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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

Author

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  • Roman P. Kuster

    (Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 141 83 Stockholm, Sweden
    IMES Institute of Mechanical Systems, School of Engineering, ZHAW Zurich University of Applied Sciences, 8400 Winterthur, Switzerland)

  • Philip von Rosen

    (Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 141 83 Stockholm, Sweden)

  • Wilhelmus J. A. Grooten

    (Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 141 83 Stockholm, Sweden
    Women’s Health and Allied Health Professionals Theme, Medical Unit Occupational Therapy and Physiotherapy, Karolinska University Hospital, 171 77 Stockholm, Sweden)

  • Ing-Mari Dohrn

    (Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 141 83 Stockholm, Sweden)

  • Maria Hagströmer

    (Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 141 83 Stockholm, Sweden
    Academic Primary Health Care Center, Region Stockholm, 104 31 Stockholm, Sweden)

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.

Suggested Citation

  • Roman P. Kuster & Philip von Rosen & Wilhelmus J. A. Grooten & Ing-Mari Dohrn & Maria Hagströmer, 2021. "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," IJERPH, MDPI, vol. 18(22), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12214-:d:684099
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    References listed on IDEAS

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    1. Adovich S Rivera & Maxwell Akanbi & Linda C O’Dwyer & Megan McHugh, 2020. "Shift work and long work hours and their association with chronic health conditions: A systematic review of systematic reviews with meta-analyses," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-19, April.
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