Enter your details:
Thank you for subscribing.
Subscribe to our newsletter!

Tony Anderson1, Heidy Trisna1, Lilis Lilis2

1Atma Jaya Catholic University of Indonesia, School of Medicine and Health Sciences, Department of Physiology, Jakarta, Indonesia
2Atma Jaya Catholic University of Indonesia, School of Medicine and Health Sciences, Department of Anatomical Pathology, Jakarta, Indonesia

The Correlation between Night Sleep Duration and Physical Activity with Cardiorespiratory Fitness Test Results in Healthy Medical College Students: a Pilot Study

J. Anthr. Sport Phys. Educ. 2022, 6(1), 25-29 | DOI: 10.26773/jaspe.220105


Lack of sleep is the risk factor for a cardiovascular event and low cardiorespiratory endurance. Medical college students are more frequent in experiencing a lack of sleep due to their duty. This study evaluated the correlation between lack of sleep and cardiorespiratory endurance test results in medical college students. This cross-sectional study involved sixty-two males, medical college students. Sleep duration of two weeks was assessed using a validated questionnaire. Queen College Step test was employed for a cardiorespiratory endurance test. Spearman rank test was employed to evaluate the correlation between variables, while logistic regression was applied to assess the possibility of having a good VO2max. SPSS version 19 was used to process the data and perform a statistical test. Significance was set at p<0.05. The mean sleep duration was 6.2 hours, with more students having insufficient sleep duration (51 participants). The mean VO2max was 50.4 ml/kg/min, with more students having good VO2max (50 participants). Spearman rank test indicated the weak correlation between age and sleep (r=0.2, p=0.04) and a moderate correlation between physical activity and VO2max (r=0.43, p<0.01). No correlation between sleep and VO2max result (p=0.07). Logistic regression showed sufficient physical activity is associated with 14.5 times possibility of having good VO2max (95% CI 2.7-77.8, p=0.02). The correlation between sleep and the VO2max result was not evident. Instead, sleep was associated with students’ age while VO2max with sufficient physical activity.


Cardiorespiratory Fitness, Sleep Deprivation, College Students, Risk of Heart Diseases

View full article
(PDF – 95KB)


Aires, L., Pratt, M., Lobelo, F., Santos, R.M., Santos, M.P., & Mota, J. (2011). Associations of cardiorespiratory fitness in children and adolescents with physical activity, active commuting to school, and screen time. Journal of Physical Activity and Health, 8 (Suppl 2), S198-S205.

American College of Sports Medicine. (2006). ACSM’s guidelines for exercise testing and prescription. Baltimore, MD: Lippincott Williams & Wilkins.

Antunes, B.M., Campos, E.Z., Parmezzani, S.S., Santos, R.V., Franchini, E., & Lira, F.S. (2017). Sleep quality and duration are associated with performance in a maximal incremental test. Physiology & Behavior, 177, 252-256.

Banno, M., Harada, Y., Taniguchi, M., Tobita, R., Tsujimoto, H., Tsujimoto, Y., ... & Noda, A. (2018). Exercise can improve sleep quality: a systematic review and meta-analysis. PeerJ, 6, e5172. https://doi.org/10.7717/peerj.5172

Brand, S., Gerber, M., Beck, J., Hatzinger, M., Pühse, U., & Holsboer-Trachsler, E. (2010). High exercise levels are related to favorable sleep patterns and psychological functioning in adolescents: a comparison of athletes and controls. Journal of Adolescent Health, 46 (2), 133-141.

Castro-Diehl, C., Diez Roux, A. V., Redline, S., Seeman, T., McKinley, P., Sloan, R., & Shea, S. (2016). Sleep duration and quality in relation to autonomic nervous system measures: the Multi-Ethnic Study of Atherosclerosis (MESA). Sleep, 39 (11), 1927-1940.

Chatterjee, S., Chatterjee, P., Mukherjee, P.S, & Bandyopadhyay, A. (2004). Validity of Queen’s College step test for use with young Indian men. British Journal of Sports Medicine, 38, 289-291.

Countryman, A.J., Saab, P.G., Llabre, M.M., Penedo, F.J., McCalla, J.R., & Schneiderman, N. (2013). Cardiometabolic risk in adolescents: associations with physical activity, fitness, and sleep. Annals of Behavioral Medicine, 45 (1), 121-131.

Gappmaier, E. (2012). The submaximal clinical exercise tolerance test (scxtt) to establish safe exercise prescription parameters for patients with chronic disease and disability. Cardiopulmonary Physical Therapy Journal, 23 (2), 19-29.

Garde, A.H., Hansen, Å.M., Holtermann, A., Gyntelberg, F., & Suadicani, P. (2013). Sleep duration and ischemic heart disease and all-cause mortality: Prospective cohort study on effects of tranquilizers/hypnotics and perceived stress. Scandinavian Journal of Work, Environment & Health, 39 (6), 550-558.

Giri, P., Baviskar, M., & Phalke, D. (2013). Study of sleep habits and sleep problems among medical students of Pravara Institute of Medical Sciences Loni, Western Maharashtra, India. Annals of Medical and Health Science Research, 3 (1), 51-54.

Holst, S.C., Sousek, A., & Landolt, H-P. (2014). Effects of acute and chronic sleep deprivation. European Sleep Research Society. Retrieved from: http://www.zora.uzh.ch/107182

Hsu, W.C., Araneta, M.R.G., Kanaya, A.M., Chiang, J.L., & Fujimoto, W. (2015). BMI cut points to identify at-risk Asian Americans for type 2 diabetes screening. Diabetes Care, 38 (1), 150-158.

Huen, L.L.E., Chan, T.W.G., Yu, W.M.M., & Wing, Y.K. (2007). Do medical students in Hong Kong have enough sleep? Sleep and Biological Rhythms, 5 (3), 226-230.

Kind, S., Brighenti-Zogg, S., Mundwiler, J., Schüpbach, U., Leuppi, J. D., Miedinger, D., & Dieterle, T. (2019). Factors associated with cardiorespiratory fitness in a Swiss working population. Journal of Sports Medicine, 2, 5317961. https://doi.org/10.1155/2019/5317961.

Kline, C.E. (2014). The bidirectional relationship between exercise and sleep: Implications for exercise adherence and sleep improvement. American Journal of Lifestyle Medicine, 8 (6), 375–379.

Kredlow, M.A., Capozzoli, M.C., Hearon, B.A., Calkins, A.W., & Otto, M.W. (2015). The effects of physical activity on sleep: a meta-analytic review. Journal of Behavioral Medicine, 38 (3), 427-449.

MacKenzie, B. (2020, August 2). Queen’s College Step Test. Retrieved from https://www.brianmac.co.uk/queens.htm

Magutah, K. (2013). Cardio-respiratory fitness markers among Kenyan university students using a 20 m shuttle run test (SRT). African Health Sciences, 13 (1), 10-16.

Mental Health Foundation (2018, August 7). Sleep Matters the impact of sleep on health and wellbeing. Retrieved from: https://www.mentalhealth.org.uk/sites/default/files/MHF-Sleep-Report-2011.pdf

Patel, S.R., Malhotra, A., Gottlieb, D.J., White, D.P., & Hu, F.B. (2006). Correlates of long sleep duration. Sleep, 29 (7), 881-889.

Rodrigues, A.N., Perez, A.J., Carletti, L., Bissoli, N.S., & Abreu, G.R. (2007). The association between cardiorespiratory fitness and cardiovascular risk in adolescents. Journal de Pediatria, 83 (5), 429-435.

Russell, P., Oria, M., & Pillsbury, L. (2012). Fitness measures and health outcomes in youth. Washington, DC: National Academies Press.

Watson, N.F., Badr, M.S., Belenky, G., Bliwise, D.L., Buxton, O.M., Buysse, D., ... & Tesali, E. (2015). Recommended amount of sleep for a healthy adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep, 38 (6), 843–844.

WHO Expert Consultation. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363 (9403), 157-163.

Yadav, N., Shete, A.N., & Khan, S.T. (2015). Cardiorespiratory fitness in first-year MBBS students. Indian Journal of Basic and Applied Medical Research, 4 (3), 63-68

Zou, D., Wennman, H., Ekblom, Ö., Grote, L., Arvidsson, D., Blomberg, A., ... & Hedner, J. (2019). Insomnia and cardiorespiratory fitness in a middle-aged population: the SCAPIS pilot study. Sleep Breath, 23 (1), 319-326.