Download PDF
CC BY-NC-ND 4.0 · Sleep Sci 2023; 16(02): 131-138
DOI: 10.1055/s-0043-1770800
Original Article

Association between Objective and Subjective Sleep Parameters with Postural Control Responses among Brazilian Schoolteachers

Daiane Soares de Almeida Ciquinato 
1   Health Science Department, Doctoral and Master's Programs in Rehabilitation Sciences at UEL/UNOPAR, Pitagoras University-UNOPAR, Londrina, Parana, Brazil
,
Luciana Lozza de Moraes Marchiori 
1   Health Science Department, Doctoral and Master's Programs in Rehabilitation Sciences at UEL/UNOPAR, Pitagoras University-UNOPAR, Londrina, Parana, Brazil
2   Health Department, Interdisciplinary Laboratory for Intervention in Health Promotion, Cesumar University (Unicesumar), Maringa, Parana, Brazil
,
Jessica Aparecida Bazoni 
1   Health Science Department, Doctoral and Master's Programs in Rehabilitation Sciences at UEL/UNOPAR, Pitagoras University-UNOPAR, Londrina, Parana, Brazil
,
Arthur Eumann Mesas 
3   Public Health Department, Postgraduated Program in Public Health, State University of Londrina (UEL), Londrina, Parana, Brazil
,
Rubens Alexandre da Silva 
1   Health Science Department, Doctoral and Master's Programs in Rehabilitation Sciences at UEL/UNOPAR, Pitagoras University-UNOPAR, Londrina, Parana, Brazil
4   Department of Health Sciences, Centre intersectoriel en santé durable, Laboratoire de recherche BioNR, Université du Québec à Chicoutimi (UQAC), Cupht, Saguenay, Québec, Canada
5   Specialized Geriatric Services, Hôpital de La Baie, Research Centre on Health, CIUSSS du Saguenay-Lac-Saint-Jean, Chicoutimi, Quebec, Canada
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Objective To investigate the impact of sleep quality on postural control in teachers.

Methods Cross-sectional study with 41 schoolteachers (mean age 45.7 ± 10.4 years). Sleep quality was assessed in two ways: objectively (through actigraphy), and subjectively (through the Pittsburgh Sleep Quality Index). Postural control was assessed in an upright posture during 3 trials of 30s (bipedal and semitandem stances in rigid and foam surfaces with eyes open) with a period of rest across trials, on a force platform, based in the center of pressure measurements in the anteroposterior and mediolateral directions.

Results The prevalence of poor sleep quality in this study sample was 53.7% (n = 22). No differences were found between Poor and Good sleep in the posturographic parameters (p > 0.05). Although, there was moderate correlation between postural control in the semitandem stance and subjective sleep efficiency for center of pressure area (rs = -0.424; p = 0.006) and amplitude in anteroposterior direction (rs = -0.386; p = 0.013).

Discussion There is correlation between poor sleep quality and postural control in schoolteachers, as sleep efficiency decreases, postural sway increases. Poor sleep quality and postural control were investigated in other populations, but not in teachers. Several factors such as work overload, insufficient time for physical activities, among others, can contribute to a worse perception of sleep quality, as well as deterioration in postural control. Further studies with larger populations are needed to confirm these findings.

Keywords

postural balance - sleep - school teachers


Publication History

Article published online:
06 July 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • References

  • 1 da Silva LG, da Silva MC. Working and health conditions of preschool teachers of the public school network of Pelotas, State of Rio Grande do Sul, Brazil. Cienc Saude Colet. 2013; 18 (11) 3137-46 . doi:
    CrossrefPubMedSearch in Google Scholar
  • 2 Cardoso JP, Araújo TM, Carvalho FM, Oliveira NF, Reis EJFB. [Psychosocial work-related factors and musculoskeletal pain among schoolteachers]. Cad Saude Publica 2011; 27 (08) 1498-1506
    CrossrefSearch in Google Scholar
  • 3 de Ceballos AG, Santos GB. Factors associated with musculoskeletal pain among teachers: sociodemographics aspects, general health and well-being at work. Rev Bras Epidemiol 2015; 18 (03) 702-715
    CrossrefPubMedSearch in Google Scholar
  • 4 Hori D, Sasahara S, Oi Y. et al. Relationships between insomnia, long working hours, and long commuting time among public school teachers in Japan: a nationwide cross-sectional diary study. Sleep Med 2020; 75: 62-72
    CrossrefPubMedSearch in Google Scholar
  • 5 Pereira C, Almeida C, Veiga N, Amaral O. Prevalence and determinants of insomnia symptoms among schoolteachers. Aten Primaria 2014; 46 (Suppl 5, Suppl 5) 118-122
    CrossrefPubMedSearch in Google Scholar
  • 6 Fujishiro K, Farley AN, Kellemen M, Swoboda CM. Exploring associations between state education initiatives and teachers' sleep: A social-ecological approach. Soc Sci Med 2017; 191: 151-159
    CrossrefPubMedSearch in Google Scholar
  • 7 National Center for Chronic Disease Prevention and Health Promotion. . Sleep and sleep disorders. 2017. Available from: https://www.cdc.gov/sleep/about_us.html
  • 8 Castro LS, Poyares D, Leger D, Bittencourt L, Tufik S. Objective prevalence of insomnia in the São Paulo, Brazil epidemiologic sleep study. Ann Neurol 2013; 74 (04) 537-546
    CrossrefPubMedSearch in Google Scholar
  • 9 Zanuto EAC, de Lima MC, de Araújo RG. et al. Sleep disturbances in adults in a city of Sao Paulo state. Rev Bras Epidemiol 2015; 18 (01) 42-53
    CrossrefPubMedSearch in Google Scholar
  • 10 de Souza SCS, Campanini MZ, de Andrade SM, González AD, de Melo JM, Mesas AE. Watching television for more than two hours increases the likelihood of reporting poor sleep quality among Brazilian schoolteachers. Physiol Behav 2017; 179: 105-109
    CrossrefPubMedSearch in Google Scholar
  • 11 Furtado F, Gonçalves BD, Abranches IL, Abrantes AF, Forner-Cordero A. Chronic low-quality sleep impairs postural control in healthy adults. PLoS One 2016; 11 (10) e0163310
    CrossrefPubMedSearch in Google Scholar
  • 12 Montesinos L, Castaldo R, Cappuccio FP, Pecchia L. Day-to-day variations in sleep quality affect standing balance in healthy adults. Sci Rep 2018; 8 (01) 17504
    CrossrefPubMedSearch in Google Scholar
  • 13 Gribble PA, Hertel J. Effect of hip and ankle muscle fatigue on unipedal postural control. J Electromyogr Kinesiol 2004; 14 (06) 641-646
    CrossrefPubMedSearch in Google Scholar
  • 14 Hita-Contreras F, Zagalaz-Anula N, Martínez-Amat A. et al. Sleep quality and its association with postural stability and fear of falling among Spanish postmenopausal women. Menopause 2018; 25 (01) 62-69
    CrossrefPubMedSearch in Google Scholar
  • 15 Cheng S, Ma J, Sun J. et al. Differences in sensory reweighting due to loss of visual and proprioceptive cues in postural stability support among sleep-deprived cadet pilots. Gait Posture 2018; 63: 97-103
    CrossrefPubMedSearch in Google Scholar
  • 16 Fernández-Huerta L, Aravena-Arriagada J, Bernales-Montero M, Córdova-León K. Relationship between sleep quality and postural balance in community-dwelling older persons: studio transversal. Medwave 2019; 19 (05) e7651
    CrossrefPubMedSearch in Google Scholar
  • 17 Brazil. Constitutional Amendment No. 103. Alters the social security system and establishes transitional rules and transitional provisions. Federal Official Gazette 13 nov 2019 [acessed in 11 jun 2020]. Available from: http://www.in.gov.br/en/web/dou/-/emenda-constitucional-n-103-227649622
  • 18 Birolim MM, Mesas AE, González AD, Santos HG, Haddad MCFL, Andrade SM. Trabalho de alta exigência entre professores: associações com fatores ocupacionais conforme o apoio social. Cienc Saude Colet. 2019; 24 (04) 1255-64
    CrossrefPubMedSearch in Google Scholar
  • 19 Miller MH. . A integração dos achados audiológicos. In: Katz J, editor. Tratado de audiologia clínica, 3 ed. São Paulo: Manole; 1999. p. 268–70.
  • 20 Castro ASO, Gazzola JM, Natour J, Ganança FF. [Brazilian version of the dizziness handicap inventory]. Pro Fono 2007; 19 (01) 97-104
    CrossrefPubMedSearch in Google Scholar
  • 21 Jacobson GP, Newman CW, Hunter L, Balzer GK. Balance function test correlates of the Dizziness Handicap Inventory. J Am Acad Audiol 1991; 2 (04) 253-260
    PubMedSearch in Google Scholar
  • 22 Matsudo S, Araujo T, Matsudo V. , et al. International Physical Activity Questionnaire: study of validity and reliability in Brazil. Rev bras ativ fis saude. 2001;6:5–18. Available from: https://rbafs.org.br/RBAFS/article/view/931
  • 23 IPAQ Research Committee. . Guidelines for data processing and analysis of the international physical activity questionnaire (IPAQ): Short and Long Forms. 2005.
  • 24 Campanini MZ, Lopez-Garcia E, Rodríguez-Artalejo F, González AD, Andrade SM, Mesas AE. Agreement between sleep diary and actigraphy in a highly educated Brazilian population. Sleep Med 2017; 35: 27-34
    CrossrefPubMedSearch in Google Scholar
  • 25 Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28 (02) 193-213
    Search in Google Scholar
  • 26 Bertolazi AN, Fagondes SC, Hoff LS. et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index. Sleep Med 2011; 12 (01) 70-75
    CrossrefPubMedSearch in Google Scholar
  • 27 Landry GJ, Best JR, Liu-Ambrose T. Measuring sleep quality in older adults: a comparison using subjective and objective methods. Front Aging Neurosci 2015; 7: 166
    CrossrefPubMedSearch in Google Scholar
  • 28 Mollayeva T, Thurairajah P, Burton K, Mollayeva S, Shapiro CM, Colantonio A. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: A systematic review and meta-analysis. Sleep Med Rev 2016; 25: 52-73
    Search in Google Scholar
  • 29 Buysse DJ. . Pittsburgh Sleep Quality Index. Form administration instructions, references and scoring [Internet]. 2005. Available at: https://www.sleep.pitt.edu/instruments/
  • 30 da Silva RA, Vieira ER, Carvalho CE, Oliveira MR, Amorim CF, Neto EN. Age-related differences on low back pain and postural control during one-leg stance: a case-control study. Eur Spine J 2016; 25 (04) 1251-1257
    CrossrefPubMedSearch in Google Scholar
  • 31 da Silva RA, Bilodeau M, Parreira RB, Teixeira DC, Amorim CF. Age-related differences in time-limit performance and force platform-based balance measures during one-leg stance. J Electromyogr Kinesiol 2013; 23 (03) 634-639
    CrossrefPubMedSearch in Google Scholar
  • 32 Paillard T, Noé F. Techniques and methods for testing the postural function in healthy and pathological subjects. BioMed Res Int 2015; 2015: 891390
    CrossrefPubMedSearch in Google Scholar
  • 33 de Oliveira MR, da Silva RA, Dascal JB, Teixeira DC. Effect of different types of exercise on postural balance in elderly women: a randomized controlled trial. Arch Gerontol Geriatr 2014; 59 (03) 506-514
    CrossrefPubMedSearch in Google Scholar
  • 34 Gil AWO, da Silva RA, de Oliveira MR, Carvalho CE, Oliveira DAAP. Comparison of postural control in five tasks of balance and relation of risk of falls between older and young adult women. Fisioter Pesqui 2017; 24 (02) 120-126
    CrossrefSearch in Google Scholar
  • 35 Oliveira MR, Vieira ER, Gil AWO. et al. One-legged stance sway of older adults with and without falls. PLoS One 2018; 13 (09) e0203887
    CrossrefPubMedSearch in Google Scholar
  • 36 Portney LG, Watkins MP. . Foundations of clinical research applications to practice. 2 nd ed. New Jersey: Upper Saddle River; 2000:61–77
  • 37 Patel M, Gomez S, Berg S. et al. Effects of 24-h and 36-h sleep deprivation on human postural control and adaptation. Exp Brain Res 2008; 185 (02) 165-173
    CrossrefPubMedSearch in Google Scholar
  • 38 Gomez S, Patel M, Berg S, Magnusson M, Johansson R, Fransson PA. Effects of proprioceptive vibratory stimulation on body movement at 24 and 36h of sleep deprivation. Clin Neurophysiol 2008; 119 (03) 617-625
    CrossrefPubMedSearch in Google Scholar
  • 39 Vaara JP, Oksanen H, Kyröläinen H, Virmavirta M, Koski H, Finni T. 60-Hour Sleep Deprivation Affects Submaximal but Not Maximal Physical Performance. Front Physiol 2018; 9: 1437
    CrossrefPubMedSearch in Google Scholar
  • 40 Robillard R, Prince F, Boissonneault M, Filipini D, Carrier J. Effects of increased homeostatic sleep pressure on postural control and their modulation by attentional resources. Clin Neurophysiol 2011; 122 (09) 1771-1778
    CrossrefPubMedSearch in Google Scholar
  • 41 Robillard R, Prince F, Filipini D, Carrier J. Aging worsens the effects of sleep deprivation on postural control. PLoS One 2011; 6 (12) e28731
    CrossrefPubMedSearch in Google Scholar
  • 42 Vedovato TG, Monteiro I. Health conditions and factors related to the work ability of teachers. Ind Health 2014; 52 (02) 121-128
    CrossrefPubMedSearch in Google Scholar