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1. Hallal PC, Victora CG, Azevedo MR, Wells JC. Adolescent
physical activity and health: a systematic review. Sports
Med 2006; 36: 1019-30.
2. WHO. Global recommendations on physical activity for
health. 2010.
3. Magnússon KÞ, Arngrímsson SÁ, Sveinsson Þ, Jóhannsson
E. Líkamshreyfing 9-15 ára íslenskra barna í ljósi lýð-
heilsumarkmiða. Læknablaðið 2011; 97: 75-81.
4. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O,
DonCarlos L, et al. National Sleep Foundation’s updated
sleep duration recommendations: final report. Sleep
Health 2015; 1: 233-43.
5. Millman R, Working Group on Sleepiness in Adolescents/
Young Adults; AAP Committee on Adolescence. Excessive
sleepiness in adolescents and young adults: causes,
consequences, and treatment strategies. Pediatrics 2005;
115: 1774-86.
6. Thorleifsdottir B, Bjornsson JK, Benediktsdottir B,
Gislason T, Kristbjarnarson H. Sleep and sleep habits from
childhood to young adulthood over a 10-year period. J
Psychosom Res 2002; 53: 529-37.
7. Rognvaldsdottir V, Gudmundsdottir SL, Brychta RJ,
Hrafnkelsdottir SM, Gestsdottir S, Arngrimsson SA, et
al. Sleep deficiency on school days in Icelandic youth, as
assessed by wrist accelerometry. Sleep Med 2017; 33: 103-
8.
8. National Sleep F. 2011 Sleep in America Poll comm-
unications Technology in the Bedroom: National Sleep
foundation; 2011. https://sleepfoundation.org/sites/
default/files/sleepinamericapoll/SIAP_2011_Summary_
of_Findings.pdf - nóvember 2017.
9. Youngstedt SD, Kline CE. Epidemiology of exercise and
sleep. Sleep Biol Rhythms 2006; 4: 215-21.
10. Lang C, Kalak N, Brand S, Holsboer-Trachsler E, Puhse
U, Gerber M. The relationship between physical activity
and sleep from mid adolescence to early adulthood. A
systematic review of methodological approaches and
meta-analysis. Sleep Med Rev 2015; 28: 28-41.
11. Stone MR, Stevens D, Faulkner GE. Maintaining recomm-
ended sleep throughout the week is associated with
increased physical activity in children. Prev Med 2013; 56:
112-7.
12. Saunders TJ, Gray CE, Poitras VJ, Chaput JP, Janssen I,
Katzmarzyk PT, et al. Combinations of physical activity,
sedentary behaviour and sleep: relationships with health
indicators in school-aged children and youth. Appl
Physiol Nutr Metab 2016; 41(6 Suppl 3): S283-93.
13. Weiss AR, Johnson NL, Berger NA, Redline S. Validity of
activity-based devices to estimate sleep. J Clin Sleep Med
2010; 6: 336-42.
14. Pulakka A, Cheung YB, Ashorn U, Penpraze V, Maleta K,
Phuka JC, et al. Feasibility and validity of the ActiGraph
GT3X accelerometer in measuring physical activity of
Malawian toddlers. Acta Paediatr 2013; 102: 1192-8.
15. O'Neil ME, Fragala-Pinkham MA, Forman JL, Trost SG.
Measuring reliability and validity of the ActiGraph GT3X
accelerometer for children with cerebral palsy: a feasibility
study. J Pediatr Rehabil Med 2014; 7: 233-40.
16. Sadeh A, Sharkey KM, Carskadon MA. Activity-
based sleep-wake identification: an empirical test of
methodological issues. Sleep 1994; 17: 201-7.
17. Slater JA, Botsis T, Walsh J, King S, Straker LM, Eastwood
PR. Assessing sleep using hip and wrist actigraphy. Sleep
Biol Rhythms 2015; 13: 172-80.
18. Arora T, Broglia E, Pushpakumar D, Lodhi T, Taheri S.
An investigation into the strength of the association and
agreement levels between subjective and objective sleep
duration in adolescents. PLoS One 2013; 8: e72406.
19. Zinkhan M, Berger K, Hense S, Nagel M, Obst A, Koch B,
et al. Agreement of different methods for assessing sleep
characteristics: a comparison of two actigraphs, wrist and
hip placement, and self-report with polysomnography.
Sleep Med 2014; 15: 1107-14.
20. Dumith SC, Gigante DP, Domingues MR, Kohl HW, 3rd.
Physical activity change during adolescence: a systematic
review and a pooled analysis. Int J Epidemiol 2011; 40:
685-98.
21. Ortega FB, Konstabel K, Pasquali E, Ruiz JR, Hurtig-
Wennlof A, Maestu J, et al. Objectively measured physical
activity and sedentary time during childhood, adolescence
and young adulthood: a cohort study. PLoS One 2013; 8:
e60871.
22. Rich C, Griffiths LJ, Dezateux C. Seasonal variation
in accelerometer-determined sedentary behaviour and
physical activity in children: a review. Int J Behav Nutr
Phys Act 2012; 9: 49.
23. Gradisar M, Gardner G, Dohnt H. Recent worldwide sleep
patterns and problems during adolescence: a review and
meta-analysis of age, region, and sleep. Sleep Med 2011;
12: 110-8.
24. Shrivastava D, Jung S, Saadat M, Sirohi R, Crewson K.
How to interpret the results of a sleep study. J Community
Hosp Intern Med Perspect 2014; 4: 24983.
25. Nixon GM, Thompson JMD, Han DY, Becroft DM, Clark
PM, Robinson E, et al. Short Sleep Duration in Middle
Childhood: Risk Factors and Consequences. Sleep 2008;
31: 71-8.
26. Kristbjarnarson H, Magnusson H, Sverrisson G, Arnarson
E, Helgason T. Könnun á svefnvenjum Íslendinga.
Læknablaðið 1985; 71: 193-8.
27. Tsai L-L, Li S-P. Sleep patterns in college students: Gender
and grade differences. J Psychosom Res 2004; 56: 231-7.
28. Olds T, Blunden S, Petkov J, Forchino F. The relationships
between sex, age, geography and time in bed in ado-
lescents: a meta-analysis of data from 23 countries. Sleep
Med Rev 2010; 14: 371-8.
29. National Heart L, and Blood Institute. How much sleep do
we really need? 2012 . http://www.nhlbi.nih.gov/health/
health-topics/topics/sdd/howmuch.html - nóvember 2017.
30. Ortega FB, Ruiz JR, Labayen I, Kwak L, Harro J, Oja L,
et al. Sleep duration and activity levels in Estonian and
Swedish children and adolescents. Eur J Appl Physiol
2011; 111: 2615-23.
31. Olds TS, Maher CA, Matricciani L. Sleep duration or
bedtime? Exploring the relationship between sleep habits
and weight status and activity patterns. Sleep 2011; 34:
1299-307.
R A N N S Ó K N
ENGLISH SUMMARY
Introduction: Physical activity and sleep are major determinants of
overall health. According to international recommendations, ado-
lescents should engage in moderate to vigorous physical activity for
at least 60 min each day and sleep eight to ten hours each night. The
association between physical activity and sleep in adolescents is not
well known. The aim of the study was to estimate a) the proportion of
Icelandic adolescents that achieves recommended physical activity and
sleep, b) if there is an association between physical activity and sleep
patterns, and c) sex differences in physical activity and sleep.
Material and methods: A total of 411 adolescents from the 10th grade in
six schools in Reykjavik were invited to participate in a cross-sectional
study in the spring of 2015. Valid data was obtained from 106 boys and
160 girls. Objective and subjective measures of physical activity and
sleep were made by wrist-worn accelerometers and a questionnaire.
Results: Almost half of the participants fulfilled the physical activity
recommendations according to the questionnaire. Although 51.1%
reported usually getting enough sleep, only 22.9% achieved the
recommended sleep length according to objective assessment. No
associations were observed between sleep and subjective physical
activity. Girls had higher accelerometer-measured physical activity
than boys on non-school days (p<0.01), but weekly averages were not
different between sexes. Girls and boys did not differ in subjective or
objective measures of sleep.
Conclusion: The behavior of Icelandic adolescents does not reflect
recommended amount of sleep and physical activity. Only 22.9%
obtained the recommended sleep length and just 11.3% fulfilled
recommendations of both sleep and physical activity.
Physical activity and sleep in Icelandic adolescents
Vaka Rögnvaldsdóttir1, Berglind M. Valdimarsdóttir1, Robert J. Brychta2, Soffía M. Hrafnkelsdóttir1, Sigurbjörn Á. Arngrímsson1, Erlingur Jóhannsson1, 3,
Kong Y. Chen2, Sigríður L. Guðmundsdóttir1
1Center of Sport and Health Sciences, University of Iceland, Reykjavik, Iceland, 2Diabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney
Diseases, Bethesda Maryland, USA, 3Department of Sport and Physical Activity, Bergen University College, Bergen, Norway.
Key words: Physical activity, sleep, accelerometers, adolescents.
Correspondence: Sigríður L. Guðmundsdóttir, slg@hi.is