Sleep Sci. 2016;93:164–8.

    Article 

    Google Scholar 

  • Sankhi S, Marasine NR. Impact of Covid-19 pandemic on mental health of the general population, students, and health care workers. Europasian J Med Sci. 2020;2:64–72.

    Article 

    Google Scholar 

  • Stewart NH, Koza A, Dhaon S, Shoushtari C, Martinez M, Arora VM. Sleep disturbances in frontline health care workers during the Covid-19 pandemic: social media survey study. J Med Internet Res. 2021;235:e27331.

    Article 

    Google Scholar 

  • Cao W, Li X, Yan Y, et al. Changes in sleep patterns in primary care workers during the first wave of the COVID-19 pandemic in 2022 in Shanghai: a cross-sectional study. Sci Rep. 2024;14:12373. https://doi.org/10.1038/s41598-024-61311-z.

    Article 
    PubMed 
    PubMed Central 
    CAS 

    Google Scholar 

  • Cao X-L, Wang S-B, Zhong B-L, Zhang L, Ungvari GS, Ng CH, et al. The prevalence of insomnia in the general population in China: A Meta-Analysis. PLoS ONE. 2017;122:e0170772.

    Article 

    Google Scholar 

  • Xia L, Chen C, Liu Z, Luo X, Guo C, Liu Z, et al. Prevalence of sleep disturbances and sleep quality in Chinese healthcare workers during the Covid-19 pandemic: A systematic review and Meta-Analysis. Front Psychiatry. 2021;12:646342.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Karabulut N, Gürçayır D, Yaman Aktaş Y, Kara A, Kızıloğlu B, Arslan B, et al. The effect of perceived stress on anxiety and sleep quality among healthcare professionals in intensive care units during the coronavirus pandemic. Psychol Health Med. 2021;261:119–30.

    Article 

    Google Scholar 

  • Spoorthy MS, Pratapa SK, Mahant S. Mental health problems faced by healthcare workers due to the Covid-19 Pandemic–a review. Asian J Psychiatry. 2020;51:102119.

    Article 

    Google Scholar 

  • Rubinelli S, Myers K, Rosenbaum M, Davis D. Implications of the current Covid-19 pandemic for communication in healthcare. Patient Educ Couns. 2020;1036:1067.

    Article 

    Google Scholar 

  • Grandner MA, Patel NP, Gehrman PR, Xie D, Sha D, Weaver T, et al. Who gets the best sleep?? Ethnic and socioeconomic factors related to sleep? complaints. Sleep Med. 2010;115:470–8.

    Article 

    Google Scholar 

  • Liu H, Liu J, Chen M, et al. Sleep problems of healthcare workers in tertiary hospital and influencing factors identified through a multilevel analysis: A Cross-Sectional study in China[J]. BMJ Open. 2019;912:e032239.

    Article 

    Google Scholar 

  • Han Y, Yuan Y, Zhang L. Sleep disorder status of nurses in general hospitals and its influencing Factors[J]. Psychiatria Danubina. 2016;282:176–83.

    Google Scholar 

  • Lang C, Brand S, Feldmeth AK, Holsboer-Trachsler E, Pühse U, Gerber M. Increased Self-Reported and objectively assessed physical activity predict sleep quality among adolescents. Physiol Behav. 2013;120:46–53.

    Article 
    PubMed 
    CAS 

    Google Scholar 

  • Wang F, Boros S. The effect of physical activity on sleep quality: A systematic review. Eur J Physiotherapy. 2021;231:11–8.

    Article 

    Google Scholar 

  • Foti KE, Eaton DK, Lowry R, et al. Sufficient sleep, physical activity, and sedentary Behaviors[J]. Am J Prev Med. 2011;416:596–602.

    Article 

    Google Scholar 

  • Hu W, Chu J, Chen X, et al. The role of depression and physical activity in the association of between sleep quality, and duration with and Health-Related quality of life among the elderly: A Uk biobank Cross-Sectional Study[J]. BMC Geriatr. 2022;221:1–13.

    Google Scholar 

  • Dubinina E, Korostovtseva LS, Rotar O, et al. Physical activity is associated with sleep quality: results of the ESSE-RF epidemiological Study[J]. Front Psychol. 2021;12:705212.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Kancherla BS, Upender R, Collen JF, Rishi MA, Sullivan SS, Ahmed O, et al. Sleep, fatigue and burnout among physicians: an American academy of sleep medicine position statement. J Clin Sleep Med. 2020;165:803–5.

    Article 

    Google Scholar 

  • Zhan Y, Liu Y, Liu H, Li M, Shen Y, Gui L, et al. Factors associated with insomnia among Chinese Front-Line nurses fighting against Covid‐19 in Wuhan: A Cross‐Sectional survey. J Nurs Adm Manag. 2020;287:1525–35.

    Article 

    Google Scholar 

  • Eddy R. Sleep deprivation among physicians. Br Columbia Med J. 2005;474:176.

    Google Scholar 

  • Liu XC, Tang MQ. Reliability and validity of the Pittsburgh sleep quality index in Chinese. Chin J Psychiatry. 1996;29(2):29103–7.

    Google Scholar 

  • Adult Physical Inactivity Outside of Work. Available at: Accessed 11, April 2025.

  • Quan SF, Weaver MD, Barger LK, O’Brien CS, Viyaran N, Qadri S et al. 0996 Interim findings from a sleep health and wellness program to reduce occupational burnout. Sleep (2019) 42Supplement_1:A401-A.

  • Karhula K, Koskinen A, Ervasti J, Hakola T, Isoviita V-M, Kivimäki I, et al. Hospital physicians working hour characteristics and sleep quality: A Cross-Sectional analysis of realized working hour and survey data. BMC Health Serv Res. 2022;221:1–11.

    Google Scholar 

  • Zhao Y, Tao Y, Bao X et al. A study on differences about the influencing factors of depressive symptoms between medical staff and residents during 2022 city-wide temporary static management period to fighting against COVID-19 pandemic in Shanghai[J]. Frontiers in public health(2023) 10, 1083144.

  • Wang P, Shen X, Jiang Y et al. Psychological and sleep disturbances among first-line, second-line, and at home medical staff during the COVID-19 pandemic in Shanghai, China[J]. Frontiers in public health(2022) 10, 1006610.

  • Morgan K. Daytime activity and risk factors for Late-Life insomnia. J Sleep Res. 2003;123:231–8.

    Article 

    Google Scholar 

  • Sherrill DL, Kotchou K, Quan SF. Association of physical activity and human sleep disorders. Arch Intern Med. 1998;15817:1894–8.

    Article 

    Google Scholar 

  • Li Q, Jing W, Wei Z, Wang Y, Sun L. Associations between workplace violence and mental health among Chinese health technicians: A moderated mediation analysis of sleep quality and physical activity. Psychol Res Behav Manag. 2023;16:2045–57.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Liu H, Liu J, Chen M, et al. Sleep problems of healthcare workers in tertiary hospital and influencing factors identified through a multilevel analysis: a cross-sectional study in China. BMJ Open. 2019;9(12):e032239.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar 

  • Siu PM, Angus PY, Tam BT, Chin EC, Doris SY, Chung K-F, et al. Effects of Tai Chi or exercise on sleep in older adults with insomnia: A randomized clinical trial. JAMA Netw Open. 2021;42:e2037199–e.

    Article 

    Google Scholar 

  • Du S, Dong J, Zhang H, Jin S, Xu G, Liu Z, et al. Taichi exercise for Self-Rated sleep quality in older people: A systematic review and Meta-Analysis. Int J Nurs Stud. 2015;521:368–79.

    Article 

    Google Scholar 

  • Irwin MR, Olmstead R, Motivala SJ. Improving sleep quality in older adults with moderate sleep complaints: A randomized controlled trial of Tai Chi Chih. Sleep. 2008;317:1001–8.

    Google Scholar 

  • Chen M-C, Liu H-E, Huang H-Y, Chiou A-F. The effect of a simple traditional exercise programme (Baduanjin exercise) on sleep quality of older adults: A randomized controlled trial. Int J Nurs Stud. 2012;493:265–73.

    Article 

    Google Scholar 

  • De Nys L, Anderson K, Ofosu EF, Ryde GC, Connelly J, Whittaker AC. The effects of physical activity on cortisol and sleep: A systematic review and Meta-Analysis. Psychoneuroendocrinology (2022):105843.

  • Santos RVTd, Tufik S, De Mello M, Exercise. Sleep and cytokines: is there a relation?? Sleep Med Rev. 2007;113:231–9.

    Article 

    Google Scholar 

  • O’connor PJ, Youngstedt SD. Sleep quality in older adults: effects of exercise training and influence of sunlight exposure. JAMA. 1997;27713:1034.

    Article 

    Google Scholar 

  • Dzierzewski JM, Buman MP, Giacobbi PR Jr, Roberts BL, Aiken-Morgan AT, Marsiske M, et al. Exercise and sleep in Community‐Dwelling older adults: evidence for a reciprocal relationship. J Sleep Res. 2014;231:61–8.

    Article 

    Google Scholar 

  • Tsai K, Lee T-Y, Chung M-H. Insomnia in female nurses: A nationwide retrospective study. Int J Occup Saf Ergon. 2017;231:127–32.

    Article 

    Google Scholar 

  • Meaklim H, Jackson ML, Bartlett D, Saini B, Falloon K, Junge M, et al. Sleep education for healthcare providers: addressing deficient sleep in Australia and new Zealand. Sleep Health. 2020;65:636–50.

    Article 

    Google Scholar 

  • Leota J, Presby DM, Le F, et al. Dose-response relationship between evening exercise and sleep. Nat Commun. 2025;16(1):3297.

    Article 
    PubMed 
    PubMed Central 
    CAS 

    Google Scholar 

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