Original Article

Association between Sleep Problems and Sedentary Behaviors during Work among Korean Workers


Background: We aimed to identify the association between sleep problems and sedentary behaviors during work among Korean workers.

Methods: We employed a cross-sectional survey, and analyzed data from the 5th Korean Working Conditions Survey, conducted in 2017. The participants were 50,205 workers aged 15 years and above. The data were analyzed using Pearson’s correlation, chi-square distribution, and logistic regression.

Results: Sleep problems occurred more frequently among female participants with higher ages; those with low educational levels; skilled agricultural, forestry, and fishery workers; elementary workers; and service and sales workers. With general characteristics as control variables, it was found that the odds of sleep problems were 5.547 times higher if the duration of sedentary behavior was longer.

Conclusion: It is important to improving work environment and provide education on various physical activities for workers with a long duration of sedentary behaviors to reduce sleep problems among them.

1. World Health Organization (2010). Global recommendations on physical activity for health. Geneva. http://apps.who.int/iris/bitstream/handle/10665/44399/9789241599979_eng.pdf?sequence=1
2. Tremblay MS, Chaput JP, Adamo KB, et al (2017). Canadian 24-hour movement guidelines for the early years (0–4 years): An integration of physical activity, seden-tary behavior, and sleep. BMC Public Health, 17: 874.
3. De Rezende LFM, Rodrigues Lopes M, Rey-López JP, et al (2014). Sedentary be-havior and health outcomes: An overview of systematic reviews. PLoS One, 9: e105620.
4. Clark BK, Kolbe-Alexander TL, Duncan MJ, et al (2017). Sitting time, physical ac-tivity and sleep by work type and pat-tern—the Australian longitudinal study on women’s health. Int J Environ Res Public Health, 14: 290.
5. Walsh SM, Umstattd Meyer MR, Stamatis A, et al (2015). Why women sit: determi-nants of leisure sitting time for working women. Women’s Health Issues, 25: 673–9.
6. Buysse DJ (2013). Insomnia. JAMA, 309: 706–16.
7. Thorpy MJ (2012). Classification of sleep disorders. Neurotherapeutics, 9: 687–701.
8. American Sleep Association (2005). What is sleep? American Sleep Association [online] Available from: URL: http:// www.sleepassociation.org/about-sleep/what-is-sleep/ (accessed 5 Aug 2019).
9. Yang Y, Shin JC, Li D, et al (2017). Seden-tary behavior and sleep problems: A sys-tematic review and meta-analysis. Int J Be-hav Med, 24: 481–92.
10. Woo JM, Hyun SY, Lee SH, et al (2011). Productivity time lost by sleep disturb-ance among workers in Korea. J Korean Neuropsychiatr Assoc, 50: 62–8.
11. Liu TZ, Xu C, Rota M, et al (2017). Sleep duration and risk of all-cause mortality: A flexible, nonlinear, meta-regression of 40 prospective cohort studies. Sleep Med Rev, 32: 28–36.
12. Chastin SFM, Palarea‐Albaladejo J, Dontje ML, et al (2015). Combined effects of time spent in physical activity, sedentary behaviors and sleep on obesity and car-dio‐metabolic health markers: a novel compositional data analysis approach. PLoS One, 10: e0139984.
13. Loprinzi PD, Nalley C, Selk A (2014). Ob-jectively-measured sedentary behavior with sleep duration and daytime sleepi-ness among US adults. J Behav Health, 3: 141–4.
14. Watenpaugh DE (2009). The role of sleep dysfunction in physical inactivity and its relationship to obesity. Curr Sports Med Rep, 8: 331–8.
15. Lakerveld J, Mackenbach JD, Horvath E, et al (2016). The relation between sleep du-ration and sedentary behaviours in Euro-pean adults. Obes Rev, 17: 62–7.
16. Middelkoop HAM, Smilde-van den Doel DA, Neven AK, Kamphuisen HAC, Springer CP (1996). Subjective sleep char-acteristics of 1,485 males and females aged 50–93: effects of sex and age, and factors related to self-evaluated quality of sleep. J Gerontol A Biol Sci Med Sci; 51A(3).: M108–M115.
17. Chen YY, Kawachi I, Subramanian S, et al (2005). Can social factors explain gender difference in insomnia? Findings from a national survey in Taiwan. J Epidemiol Community Health, 59: 448–94.
18. Maume DJ, Sebastian RA, Bardo AR (2009). Gender difference in sleep disruption among retail food workers. Am Sociol Rev, 74: 989–1007.
19. Lee KA, Kryger MK (2008). Women and sleep. J Womens Health (Larchmt), 17: 1189–90.
20. Hale L (2005). Who has time to sleep? J Pub-lic Health, 27: 205–11.
21. Grandner MA, Patel NP, Gehrman PR, et al (2010). Who gets the best sleep? Ethnic and socioeconomic factors related to sleep complaints. Sleep Med, 11: 470–8.
22. Cochen V, Arbus C, Soto ME, et al (2009). Sleep disorders and their impacts on healthy, dependent, and frail older adults. J Nutr Health Aging, 13: 322–9.
23. Macintyre S (1997). The black report and beyond what are the issues? Soc Sci Med, 44: 723–45.
24. Sun W, Yu Y, Yuan J, et al (2015). Sleep du-ration and quality among different occu-pations–China national study. PLoS One, 10: e0117700.
25. Luckhaupt SE, Tak SW, Calvert GM (2010). The prevalence of short sleep duration by industry and occupation in the national health interview survey. Sleep, 33: 149–59
26. Basner MB, Fomberstein KM, Razavi FM, et al (2007). American time use survey: Sleep time and its relationship to waking activi-ties. Sleep, 30: 1085–95.
27. Tucker P, Smith L, Macdonald I, Folkard S (1998). The impact of early and late shift changeovers on sleep, health, and well-being in 8-and 12-hour shift systems. J Occup Health Psychol, 3: 265–75.
28. Burgard S, Ailshire J (2009). Putting work to bed: Stressful experiences on the job and sleep quality. J Health Soc Behav, 50: 476–92.
29. Kronholm E, Partonen T, Laatikainen T, et al (2008). Trends in self‐reported sleep duration and insomnia‐related symptoms in Finland from 1972 to 2005: a compar-ative review and re‐analysis of Finnish population samples. J Sleep Res, 17: 54–62.
30. Stamatakis E, Rogers K, Ding D, et al (2015). All-cause mortality effects of re-placing sedentary time with physical activ-ity and sleeping using an isotemporal substitution model: a prospective study of 201,129 mid-aged and older adults. Int J Behav Nutr Phys Act, 12: 121.
31. Raman G, Zang Y, Minichiello V, et al (2014). Tai Chi and sleep quality in adults: a systematic review and meta-analysis. J Alt Complement Med, 20: A66.
32. Nishinoue N, Takano T, Kaku A, et al (2012). Effects of sleep hygiene education and behavioral therapy on sleep quality of white-collar workers: a randomized con-trolled trial. Ind Health, 50: 123.
33. Australian Government Department of Health (2014). Australia’s physical activity and sedentary behaviour guidelines: tips and ideas for adults (18–64 years). [online] Available from: URL: https://www1.health.gov.au/internet/main/publishing.nsf/Content/ti-18-64years (accessed 10 July 2018).
34. Neuhaus M, Eakin EG, Straker L, et al (2014). Reducing occupational sedentary time: A systematic review and meta-analysis of evidence on activity-permissive workstations. Obes Rev, 15: 822–38.
35. Cunnington D, Junge MF, Fernando AT (2013). Insomnia: prevalence, conse-quences and effective treatment. Med J Aust, 199:S36–S40.
36. Zachariae R, Lyby MS, Ritterband LM, O’Toole MS (2016). Efficacy of internet-delivered cognitive-behavioral therapy for insomnia—a systematic review and meta-analysis of randomized controlled trials. Sleep Med Rev, 30:1–10.
IssueVol 49 No 9 (2020) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v49i9.4087
Employees Working conditions Sleep problems

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
LEE E, KIM Y, LEE H. Association between Sleep Problems and Sedentary Behaviors during Work among Korean Workers. Iran J Public Health. 49(9):1701-1708.