Evening regular activity breaks extend subsequent free-living sleep time in healthy adults: a randomised crossover trial.

ABSTRACT

Objective: To determine if performing regular 3-min bouts of resistance exercise spread over 4 hours in an evening will impact subsequent sleep quantity and quality, sedentary time and physical activity compared with prolonged uninterrupted sitting. Methods: In this randomised crossover trial, participants each completed two 4-hour interventions commencing at approximately 1700 hours (1) prolonged sitting and (2) sitting interrupted with 3 min of bodyweight resistance exercise activity breaks every 30 min. On completion, participants returned to a free-living setting. This paper reports secondary outcomes relating to sleep quality and quantity, physical activity and sedentary time which were assessed using wrist-worn ActiGraph GT3+ accelerometers paired with a sleep and wear time diary. Results: A total of 28 participants (women, n=20), age 25.6±5.6 years, body mass index 29.5±6.7 kg/m2 (mean±SD) provided data for this analysis. Compared with prolonged sitting, regular activity breaks increased mean sleep period time and time spent asleep by 29.3 min (95% CI 1.3 to 57.2, p=0.040) and 27.7 min (95% CI 2.3 to 52.4, p=0.033), respectively, on the night of the intervention. There was no significant effect on mean sleep efficiency (mean 0.2%, 95% CI -2.0 to 2.4, p=0.857), wake after sleep onset (1.0 min, 95% CI -9.6 to 11.7, p=0.849) and number of awakenings (0.8, 95% CI -1.8 to 3.3, p=0.550). Subsequent 24-hour and 48-hour physical activity patterns were not significantly different. Conclusions: Performing bodyweight resistance exercise activity breaks in the evening has the potential to improve sleep period and total sleep time and does not disrupt other aspects of sleep quality or subsequent 24-hour physical activity. Future research should explore the longer-term impact of evening activity breaks on sleep. Trial registration number Australian New Zealand Clinical Trials Registry (ACTRN12621000250831).