Factors associated with the fragmentation and stability of the rest-activity rhythm in adults and older adults

ABSTRACT

This cross-sectional study aimed to identify factors related to the fragmentation and stability of the rest-activity rhythm (RAR) in adults and older adults. It is part of a larger research project investigating aspects concerning sleep duration, quality, and disorders in a representative subsample of the population. Sociodemographic data, lifestyle, health habits and subjective sleep variables were obtained; RAR records were collected by means of actigraphy and analyzed using non-parametric variables (IS, IV, M10, L5, RA, sL5, and sM10). Study participants were 313 individuals with complete actigraphy records. There was a prevalence of older adults (50.2%) and females (51.1%). Females, individuals with 4–8 y of education, and those who used alcohol abusively exhibited lower RAR fragmentation. Higher fragmentation was observed in individuals who napped and those reporting poor sleep quality. Greater rhythm stability was evident in females, older adults, those with 4–8 y of education, and those who had a partner. Smokers demonstrated lower RAR stability. These findings may contribute valuable insights for decision-making aimed at preventing and treating issues related to fragmentation and instability of the rhythm and its possible consequences to health.

KEYWORDS:

• Actigraphy
• rest-activity rhythm
• sleep
• fragmentation
• stability
• population health

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This study was funded by the State of São Paulo Research Assistance Foundation [FAPESP; grant number: 2012/23324-3 and 2013/19338-1], the Campinas Municipal Secretary of Health and the Health Surveillance Secretary of the Brazilian Health Ministry.