Evidence map›Paper›PMID 42316119›Full record

ArticleBMC public health2026

The associations of sedentary behaviour and physical activity with musculoskeletal symptoms in hybrid office workers: a compositional data analysis.

Iris Parés-Salomón, Eva Cirera-Viñolas, Alan Coffey, Bette Loef, Kieran P Dowd, Anna M Señé-Mir, Arnau Gustems-Morral, Izabela Luznik, Maja Pajek, Karin I Proper and 2 more

Registry-linked trialAbstract read
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Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06247228 (A Co-created Digital Intervention to Reduce Home-office Workers' Sedentary Behaviour), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT06247228 naunknown statusnot on this map

A Co-created Digital Intervention to Reduce Home-office Workers' Sedentary Behaviour: Protocol for the Click2Move Programme, a Cluster Randomised Controlled Trial

TypeinterventionalSponsorUniversity of Vic - Central University of CataloniaRan2024 to 2025Enrolled200ConditionsSedentary BehaviourArmsClick2Move
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Iris Parés-SalomónFaculty of Health Sciences and Welfare, University of Vic - Central University of Catalonia (UVic-UCC), C. Sagrada Família, 7, Vic, Barcelona, 08500, Spain. iris.pares@uvic.cat.
Eva Cirera-ViñolasFaculty of Health Sciences and Welfare, University of Vic - Central University of Catalonia (UVic-UCC), C. Sagrada Família, 7, Vic, Barcelona, 08500, Spain.
Alan CoffeySHE Research Centre, Department of Sport and Health Sciences, Technological University of the Shannon, Dublin Road, Athlone, Co. Westmeath, Ireland.
Bette LoefCentre for Prevention, Lifestyle and Health, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Kieran P DowdSHE Research Centre, Department of Sport and Health Sciences, Technological University of the Shannon, Dublin Road, Athlone, Co. Westmeath, Ireland.
Anna M Señé-MirSport and Physical Activity Research Group, Sport and Physical Activity Studies Centre, University of Vic-Central University of Catalonia, Vic, Barcelona, Spain.
Arnau Gustems-MorralFaculty of Health Sciences and Welfare, University of Vic - Central University of Catalonia (UVic-UCC), C. Sagrada Família, 7, Vic, Barcelona, 08500, Spain.
Izabela LuznikFaculty of Sport, University of Ljubljana, Ljubljana, Slovenia.
Maja PajekFaculty of Sport, University of Ljubljana, Ljubljana, Slovenia.
Karin I ProperCentre for Prevention, Lifestyle and Health, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Anna Puig-RiberaSport and Physical Activity Research Group, Institute for Research and Innovation in Life and Health Sciences in Central Catalonia (IRIS-CC), University of Vic - Central University of Catalonia (UVic-UCC), Vic, Barcelona, Spain.
Judit Bort-RoigFaculty of Health Sciences and Welfare, University of Vic - Central University of Catalonia (UVic-UCC), C. Sagrada Família, 7, Vic, Barcelona, 08500, Spain.

Funding

Cooperation Partnerships program of the European Commission 101050490-ERASMUS-SPORT-2021-SCP
6 · The paper itself

Abstract

backgroundHybrid work, combining home-office work and working in the office, is the new norm for desk-based jobs. This work modality further increases sedentary behaviour and may subsequently increase the behaviours related effects on health, such as musculoskeletal symptoms. However, little is known about accumulated physical activity (PA) patterns and sedentary behaviours (SB) (and their associations with health) since the adoption of hybrid work after the COVID-19 pandemic. Therefore, the aims of the study are to (i) examine patterns of SB and PA among hybrid office workers, (ii) assess their associations with musculoskeletal symptoms, and (iii) assess the impact of replacing time spent in SB with PA on musculoskeletal symptoms.

methodsIn this cross-sectional study, hybrid office employees from Ireland, Slovenia, Spain and the Netherlands were enrolled. Self-reported measures assessed sociodemographics. Musculoskeletal symptoms were measured using the Standardized Nordic Questionnaire as the presence of any discomfort in the past 7 days. Total, occupational and non-occupational SB, standing, light-intensity PA and moderate-to-vigorous PA (MVPA) were assessed by the activPAL™. A compositional data analysis was employed to investigate the associations between SB and PA patterns and musculoskeletal symptoms. For significantly associated patterns, isotemporal substitution analyses were conducted.

resultsA total of 163 hybrid office workers (71.8% female; median age 39 years) participated in the study. Overall, 51.5% of participants reported musculoskeletal symptoms in at least one body region. On average, participants sat for 11.08 h/day, accumulating 20 min more sitting time while working during home-office work than in the traditional office location (p < 0.001), with greater proportion of prolonged sitting bouts (p = 0.041). The proportion of sitting time relative to the other 24-hour day behaviours on days of home-office work was associated with musculoskeletal symptoms (OR: 2.75, 95% CI: 1.24, 6.55). Reallocating sitting time with MVPA was associated with a lower predicted probability of experiencing musculoskeletal symptoms at home, with greater differences observed at higher amounts of substitution.

conclusionsSitting time during home-office working days is associated with musculoskeletal symptoms, while replacing it with MVPA is associated with lower odds of such symptoms. These findings may inform future strategies to reduce SB and promote PA in hybrid work contexts across a 24-hour framework.

trial registrationClinicalTrials.gov NCT06247228. Registered 30 January 2024.

Indexed as

ExerciseMusculoskeletal DiseasesSedentary BehaviorAdultCOVID-19Cross-Sectional StudiesData AnalysisFemaleHumansMaleMiddle AgedPandemicsWorking ConditionsHome-office workHybrid workMusculoskeletal healthPhysical activitySitting time

Identifiers

PMID42316119
PMCPMC13520371

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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.