Relationship of subjective and objective sleep measures with physical performance in advanced-stage lung cancer patients

Abstract Advanced lung cancer patients suffer from deteriorated physical function, which negatively impacts physical and psychological health. As little is known about sleep and physical function in this population, this study aimed to examine the association between subjective and objective sleep p...

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Autores principales: Naomi Takemura, Denise Shuk Ting Cheung, Daniel Yee Tak Fong, Anne Wing Mui Lee, Tai-Chung Lam, James Chung-Man Ho, Tsz Yeung Kam, Jeannie Yin Kwan Chik, Chia-Chin Lin
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/3cc3c7bdc6874a62a83114bbbb002932
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spelling oai:doaj.org-article:3cc3c7bdc6874a62a83114bbbb0029322021-12-02T19:02:37ZRelationship of subjective and objective sleep measures with physical performance in advanced-stage lung cancer patients10.1038/s41598-021-96481-72045-2322https://doaj.org/article/3cc3c7bdc6874a62a83114bbbb0029322021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96481-7https://doaj.org/toc/2045-2322Abstract Advanced lung cancer patients suffer from deteriorated physical function, which negatively impacts physical and psychological health. As little is known about sleep and physical function in this population, this study aimed to examine the association between subjective and objective sleep parameters and physical function among them. 164 advanced lung cancer patients were included. Objective sleep was measured by actigraphy (measured on non-dominant wrist for 72 h), and subjective sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI). Performance-based physical function was measured by Timed Up and Go Test (TUGT), 6-Minute Walk Test (6MWT), Sit-to-Stand Test, and One-leg Standing Test. Univariable and multivariable regression analyses were employed to examine the association between sleep and physical function. Total sleep time (TST) was significantly associated with the 6MWT (β = 0.259; 95% CI 0.120, 0.398; P < 0.001), TUGT (β = − 0.012; 95% CI = − 0.017, − 0.008; P < 0.001) and Sit-to-Stand Test (β = 0.027; 95% CI = 0.018, 0.035; P < 0.001) after adjustment for multiple covariates. PSQI global score was only significantly associated with TUGT (β = 0.140; 95% CI = 0.000, 0.280; P = 0.050) after adjustment for multiple covariates. Shorter sleep duration significantly predicted poorer physical performance in advanced lung cancer patients, and more attention is required for those with less than 4.3 h of sleep on average. Trial registration: ClinicalTrials.gov, NCT03482323. Registered 29 March 2018, https://clinicaltrials.gov/ct2/show/NCT03482323 ; ClinicalTrials.gov, NCT04119778. Registered 8 October 2019, https://clinicaltrials.gov/ct2/show/NCT04119778 .Naomi TakemuraDenise Shuk Ting CheungDaniel Yee Tak FongAnne Wing Mui LeeTai-Chung LamJames Chung-Man HoTsz Yeung KamJeannie Yin Kwan ChikChia-Chin LinNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Naomi Takemura
Denise Shuk Ting Cheung
Daniel Yee Tak Fong
Anne Wing Mui Lee
Tai-Chung Lam
James Chung-Man Ho
Tsz Yeung Kam
Jeannie Yin Kwan Chik
Chia-Chin Lin
Relationship of subjective and objective sleep measures with physical performance in advanced-stage lung cancer patients
description Abstract Advanced lung cancer patients suffer from deteriorated physical function, which negatively impacts physical and psychological health. As little is known about sleep and physical function in this population, this study aimed to examine the association between subjective and objective sleep parameters and physical function among them. 164 advanced lung cancer patients were included. Objective sleep was measured by actigraphy (measured on non-dominant wrist for 72 h), and subjective sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI). Performance-based physical function was measured by Timed Up and Go Test (TUGT), 6-Minute Walk Test (6MWT), Sit-to-Stand Test, and One-leg Standing Test. Univariable and multivariable regression analyses were employed to examine the association between sleep and physical function. Total sleep time (TST) was significantly associated with the 6MWT (β = 0.259; 95% CI 0.120, 0.398; P < 0.001), TUGT (β = − 0.012; 95% CI = − 0.017, − 0.008; P < 0.001) and Sit-to-Stand Test (β = 0.027; 95% CI = 0.018, 0.035; P < 0.001) after adjustment for multiple covariates. PSQI global score was only significantly associated with TUGT (β = 0.140; 95% CI = 0.000, 0.280; P = 0.050) after adjustment for multiple covariates. Shorter sleep duration significantly predicted poorer physical performance in advanced lung cancer patients, and more attention is required for those with less than 4.3 h of sleep on average. Trial registration: ClinicalTrials.gov, NCT03482323. Registered 29 March 2018, https://clinicaltrials.gov/ct2/show/NCT03482323 ; ClinicalTrials.gov, NCT04119778. Registered 8 October 2019, https://clinicaltrials.gov/ct2/show/NCT04119778 .
format article
author Naomi Takemura
Denise Shuk Ting Cheung
Daniel Yee Tak Fong
Anne Wing Mui Lee
Tai-Chung Lam
James Chung-Man Ho
Tsz Yeung Kam
Jeannie Yin Kwan Chik
Chia-Chin Lin
author_facet Naomi Takemura
Denise Shuk Ting Cheung
Daniel Yee Tak Fong
Anne Wing Mui Lee
Tai-Chung Lam
James Chung-Man Ho
Tsz Yeung Kam
Jeannie Yin Kwan Chik
Chia-Chin Lin
author_sort Naomi Takemura
title Relationship of subjective and objective sleep measures with physical performance in advanced-stage lung cancer patients
title_short Relationship of subjective and objective sleep measures with physical performance in advanced-stage lung cancer patients
title_full Relationship of subjective and objective sleep measures with physical performance in advanced-stage lung cancer patients
title_fullStr Relationship of subjective and objective sleep measures with physical performance in advanced-stage lung cancer patients
title_full_unstemmed Relationship of subjective and objective sleep measures with physical performance in advanced-stage lung cancer patients
title_sort relationship of subjective and objective sleep measures with physical performance in advanced-stage lung cancer patients
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/3cc3c7bdc6874a62a83114bbbb002932
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