Change search
Link to record
Permanent link

Direct link
BETA
Alternative names
Publications (10 of 49) Show all publications
Salier Eriksson, J., Ekblom, B., Kallings, L., Hemmingsson, E., Andersson, G., Wallin, P., . . . Ekblom Bak, E. (2020). Active commuting in Swedish workers between 1998 and 2015 - trends, characteristics and cardiovascular disease risk.. Scandinavian Journal of Medicine and Science in Sports, 30(2)
Open this publication in new window or tab >>Active commuting in Swedish workers between 1998 and 2015 - trends, characteristics and cardiovascular disease risk.
Show others...
2020 (English)In: Scandinavian Journal of Medicine and Science in Sports, ISSN 0905-7188, E-ISSN 1600-0838, Vol. 30, no 2Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Trend analyses of active commuting and potential variations in trends and association with cardiovascular disease (CVD) risk within sub-groups are unknown.

OBJECTIVES: To a) describe trends in active commuting between 1998 to 2015 and b) to study the association between different amounts of active commuting and the incidence risk of CVD in a large sample of Swedish workers, and analyses of potential variations across sub-groups of socio-demographics, physical activity and BMI.

METHODS: A total of 318,309 participants (47% women, 18-74 years) who participated in a nationwide occupational health service screening between 1998 and 2015 were included. Commuting habits were self-reported, and data on first-time CVD events were derived from national registers.

RESULTS: Self-reported passive commuters decreased between 1998 and 2015 (64% to 56%), transferring to an increase in mainly moderate/high-dose active commuters (12% to 19%). Changes were seen in all subgroups. The characteristics and life-style habits of the typical passive and active commuter changed little over the study period. Low- and moderate/high-dose active commuters had significantly decreased risks for a first time CVD during follow-up. This was accentuated in men, middle-aged and in participants with light physical work situations, irregular exercise habits, being overweight/obese and with low fitness.

CONCLUSION: Increases in active commuting were observed between 1998 and 2015, however still leaving a majority who do not actively commute. As active commuting, regardless dose, is associated with a lower CVD risk, encouraging more people to actively commute may provide an easily accessible and time-efficient possibility to increase physical activity and health in the general population.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
active commuting, cardiovascular disease, cycling, physical activity, trends, walking, working population
National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-5889 (URN)10.1111/sms.13581 (DOI)000499749900001 ()31631386 (PubMedID)
Projects
HPI-gruppen
Available from: 2019-10-28 Created: 2019-10-28 Last updated: 2020-01-28Bibliographically approved
Drake, E., Ekblom, M., Ekblom, Ö., Kallings, L. & Blom, V. (2020). Cardiorespiratory Fitness and Device-Measured Sedentary Behaviour are Associated with Sickness Absence in Office Workers.. International Journal of Environmental Research and Public Health, 17(2), Article ID E628.
Open this publication in new window or tab >>Cardiorespiratory Fitness and Device-Measured Sedentary Behaviour are Associated with Sickness Absence in Office Workers.
Show others...
2020 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 2, article id E628Article in journal (Refereed) Published
Abstract [en]

Physical activity reduces the risk of several noncommunicable diseases, and a number of studies have found self-reported physical activity to be associated with sickness absence. The aim of this study was to examine if cardiorespiratory fitness, device-measured physical activity, and sedentary behaviour were associated with sickness absence among office workers. Participants were recruited from two Swedish companies. Data on sickness absence (frequency and duration) and covariates were collected via questionnaires. Physical activity pattern was assessed using ActiGraph and activPAL, and fitness was estimated from submaximal cycle ergometry. The sample consisted of 159 office workers (67% women, aged 43 ± 8 years). Higher cardiorespiratory fitness was significantly associated with a lower odds ratio (OR) for both sickness absence duration (OR = 0.92, 95% confidence interval (CI) 0.87-0.96) and frequency (OR = 0.93, 95% CI 0.90-0.97). Sedentary time was positively associated with higher odds of sickness absence frequency (OR = 1.03, 95% CI 0.99-1.08). No associations were found for physical activity at any intensity level and sickness absence. Higher sickness absence was found among office workers with low cardiorespiratory fitness and more daily time spent sedentary. In contrast to reports using self-reported physical activity, device-measured physical activity was not associated with sickness absence.

Place, publisher, year, edition, pages
MDPI, 2020
Keywords
cardiorespiratory fitness, office workers, physical activity, sedentary behaviour, sickness absence
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-6091 (URN)10.3390/ijerph17020628 (DOI)000516827400249 ()31963740 (PubMedID)
Available from: 2020-03-20 Created: 2020-03-20 Last updated: 2020-04-08
Ekblom Bak, E., Stenling, A., Salier Eriksson, J., Hemmingsson, E., Kallings, L., Andersson, G., . . . Lindwall, M. (2020). Latent profile analysis patterns of exercise, sitting and fitness in adults - Associations with metabolic risk factors, perceived health, and perceived symptoms.. PLoS ONE, 15(4), Article ID e0232210.
Open this publication in new window or tab >>Latent profile analysis patterns of exercise, sitting and fitness in adults - Associations with metabolic risk factors, perceived health, and perceived symptoms.
Show others...
2020 (English)In: PLoS ONE, E-ISSN 1932-6203, Vol. 15, no 4, article id e0232210Article in journal (Refereed) Published
Abstract [en]

AIM: To identify and describe the characteristics of naturally occurring patterns of exercise, sitting in leisure time and at work and cardiorespiratory fitness, and the association of such profiles with metabolic risk factors, perceived health, and perceived symptoms.

METHODS: 64,970 participants (42% women, 18-75 years) participating in an occupational health service screening in 2014-2018 were included. Exercise and sitting were self-reported. Cardiorespiratory fitness was estimated using a submaximal cycle test. Latent profile analysis was used to identify profiles. BMI and blood pressure were assessed through physical examination. Perceived back/neck pain, overall stress, global health, and sleeping problems were self-reported.

RESULTS: Six profiles based on exercise, sitting in leisure time and at work and cardiorespiratory fitness were identified and labelled; Profile 1 "Inactive, low fit and average sitting in leisure, with less sitting at work"; Profile 2 "Inactive, low fit and sedentary"; Profile 3 "Active and average fit, with less sitting at work"; Profile 4 "Active, average fit and sedentary in leisure, with a sedentary work" (the most common profile, 35% of the population); Profile 5 "Active and fit, with a sedentary work"; Profile 6 "Active and fit, with less sitting at work". Some pairwise similarities were found between profiles (1 and 2, 3 and 4, 5 and 6), mainly based on similar levels of exercise, leisure time sitting and fitness, which translated into similar dose-response associations with the outcomes. In general, profile 1 and 2 demonstrated most adverse metabolic and perceived health, profile 4 had a more beneficial health than profile 3, as did profile 6 compared to profile 5.

CONCLUSIONS: The present results implies a large variation in exercise, sitting, and fitness when studying naturally occurring patterns, and emphasize the possibility to target exercise, sitting time, and/or fitness in health enhancing promotion intervention and strategies.

Place, publisher, year, edition, pages
Public Library of Science, 2020
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-6170 (URN)10.1371/journal.pone.0232210 (DOI)32330191 (PubMedID)
Available from: 2020-05-04 Created: 2020-05-04 Last updated: 2020-05-04
Hemmingsson, E., Ekblom, Ö., Kallings, L., Andersson, G., Wallin, P., Söderling, J., . . . Ekblom Bak, E. (2020). Prevalence and time trends of overweight, obesity and severe obesity in 447,925 Swedish adults, 1995–2017. Scandinavian Journal of Public Health
Open this publication in new window or tab >>Prevalence and time trends of overweight, obesity and severe obesity in 447,925 Swedish adults, 1995–2017
Show others...
2020 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aims: The purpose of this research was to describe the current prevalence and historic trends in overweight, obesity and severe obesity in Sweden. Methods: Data on BMI, age, gender, education and geographic region were obtained in n=447,925 Swedish adults through a nationwide screening test (1995?2017). To account for sampling variations, we quantified prevalence estimates and time trends using standardized values (direct method) to all 18?74-year-old Swedes, using nationwide databases. Rates of overweight (BMI ?25 kg/m2), obesity (BMI ?30 kg/m2) and severe obesity (BMI ?35 kg/m2) were calculated across gender, age, education and geographic categories. Years were grouped into two-year sampling periods (except the first period where we used three years) for increased power. We used multivariable logistic regression to quantify independent associations between age, gender, education and region with obesity development and current prevalence rates. Results: In 2016/17 the unstandardized prevalence of overweight, obesity and severe obesity were 55.1%, 16.6% and 4.2%, respectively. Factors associated with a higher obesity prevalence were male gender, older age, lower education and residing in a rural region (all P<0.001). Between 1995 and 2017 the prevalence of severe obesity increased by 153%, compared to obesity (+86%) and overweight (+23%). While there were similar increases in obesity across gender and age groups, people with low education (vs high) and rural areas (vs urban) had a higher prevalence increase (both P<0.001). Conclusions: Rates of overweight, obesity and severe obesity have increased markedly in Swedish adults since 1995. Priority groups for prevention efforts include individuals with low education and those living in rural areas.

Place, publisher, year, edition, pages
Sage Publications, 2020
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-6168 (URN)10.1177/1403494820914802 (DOI)000533113300001 ()32349623 (PubMedID)
Projects
HPI-gruppen
Available from: 2020-04-30 Created: 2020-04-30 Last updated: 2020-05-29
Blom, V., Kallings, L., Ekblom, B., Wallin, P., Andersson, G., Hemmingsson, E., . . . Ekblom Bak, E. (2020). Self-Reported General Health, Overall and Work-Related Stress, Loneliness, and Sleeping Problems in 335,625 Swedish Adults from 2000 to 2016.. International Journal of Environmental Research and Public Health, 17(2), Article ID E511.
Open this publication in new window or tab >>Self-Reported General Health, Overall and Work-Related Stress, Loneliness, and Sleeping Problems in 335,625 Swedish Adults from 2000 to 2016.
Show others...
2020 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 2, article id E511Article in journal (Refereed) Published
Abstract [en]

The prevalence of poor health, in particular stress-related mental ill-health, is increasing over time and birth cohorts. As rapid societal changes have occurred in the last decade and still are occurring, there is an interest in investigating the trends in health-related factors. The aim of the present study was to investigate trends in self-reported general health, overall stress, work-related stress, feelings of loneliness, and sleeping problems in 335,625 Swedish adults across categories of gender, geographic regions, length of education, and age from 2000 to 2016. On population level, sleeping problems and poor general health have increased markedly and significantly, while experiences of work stress decreased between 2000 and 2016 (p < 0.05). Overall stress and level of loneliness were unchanged (p > 0.05). The risk of having ≥3 symptoms (any of poor or very poor general health, often or very often perceived overall stress, loneliness, or sleeping problems) has increased significantly from 2000 to 2016 (ß = 1034 (1027-1040)). This increase was significantly higher in young (ß = 1052 (1038-1065)) and individuals with lower education (ß = 1056 (1037-1076)) compared to older and high length of education.

Place, publisher, year, edition, pages
MDPI, 2020
Keywords
loneliness, public health, self-reported health, sleeping problems, stress, working population
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-6007 (URN)10.3390/ijerph17020511 (DOI)000516827400132 ()31947519 (PubMedID)
Projects
HPI-gruppen
Available from: 2020-01-28 Created: 2020-01-28 Last updated: 2020-04-08
Ek, A., Kallings, L., Ekström, M., Börjesson, M. & Ekblom, Ö. (2020). Subjective reports of physical activity levels and sedentary time prior to hospital admission can predict utilization of hospital care and all-cause mortality among patients with cardiovascular disease.. European Journal of Cardiovascular Nursing, Article ID 1474515120921986.
Open this publication in new window or tab >>Subjective reports of physical activity levels and sedentary time prior to hospital admission can predict utilization of hospital care and all-cause mortality among patients with cardiovascular disease.
Show others...
2020 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, article id 1474515120921986Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: In prevention, sedentary behaviour and physical activity have been associated with risk of cardiovascular disease and mortality. Less is known about associations with utilization of hospital care.

AIM: To investigate whether physical activity level and sedentary behaviour prior to cardiac ward admission can predict utilization of hospital care and mortality among patients with cardiovascular disease.

METHODS: Longitudinal observational study including 1148 patients admitted and treated in cardiac wards in two hospitals. Subjective reports of physical activity levels and sedentary time prior to admission were collected during inpatient care and categorized as low, medium or high. The associations between physical activity level and sedentary time with hospital stay, readmission and mortality were analysed using linear, logistic and Cox regressions.

RESULTS: Median hospital stay was 2.1 days. One higher step in the physical activity level, or lower sedentary time, was related to an approximately 0.9 days shorter hospital stay. Sixty per cent of patients were readmitted to hospital. The risk of being readmitted was lower for individuals reporting high physical activity and low sedentary time (odds ratios ranging between 0.44 and 0.91). A total of 200 deaths occurred during the study. Mortality was lower among those with high and medium physical activity levels and low sedentary time (hazard ratios ranging between 0.36 and 0.90).

CONCLUSION: Both physical activity level and sedentary time during the period preceding hospitalization for cardiac events were predictors of hospital utilization and mortality. This highlights the prognostic value of assessing patients' physical activity and sedentary behaviour.

Place, publisher, year, edition, pages
Sage Publications, 2020
Keywords
Hospitalization, physical exercise, sedentary behaviour, survival
National Category
Nursing
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-6191 (URN)10.1177/1474515120921986 (DOI)000532948900001 ()32370681 (PubMedID)
Available from: 2020-05-15 Created: 2020-05-15 Last updated: 2020-05-29
Larsson, K., Kallings, L., Ekblom, Ö., Blom, V., Andersson, E. & Ekblom, M. (2019). Criterion validity and test-retest reliability of SED-GIH, a single item question for assessment of daily sitting time.. BMC Public Health, 19(1), Article ID 19:17.
Open this publication in new window or tab >>Criterion validity and test-retest reliability of SED-GIH, a single item question for assessment of daily sitting time.
Show others...
2019 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, no 1, article id 19:17Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Sedentary behaviour has been closely linked to metabolic and cardiovascular health and is therefore of importance in disease prevention. A user-friendly tool for assessment of sitting time is thus needed. Previous studies concluded that the present tools used to assess a number of sedentary behaviours are more likely to overestimate sitting than single-item questions which often underestimate sitting time, and that categorical answering options are recommended. In line with this, the single-item question with categorical answering options, SED-GIH, was developed. The aim of this study was to investigate the criterion validity of the SED-GIH question using activPAL3 micro as the criterion measure. The second aim was to evaluate the test-retest reliability of the SED-GIH questionnaire.

METHOD: In the validity section of this study, 284 middle-aged adults answered a web questionnaire, which included SED-GIH, wore activPAL and filled in a diary log for one week. Spearman's rho assessed the relationship between the SED-GIH answers and the daily average sitting time as monitored by the activPAL (activPAL-SIT), a Weighted Kappa assessed the agreement, ANOVA assessed differences in activPAL-SIT between the SED-GIH answer categories, and a Chi2 compared the proportions of hazardous sitters between the different SED-GIH answer categories. In the reliability section, 95 elderly participants answered the SED-GIH question twice, with a mean interval of 5.2 days. The reliability was assessed with ICC and a weighted Kappa.

RESULTS: The SED-GIH question correlated moderately with activPAL-SIT (rho = 0.31), with a poor agreement (weighted Kappa 0.12). In total, 40.8% underestimated and 22.2% overestimated their sitting time. The ANOVA showed significant differences in activPAL-SIT between the different SED-GIH answer categories (p < 0.001). The Chi2 showed a significant difference in proportion of individuals sitting more than 10 h per day within each SED-GIH answer category. ICC for the test-retest reliability of SED-GIH was excellent with ICC = 0.86, and the weighted Kappa showed an agreement of 0.77.

CONCLUSIONS: The unanchored single item SED-GIH question showed excellent reliability but poor validity in the investigated populations. Validity and reliability of SED-GIH is in line with other questionnaires that are commonly used when assessing sitting time.

Place, publisher, year, edition, pages
BioMed Central, 2019
Keywords
Adults, Office-based work, Older adults, Reliability, Sedentary behaviour, Sitting, Validity, activPAL
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-5520 (URN)10.1186/s12889-018-6329-1 (DOI)30611226 (PubMedID)
Available from: 2019-01-08 Created: 2019-01-08 Last updated: 2019-01-08
Nooijen, C. F., Blom, V., Ekblom, Ö., Ekblom, M. & Kallings, L. (2019). Improving office workers' mental health and cognition: a 3-arm cluster randomized controlled trial targeting physical activity and sedentary behavior in multi-component interventions. BMC Public Health, 19, Article ID 266.
Open this publication in new window or tab >>Improving office workers' mental health and cognition: a 3-arm cluster randomized controlled trial targeting physical activity and sedentary behavior in multi-component interventions
Show others...
2019 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, article id 266Article in journal (Refereed) Published
Abstract [en]

Background

Physically inactive and sedentary lifestyles are negatively related to both mental health and cognition. For office-workers, who spend two-thirds of their workday sitting, it is important to improve these lifestyles. The aim of this study is to assess the effectiveness of multi-component interventions, incorporating individual, environmental and organizational changes, to increase physical activity or reduce sedentary behavior among office-workers in order to improve mental health and cognition.

Methods

a 3-arm, clustered randomized controlled trial (RCT) with waiting list control group amongst adult office-workers of two large Swedish companies. Cluster teams will be randomized into 6-month interventions or to a passive waiting list control group which will receive the allocated intervention with a 6-month delay. Two multicomponent interventions will be studied of which one focuses on improving physical activity and the other on reducing sedentary behavior. Both interventions include 5 sessions of motivational counselling. In the physical activity intervention persons also get access to a gym and team leaders will organize lunch walks and encourage to exercise. In the sedentary behavior intervention standing- and walking meetings will be implemented and team leaders will encourage to reduce sitting. The recruitment target is 110 office-workers per arm (330 in total). Measurements will be repeated every 6months for a total intended duration of 24months. Proximal main outcomes are physical activity measured with accelerometers and sedentary behavior with inclinometers. Distal outcomes are self-reported mental health and a cognition test battery. Additional outcomes will include cardiovascular fitness, body composition, sleep, self-reported physical activity and sedentary behavior, other health habits, physical health, and working mechanisms from blood samples and questionnaires.

Discussion

This cluster RCT will contribute to the currently available evidence by comparing the effectiveness of multi-component interventions targeting physical activity or sedentary behavior with the end goal of improving mental health and cognition. This study is strong in its cluster randomized design, numerous objective outcome measures and long-term follow-up. The exact content of the interventions has been defined by combining theory with results from a larger research project as well as having a continuous dialogue with the involved companies.

Place, publisher, year, edition, pages
Springer, 2019
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-5646 (URN)10.1186/s12889-019-6589-4 (DOI)000460405200003 ()30836957 (PubMedID)
Projects
Fysisk aktivitet och hälsosamma hjärnfunktioner bland kontorsarbetare: Delprojekt 3, Långsiktiga interventioner
Available from: 2019-03-19 Created: 2019-03-19 Last updated: 2020-03-20
Larsson, K., Ekblom, Ö., Kallings, L., Ekblom, M. & Blom, V. (2019). Job Demand-Control-Support Model as Related to Objectively Measured Physical Activity and Sedentary Time in Working Women and Men.. International Journal of Environmental Research and Public Health, 16(18), Article ID E3370.
Open this publication in new window or tab >>Job Demand-Control-Support Model as Related to Objectively Measured Physical Activity and Sedentary Time in Working Women and Men.
Show others...
2019 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 18, article id E3370Article in journal (Refereed) Published
Abstract [en]

A physically active lifestyle incurs health benefits and physically active individuals show reduced reactivity to psychosocial stressors. However, the findings are inconclusive and are based on self-reported physical activity and sedentary time. The present study aimed at studying the associations between psychological stressors (job demand, control, support, JD-C-S) and objectively measured physical activity (PA) on various intensities from sedentary (SED) to vigorous physical activity. The participants were 314 employees from a cross-sectional study. PA data were collected with the accelerometer ActiGraph GT3X (Pensacola, FL, USA), SED data with the inclinometer activPAL (PAL Technologies Ltd., Glasgow, Scotland, UK), and psychosocial stressors with a web questionnaire. Results showed that vigorous-intensity PA was negatively associated with demand (β -0.15, p < 0.05), even when adjusted for the covariates. SED was negatively associated to support (β -0.13, p < 0.05). Stress significantly moderated relations between support and sedentary time (β -0.12, p < 0.05). Moderate PA (MVPA) was negatively associated with demand, but only when controlling for overtime (β -0.13, p < 0.05). MVPA was also negatively associated with control (β -0.15, p < 0.05) but not when work engagement was included in the model. Being more physically active and spending less time sedentary may help to handle job situations with high demand and low support.

Place, publisher, year, edition, pages
MDPI, 2019
Keywords
ActiGraph, activPAL, job demand-control-support model, physical activity, questionnaire, sedentary time, workplace
National Category
Sport and Fitness Sciences
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-5858 (URN)10.3390/ijerph16183370 (DOI)000489178500144 ()31547253 (PubMedID)
Projects
Fysisk aktivitet och hälsosamma hjärnfunktioner bland kontorsarbetare: Delprojekt 1, Tvärsnittsstudie
Available from: 2019-09-26 Created: 2019-09-26 Last updated: 2019-10-29
Larsson, K., Ekblom, Ö., Kallings, L., Ekblom, M. & Blom, V. (2019). Job demands control model as related to objectively measured physical activity and sitting time in working women and men. In: : . Paper presented at 19th EAWOP (European Association for Work & Organizational Psychology) Congress, 29th May – 1st June 2019, Turin, ITALY.
Open this publication in new window or tab >>Job demands control model as related to objectively measured physical activity and sitting time in working women and men
Show others...
2019 (English)Conference paper (Other academic)
National Category
Health Sciences
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-6003 (URN)
Conference
19th EAWOP (European Association for Work & Organizational Psychology) Congress, 29th May – 1st June 2019, Turin, ITALY
Available from: 2020-01-21 Created: 2020-01-21 Last updated: 2020-01-21Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-3185-9702

Search in DiVA

Show all publications