Does it matter for health if steps are taken during work or leisure? A prospective accelerometer study using register-based long-term sickness absence
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Walking is known to be good for health. However, it is unknown whether it matters if steps are taken during work or leisure. Therefore, we aimed to examine the prospective association between accelerometer-measured steps taken during work or leisure and register-based long-term sickness absence (LTSA).
Methods
We included 937 blue- and white-collar workers from the PODESA cohort who wore a thigh-based accelerometer over four days to measure number of steps during work and leisure. Steps were divided into domain based on diary data. First event of LTSA was retrieved from a national register with four years’ follow-up. We used Cox proportional hazard models to analyze the association between domain-specific and total daily steps and LTSA, adjusted for age, sex, job type, smoking, and steps in the other domain (e.g., work/leisure).
Results
We found more steps at work to be associated with a higher LTSA risk [Hazard Ratio (HR):1.04; 95% CI: 1.00–1.08 per 1000 steps]. No significant association was found between steps during leisure and LTSA (HR: 0.97; 95% CI: 0.91–1.02), nor between total daily steps and LTSA (HR: 1.01; CI 95% 0.99–1.04).
Conclusions
More steps at work were associated with higher risk of LTSA, while steps during leisure was not clearly associated with LTSA risk. These findings partly support ‘the physical activity paradox’ stating that the association between physical activity and health depends on the domain.
Originalsprog | Engelsk |
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Artikelnummer | 69 |
Tidsskrift | International Journal of Behavioral Nutrition and Physical Activity |
Vol/bind | 20 |
Udgave nummer | 1 |
Antal sider | 10 |
ISSN | 1479-5868 |
DOI | |
Status | Udgivet - 2023 |
Bibliografisk note
Funding Information:
We would like to thank all the participant and workplaces in PODESA for providing invaluable information to this study. The authors also thank Charlotte Lund Rasmussen for sharing insights into the statistical analyses and Sannie Vester Thorsen for her work with the sickness absence register data. We would also like to thank the PODESA research group and the MSB-group from The National Research Centre for the Working environment.
Funding Information:
The Danish Work Environment Research Fund funded this work (01–2015-09). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Publisher Copyright:
© 2023, The Author(s).
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