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Accelerometer derived physical activity patterns in 27.890 middle‐aged adults – the SCAPIS cohort study
Swedish School of Sport and Health Sciences, GIH, Department of Physical Activity and Health.ORCID iD: 0000-0002-3901-7833
Center for Health and Performance Department of Molecular and Clinical Medicine Sahlgrenska Academy Gothenburg University Sweden;Dept MGA Sahlgrenska University Hospital Region Västra Götaland Gothenburg Sweden.
Department of Public Health and Clinical Medicine Umeå University Umeå Sweden.
Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg;Clinical Physiology Sahlgrenska University Hospital Gothenburg Sweden.
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2022 (English)In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 32, no 5, p. 866-880Article in journal (Refereed) Published
Abstract [en]

The present study aims to describe accelerometer-assessed physical activity (PA) patterns and fulfilment of PA recommendations in a large sample of middle-aged men and women, and to study differences between sub-groups of socio-demographic, socio-economic and lifestyle-related variables. A total of 27,890 (92.5% of total participants, 52% women, aged 50-64 years) middle-aged men and women with at least four days of valid hip-worn accelerometer data (Actigraph GT3X+, wGT3X+ and wGT3X-BT) from the Swedish CArdioPulmonary bioImage Study, SCAPIS, were included. In total, 54.5% of daily wear time was spent sedentary, 39.1% in low, 5.4% in moderate, and only 0.1% in vigorous PA. Male sex, higher education, low financial strain, born in Sweden and sedentary/light working situation were related to higher sedentary time, but also higher levels of vigorous PA. High BMI and having multiple chronic diseases associated strongly with higher sedentary time and less time in all three PA intensities. All-year physically active commuters had an overall more active PA pattern. The proportion fulfilling current PA recommendations varied substantially (1.4% to 92.2%) depending on data handling procedures and definition used. Twenty-eight percent was defined as having an "at risk" behaviour, which included both high sedentary time and low vigorous PA. In this large population-based sample, a majority of time was spent sedentary and only a fraction in vigorous PA, with clinically important variations between subgroups. This study provides important reference material and emphasizes the importance of a comprehensive assessment of all aspects of the individual PA pattern in future research and clinical practice.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022. Vol. 32, no 5, p. 866-880
Keywords [en]
Accelerometery; Pattern; Physical Activity; Population-based; SCAPIS Study; Sedentary
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Medicine/Technology
Identifiers
URN: urn:nbn:se:gih:diva-6949DOI: 10.1111/sms.14131ISI: 000752081700001PubMedID: 35080270OAI: oai:DiVA.org:gih-6949DiVA, id: diva2:1633726
Available from: 2022-01-31 Created: 2022-01-31 Last updated: 2022-12-01

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Ekblom Bak, ElinEkblom, Örjan

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