ArticleInternational journal of environmental research and public health2021
Self-Reported and Device-Measured Physical Activity in Leisure Time and at Work and Associations with Cardiovascular Events-A Prospective Study of the Physical Activity Paradox.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- High occupational physical activity and its combined effect with leisure-time physical activity on cardiovascular disease and mortality: systematic reviews and meta-analyses.Occupational and environmental medicine · 2025Pooled it
- Leisure-time and occupational physical activity and risk of cardiovascular disease incidence: a systematic-review and dose-response meta-analysis of prospective cohort studies.The international journal of behavioral nutrition and physical activity · 2024Pooled it
- The physical activity health paradox: what is it, why might it happen, and where to go from here?The international journal of behavioral nutrition and physical activity · 2026Review
- Wrist Accelerometer Estimates of Physical Activity Intensity During Walking in Older Adults and People Living With Complex Health Conditions: Retrospective Observational Data Analysis Study.JMIR formative research · 2023Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The beneficial health effects of physical activity, in particular moderate-to-vigorous physical activity (MVPA), are well documented, but there is an ongoing scientific debate whether the domain matters, i.e., whether leisure time physical activity is beneficial and occupational physical activity is detrimental to health, referred to as the physical activity paradox. The present study, therefore, analyzed the association between self-reported and device-measured physical activity and cardiovascular events in both domains. A representative sample of 807 individuals was followed for 14.6 ± 1.1 years, in which 59 cardiovascular events occurred. For self-reported data, Cox proportional hazard models showed no effect of physical activity in leisure and at work, while for device-measured MVPA, beneficial associations with total time spent in MVPA and occupational time spent in MVPA were found, but not for leisure time spent in MVPA. When accounting for both domains in the same model, the associations disappeared. These results indicate that it matters how physical activity is measured and that MVPA is beneficial for cardiovascular health, but the domain in which MVPA occurs does not seem to matter.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.