{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T10:50:51Z","timestamp":1781866251248,"version":"3.54.5"},"reference-count":53,"publisher":"International Society of Global Health","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Glob Health"],"DOI":"10.7189\/jogh.16.04178","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T09:51:53Z","timestamp":1781862713000},"source":"Crossref","is-referenced-by-count":0,"title":["Joint association of sleep duration and physical activity with constipation: a cross-sectional study"],"prefix":"10.7189","volume":"16","author":[{"given":"Xiaohui","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Health Statistics, School of Preventive Medicine, Fourth Military Medical University, Xi'an, Shaanxi, China"},{"name":"Department of Gastroenterology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhantong","family":"Wang","sequence":"additional","affiliation":[{"name":"Xijing 986 Hospital Department, Fourth Military Medical University, Xi'an, Shaanxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, The 961th Hospital of Joint Logistics Support Force of PLA, Qiqihar, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weijia","family":"Dou","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenxiong","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Shang","sequence":"additional","affiliation":[{"name":"Department of Health Statistics, School of Preventive Medicine, Fourth Military Medical University, Xi'an, Shaanxi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4223","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"key-10.7189\/jogh.16.04178-202606190839-R1","doi-asserted-by":"publisher","first-page":"11B","DOI":"10.1155\/2011\/974573","article-title":"Epidemiology and burden of chronic constipation.","volume":"25","author":"Sanchez","year":"2011","journal-title":"Can J Gastroenterol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R2","doi-asserted-by":"publisher","first-page":"1582","DOI":"10.1038\/ajg.2011.164","article-title":"Prevalence of, and risk factors for, chronic idiopathic constipation in the community: systematic review and meta-analysis.","volume":"106","author":"Suares","year":"2011","journal-title":"Am J Gastroenterol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R3","doi-asserted-by":"publisher","first-page":"3130","DOI":"10.1111\/j.1572-0241.2001.05259.x","article-title":"An epidemiological survey of constipation in Canada: definitions, rates, demographics, and predictors of health care seeking.","volume":"96","author":"Pare","year":"2001","journal-title":"Am J Gastroenterol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R4","doi-asserted-by":"publisher","first-page":"750","DOI":"10.1111\/j.1572-0241.2004.04114.x","article-title":"Epidemiology of constipation in North America: a systematic review.","volume":"99","author":"Higgins","year":"2004","journal-title":"Am J Gastroenterol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R5","doi-asserted-by":"publisher","first-page":"148","DOI":"10.3111\/13696998.2013.860375","article-title":"Healthcare costs among patients with chronic constipation: a retrospective claims analysis in a commercially insured population.","volume":"17","author":"Cai","year":"2014","journal-title":"J Med Econ"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R6","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1186\/s12876-019-0994-0","article-title":"Defining constipation to estimate its prevalence in the community: results from a national survey.","volume":"19","author":"Werth","year":"2019","journal-title":"BMC Gastroenterol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R7","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1038\/nrgastro.2016.53","article-title":"Diagnosis and management of chronic constipation in adults.","volume":"13","author":"Rao","year":"2016","journal-title":"Nat Rev Gastroenterol Hepatol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R8","doi-asserted-by":"publisher","first-page":"1656","DOI":"10.1080\/07420528.2022.2139713","article-title":"U-shaped association between sleep duration with chronic constipation and diarrhea: A population-based study.","volume":"39","author":"Wang","year":"2022","journal-title":"Chronobiol Int"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R9","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1186\/s41043-024-00601-8","article-title":"Association of habitual sleep duration with abnormal bowel symptoms: a cross-sectional study of the 2005\u20132010 National Health and Nutrition Examination Survey.","volume":"43","author":"Zhang","year":"2024","journal-title":"J Health Popul Nutr"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R10","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1016\/j.jocn.2024.05.030","article-title":"Association between sleep disorders and constipation risk: a systematic review and meta-analysis.","volume":"126","author":"Tian","year":"2024","journal-title":"J Clin Neurosci"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R11","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1016\/j.sleep.2021.05.015","article-title":"Association between multiple sleep dimensions and functional bowel disorders among Chinese college freshmen.","volume":"98","author":"Xu","year":"2022","journal-title":"Sleep Med"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R12","doi-asserted-by":"publisher","first-page":"903273","DOI":"10.3389\/fneur.2022.903273","article-title":"Association of sleep duration with chronic constipation among adult men and women: Findings from the National Health and Nutrition Examination Survey (2005\u20132010).","volume":"13","author":"Yang","year":"2022","journal-title":"Front Neurol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R13","doi-asserted-by":"publisher","first-page":"390","DOI":"10.4103\/jehp.jehp_1157_23","article-title":"Balancing your mind and gut: Exploring the influence of sleep and gut health on emotional well-being.","volume":"13","author":"Palve","year":"2024","journal-title":"J Educ Health Promot"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R14","doi-asserted-by":"publisher","first-page":"e0302430","DOI":"10.1371\/journal.pone.0302430","article-title":"Sleep duration and its association with constipation in patients with diabetes: The Fukuoka Diabetes Registry.","volume":"19","author":"Ohkuma","year":"2024","journal-title":"PLoS One"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R15","doi-asserted-by":"publisher","first-page":"1548455","DOI":"10.3389\/fnut.2025.1548455","article-title":"Joint association of daily sitting time and sleep duration with constipation among the US population.","volume":"12","author":"Xiong","year":"2025","journal-title":"Front Nutr"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R16","doi-asserted-by":"publisher","first-page":"2355","DOI":"10.1007\/s40279-022-01696-x","article-title":"The connection between physical exercise and gut microbiota: implications for competitive sports athletes.","volume":"52","author":"Wegierska","year":"2022","journal-title":"Sports Med"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R17","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1136\/gut.11.2.91","article-title":"Propulsion (mass movements) in the human colon and its relationship to meals and somatic activity.","volume":"11","author":"Holdstock","year":"1970","journal-title":"Gut"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R18","doi-asserted-by":"publisher","first-page":"e90193","DOI":"10.1371\/journal.pone.0090193","article-title":"Physical activity and constipation in Hong Kong adolescents.","volume":"9","author":"Huang","year":"2014","journal-title":"PLoS One"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R19","doi-asserted-by":"publisher","first-page":"1865","DOI":"10.14309\/ajg.0000000000003498","article-title":"Association of leisure-time physical activity patterns with constipation: evidence from the National Health and Nutrition Examination Survey.","volume":"120","author":"Yang","year":"2025","journal-title":"Am J Gastroenterol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R20","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1097\/MPG.0b013e3182a313fc","article-title":"Preschool physical activity and functional constipation: the Generation R study.","volume":"57","author":"Driessen","year":"2013","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R21","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1111\/j.1572-0241.2005.40516.x","article-title":"Is constipation associated with decreased physical activity in normally active subjects?","volume":"100","author":"Tuteja","year":"2005","journal-title":"Am J Gastroenterol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R22","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1080\/00365521.2020.1749878","article-title":"Is there any association between overweight, physical activity, fat and fiber intake with functional constipation in adolescents?","volume":"55","author":"Mac\u00eado","year":"2020","journal-title":"Scand J Gastroenterol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R23","doi-asserted-by":"publisher","first-page":"101482","DOI":"10.1016\/j.smrv.2021.101482","article-title":"Sleep and physical activity in university students: A systematic review and meta-analysis.","volume":"58","author":"Memon","year":"2021","journal-title":"Sleep Med Rev"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R24","doi-asserted-by":"publisher","first-page":"1699","DOI":"10.1177\/1362361318823910","article-title":"Examining the impact of physical activity on sleep quality and executive functions in children with autism spectrum disorder: a randomized controlled trial.","volume":"23","author":"Tse","year":"2019","journal-title":"Autism"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R25","doi-asserted-by":"publisher","first-page":"e345","DOI":"10.1016\/S2666-7568(23)00083-1","article-title":"Joint associations of physical activity and sleep duration with cognitive ageing: longitudinal analysis of an English cohort study.","volume":"4","author":"Bloomberg","year":"2023","journal-title":"Lancet Healthy Longev"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R26","doi-asserted-by":"publisher","first-page":"718","DOI":"10.1136\/bjsports-2021-104046","article-title":"Sleep and physical activity in relation to all-cause, cardiovascular disease and cancer mortality risk.","volume":"56","author":"Huang","year":"2022","journal-title":"Br J Sports Med"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R27","doi-asserted-by":"publisher","first-page":"01004","DOI":"10.7189\/jogh.15.01004","article-title":"Journal of Global Health\u2019s Guidelines for Reporting Analyses of Big Data Repositories Open to the Public (GRABDROP): preventing \u2018paper mills\u2019, duplicate publications, misuse of statistical inference, and inappropriate use of artificial intelligence.","volume":"15","author":"Rudan","year":"2025","journal-title":"J Glob Health"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R28","doi-asserted-by":"publisher","first-page":"1161","DOI":"10.5665\/sleep.4886","article-title":"Recommended amount of sleep for a healthy adult: a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society.","volume":"38","author":"Watson","year":"2015","journal-title":"Sleep"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R29","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1038\/ajg.2013.73","article-title":"Association of low dietary intake of fiber and liquids with constipation: evidence from the National Health and Nutrition Examination Survey.","volume":"108","author":"Markland","year":"2013","journal-title":"Am J Gastroenterol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R30","doi-asserted-by":"publisher","first-page":"2696","DOI":"10.1016\/j.cgh.2019.03.046","article-title":"Chronic diarrhea and constipation are more common in depressed individuals.","volume":"17","author":"Ballou","year":"2019","journal-title":"Clin Gastroenterol Hepatol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R31","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1038\/s41395-018-0418-8","article-title":"Prevalence of chronic constipation and chronic diarrhea in diabetic individuals in the United States.","volume":"114","author":"Sommers","year":"2019","journal-title":"Am J Gastroenterol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R32","doi-asserted-by":"publisher","first-page":"1603966","DOI":"10.3389\/ijph.2021.1603966","article-title":"Associations between lifestyle factors and reduced kidney function in US older adults: NHANES 1999\u20132016.","volume":"66","author":"Chang","year":"2021","journal-title":"Int J Public Health"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R33","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1186\/s12877-024-05012-2","article-title":"Associations of CBC-derived inflammatory indicators with sarcopenia and mortality in adults: evidence from NHANES 1999\u20132006.","volume":"24","author":"Guo","year":"2024","journal-title":"BMC Geriatr"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R34","doi-asserted-by":"publisher","first-page":"117264","DOI":"10.1016\/j.bone.2024.117264","article-title":"The independent and joint association between physical activity, sleep duration and daily sitting time with bone mineral density: a real world study from NHANES 2007\u20132018.","volume":"189","author":"Yang","year":"2024","journal-title":"Bone"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R35","doi-asserted-by":"publisher","first-page":"2245","DOI":"10.1186\/s12889-024-19727-9","article-title":"Combined influence of nutritional and inflammatory status and breast cancer: findings from NHANES.","volume":"24","author":"Gao","year":"2024","journal-title":"BMC Public Health"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R36","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1186\/s12937-024-01017-0","article-title":"Associations of healthy eating patterns with biological aging: National Health and Nutrition Examination Survey (NHANES) 1999\u20132018.","volume":"23","author":"Wang","year":"2024","journal-title":"Nutr J"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R37","doi-asserted-by":"publisher","first-page":"10936","DOI":"10.1038\/s41598-025-95252-y","article-title":"Association of constipation with suicidal ideation among US adults and the partial mediating role of depression.","volume":"15","author":"Wang","year":"2025","journal-title":"Sci Rep"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R38","doi-asserted-by":"publisher","first-page":"2696","DOI":"10.1016\/j.cgh.2019.03.046","article-title":"Chronic diarrhea and constipation are more common in depressed individuals.","volume":"17","author":"Ballou","year":"2019","journal-title":"Clin Gastroenterol Hepatol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R39","doi-asserted-by":"publisher","first-page":"04197","DOI":"10.7189\/jogh.14.04197","article-title":"Physical activity and constipation: a systematic review of cohort studies.","volume":"14","author":"Cui","year":"2024","journal-title":"J Glob Health"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R40","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1590\/1806-9282.20220845","article-title":"Overweight status, abdominal circumference, physical activity, and functional constipation in children.","volume":"69","author":"Dias","year":"2023","journal-title":"Rev Assoc Med Bras (1992)"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R41","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1016\/j.clnesp.2025.06.009","article-title":"An assessment of nutrition and physical activity guidelines for adult patients with chronic constipation: a systematic review.","volume":"68","author":"Kamareddine","year":"2025","journal-title":"Clin Nutr ESPEN"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R42","doi-asserted-by":"publisher","first-page":"e13789","DOI":"10.1111\/nmo.13789","article-title":"Associations between physical activity and constipation in adult Americans: Results from the National Health and Nutrition Examination Survey.","volume":"32","author":"Wilson","year":"2020","journal-title":"Neurogastroenterol Motil"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R43","first-page":"843","article-title":"Recommended amount of sleep for a healthy adult: a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society.","volume":"38","author":"Watson","year":"2015","journal-title":"Sleep"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R44","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1097\/MOG.0000000000000227","article-title":"Rhythm and bugs: circadian clocks, gut microbiota, and enteric infections.","volume":"32","author":"Rosselot","year":"2016","journal-title":"Curr Opin Gastroenterol"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R45","doi-asserted-by":"publisher","first-page":"101700","DOI":"10.1016\/j.smrv.2022.101700","article-title":"Sleep, circadian biology and skeletal muscle interactions: implications for metabolic health.","volume":"66","author":"Morrison","year":"2022","journal-title":"Sleep Med Rev"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R46","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1111\/acer.12943","article-title":"The circadian clock mutation promotes intestinal dysbiosis.","volume":"40","author":"Voigt","year":"2016","journal-title":"Alcohol Clin Exp Res"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R47","doi-asserted-by":"publisher","first-page":"1913","DOI":"10.1136\/gutjnl-2014-307748","article-title":"Epigenetic upregulation of metabotropic glutamate receptor 2 in the spinal cord attenuates oestrogen-induced visceral hypersensitivity.","volume":"64","author":"Cao","year":"2015","journal-title":"Gut"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R48","doi-asserted-by":"publisher","first-page":"3908","DOI":"10.1523\/JNEUROSCI.23-09-03908.2003","article-title":"Estrogen modulates the visceromotor reflex and responses of spinal dorsal horn neurons to colorectal stimulation in the rat.","volume":"23","author":"Ji","year":"2003","journal-title":"J Neurosci"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R49","doi-asserted-by":"publisher","first-page":"1182","DOI":"10.1016\/j.pain.2011.01.046","article-title":"Spinal estrogen receptor alpha mediates estradiol-induced pronociception in a visceral pain model in the rat.","volume":"152","author":"Ji","year":"2011","journal-title":"Pain"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R50","doi-asserted-by":"publisher","first-page":"394","DOI":"10.1016\/j.jad.2024.05.124","article-title":"Identifying the association between depression and constipation: an observational study and Mendelian randomization analysis.","volume":"359","author":"Wu","year":"2024","journal-title":"J Affect Disord"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R51","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.brainresbull.2022.02.004","article-title":"Brain-gut-microbiota axis in depression: a historical overview and future directions.","volume":"182","author":"Chang","year":"2022","journal-title":"Brain Res Bull"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R52","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1053\/j.gastro.2019.04.022","article-title":"Effects of serotonin and slow-release 5-hydroxytryptophan on gastrointestinal motility in a mouse model of depression.","volume":"157","author":"Israelyan","year":"2019","journal-title":"Gastroenterology"},{"key":"key-10.7189\/jogh.16.04178-202606190839-R53","doi-asserted-by":"publisher","first-page":"110266","DOI":"10.1016\/j.pnpbp.2021.110266","article-title":"Gastrointestinal side effects associated with antidepressant treatments in patients with major depressive disorder: a systematic review and meta-analysis.","volume":"109","author":"Oliva","year":"2021","journal-title":"Prog Neuropsychopharmacol Biol Psychiatry"}],"container-title":["Journal of Global Health"],"original-title":[],"link":[{"URL":"https:\/\/jogh.org\/2026\/jogh-16-04178","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T09:51:54Z","timestamp":1781862714000},"score":1,"resource":{"primary":{"URL":"https:\/\/jogh.org\/2026\/jogh-16-04178"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":53,"URL":"https:\/\/doi.org\/10.7189\/jogh.16.04178","relation":{},"ISSN":["2047-2978","2047-2986"],"issn-type":[{"value":"2047-2978","type":"print"},{"value":"2047-2986","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"article-number":"04178"}}