Table 3.
Independent and joint associations of diurnal patterns of physical activity and sleep with all-cause mortality
Case/N | Model 1 | Model 2 | Model 3 | |
---|---|---|---|---|
Physical activity | ||||
Early-morning | 242/2159 | 1.30 (1.06–1.59) | 1.33 (1.11–1.60) | 1.36 (1.13–1.64) |
Late-afternoon | 112/1677 | 1.44 (0.97–2.15) | 1.19 (0.84–1.69) | 1.21 (0.85–1.71) |
Midday | 235/2837 | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) |
Sleep | ||||
Irregular sleep | 292/2493 | 1.78 (1.36–2.33) | 1.44 (1.09–1.90) | 1.42 (1.01–1.99) |
Morning lark | 193/2245 | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) |
Night owl | 104/1935 | 1.06 (0.68–1.65) | 1.01 (0.64–1.58) | 1.02 (0.65–1.60) |
Joint pattern of physical activity and sleep | ||||
Early-morning & Morning lark | 109/1146 | 1.04 (0.77–1.40) | 1.09 (0.80–1.47) | 1.11 (0.82–1.51) |
Early-morning & Night owl | 13/246 | 1.11 (0.46–2.71) | 1.17 (0.47–2.92) | 1.24 (0.49–3.10) |
Early-morning & Irregular sleep | 120/767 | 2.32 (1.65–3.25) | 1.91 (1.37–2.67) | 1.92 (1.33–2.78) |
Late-afternoon & Morning lark | 3/59 | 2.75 (0.93–8.16) | 2.31 (0.83–6.41) | 2.50 (0.91–6.86) |
Late-afternoon & Night owl | 31/750 | 1.25 (0.75–2.09) | 0.97 (0.56–1.68) | 1.00 (0.58–1.74) |
Late-afternoon & Irregular sleep | 78/868 | 2.29 (1.43–3.65) | 1.57 (0.98–2.53) | 1.56 (0.94–2.58) |
Midday & Morning lark | 81/1040 | 1.00 (Reference) | 1.00 (Reference) | 1.00 (Reference) |
Midday & Night owl | 60/939 | 1.02 (0.63–1.66) | 0.98 (0.58–1.63) | 0.99 (0.59–1.65) |
Midday & Irregular sleep | 94/858 | 1.38 (0.94–2.02) | 1.14 (0.75–1.73) | 1.13 (0.74–1.71) |
Model 1: adjusted for age and sex
Model 2: additionally adjusted for ethnicity, educational level, marital status, family income, body mass index, alcohol intake, smoking status, alternative healthy eating index, diabetes, cardiovascular disease, cancer, hypertension, and hyperlipidaemia based on model 1
Model 3: additionally adjusted for accelerometer-measured physical activity volume and sleep duration per day based on model 2