Relationships of Sleep Duration, Midpoint, and Variability with Physical Activity in the HCHS/SOL Sueño Ancillary Study

Kimberly L. Savin, Sanjay R. Patel, Taylor L. Clark, Julia I. Bravin, Scott C. Roesch, Daniela Sotres-Alvarez, Yasmin Mossavar-Rahmani, Kelly R. Evenson, Martha Daviglus, Alberto R. Ramos, Phyllis C. Zee, Marc D. Gellman, Linda C. Gallo

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Objective/Background: Short and long sleep duration, later sleep midpoint, and greater intra-individual sleep variability are associated with lower physical activity, but previous research lacks objective and concurrent assessment of sleep and physical activity. This cross-sectional study examined whether sleep duration, midpoint, and variability in duration and midpoint were related to wrist actigraphy-measured physical activity. Participants: Participants were 2156 Hispanics/Latinos in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sueño Ancillary Study. Methods: Participants wore Actiwatch devices to measure sleep and physical activity via the wrist for ≥5 days. Physical activity was defined as minutes/day in the upper quartile of the sampling distribution’s non-sleep activity, capturing light to vigorous physical activity. Results: An inverse linear relationship between sleep duration and physical activity was found such that each additional sleep hour related to 29 fewer minutes of physical activity (B = −28.7, SE = 3.8), p <.01). Variability in sleep midpoint was also associated with physical activity; with each 1-hr increase in variability there were 24 more minutes of physical activity (B = 24.2, SE = 5.6, p <.01). In contrast, sleep midpoint and variability in duration were not associated with physical activity. Sensitivity analyses identified an association of short sleep duration and greater variability in sleep duration with greater accelerometry-derived moderate-to-vigorous physical activity measured at the HCHS/SOL baseline (M = 2.1 years before the sleep assessment). Conclusions: Findings help clarify inconsistent prior research associating short sleep duration and sleep variability with greater health risks but also contribute novel information with simultaneous objective assessments.

Original languageEnglish (US)
Pages (from-to)577-588
Number of pages12
JournalBehavioral Sleep Medicine
Issue number5
StatePublished - 2021

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Medicine (miscellaneous)
  • Psychology (miscellaneous)
  • Clinical Neurology


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