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Latent profile analysis patterns of exercise, sitting and fitness in adults – Associations with metabolic risk factors, perceived health, and perceived symptoms

Artikel i vetenskaplig tidskrift
Författare E. Ekblom-Bak
A. Stenling
J. S. Eriksson
E. Hemmingsson
L. V. Kallings
G. Andersson
P. Wallin
Ö Ekblom
B. Ekblom
Magnus Lindwall
Publicerad i PLoS ONE
Volym 15
Nummer/häfte 4
ISSN 1932-6203
Publiceringsår 2020
Publicerad vid Institutionen för kost- och idrottsvetenskap
Språk en
Länkar dx.doi.org/10.1371/journal.pone.023...
Ämnesord adult, aged, Article, backache, blood pressure, body mass, cardiorespiratory fitness, controlled study, cross-sectional study, exercise, female, global health, health service, human, latent profile analysis, leisure, male, metabolism, neck pain, occupational health, physical examination, risk factor, self report, sitting, sleep disorder, statistical analysis, stress, symptom, work, workplace
Ämneskategorier Hälsovetenskaper

Sammanfattning

Aim To identify and describe the characteristics of naturally occurring patterns of exercise, sitting in leisure time and at work and cardiorespiratory fitness, and the association of such profiles with metabolic risk factors, perceived health, and perceived symptoms. Methods 64,970 participants (42% women, 18–75 years) participating in an occupational health service screening in 2014–2018 were included. Exercise and sitting were self-reported. Cardiorespiratory fitness was estimated using a submaximal cycle test. Latent profile analysis was used to identify profiles. BMI and blood pressure were assessed through physical examination. Perceived back/neck pain, overall stress, global health, and sleeping problems were self-reported. Results Six profiles based on exercise, sitting in leisure time and at work and cardiorespiratory fitness were identified and labelled; Profile 1 “Inactive, low fit and average sitting in leisure, with less sitting at work”; Profile 2 “Inactive, low fit and sedentary”; Profile 3 “Active and average fit, with less sitting at work”; Profile 4 “Active, average fit and sedentary in leisure, with a sedentary work” (the most common profile, 35% of the population); Profile 5 “Active and fit, with a sedentary work”; Profile 6 “Active and fit, with less sitting at work”. Some pairwise similarities were found between profiles (1 and 2, 3 and 4, 5 and 6), mainly based on similar levels of exercise, leisure time sitting and fitness, which translated into similar dose-response associations with the outcomes. In general, profile 1 and 2 demonstrated most adverse metabolic and perceived health, profile 4 had a more beneficial health than profile 3, as did profile 6 compared to profile 5. Conclusions The present results implies a large variation in exercise, sitting, and fitness when studying naturally occurring patterns, and emphasize the possibility to target exercise, sitting time, and/or fitness in health enhancing promotion intervention and strategies. © 2020 Ekblom-Bak et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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