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Physical activity pattern, cardiorespiratory fitness, and socioeconomic status in the SCAPIS pilot trial — A cross-sectional study
Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital/Östra.
Department of Food, Nutrition and Sports Science, Institute of Neuroscience and Physiology, Sahlgrenska Academy and, Sahlgrenska University Hospital/Östra.
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Åstrand Laboratory of Work Physiology, Björn Ekblom's and Mats Börjesson's research group.ORCID iD: 0000-0001-6058-4982
Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital/Östra.
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2016 (English)In: Preventive Medicine Reports, ISSN 0350-1159, E-ISSN 2211-3355, Vol. 4, 44-49 p.Article in journal (Refereed) Published
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Abstract [en]

Living in a low socioeconomic status (SES) area is associated with an increased risk of cardiovascular events and all-cause mortality. Previous studies have suggested a socioeconomic gradient in daily physical activity (PA), but have mainly relied on self-reported data, and individual rather than residential area SES. This study aimed to investigate the relationships between residential area SES, PA pattern, compliance with PA-recommendations and fitness in a Swedish middle-aged population, using objective measurements. We included 948 individuals from the SCAPIS pilot study (Gothenburg, Sweden, 2012, stratified for SES, 49% women, median age: 58years), in three low and three high SES districts. Accelerometer data were summarized into intensity-specific categories: sedentary (SED), low (LIPA), and medium-to-vigorous PA (MVPA). Fitness was estimated by submaximal ergometer testing. Participants of low SES areas had a more adverse cardiovascular disease risk factor profile (smoking: 20% vs. 6%; diabetes: 9% vs. 3%; hypertension: 38% vs. 25%; obesity: 31% vs. 13%), and less frequently reached 150min of MVPA per week (67% vs. 77%, odds ratio [OR]=0.61; 95% confidence interval [95% CI]=0.46–0.82), from 10-minute bouts (19% vs. 31%, OR=0.53, 95% CI=0.39–0.72). Individuals in low SES areas showed lower PA levels (mean cpm: 320 vs. 348) and daily average MVPA (29.9 vs. 35.5min), and 12% lower fitness (25.1 vs. 28.5mL×min−1×kg−1) than did those in high SES areas. Reduced PA and fitness levels may contribute to social inequalities in health, and should be a target for improved public health in low SES areas.

Place, publisher, year, edition, pages
2016. Vol. 4, 44-49 p.
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Public Health, Global Health, Social Medicine and Epidemiology
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Medicine/Technology
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URN: urn:nbn:se:gih:diva-4448DOI: 10.1016/j.pmedr.2016.04.010OAI: oai:DiVA.org:gih-4448DiVA: diva2:932720
Available from: 2016-06-02 Created: 2016-06-02 Last updated: 2017-11-30

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