ArticleBMC public health2019
Assessing physiological response mechanisms and the role of psychosocial job resources in the physical activity health paradox: study protocol for the Flemish Employees' Physical Activity (FEPA) study.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 16 citations in OpenAlex.
- Clustering analysis of acute mountain sickness susceptibility among young adults during rapid ascent using low-altitude step test data.Physiological reports · 2026Article
- Daily self-efficacy, planning and social support explain leisure-time physical activity in working adults: evidence for the cultivation hypothesis from an ambulatory assessment study.Health psychology and behavioral medicine · 2025Article
- The impact of leisure-time physical activity and occupational physical activity on sickness absence. A prospective study among people with physically demanding jobs.Scandinavian journal of work, environment & health · 2023Article
- Are Psychosocial Resources Buffering the Relation Between Physical Work Behaviors and Need for Recovery?International journal of public health · 2022Article
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- Low back and neck pain: objective and subjective measures of workplace psychosocial and physical hazards.International archives of occupational and environmental health · 2021Article
- The Relation between Domain-Specific Physical Behaviour and Cardiorespiratory Fitness: A Cross-Sectional Compositional Data Analysis on the Physical Activity Health Paradox Using Accelerometer-Assessed Data.International journal of environmental research and public health · 2020Article
- The occupational sitting and physical activity questionnaire (OSPAQ): a validation study with accelerometer-assessed measures.BMC public health · 2020Article
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- Thigh-worn accelerometry for measuring movement and posture across the 24-hour cycle: a scoping review and expert statement.BMJ open sport & exercise medicine · 2020Article
- Risk of cancer and longest-held occupations in Japanese workers: A multicenter hospital-based case-control study.Cancer medicine · 2019Article
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundIn the current labour system many workers are still exposed to heavy physical demands during their job. In contrast to leisure time physical activity (LTPA), occupational physical activity (OPA) is associated with an increased risk of cardiovascular diseases and all-cause mortality, termed "the physical activity (PA) health paradox". In order to gain more insight into the PA health paradox, an exploration of structural preventive measures at the workplace is needed and therefore objective field measurements are highly recommended. The objective of this paper is to provide an overview of the protocol of the Flemish Employees' Physical Activity (FEPA) study, including objective measurements of PA, heart rate (HR) and cardiorespiratory fitness (CRF) to gain more insight into the PA health paradox.
methodsA total of 401 workers participated in the FEPA study across seven companies in the service and production sector in Belgium. The participants comprised 167 men and 234 women, aged 20 to 65 years. OPA and LTPA were assessed by two Axivity AX3 accelerometers on the thigh and upper back. Ambulatory HR was measured by the Faros eMotion 90° monitor. Both devices were worn during two to four consecutive working days. In addition, CRF was estimated by using the Harvard Step Test. Statistical analyses will be performed using Pearson correlation, and multiple regression adjusted for possible confounders. DISCUSSION: This study aims to provide a better insight in the PA health paradox and the possible buffering factors by using valid and objective measurements of PA and HR (both during LTPA and OPA) over multiple working days. The results of the study can contribute to the prevention of cardiovascular disease by providing tailored recommendations for participants with high levels of OPA and by disseminating the results and recommendations to workplaces, policy makers and occupational health practitioners.
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