Sedentary behavior is associated with poor sleep quality during the covid-19 pandemic, and physical activity mitigates its adverse effects

Background: We aimed to evaluate the association of sedentary behavior (SB) and moderate to vigorous leisure-time physical activity (MVPA) with sleep quality during the covid-19 pandemic. Methods Cross-sectional, population-based study in adults, conducted from October to December 2020 in the Iron Quadrangle region, Brazil. The outcome was sleep quality, evaluated with the Pittsburgh Sleep Quality Index. SB was assessed by self-report of total sitting time, before and during the pandemic. Individuals with ≥ 9 hours of total sitting time were classified as SB. In addition, the ratio of time spent in MVPA to time in SB was analyzed. A contrasted directed acyclic graph (DAG) model was constructed to adjust logistic regression models. Results A total of 1629 individuals were evaluated, the prevalence of SB before the pandemic was 11.3% (95%CI: 8.6–14.8) and during the pandemic 15.2% (95%CI: 12.1–18.9). In multivariate analysis, the chance of poor quality sleep was 81% higher in subjects with SB ≥ 9 hours per day (OR: 1.81; 95% CI: 1.10–2.97). Furthermore, a one-hour increase in SB during the pandemic, increased the chance of poor sleep quality by 9% (OR: 1.09; 95%CI 1.01–1.18). In the analysis of the ratio of MVPA per SB in individuals with SB ≥ 9h, practicing 1 minute of MVPA per hour of SB reduces the chance of poor sleep quality by 20.5% (OR: 0.83; 95%CI: 0.70–0.96). Conclusion SB during the pandemic was a factor associated with poor sleep quality, and the practice of MVPA can reduce the effects of SB.