| 1. |
- Blodgett, Joanna M., et al.
(författare)
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Device-measured physical activity and cardiometabolic health : the Prospective Physical Activity, Sitting, and Sleep (ProPASS) consortium
- 2023
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Ingår i: European Heart Journal. - 0195-668X .- 1522-9645.
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Tidskriftsartikel (refereegranskat)abstract
- Background and Aims: Physical inactivity, sedentary behaviour (SB), and inadequate sleep are key behavioural risk factors of cardiometabolic diseases. Each behaviour is mainly considered in isolation, despite clear behavioural and biological interdependencies. The aim of this study was to investigate associations of five-part movement compositions with adiposity and cardiometabolic biomarkers.Methods: Cross-sectional data from six studies (n = 15 253 participants; five countries) from the Prospective Physical Activity, Sitting and Sleep consortium were analysed. Device-measured time spent in sleep, SB, standing, light-intensity physical activity (LIPA), and moderate-vigorous physical activity (MVPA) made up the composition. Outcomes included body mass index (BMI), waist circumference, HDL cholesterol, total:HDL cholesterol ratio, triglycerides, and glycated haemoglobin (HbA1c). Compositional linear regression examined associations between compositions and outcomes, including modelling time reallocation between behaviours.Results: The average daily composition of the sample (age: 53.7 ± 9.7 years; 54.7% female) was 7.7 h sleeping, 10.4 h sedentary, 3.1 h standing, 1.5 h LIPA, and 1.3 h MVPA. A greater MVPA proportion and smaller SB proportion were associated with better outcomes. Reallocating time from SB, standing, LIPA, or sleep into MVPA resulted in better scores across all outcomes. For example, replacing 30 min of SB, sleep, standing, or LIPA with MVPA was associated with −0.63 (95% confidence interval −0.48, −0.79), −0.43 (−0.25, −0.59), −0.40 (−0.25, −0.56), and −0.15 (0.05, −0.34) kg/m2 lower BMI, respectively. Greater relative standing time was beneficial, whereas sleep had a detrimental association when replacing LIPA/MVPA and positive association when replacing SB. The minimal displacement of any behaviour into MVPA for improved cardiometabolic health ranged from 3.8 (HbA1c) to 12.7 (triglycerides) min/day.Conclusions: Compositional data analyses revealed a distinct hierarchy of behaviours. Moderate-vigorous physical activity demonstrated the strongest, most time-efficient protective associations with cardiometabolic outcomes. Theoretical benefits from reallocating SB into sleep, standing, or LIPA required substantial changes in daily activity.
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| 2. |
- Fröberg, Andreas, 1985, et al.
(författare)
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Changes in Accelerometer-Measured Physical Activity and Sedentary Time Across Retirement Transition as a Predictor of Self-Rated Health
- 2024
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Ingår i: Journal of Physical Activity and Health. - 1543-3080.
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Tidskriftsartikel (refereegranskat)abstract
- Background: Retirement transition has shown to associate with changes in physical activity (PA) and self-rated health (SRH), but their interrelationship is less studied. The aim was to investigate changes in accelerometer measured total PA, moderate-to-vigorous PA (MVPA) and sedentary time across retirement transition as a predictor of self-rated health. Methods: Data from the Swedish Retirement Study and the Finnish Retirement and Aging study was harmonized and pooled. Data from three waves (about 12 months apart) was included: one pre-retirement (wave 1) and two post-retirement follow-ups (wave 2-3). Totally 245 participants (27% men) were included. Thigh-worn accelerometers were used to collect data for PA variables (wave 1-2), and SRH was obtained from the questionnaire (wave 1-3). Results: Between wave 1 and 2, total PA decreased with 11 (CI:-22;-1) minutes per day, MVPA was stable (0 [CI:-3;3] min), and sedentary time decreased non-significantly with 9 (CI:-20;1) minutes. SRH changed between all three waves (all, p<0.001). At pre-retirement, 10 more minutes of MVPA was associated with greater odds of better SRH when adjusting for accelerometer wear-time, cohort, sex and age, and occupational status (OR:1.11 (95%CI:1.02-1.22)). This association was no longer statistically significant when additionally adjusting for marital status, BMI, and smoking. No significant associations were observed between changes in the PA variables during retirement transition, and SRH at post-retirement follow-ups. Conclusion: This study showed a cross-sectional association between MVPA and greater odds of reporting better SRH before retirement. No longitudinal associations were observed between changes in the PA variables from before to after retirement and later change in SRH
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| 3. |
- Leskinen, Tuija, et al.
(författare)
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The Effect of Consumer-based Activity Tracker Intervention on Physical Activity among Recent Retirees - An RCT Study
- 2021
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Ingår i: Medicine & Science in Sports & Exercise. - Philadelphia : Lippincott Williams & Wilkins. - 0195-9131 .- 1530-0315. ; 53:8, s. 1756-1765
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Tidskriftsartikel (refereegranskat)abstract
- Purpose The randomized controlled trial REACT (NCT03320746) examined the effect of a 12-month consumer-based activity tracker intervention on accelerometer-measured physical activity among recent retirees. Methods Altogether 231 recently retired Finnish adults (age, 65.2 ± 1.1 yr, mean ± SD; 83% women) were randomized to intervention and control groups. Intervention participants were requested to wear a commercial wrist-worn activity tracker (Polar Loop 2; Polar, Kempele, Finland) for 12 months, to try to reach the daily activity goals shown on the tracker display, and to upload their activity data to a Web-based program every week. The control group received no intervention. Accelerometer-based outcome measurements of daily total, light physical activity (LPA), and moderate to vigorous (MVPA) physical activity were conducted at baseline and at 3-, 6-, and 12-month time points. Hierarchical linear mixed models were used to examine the differences between the groups over time. All analyses were performed by intention-to-treat principle and adjusted for wake wear time. Results The use of a commercial activity tracker did not increase daily total activity, LPA, or MVPA over the 12-months period when compared with nonuser controls (group-time interaction, P = 0.39, 0.23, and 0.77, respectively). There was an increase in LPA over the first 6 months in both the intervention (26 min·d-1, 95% confidence interval [CI] = 13 to 39) and the control (14 min·d-1, 95% CI = 1 to 27) groups, but the difference between the groups was not significant (12 min·d-1, 95% CI = -6 to 30). In both groups, LPA decreased from 6 to 12 months. Conclusion The 12-month use of a commercial activity tracker does not appear to elicit significant changes in the daily total activity among a general population sample of recent retirees, thus highlighting the need to explore other alternatives to increase physical activity in this target group. © Lippincott Williams & Wilkins.
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| 4. |
- Pulakka, Anna, et al.
(författare)
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Physical Activity across Retirement Transition by Occupation and Mode of Commute
- 2020
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Ingår i: Medicine & Science in Sports & Exercise. - 0195-9131 .- 1530-0315. ; 52:9, s. 1900-1907
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Retirement induces changes in the composition of daily physical activity. Our aim was to examine changes in accelerometer-measured physical activity around transition to statutory retirement among men and women by occupational category and by preretirement modes of commuting. Methods: We included 562 workers (mean [SD] age, 63.3 [1.1] yr; 85% women) from the Finnish Retirement and Aging study. The participants wore an accelerometer on their nondominant wrist for 1 wk before and 1 wk after retirement, with 1 yr between the measurements. We compared mean daily activity counts before and after retirement between manual and nonmanual occupations by gender and by preretirement commuting mode using linear models with generalized estimating equations. Results: Before retirement, women were more active than men (2550 (95% confidence interval, 2500-2590) vs 2060 (1970-2140) mean daily activity counts), with the most active group being women in manual occupations. After retirement, physical activity decreased by 3.9% among women and increased, albeit nonsignificantly, by 3.1% in men. The decrease was most pronounced among women in manual and increase among men in nonmanual occupations. After retirement, women remained more active than men (2450 (95% confidence interval 2390-2500) vs 2120 (2010-2230) counts). Active commuting, especially cycling, before retirement was associated with higher physical activity both before and after retirement, and these people also maintained their total activity lever better than did those who commuted by public transportation. Conclusions: Although women in manual occupations decreased and men in nonmanual occupations increased their activity after retirement, women were more active than men both before and after retirement. Those who engaged in active commuting before retirement maintained their activity level also after retirement.
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| 5. |
- Suorsa, Kristin, et al.
(författare)
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Longitudinal Associations between 24-h Movement Behaviors and Cardiometabolic Biomarkers : A Natural Experiment over Retirement
- 2024
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Ingår i: Medicine & Science in Sports & Exercise. - : Wolters Kluwer. - 0195-9131 .- 1530-0315. ; 56:7, s. 1297-1306
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Tidskriftsartikel (refereegranskat)abstract
- Introduction Physical activity, sedentary behavior, and sleep, that is, 24-h movement behaviors, often change in the transition from work to retirement, which may affect cardiometabolic health. This study investigates the longitudinal associations between changes in 24-h movement behaviors and cardiometabolic biomarkers during the retirement transition.Methods Retiring public sector workers (n = 212; mean (SD) age, 63.5 (1.1) yr) from the Finnish Retirement and Aging study used a thigh-worn Axivity accelerometer and filled out a diary to obtain data on daily time spent in sedentary behavior (SED), light physical activity (LPA), and moderate-to-vigorous physical activity (MVPA), and sleep before and after retirement (1 yr in-between). Cardiometabolic biomarkers, including LDL-cholesterol, HDL-cholesterol, total/HDL-cholesterol ratio, triglycerides, C-reactive protein, fasting glucose, and insulin, were measured. Associations between changes in 24-h movement behaviors and cardiometabolic biomarkers were analyzed using compositional robust regression and isotemporal substitution analysis.Results Increasing LPA in relation to remaining behaviors was associated with an increase in HDL-cholesterol and decrease in total/HDL-cholesterol ratio (P < 0.05 for both). For instance, reallocation of 30 min from sleep/SED to LPA was associated with an increase in HDL-cholesterol by 0.02 mmol·L−1. Moreover, increasing MVPA in relation to remaining behaviors was associated with a decrease in triglycerides (P = 0.02). Reallocation of 30 min from SED/sleep to MVPA was associated with 0.07–0.08 mmol·L−1 decrease in triglycerides. Findings related to LDL-cholesterol, C-reactive protein, fasting glucose, and insulin were less conclusive.Conclusions During the transition from work to retirement, increasing physical activity at the expense of passive behaviors was associated with a better lipid profile. Our findings suggest that life transitions like retirement could be utilized more as an optimal time window for promoting physical activity and health.
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| 6. |
- Suorsa, Kristin, et al.
(författare)
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Modifications of 24-h movement behaviors to prevent obesity in retirement : a natural experiment using compositional data analysis
- 2023
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Ingår i: International Journal of Obesity. - : Springer Nature. - 0307-0565 .- 1476-5497. ; 47:10, s. 922-930
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundRetirement often leads to a more passive lifestyle and may therefore lead to weight gain. This study aims to investigate longitudinal associations between changes in 24-h movement behaviors and BMI and waist circumference in relation to the transition from work to retirement.MethodsThe study population included 213 retiring public sector workers (mean age 63.5 years, standard deviation 1.1) from the Finnish Retirement and Aging study. Before and after retirement participants wore an Axivity accelerometer on their thigh and filled in a daily log for at least four days to measure daily time spent sleeping, in sedentary behavior (SED), light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA). Also, their body mass index (BMI) and waist circumference were measured repeatedly. Compositional linear regression analysis and isotemporal substitution analysis were used to study associations between one-year changes in 24-h movement behaviors and concurrent changes in BMI and waist circumference.ResultsAn increase in MVPA in relation to sleep, SED and LPA was associated with a decreasing BMI (β = −0.60, p = 0.04) and waist circumference (β = −2.14, p = 0.05) over one year from before retirement to after retirement. In contrast, increasing sleep in relation to SED, LPA and MVPA was associated with an increasing BMI (β = 1.34, p = 0.02). Reallocating 60 min from MVPA to SED or sleep was estimated to increase BMI by on average 0.8–0.9 kg/m2 and waist circumference by 3.0 cm during one year.ConclusionsDuring the transition from work to retirement, increasing MVPA was associated with a slight decrease in BMI and waist circumference, whereas increasing sleep was associated with an increasing BMI. Common life transitions, like retirement, should be considered when giving recommendations and guidance for physical activity and sleep.
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| 7. |
- Suorsa, Kristin, et al.
(författare)
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Objectively Measured Sedentary Time Before and After Transition to Retirement : The Finnish Retirement and Aging Study
- 2020
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Ingår i: The journals of gerontology. Series A, Biological sciences and medical sciences. - Cary : Oxford University Press. - 1079-5006 .- 1758-535X. ; 75:9, s. 1737-1743
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Tidskriftsartikel (refereegranskat)abstract
- Background: Retirement is associated with an increase in self-reported daily sedentary time, but no longitudinal evidence exists on how objectively measured sedentary time changes during retirement transition. The aim of this study was to compare objectively measured daily and hourly sedentary time before and after retirement and examine whether these changes differ by gender and occupational status.Methods: The study population consisted of 478 participants (mean age 63.2 years, standard deviation 1.7, 85% women) from the Finnish Retirement and Aging Study. Sedentary time was measured using a wrist-worn triaxial ActiGraph accelerometer before and after transition to retirement with 1 year interval. Preretirement occupational status was categorized as manual and non-manual.Results: Daily sedentary time was 8 hours 10 minutes in women and 9 hours 49 minutes in men before retirement. Considering all measurement days before and after retirement, daily sedentary time increased in women by 29 minutes (95% confidence interval [CI]: 20 to 38). Especially women retiring from manual occupations showed marked increase in sedentary time (63 minutes, 95% CI: 50 to 77). When only non-working days before retirement were considered, increase in daily sedentary time among women was less marked (16 minutes, 95% CI: 7 to 25). Among men, daily sedentary time did not change in retirement transition (−7 minutes, 95% CI: −26 to 12).Conclusions: Objectively measured sedentary time increases among women and remains at high level among men during the retirement transition. Attention should be paid to reduce daily sedentary time in retiring women and men.
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| 8. |
- Suorsa, Kristin, et al.
(författare)
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The Effect of a Consumer-Based Activity Tracker Intervention on Accelerometer-Measured Sedentary Time Among Retirees : A Randomized Controlled REACT Trial
- 2022
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Ingår i: The journals of gerontology. Series A, Biological sciences and medical sciences. - Cary, NC : Oxford University Press. - 1079-5006 .- 1758-535X. ; 77:3, s. 579-587
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Effective strategies to reverse the increasing trend of sedentary behavior after retirement are needed. The aim of this study was to examine the effect of 12-month activity tracker-based intervention on daily total and prolonged sedentary time (≥60 minutes) among recent retirees.METHODS: Randomization to intervention and control groups was performed to 231 retirees (mean age 65.2 [SD 1.1] years, 83% women). Intervention participants wore a consumer-based wrist-worn activity tracker (Polar Loop 2, Polar, Kempele, Finland), including daily activity goal, every day and night for 12 months. The activity tracker also gave vibrating reminders to break up uninterrupted inactivity periods after 55 minutes. A wrist-worn triaxial ActiGraph wGT3X-BT accelerometer was used to measure sedentary time at baseline and at 3-, 6-, and 12-month time points.RESULTS: The use of an activity tracker did not reduce daily total or prolonged sedentary time over 12 months (p values for time * group interaction 0.39 and 0.27, respectively). In the post hoc analysis focusing on short- and medium-term effects on prolonged sedentary time, no differences between the intervention and control groups over 3 months were found, but a tendency for a greater decrease in prolonged sedentary time in the intervention group over 6 months was seen (mean difference in changes between the groups 29 minutes, 95% CI -2 to 61).CONCLUSIONS: The activity tracker with inactivity alerts did not elicit changes in sedentary time over 12 months among recent retirees. Alternative approaches may be needed to achieve long-term changes in sedentary time among retirees.Clinical Trials registration Number: NCT03320746. © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America.
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| 9. |
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| 10. |
- Westerlund, Hugo, et al.
(författare)
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CHANGES IN PHYSICAL ACTIVITY, SEDENTARY TIME, AND SELF-RATED HEALTH ACROSS THE RETIREMENT TRANSITION
- 2023
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Ingår i: Innovation in Aging. - : Oxford University Press. - 2399-5300. ; 7:1, s. 711-711
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to investigate concurrent changes in accelerometer-measured total physical activity (TPA), moderate-to-vigorous physical activity (MVPA) and sedentary time, and changes in self-rated health across the retirement transition. Data from two longitudinal studies was pooled: the Swedish Retirement Study (SRS) and the Finnish Retirement and Aging (FIREA) study that used similar methods. Data from three waves (each approximately 12 months apart) was included: one pre-retirement (wave 1, W-1) and two post-retirement follow-ups (W-2 and W-3). In total, 245 participants (27% men, mean age 64 years at W-1) were included. Thigh-worn accelerometers were used to collect data for TPA, MVPA and sedentary time at W-1 and W-2 and processed through ActiPASS and harmonized for time spent in different physical activity intensities. To be included in the analyses, a minimum of 4 days with at least 10 hours of accelerometer wear time during waking hours at both W-1 and W-2 was required. Questionnaires were used to collect data for self-rated health at W-1, W-2, and W-3. Ordinal regression models showed that 10 more minutes of MVPA at W-1 was significantly associated with higher odds of reporting better self-rated health at W-1 (OR: 1.12 [1.02-1.22]) in non-manual workers only. The association between MVPA and self-rated health was non-significant in the fully adjusted models. No significant associations were observed between changes in TPA, MVPA or sedentary time during retirement transition, and self-rated health at post-retirement follow-ups. In conclusion, this study showed a significant cross-sectional association between MVPA and better self-rated health before retirement.
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