European Journal of Public Health最新文献_第4页

Parental impact on adherence of young children to 24-h movement behaviour guidelines: the Czech FAMIly Physical Activity, Sedentary behaviour and Sleep study. 父母对幼儿遵守24小时运动行为指南的影响：捷克家庭体育活动、久坐行为和睡眠研究。

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckae224

Dagmar Sigmundová, Michal Vorlíček, Jaroslava Voráčová, Jan Dygrýn, Erik Sigmund

{"title":"Parental impact on adherence of young children to 24-h movement behaviour guidelines: the Czech FAMIly Physical Activity, Sedentary behaviour and Sleep study.","authors":"Dagmar Sigmundová, Michal Vorlíček, Jaroslava Voráčová, Jan Dygrýn, Erik Sigmund","doi":"10.1093/eurpub/ckae224","DOIUrl":"10.1093/eurpub/ckae224","url":null,"abstract":"Human movement behaviour typically unfolds in 24-h cycles, with children being additionally influenced by their parents. Therefore, the aim of this study was to investigate the adherence of 3-10-year-old children to the World Health Organization's (WHO) 24-h movement behaviour guidelines in relation to the behaviours of their mothers/fathers. Data from the Czech cross-sectional FAMIly Physical Activity, Sedentary behaviour and Sleep study included 381 families (with at least one child aged 3-10 years) from urban and rural areas across all three regions of Czechia. Twenty four-hour movement behaviour (sleep, sedentary behaviour, and physical activity) was monitored using ActiGraph accelerometers placed on the non-dominant wrists of children and their parents for seven consecutive days. Children's adherence to the WHO guidelines was analysed using logistic regression analysis. 25.9% of girls and 26.7% of boys simultaneously met all three 24-h movement behaviour guidelines (sleep + sedentary + physical activity), and 44.7% of girls and 46.1% of boys met any combination of two of the three guidelines, regardless of the children's gender, weight, or calendar age. Maternal overweight/obesity significantly (P = .05) decreased the odds of children achieving at least two of the three guidelines, while parental university education and maternal adherence to at least two of the three guidelines significantly (P = .05) increased the odds of children complying with these guidelines. Parents, especially mothers, play an important role in influencing their children in meeting 24-h movement behaviour guidelines and in shaping a healthy lifestyle.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"295-301"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are ethnic inequalities in COVID-19 outcomes mediated by occupation risk? Analyses of a 2-year record linked national cohort study in Scotland.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-04-01 DOI: 10.1093/eurpub/ckaf025

Eliud Kibuchi, Sarah Amele, Ronan McCabe, Evangelia Demou, Alastair H Leyland, Colin R Simpson, Ting Shi, Patricia Irizar, Laia Becares, Aziz Sheikh, Anna Pearce, Srinivasa V Katikireddi

{"title":"Are ethnic inequalities in COVID-19 outcomes mediated by occupation risk? Analyses of a 2-year record linked national cohort study in Scotland.","authors":"Eliud Kibuchi, Sarah Amele, Ronan McCabe, Evangelia Demou, Alastair H Leyland, Colin R Simpson, Ting Shi, Patricia Irizar, Laia Becares, Aziz Sheikh, Anna Pearce, Srinivasa V Katikireddi","doi":"10.1093/eurpub/ckaf025","DOIUrl":"10.1093/eurpub/ckaf025","url":null,"abstract":"This study investigated the extent to which ethnic inequalities in severe COVID-19 (i.e. hospitalization or deaths) are mediated through occupational risk differences. We used a population-based cohort study linking the 2011 Scottish Census to health records. We included all individuals aged 30-64 years and living in Scotland on 1 March 2020. The study period was from 1 March 2020 to 17 April 2022. Self-reported ethnicity was taken from the Census. We derived occupational risk of SARS-COV-2 infection using the 3-digit Standard Occupational Classification (SOC2010). We estimated hazard ratios (HRs) of total effects and controlled direct effects of ethnicity on severe COVID-19 mediated by occupational risk using marginal structural Cox models and subsequent proportional change. For aggregated ethnic groups, Non-White groups experienced a higher risk of severe COVID-19 (HR 1.6; 95% CI 1.4-1.8) compared to White group (all White ethnic groups) which increased to (1.7; 1.4-2.1) after accounting for occupational risk, representing a 6.0% change. For disaggregated ethnic groups, risks for South Asian (2.0; 1.8-2.3), African, Caribbean, or Black (1.3; 0.9-1.7) and Other ethnic groups (1.1; 0.9-1.3) were higher compared to White Scottish. After accounting for occupational risk, estimated risk of severe COVID-19 remained elevated for South Asian (1.8; 1.2-2.3), African Caribbean or Black (1.4; 0.8-2.1) and Other ethnic group (1.7; 1.1-2.3) representing a reduction of 11.8% and increases of 16.4% and 59.0%, respectively. Our findings suggest that ethnic inequalities in severe COVID-19 were impacted by differences in occupational risk.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":"379-385"},"PeriodicalIF":3.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The association between sleep and fecundability: a Danish preconception cohort study.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-26 DOI: 10.1093/eurpub/ckaf039

Mai Hougaard Christensen, Ellen Margrethe Mikkelsen, Lauren Anne Wise, Elizabeth Elliott Hatch, Anne Sofie Dam Laursen

{"title":"The association between sleep and fecundability: a Danish preconception cohort study.","authors":"Mai Hougaard Christensen, Ellen Margrethe Mikkelsen, Lauren Anne Wise, Elizabeth Elliott Hatch, Anne Sofie Dam Laursen","doi":"10.1093/eurpub/ckaf039","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf039","url":null,"abstract":"We estimated the effects of sleep duration, trouble sleeping, and job time (day, evening, shift, and night work) on fecundability, the per-cycle probability of conception. We analysed data from a preconception cohort study of 10 475 Danish females aged 18-45 years attempting to conceive. On baseline questionnaires, females reported on sleep duration (hours/day), trouble sleeping (never, sometimes, approx. 50% of the time, most of the time), and job time. Pregnancy status was ascertained from follow-up questionnaires completed every 8 weeks for up to 12 months. We used proportional probabilities regression models to estimate fecundability ratios (FRs), adjusted for potential confounders. Compared with 8 h/day of sleep, FRs were 0.94 for ≤6 h/day (95% CI, 0.83-1.08), 0.97 for 7 h/day (95% CI, 0.89-1.06), and 0.96 for ≥9 h/day (95% CI, 0.81-1.13). Compared with no trouble sleeping, FRs were 1.00 (95% CI, 0.94-1.06) for trouble sleeping sometimes, 0.94 (95% CI, 0.86-1.03) for trouble sleeping approx. 50% of the time, and 0.95 (95% CI, 0.82-1.10) for trouble sleeping most of the time. Relative to day work, FRs were 1.12 for shift work (95% CI, 1.04-1.20), 0.77 for night work (95% CI, 0.49-1.22) and 1.10 for evening work (95% CI, 0.91-1.33). Self-reported sleep duration and trouble sleeping were not appreciably associated with fecundability. Shift work was associated with a slightly higher fecundability, while night work was associated with slightly lower fecundability, although associations were imprecise. Potential limitations include misclassification of sleep and residual or unmeasured confounding.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Maternal socioeconomic and physical activity level in pregnancy is associated with offspring's sport-related physical activity at age 14 years in a Danish prospective cohort study.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-23 DOI: 10.1093/eurpub/ckaf010

Clara Marie Ottesen, Nikoline Fich, Emma Scheel Basse, Thorhallur Ingi Halldorsson, Charlotta Granstrøm, Sjurdur Frodi Olsen, Marie Pedersen, Anne Ahrendt Bjerregaard

{"title":"Maternal socioeconomic and physical activity level in pregnancy is associated with offspring's sport-related physical activity at age 14 years in a Danish prospective cohort study.","authors":"Clara Marie Ottesen, Nikoline Fich, Emma Scheel Basse, Thorhallur Ingi Halldorsson, Charlotta Granstrøm, Sjurdur Frodi Olsen, Marie Pedersen, Anne Ahrendt Bjerregaard","doi":"10.1093/eurpub/ckaf010","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf010","url":null,"abstract":"Regular physical activity (PA) protects against several non-communicable diseases. However, there is social inequality in PA and low adherence to PA recommendations. We investigated whether maternal socioeconomic status (SES) and PA in pregnancy are associated with sport-related PA level in 14-year-old offspring. Self-reported PA from 23 753 mother-child dyads in the Danish National Birth Cohort was retrieved from pregnancy and 14-year-old offspring. Weekly hours of PA were dichotomized into fulfilling official recommendations of 30 min/day for adults and 60 min/day for children or not. Information on maternal educational level was categorized into high, medium high, medium low, and low SES. Logistic regressions were applied to evaluate associations between maternal SES and adherence to PA recommendations and offspring adherence to PA recommendations at age 14. Most women did not fulfil PA recommendations in pregnancy (93%). In offspring, this was 79%. There were higher odds of the offspring not fulfilling PA recommendations at age 14 with low vs high maternal SES [adjusted odds ratio (OR): 1.42, 95% confidence interval (CI): 1.28, 1.59] and when mothers did not adhere to PA recommendations during pregnancy (adjusted OR: 1.33, 95% CI: 1.18, 1.49), independently of each other; and more pronounced in girls than in boys. This large prospective cohort study supports findings that socioeconomic background and maternal behaviours in early life may influence the offspring's behaviour, including sport-related PA, in later life. Increasing engagement in PA during pregnancy may not only be beneficial for maternal health but also later offspring health and behaviour.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Digital health literacy among the Spanish population: a descriptive and latent class analysis study.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-18 DOI: 10.1093/eurpub/ckaf016

Eulàlia Hernández Encuentra, Juan Luis González Caballero, Ilaria Montagni, Martina Fernández Gutiérrez, Pilar Bas Sarmiento

{"title":"Digital health literacy among the Spanish population: a descriptive and latent class analysis study.","authors":"Eulàlia Hernández Encuentra, Juan Luis González Caballero, Ilaria Montagni, Martina Fernández Gutiérrez, Pilar Bas Sarmiento","doi":"10.1093/eurpub/ckaf016","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf016","url":null,"abstract":"Spain has been consolidating the implementation of digital healthcare. However, there is not a comprehensive picture of the digital health literacy of the population in relation to existing policies and practices. To identify different profiles of people by analysing their digital health literacy, with the ultimate goal of providing healthcare organizations with indications to improve the relationship between people and the healthcare system. This cross-sectional survey study included 400 people aged ≥18 years from May 2021 to May 2022 in Spain. Participants were stratified by gender, age range, and residential area mirroring the Spanish population, and were recruited by an online panel and in community settings. A self-administered online survey was used, including the eHLQ questionnaire as a main measure and sociodemographic information. The digital health literacy level was medium and balanced among the seven eHLQ dimensions (ranging from 2.60 to 2.77 out of 5). The latent class analysis revealed five profiles based on the scores of the dimensions of the eHLQ questionnaire and taking into account age, technology use, and educational level. Access to digital services that work, together with using digital technology to process health information, is the main challenge identified by the participants. National health institutions and policies should focus not only on educating and training in digital skills but also on providing reliable and useful digital health services. This is the first study to provide a comprehensive digital health literacy profile of the Spanish population using the eHLQ questionnaire.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sleep difficulties as a consistent risk factor for medically treated injuries among adolescents in 46 countries.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-18 DOI: 10.1093/eurpub/ckaf032

Valerie F Pagnotta, Peter D Donnelly, Inese Gobina, Frank Elgar, Kwok Ng, William Pickett

{"title":"Sleep difficulties as a consistent risk factor for medically treated injuries among adolescents in 46 countries.","authors":"Valerie F Pagnotta, Peter D Donnelly, Inese Gobina, Frank Elgar, Kwok Ng, William Pickett","doi":"10.1093/eurpub/ckaf032","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf032","url":null,"abstract":"Adolescent poor sleep is common and has been associated with unintentional injury risks. Yet the comparability of evidence is limited by differences in measures of sleep and injury implemented across studies. We examined the potential cross-national consistency of relationships between poor sleep and unintentional injury using self-reports from 239 816 adolescents (50.8% girls) in 46 countries collected using a common survey procedure. A cross-sectional study was conducted using nationally representative records from the 2017/2018 International Health Behaviour in School-aged Children study. The prevalence of sleep indicators (difficulties in falling asleep, insufficient sleep, social jetlag) and annual medically treated injuries (any, multiple) were described cross-nationally and by gender. Multivariable modified Poisson regression analyses were conducted within and across countries to test the consistency of associations between sleep and injury. 16.3%-48.3% of adolescents reported an indicator of poor sleep and 44.0% sustained any injury. We observed striking cross-national variations in sleep, yet consistent gendered patterns across countries [e.g. sleep difficulties more prevalent among girls vs. insufficient sleep (non-school days) more prevalent among boys]. Country-level models displayed relatively consistent and positive associations. Multi-country (pooled) models demonstrated a consistency of effects, with the strongest association observed between difficulties in falling asleep and multiple injuries (prevalence ratio: 1.58, 95% CI: 1.55-1.61); these effects were especially pronounced in girls. Using standard indicators, this novel cross-national study demonstrated that poor sleep is a consistent risk factor for adolescent injuries. Given the recent epidemic of adolescent sleep problems, sleep hygiene represents a novel target for injury prevention.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Proactive automatized multiple health risk behavior change intervention: reach and retention among general hospital patients.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-18 DOI: 10.1093/eurpub/ckaf035

Marie Spielmann, Filipa Krolo-Wicovsky, Anika Tiede, Ulrich John, Jennis Freyer-Adam

{"title":"Proactive automatized multiple health risk behavior change intervention: reach and retention among general hospital patients.","authors":"Marie Spielmann, Filipa Krolo-Wicovsky, Anika Tiede, Ulrich John, Jennis Freyer-Adam","doi":"10.1093/eurpub/ckaf035","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf035","url":null,"abstract":"Although behavior change interventions are highly recommended in health care, their reach, a core dimension of the public health impact of interventions, is rarely evaluated. This study aimed to investigate whether an individualized, computer-based brief intervention to reduce co-occurring health risk behaviors (HRBs), namely tobacco smoking, at-risk alcohol use, insufficient physical activity, and unhealthy diet, can reach and retain a sufficiently large part of general hospital patients (>75%) and whether patients with high need, that is with more HRBs, low school education or current unemployment may be sufficiently reached and retained. Over 6 weeks in 2022, all 18-64-year-old patients admitted to 11 wards of five medical departments of a university hospital in Germany were asked to participate in a computer-based HRB screening and in a pre-post intervention study with three further assessments and individualized computer-generated feedback. To investigate associations between intervention reach and retention and patient characteristics, a logistic and a Poisson regression analysis were used. Screening reached 78.9% of all eligible patients (225/285). Of those eligible for the intervention study, 81.8% (175/214) participated in the intervention. Among these, 76.0% (133/175) participated at least once more after hospitalization. Patients' lifestyle and socio-economic characteristics were not significantly associated with reach or retention, Ps ≥ .467. Proactive computer-based multiple-HRB change interventions may reach and retain a sufficiently large part of general hospital patients, including those most in need. When proven efficacious and adequately implemented, this is a promising approach concerning public health impact in the reduction non-communicable diseases.Trial registration: ClinicalTrials.gov NCT05365269, 9 May 2022.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determinants of knowledge of risks associated with cigarette smoking among adolescents in Scotland.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-13 DOI: 10.1093/eurpub/ckaf024

Yusuff Adebayo Adebisi, Isaac Olushola Ogunkola, Najim Z Alshahrani, Nafisat Dasola Jimoh, Olayinka Stephen Ilesanmi

{"title":"Determinants of knowledge of risks associated with cigarette smoking among adolescents in Scotland.","authors":"Yusuff Adebayo Adebisi, Isaac Olushola Ogunkola, Najim Z Alshahrani, Nafisat Dasola Jimoh, Olayinka Stephen Ilesanmi","doi":"10.1093/eurpub/ckaf024","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf024","url":null,"abstract":"Cigarette smoking remains a significant public health concern, particularly among adolescents. This study aimed to assess adolescents' knowledge of the risks associated with smoking in Scotland and explore the factors influencing this knowledge. A cross-sectional analysis was conducted using data from the 2018 Scottish Schools Adolescent Lifestyle and Substance Use Survey. The sample included 23 365 adolescents from Secondary 2 (n = 12 558) and Secondary 4 (n = 10 807). Demographic, behavioural, contextual, and health-related factors were examined as predictors of smoking risk knowledge, with a cumulative knowledge score based on responses to seven smoking-related questions. Poisson regression was used to examine associations between predictors and cumulative knowledge scores, and adjusted incidence rate ratios (IRRs) with 95% confidence intervals (CIs) were reported. Overall, 38.2% (n = 8928) of participants answered all questions correctly, with a median score of 6 (IQR: 5-7). While 83.6% (n = 19 540) scored at least 5, knowledge gaps remained, particularly concerning the risks of light smoking. Boys had lower scores than girls (IRR = 0.97, 95% CI: 0.96-0.97, P < .001), and adolescents from less deprived areas scored higher than those from more deprived areas (IRR = 1.02, 95% CI: 1.01-1.03, P = .006). Non-smokers had higher scores than smokers (IRR = 1.08, 95% CI: 1.05-1.10, P < .001), and adolescents confident in accessing health information scored significantly higher (IRR = 1.13, 95% CI: 1.11-1.15, P < .001). Peer influence was evident, as adolescents with friends who smoked had lower scores (IRR = 0.96, 95% CI: 0.94-0.98, P < .001). Adolescents in Scotland generally understand the risks of cigarette smoking, but notable gaps persist, especially regarding dangers of light smoking.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Independent and combined effect of sitting time and physical activity on all-cause mortality in Spain: a population-based prospective study.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-06 DOI: 10.1093/eurpub/ckaf029

Beatriz Granero-Melcón, Miguel Ángel de la Cámara, Cristina Ortiz, Alejandro Martínez-Portillo, Montserrat Neira-León, Iñaki Galán

{"title":"Independent and combined effect of sitting time and physical activity on all-cause mortality in Spain: a population-based prospective study.","authors":"Beatriz Granero-Melcón, Miguel Ángel de la Cámara, Cristina Ortiz, Alejandro Martínez-Portillo, Montserrat Neira-León, Iñaki Galán","doi":"10.1093/eurpub/ckaf029","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf029","url":null,"abstract":"The extent to which physical activity (PA) may offset the risks associated with sedentarism is not yet well understood. We evaluated the independent and the combined effects of PA and sitting time (ST) on all-cause mortality in the Spanish population. Prospective study with 31 100 participants aged 18-69 years from the 2011-2012 and 2017 National Health Surveys; data were linked to mortality records through December 2022. ST was categorized as ≤4 h/day, >4-6 h/day, and >6 h/day, and PA was assessed using the International Physical Activity Questionnaire. PA was classified as (i) low, moderate, or high and (ii) adherence to World Health Organization (WHO) recommendations. Relative risks (RR) were estimated using Poisson regression models. The median follow-up time was 5.7 years, recording 1128 deaths. Individuals with ST >6 h/day had an RR (95% confidence interval) of 1.60 (1.34; 1.92) compared to those with ST ≤4 h/day. In contrast, those with high vs. low PA had an RR of 0.63 (0.51; 0.79), and those meeting WHO recommendations had an RR of 0.60 (0.50; 0.73). When analyzed jointly, individuals who met recommendations and had low ST, compared to those with moderate and high ST, had estimated RRs of 1.17 (0.75; 1.85) and 1.30 (0.83; 2.05), respectively. Among those who did not meet recommendations, the RR increased to 1.51 (1.19; 1.92), 2.06 (1.59; 2.68), and 2.65 (2.06; 3.42) for low, moderate, and high ST, respectively. PA and ST are independently associated with mortality. The risk associated with sedentarism can be partially offset by being physically active.","PeriodicalId":12059,"journal":{"name":"European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143572509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Innovation leadership perspective in public health.

IF 3.7 3区医学

European Journal of Public Health Pub Date : 2025-03-01 DOI: 10.1093/eurpub/ckae217

Moredreck Chibi, Gauden Galea

引用次数: 0