Document Type : Research Paper
Authors
1 Tabriz University of Medical Sciences, Department of Physiology, Tabriz, East Azerbaijan, Iran
2 Exercise Physiology (PhD)TUM School of Medicine and Health, Technical University of Munich, Germany
3 Department of Physiotherapy, Ardabil University of Medical Sciences, Ardabil, Iran
4 Professor of Faculty of Sport Sciences and Physical Education, University of Coimbra, Portugal
Abstract
Purpose: This study aimed to compare respiratory parameters and sleep quality between physically active and inactive young adult males, while exploring correlations between these domains. Method: In a semi-experimental design, 15 active males (aged 20–23 years; ≥8 hours/week moderate-to-vigorous activity; >2 years sports experience) and 15 inactive males (≤3 hours/week activity; no sports experience) were recruited. Anthropometric measures (height, weight, BMI, body fat percentage, heart rate) were assessed. Pulmonary function—including forced vital capacity (FVC), vital capacity (VC), maximum voluntary ventilation (MVV), forced expiratory volume in one second (FEV1), percentage predicted FEV1 (%FEV1), and maximum expiratory flows at 25% and 75% of FVC (MEF25%, MEF75%)—was evaluated via spirometry (Fukuda ST-95) per American Thoracic Society guidelines. Sleep quality was quantified using the Pittsburgh Sleep Quality Index (PSQI). Independent t-tests compared groups; Pearson correlations and multiple linear regressions examined associations (α = 0.05).
Results: Active participants displayed superior respiratory metrics (p < 0.05): higher FVC (p = 0.023), VC (p = 0.002), MVV (p = 0.001), FEV1 (p = 0.001), %FEV1 (p = 0.001), MEF25% (p = 0.026), and MEF75% (p = 0.042). PSQI scores were significantly lower (better) in the active group (4.13 ± 1.18) versus inactive (6.53 ± 2.50; p = 0.002). No baseline differences emerged in age, height, weight, heart rate, fat percentage, or BMI (p > 0.05). In the active group, each 1-unit increase in FEV1, MVV, VC, FVC, and MEF75% was associated with corresponding reductions in sleep quality scores of 0.217, 0.127, 0.370, 0.386, and 0.194 units, respectively (all p > 0.05). Regressions and correlations between respiratory indices and sleep quality were non-significant in both groups. Conclusion: Regular physical activity enhances sleep quality and respiratory function in young males, though direct mechanistic links were not evident in this cohort. These findings advocate exercise as a non-pharmacological strategy for addressing sleep and pulmonary health, warranting larger, diverse studies to elucidate interactions.
Keywords
Main Subjects
American Academy of Sleep Medicine. (2014). International classification of sleep disorders (3rd ed.).
Irwin, M. R. (2019). Sleep and inflammation: Partners in sickness and in health. Nature Reviews Immunology, 19(11), 702–715. https://doi.org/10.1038/s41577-019-0190-5.
Besedovsky, L., Lange, T., & Born, J. (2019). Sleep and immune function. Pflügers Archiv: European Journal of Physiology, 471(1), 125–143. https://doi.org/10.1007/s00424-019-02263-1
Phillips, B. F., O'Driscoll, D. M., & Naughton, M. T. (2017). The effect of total sleep deprivation on respiratory parameters in patients with chronic obstructive pulmonary disease. Journal of Clinical Sleep Medicine, 13(10), 1189–1196.
https://doi.org/10.5664/jcsm.6764
Kent, B. D., Mitchell, P. D., & McNicholas, W. T. (2018). Sleep and respiratory disorders in COPD: A bidirectional relationship.
Chest, 154(4), 870–879.
https://doi.org/10.1016/j.chest.2018.05.021
Ryrso, C. K., Godtfredsen, N. S., & Lange, P. (2021). Effects of sleep deprivation on pulmonary function in healthy adults: A systematic review. Sleep Medicine Reviews, 55, 101385. https://doi.org/10.1016/j.smrv.2020.101385
Dempsey, J. A., & Wagner, P. D. (2022). Exercise and the lung: Mechanisms of adaptation. Journal of Applied Physiology,
132(3), 567–578.
https://doi.org/10.1152/japplphysiol.00789.2021
Theodore, S., & Kuna, S. T. (2020). Sleep disturbances and clinical outcomes in COPD: A prospective cohort study. American Journal of Respiratory and Critical Care Medicine, 201(8), A4523. https://doi.org/10.1164/rccm.202003-0523OC
McSharry, D. G., Saboisky, J. P., & Eckert, D. J. (2019). Physiological mechanisms of upper airway collapsibility in obstructive sleep apnea. Sleep Medicine Clinics, 14(1), 1–12.
https://doi.org/10.1016/j.jsmc.2018.10.001
Javaheri, S., & Redline, S. (2022). Sleep and cardiovascular disease:
An overview. Chest, 161(3), 837–848. https://doi.org/10.1016/j.chest.2021.10.015
Buman, M. P., & Kline, C. E. (2023). Sleep and physical activity:
Bidirectional influences on health outcomes. Exercise and Sport
Sciences Reviews, 51(2), 45–53. https://doi.org/10.1249/JES.0000000000000031
Reynolds HY. Respiratory structure and function: mechanisms and testing. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, PA: Saunders Elsevier; 2011: Chap 85.
Bastacky, J., & Goerke, J. (2003). Pores of Kohn and alveoli: Are they the same? Journal of Applied Physiology, 95(3), 1243–1244.
https://doi.org/10.1152/japplphysiol.00303.2003
Besedovsky, L., Lange, T., & Born, J. (2019). Sleep and immune function. Pflügers Archiv: European Journal of Physiology,
471(1), 125–143. https://doi.org/10.1007/s00424-019-02263-1
Jokar, P., Behpoor, N., Fasihi, L., Fasihi, A., & Ebrahimi Torkamani, B. (2021). The Effect of a Twelve-week Endurance Swimming Training on Structural and Functional Features of Heart in Inactive Male Adolescents. Scientific Journal of Rehabilitation Medicine, 10(4), 756–767.
Brand, S., Gerber, M., Beck, J., Hatzinger, M., Puehse, U., & Holsboer-Trachsler, E. (2010). High exercise levels are related to favorable sleep patterns and psychological functioning in adolescents: A comparison of athletes and controls. Journal of
Adolescent Health, 46(2), 133–141.
https://doi.org/10.1016/j.jadohealth.2009.06.018
Breslin, E., van der Schans, C., Breeman, L., & Locantore, J. (2013). Perception of fatigue by patients and healthcare providers in chronic obstructive pulmonary disease. Heart & Lung, 42(4), 277–283. https://doi.org/10.1016/j.hrtlng.2013.02.001
Chen, L. J., Fox, A. M., & Miller, D. J. (2012). Nighttime light exposure and sleep duration: A systematic review. Sleep
Medicine, 13(6), 671–677.
https://doi.org/10.1016/j.sleep.2012.01.005
Dempsey, J. A., & Wagner, P. D. (2022). Exercise and the lung: Mechanisms of adaptation. Journal of Applied Physiology,
132(3), 567–578.
https://doi.org/10.1152/japplphysiol.00789.2021
Driver, H. S., & Taylor, S. R. (2000). Exercise and sleep. Sleep
Medicine Reviews, 4(4), 387–402.
https://doi.org/10.1053/smrv.2000.0110
Eckert, D. J., White, D. P., Jordan, A. S., Malhotra, A., & Wellman, A. (2018). Defining phenotypic causes of obstructive sleep apnea: Hypoarousal versus collapsibility. American Journal of Respiratory and Critical Care Medicine, 197(6), 745–753.
https://doi.org/10.1164/rccm.201707-1343OC
Gerber, M., Brand, S., Holsboer-Trachsler, E., & Pühse, U. (2014). Fitness and exercise as correlates of sleep complaints: Is it all in our minds? Medicine & Science in Sports & Exercise, 46(4), 799–
- https://doi.org/10.1249/MSS.0000000000000151
Javaheri, S., & Redline, S. (2022). Sleep and cardiovascular disease:
An overview. Chest, 161(3), 837–848.
https://doi.org/10.1016/j.chest.2021.10.015
Kent, B. D., Mitchell, P. D., & McNicholas, W. T. (2018). Sleep and respiratory disorders in COPD: A bidirectional relationship.
Chest, 154(4), 870–879.
https://doi.org/10.1016/j.chest.2018.05.021
Kovacevic, A., Mavros, Y., Heisz, J. J., & Fiatarone Singh, M. A. (2018). The effect of resistance exercise on sleep: A systematic review of randomized controlled trials. Sleep Medicine Reviews, 39, 52–68. https://doi.org/10.1016/j.smrv.2017.07.004
Kredlow, M. A., Capozzoli, M. C., Hearon, B. A., Calkins, A. W., & Otto, M. W. (2015). The effects of physical activity on sleep: A meta-analytic review. Journal of Clinical Psychiatry, 76(6), 859–
Murphy, P. J., & Campbell, S. S. (1997). Nighttime drop in body temperature: A physiological trigger for sleep onset? Sleep,
20(7), 505–511. https://doi.org/10.1093/sleep/20.7.505
Obal, F., Jr., & Krueger, J. M. (2003). Biochemical regulation of nonrapid-eye-movement sleep. Frontiers in Bioscience, 8(1), d520– d550. https://doi.org/10.2741/1005
Pillar, G., Malhotra, A., Lavie, P., & White, D. P. (2000). Nocturnal hemodynamics in women with obstructive sleep apnea. American Journal of Respiratory and Critical Care Medicine, 162(4 Pt 1), 1217–1221. https://doi.org/10.1164/ajrccm.162.4.9911072 Ram, F. S., Robinson, S. M., Ward, R., & Dawes, M. L. (2002).
Exercise training for adults with asthma. Cochrane Database of
Systematic Reviews, (4), CD001116.
https://doi.org/10.1002/14651858.CD001116
Ryrso, C. K., Godtfredsen, N. S., & Lange, P. (2021). Effects of sleep deprivation on pulmonary function in healthy adults: A systematic review. Sleep Medicine Reviews, 55, 101385. https://doi.org/10.1016/j.smrv.2020.101385
Saguil, A., Kane, S. F., & Farnell, J. (2011). Exercise-induced bronchoconstriction and exercise-associated respiratory symptoms in the general population. Journal of the American
Board of Family Medicine, 24(5), 582–591.
https://doi.org/10.3122/jabfm.2011.05.100299
Stenmark, K. R., Fagan, K. A., & Frid, M. G. (2013). Hypoxiainduced pulmonary vascular remodeling: Cellular and molecular mechanisms. Circulation Research, 99(7), 675–691. https://doi.org/10.1161/01.RES.0000243584.45145.3f
Theodore, S., & Kuna, S. T. (2020). Sleep disturbances and clinical outcomes in COPD: A prospective cohort study. American Journal of Respiratory and Critical Care Medicine, 201(8), A4523. https://doi.org/10.1164/rccm.202003-0523OC
Turner, D. L., & Jones, M. D. (2014). Repeated-sprint training in hypoxia in international rugby union players. International Journal of Sports Physiology and Performance, 9(5), 792–799. https://doi.org/10.1123/ijspp.2013-0300