Skip to content Skip to navigation
University of Warwick
  • Study
  • |
  • Research
  • |
  • Business
  • |
  • Alumni
  • |
  • News
  • |
  • About

University of Warwick
Publications service & WRAP

Highlight your research

  • WRAP
    • Home
    • Search WRAP
    • Browse by Warwick Author
    • Browse WRAP by Year
    • Browse WRAP by Subject
    • Browse WRAP by Department
    • Browse WRAP by Funder
    • Browse Theses by Department
  • Publications Service
    • Home
    • Search Publications Service
    • Browse by Warwick Author
    • Browse Publications service by Year
    • Browse Publications service by Subject
    • Browse Publications service by Department
    • Browse Publications service by Funder
  • Help & Advice
University of Warwick

The Library

  • Login
  • Admin

Better quality sleep promotes daytime physical activity in patients with chronic pain? : A multilevel analysis of the within-person relationship

Tools
- Tools
+ Tools

Tang, Nicole K. Y. and Sanborn, Adam N. (2014) Better quality sleep promotes daytime physical activity in patients with chronic pain? : A multilevel analysis of the within-person relationship. PLoS One, Volume 9 (Number 3). pp. 1-9. Article number e92158. doi:10.1371/journal.pone.0092158 ISSN 1932-6203.

[img]
Preview
PDF (Creative Commons : Attribution 4.0)
WRAP_journal.pone.0092158.pdf - Published Version - Requires a PDF viewer.

Download (849Kb) | Preview
Official URL: http://dx.doi.org/10.1371/journal.pone.0092158

Request Changes to record.

Abstract

Background:
Promoting physical activity is key to the management of chronic pain, but little is understood about the factors facilitating an individual’s engagement in physical activity on a day-to-day basis. This study examined the within-person effect of sleep on next day physical activity in patients with chronic pain and insomnia.

Methods:
119 chronic pain patients monitored their sleep and physical activity for a week in their usual sleeping and living environment. Physical activity was measured using actigraphy to provide a mean activity score each hour. Sleep was estimated with actigraphy and an electronic diary, providing an objective and subjective index of sleep efficiency (A-SE, SE) and a sleep quality rating (SQ). The individual and relative roles of these sleep parameters, as well as morning ratings of pain and mood, in predicting subsequent physical activity were examined in multilevel models that took into account variations in relationships at the ‘Day’ and ‘Participant’ levels.

Results:
Of the 5 plausible predictors SQ was the only significant within-person predictor of subsequent physical activity, such that nights of higher sleep quality were followed by days of more physical activity, from noon to 11pm. The temporal association was not explained by potential confounders such as morning pain, mood or effects of the circadian rhythm.

Conclusions:
In the absence of interventions, chronic pain patients spontaneously engaged in more physical activity following a better night of sleep. Improving nighttime sleep may well be a novel avenue for promoting daytime physical activity in patients with chronic pain.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Science > Psychology
Library of Congress Subject Headings (LCSH): Chronic pain, Sleep -- Therapeutic use, Exercise
Journal or Publication Title: PLoS One
Publisher: Public Library of Science
ISSN: 1932-6203
Official Date: 25 March 2014
Dates:
DateEvent
25 March 2014Published
18 February 2014Accepted
6 January 2014Submitted
Volume: Volume 9
Number: Number 3
Number of Pages: 9
Page Range: pp. 1-9
Article Number: Article number e92158
DOI: 10.1371/journal.pone.0092158
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 28 December 2015
Date of first compliant Open Access: 28 December 2015
Funder: National Institute for Health Research (Great Britain) (NIHR)
Grant number: PDA/02/06/085 (NIHR)

Request changes or add full text files to a record

Repository staff actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics

twitter

Email us: wrap@warwick.ac.uk
Contact Details
About Us