ArticleThe international journal of behavioral nutrition and physical activity2020
The physical activity paradox revisited: a prospective study on compositional accelerometer data and long-term sickness absence.
Article in The international journal of behavioral nutrition and physical activity, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.
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Who cites it
58 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effectiveness of eHealth Interventions Targeting Employee Health Behaviors: Systematic Review.Journal of medical Internet research · 2023Pooled it
- Digital Interventions on Healthy Lifestyle Management: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Health behaviour changes around transitions into and out of unpaid caregiving in the UK: A longitudinal study.SSM - population health · 2026Article
- Differential Associations of Occupational and Total Physical Activity with Sleep Quality Among Adults in the United Arab Emirates: A Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- Physical Fitness and Device-Based Moderate-to-Vigorous Physical Activity and Risk of Long-Term Sickness Absence-A Prospective Cohort Study With 8-Year Follow-Up.European journal of sport science · 2026Article
- The associations of sedentary behaviour and physical activity with musculoskeletal symptoms in hybrid office workers: a compositional data analysis.BMC public health · 2026Article
- Factors Associated with the Odds, Duration, and Costs of Health-Related Absenteeism: A Population-Based Study in São Paulo City, Brazil.Healthcare (Basel, Switzerland) · 2026Article
- Occupational physical behaviors and knee pain among eldercare workers: A prospective accelerometer study.Scandinavian journal of work, environment & health · 2026Article
- The paradox of physical activity in relation to well-being and mental health: a compositional data analysis of the 24-hour movement patterns.BMC public health · 2026Article
- Associations of physical activity and sedentary time with diabetic kidney disease among adults with diabetes: a multicenter population-based study.Frontiers in endocrinology · 2026Article
- Possible Sarcopenia is Related to Leisure-Time Physical Activity but Not to Occupational Activity.Annals of geriatric medicine and research · 2025Article
- Twenty-Four Hour Rest-Activity Rhythm Disturbances and Neural Alterations Associated With Emotion Regulation in Shift Workers.Journal of sleep research · 2025Article
- Differences in the temporal patterns of occupational time on feet and sitting between homecare and nursing home workers.Annals of work exposures and health · 2025Article
- Cardiovascular load and physical capacity in older workers engaged in physically demanding occupations.International archives of occupational and environmental health · 2025Article
- Prospective associations between 24-h device-measured occupational and leisure-time physical activity and register-based musculoskeletal-related primary healthcare utilization among Danish workers.Scientific reports · 2025Article
- What determines childcare workers physical behaviours at work? An investigation of determinants at the institution, team, and worker levels in Danish day nurseries.Annals of work exposures and health · 2025Article
- From Single Movement Behaviors to Complete 24-h Behaviors Profiles and Multiple Health Outcomes-A Cross-Sectional Study Using Accelerometry.Scandinavian journal of medicine & science in sports · 2025Article
- High Amount of Physical Activity on Work Days Is Associated with More Intense Musculoskeletal Symptoms in Nurses: Seven-Day Observational Study.Nursing reports (Pavia, Italy) · 2025Article
- Sedentary Behavior, Physical Activity, and Health of Workers in Chile According to the National Health Survey-2017.Epidemiologia (Basel, Switzerland) · 2025Article
- Methodological Choices on 24-h Movement Behavior Assessment by Accelerometry: A Scoping Review.Sports medicine - open · 2025Review
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 'physical activity paradox' advocates that leisure physical activity (PA) promotes health while high occupational PA impairs health. However, this paradox can be explained by methodological limitations of the previous studies-self-reported PA measures, insufficient adjustment for socioeconomic confounding or not addressing the compositional nature of PA. Therefore, this study investigated if we still observe the PA paradox in relation to long-term sick absence (LTSA) after adjusting for the abovementioned limitations.
methodsTime spent on moderate-to-vigorous physical activity (MVPA) and remaining physical behaviors (sedentary behavior, standing, light PA and time in bed) at work and in leisure was measured for 929 workers using thigh accelerometry and expressed as isometric log-ratios (ilrs). LTSA was register-based first event of ≥6 consecutive weeks of sickness absence during 4-year follow-up. The association between ilrs and LTSA was analyzed using a Cox proportional hazards model adjusted for remaining physical behaviors and potential confounders, then separately adjusting for and stratifying by education and type of work.
resultsDuring the follow-up, 21% of the workers experienced LTSA. In leisure, more relative MVPA time was negatively associated with LTSA (20% lower risk with 20 min more MVPA, p = 0.02). At work, more relative MVPA time was positively associated with LTSA (15% higher risk with 20 min more MVPA, p = 0.02). Results remained unchanged when further adjusted for or stratified by education and type of work.
conclusionThese findings provide further support to the 'PA paradox'.
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