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Accelerometer derived physical activity patterns in 27.890 middle-aged adults : The SCAPIS cohort study

Ekblom-Bak, Elin ; Börjesson, Mats ; Bergman, Frida ; Bergström, Göran ; Dahlin-Almevall, Albin ; Drake, Isabel LU ; Engström, Gunnar LU ; Engvall, Jan E. ; Gummesson, Anders and Hagström, Emil , et al. (2022) In Scandinavian Journal of Medicine and Science in Sports 32(5). p.866-880
Abstract

The present study aims to describe accelerometer-assessed physical activity (PA) patterns and fulfillment of PA recommendations in a large sample of middle-aged men and women, and to study differences between subgroups 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... (More)

The present study aims to describe accelerometer-assessed physical activity (PA) patterns and fulfillment of PA recommendations in a large sample of middle-aged men and women, and to study differences between subgroups 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” behavior, 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.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
accelerometery, pattern, physical Activity, population-based, SCAPIS Study, sedentary
in
Scandinavian Journal of Medicine and Science in Sports
volume
32
issue
5
pages
866 - 880
publisher
Wiley-Blackwell
external identifiers
  • scopus:85124561197
  • pmid:35080270
ISSN
0905-7188
DOI
10.1111/sms.14131
language
English
LU publication?
yes
id
b659fdc7-61d5-46b9-add9-3f1f6a8618ab
date added to LUP
2022-04-14 12:16:25
date last changed
2024-07-19 05:55:22
@article{b659fdc7-61d5-46b9-add9-3f1f6a8618ab,
  abstract     = {{<p>The present study aims to describe accelerometer-assessed physical activity (PA) patterns and fulfillment of PA recommendations in a large sample of middle-aged men and women, and to study differences between subgroups 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” behavior, 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.</p>}},
  author       = {{Ekblom-Bak, Elin and Börjesson, Mats and Bergman, Frida and Bergström, Göran and Dahlin-Almevall, Albin and Drake, Isabel and Engström, Gunnar and Engvall, Jan E. and Gummesson, Anders and Hagström, Emil and Hjelmgren, Ola and Jernberg, Tomas and Johansson, Peter J. and Lind, Lars and Mannila, Maria and Nyberg, André and Persson, Margaretha and Reitan, Christian and Rosengren, Annika and Rådholm, Karin and Schmidt, Caroline and Sköld, Magnus C. and Sonestedt, Emily and Sundström, Johan and Swahn, Eva and Öhlin, Jerry and Östgren, Carl Johan and Ekblom, Örjan}},
  issn         = {{0905-7188}},
  keywords     = {{accelerometery; pattern; physical Activity; population-based; SCAPIS Study; sedentary}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{866--880}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Scandinavian Journal of Medicine and Science in Sports}},
  title        = {{Accelerometer derived physical activity patterns in 27.890 middle-aged adults : The SCAPIS cohort study}},
  url          = {{http://dx.doi.org/10.1111/sms.14131}},
  doi          = {{10.1111/sms.14131}},
  volume       = {{32}},
  year         = {{2022}},
}