期刊
SWISS MEDICAL WEEKLY
卷 150, 期 -, 页码 -出版社
E M H SWISS MEDICAL PUBLISHERS LTD
DOI: 10.4414/smw.2020.20266
关键词
physical activity; sedentary behaviour; accelerometry; cohort; older adults
资金
- Swiss National Science Foundation [33CS30-177506/1, 33CS30-148470/12, 33CSCO-134276/1, 33CSCO-108796, 324730_135673, 3247BO-104283, 3247BO-104288, 3247BO-104284, 3247-065896, 3100-059302, 3200-052720, 3200-042532, 4026-028099, PMPDP3_129021/1, PMPDP3_141671/1]
- SNF-SiRENE [CRSII3_147635]
- Federal Office for the Environment
- Federal Office of Roads and Transport
- canton government of Aargau
- canton government of Basel-Stadt
- canton government of Basel-Land
- canton government of Geneva
- canton government of Luzern
- canton government of Ticino
- canton government of Valais
- canton government of Zurich
- Swiss Lung League
- canton Lung League of Basel Stadt/Basel Landschaft
- canton Lung League of Geneva
- canton Lung League of Ticino
- canton Lung League of Valais
- canton Lung League of Graubunden
- canton Lung League of Zurich
- Stiftung ehemals Bundner Heilstatten
- SUVA
- Freiwillige Akademische Gesellschaft
- UBS Wealth Foundation
- Talecris Biotherapeutics GmbH
- Abbott Diagnostics
- Klinik Barmelweid
- Hirslanden Klinik Aarau
- European Commission [018996]
- Wellcome Trust [WT 084703MA]
- Exposomics EC FP7 grant [308610]
- ALEC Horizon2020 [633212]
- Swiss National Science Foundation (SNF) [33CS30_177506] Funding Source: Swiss National Science Foundation (SNF)
BACKGROUND: Non-communicable diseases (NCDs) account for the vast majority of deaths in Switzerland. Insufficient physical activity (PA) is an established NCD risk factor and PA is known to be beneficial for physical and mental wellbeing. Sedentary behaviour (SB) is an additional, independent risk factor and associated with frailty in older adults. This study aimed at describing cross-sectional PA patterns in a general population sample of subjects aged 52 years and older (52+) from eight areas across different language regions of Switzerland. Additionally, the predictive association of self-reported PA for objectively measured PA was tested. METHODS: Participants 52+ of the Swiss Cohort Study on Air Pollution And Lung and Heart Disease In Adults (SAPALDIA) who completed accelerometer data collection at the most recent follow-up (SAPALDIA4 in 2017/18) and provided information on determinants of interest (sex, age, body mass index [BMI], language region, education, employment status, civil status, smoking) were included in the analysis (n = 1314). The accelerometer-derived average time spent in different PA intensities (SB, light PA [LPA], moderate-to-vigorous PA [MVPA]) was estimated according to participant characteristics with control for season and wear time using multiple linear regressions. In further analyses, the predictive effect of changes in self-reported PA over roughly ten years between SAPALDIA2 (2001/02) and SAPALDIA3 (2010/11) (remaining inactive [RI]; becoming inactive [BI]; becoming active [BA]; remaining active [RA]) on the objectively measured SB, LPA and MVPA obtained seven years later by accelerometry (SAPALDIA4), was assessed using multiple linear regression models. RESULTS: Overall, 21.7% of 52+ participants met the Swiss recommendations for subjectively assessed PA. Obese participants, 75+ year-olds, smokers and subjects living alone spent more time in SB and less time in LPA and MVPA compared with participants with a BMI below 25 kg/m(2), between 52 and 64 years old, not smoking and being married, respectively. Residents living in the Frenchspeaking part of Switzerland were less likely to engage in MVPA compared with residents from the German-speaking part and thus were less likely to meet the PA recommendations. A trend for increasing PA and decreasing SB was observed consistently across the four groups (RI, BI, BA, RA) of predictive self-reported PA patterns with participants remaining active over the course of roughly ten years showing highest levels of PA and lowest levels of SB measured objectively at SAPALDIA4. CONCLUSION: The high proportion of SB points to the need of physical activity promotion for the older part of the population in Switzerland. According to our data, behavioural changes in PA are possible and sustainable as we can see in the group of participants becoming active and this is essential for health promotion recommendations.
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