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Associations between accelerometer-assessed occupational and leisure-time sitting and self-reported cognitive dysfunction in Swedish middle-aged adults: a cross-sectional analysis from the SCAPIS study.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Associations between accelerometer-assessed occupational and leisure-time sitting and self-reported cognitive dysfunction in Swedish middle-aged adults: a cross-sectional analysis from the SCAPIS study.
Συγγραφείς: Bergman F; Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden. frida.bergman@umu.se.; Department of Health, Education and Technology, Luleå University of Technology, Luleå, Sweden. frida.bergman@umu.se., Boraxbekk CJ; Institute for Clinical Medicine, Faculty of Medical and Health Sciences, University of Copenhagen, Copenhagen, Denmark.; Institute of Sports Medicine Copenhagen (ISMC) and Department of Neurology, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark., Hettiarachchi P; Occupational and Environmental Medicine, Department of Medical Sciences, Uppsala University, Uppsala, Sweden., Svartengren M; Occupational and Environmental Medicine, Department of Medical Sciences, Uppsala University, Uppsala, Sweden., Wennberg P; Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden., Fortuin-de Smidt M; Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Πηγή: BMC public health [BMC Public Health] 2026 Sep 10; Vol. 26 (1). Date of Electronic Publication: 2026 Sep 10.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
Imprint Name(s): Original Publication: London : BioMed Central, [2001-
Ιατρικοί όροι (MeSH): Occupations*/statistics & numerical data , Leisure Activities* , Sedentary Behavior* , Accelerometry* , Sitting Position*, Sweden/epidemiology ; Humans ; Middle Aged ; Female ; Male ; Cross-Sectional Studies ; Self Report
Περίληψη: Background: The relationship between sedentary behavior and cognitive health remains insufficiently understood. The aim of this study was to examine associations between occupational and leisure-time sitting and self-reported cognitive dysfunction.
Methods: Data from men and women, aged 50-64 years old, participating in the Umeå site of the cross-sectional Swedish CArdioPulmonary bioImage Study (SCAPIS) was used. Occupational and leisure-time sitting were measured using a thigh-worn accelerometer over seven days. Work hours were reported in a diary. Cognitive dysfunction was measured using the Cognitive Dysfunction Questionnaire. A Hurdle model was used to firstly assess the association of domain-specific sitting time with any cognitive dysfunction (logistic regression) and secondly with the severity of cognitive dysfunction (beta-binomial regression). Analyses were adjusted for sex, age, educational level, moderate- to vigorous physical activity, sleep duration, risky alcohol intake and emotional health limitations.
Results: A total of 1559 participants were included. In the fully adjusted model, each additional hour of occupational sitting was associated with 8% lower odds of reporting cognitive dysfunction (odds ratio (OR) 0.92, 95% confidence interval (CI) 0.87-0.98), while each additional hour of leisure-time sitting was associated with 12% higher odds (OR 1.12, 95% CI 1.03-1.21). Neither occupational nor leisure-time sitting was significantly associated with the severity of cognitive dysfunction among individuals reporting any dysfunction.
Conclusions: Domain-specific sitting time was associated with the occurrence, but not the severity, of self-reported cognitive dysfunction in middle-aged adults. The contrasting associations observed for occupational and leisure-time sitting suggest that the context of sedentary behavior may be relevant for cognitive health. Future longitudinal studies using device-based measurements are needed to clarify causality and to explore the potential role of cognitively active and passive sedentary behaviors.
(© 2026. The Author(s).)
Competing Interests: Declarations. Ethics approval and consent to participate: The study was conducted in accordance with the Declaration of Helsinki. Ethical approval has been granted by the Regional Ethical Review Board in Umeå and by the Swedish Ethical Review Authority for the SCAPIS study (Dnr 2010-228-31 M) and for this study (Dnr 2016-152-31, 2021-05910-01). All participants provided written informed consent before data collection [11]. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
References: BMC Public Health. 2025 Apr 16;25(1):1423. (PMID: 40241029)
Neurosci Biobehav Rev. 2022 Sep;140:104802. (PMID: 35908592)
Eur Heart J. 2024 Feb 7;45(6):458-471. (PMID: 37950859)
Soc Sci Med. 1995 Nov;41(10):1349-58. (PMID: 8560302)
Br J Sports Med. 2022 Jun;56(12):701-709. (PMID: 35301183)
Prev Med. 2021 Dec;153:106731. (PMID: 34280406)
Med Sci Sports Exerc. 2024 Jul 1;56(7):1297-1306. (PMID: 38415991)
BMC Public Health. 2015 Sep 28;15:978. (PMID: 26415512)
J Phys Act Health. 2024 Jul 31;21(9):928-938. (PMID: 39084614)
Am J Geriatr Psychiatry. 2021 Mar;29(3):217-226. (PMID: 32736919)
Sports Med Open. 2022 Oct 12;8(1):127. (PMID: 36224459)
Br J Sports Med. 2018 Jun;52(12):776-788. (PMID: 29858465)
Addiction. 1993 Jun;88(6):791-804. (PMID: 8329970)
BMJ. 2021 Aug 18;374:n1804. (PMID: 34407988)
BMC Med. 2025 Dec 3;24(1):11. (PMID: 41331463)
J Phys Act Health. 2024 May 02;21(8):778-786. (PMID: 38702051)
Alzheimers Dement. 2014 Nov;10(6):844-52. (PMID: 24798886)
J Clin Epidemiol. 1998 Nov;51(11):1095-103. (PMID: 9817127)
J Phys Act Health. 2014 Jan;11(1):76-84. (PMID: 23249722)
BMJ Open. 2023 Dec 10;13(12):e076976. (PMID: 38072496)
Int J Behav Nutr Phys Act. 2026 May 8;23(1):. (PMID: 42104355)
Scand J Psychol. 2011 Jun;52(3):218-28. (PMID: 21265859)
Lancet. 2024 Aug 10;404(10452):572-628. (PMID: 39096926)
PLoS One. 2012;7(10):e47831. (PMID: 23082222)
Addiction. 2026 Jul 28;:. (PMID: 42517285)
Health Sci Rep. 2025 Jun 20;8(6):e70949. (PMID: 40547068)
Int J Psychol. 2025 Jun;60(3):e70042. (PMID: 40251841)
Sports Med. 2020 Feb;50(2):403-413. (PMID: 31529300)
Int J Behav Nutr Phys Act. 2019 Aug 16;16(1):65. (PMID: 31419998)
Lancet Public Health. 2022 Feb;7(2):e105-e125. (PMID: 34998485)
J Intern Med. 2015 Dec;278(6):645-59. (PMID: 26096600)
Neuropsychol Rev. 2022 Dec;32(4):703-735. (PMID: 34748154)
Diabetologia. 2024 Jun;67(6):1051-1065. (PMID: 38478050)
J Alzheimers Dis. 2020;74(3):735-740. (PMID: 32083580)
Aging Clin Exp Res. 2020 Jun;32(6):969-984. (PMID: 32026419)
Am J Hum Biol. 2022 Jan;34(1):e23546. (PMID: 33277954)
Am J Prev Med. 2026 Sep;71(3):108317. (PMID: 41885650)
Int J Epidemiol. 2020 Aug 1;49(4):1338-1352. (PMID: 32629466)
Behav Sleep Med. 2026 May-Jun;24(3):371-384. (PMID: 41632586)
Sensors (Basel). 2021 Jan 29;21(3):. (PMID: 33572815)
Circulation. 2025 Jan 14;151(2):159-170. (PMID: 39504653)
J Sci Med Sport. 2021 Feb;24(2):189-194. (PMID: 33032913)
Scand J Psychol. 2012 Oct;53(5):390-400. (PMID: 22962857)
J Sleep Res. 2023 Apr;32(2):e13725. (PMID: 36167935)
J Clin Epidemiol. 1998 Nov;51(11):1105-13. (PMID: 9817128)
Lancet Public Health. 2026 Sep;11(9):e650-e664. (PMID: 42612650)
Int J Behav Nutr Phys Act. 2020 Mar 4;17(1):31. (PMID: 32131845)
Scand J Med Sci Sports. 2022 May;32(5):866-880. (PMID: 35080270)
Contributed Indexing: Keywords: Accelerometry; Cognition; Sedentary behavior; Sedentary domains
Entry Date(s): Date Created: 20260911 Date Completed: 20260911 Latest Revision: 20260914
Update Code: 20260914
PubMed Central ID: PMC13560436
DOI: 10.1186/s12889-026-29397-4
PMID: 42723039
Βάση Δεδομένων: MEDLINE
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  Data: Associations between accelerometer-assessed occupational and leisure-time sitting and self-reported cognitive dysfunction in Swedish middle-aged adults: a cross-sectional analysis from the SCAPIS study.
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  Data: <searchLink fieldCode="AU" term="%22Bergman+F%22">Bergman F</searchLink>; Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden. frida.bergman@umu.se.; Department of Health, Education and Technology, Luleå University of Technology, Luleå, Sweden. frida.bergman@umu.se.<br /><searchLink fieldCode="AU" term="%22Boraxbekk+CJ%22">Boraxbekk CJ</searchLink>; Institute for Clinical Medicine, Faculty of Medical and Health Sciences, University of Copenhagen, Copenhagen, Denmark.; Institute of Sports Medicine Copenhagen (ISMC) and Department of Neurology, Copenhagen University Hospital Bispebjerg, Copenhagen, Denmark.<br /><searchLink fieldCode="AU" term="%22Hettiarachchi+P%22">Hettiarachchi P</searchLink>; Occupational and Environmental Medicine, Department of Medical Sciences, Uppsala University, Uppsala, Sweden.<br /><searchLink fieldCode="AU" term="%22Svartengren+M%22">Svartengren M</searchLink>; Occupational and Environmental Medicine, Department of Medical Sciences, Uppsala University, Uppsala, Sweden.<br /><searchLink fieldCode="AU" term="%22Wennberg+P%22">Wennberg P</searchLink>; Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.<br /><searchLink fieldCode="AU" term="%22Fortuin-de+Smidt+M%22">Fortuin-de Smidt M</searchLink>; Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
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  Data: Background: The relationship between sedentary behavior and cognitive health remains insufficiently understood. The aim of this study was to examine associations between occupational and leisure-time sitting and self-reported cognitive dysfunction.<br />Methods: Data from men and women, aged 50-64 years old, participating in the Umeå site of the cross-sectional Swedish CArdioPulmonary bioImage Study (SCAPIS) was used. Occupational and leisure-time sitting were measured using a thigh-worn accelerometer over seven days. Work hours were reported in a diary. Cognitive dysfunction was measured using the Cognitive Dysfunction Questionnaire. A Hurdle model was used to firstly assess the association of domain-specific sitting time with any cognitive dysfunction (logistic regression) and secondly with the severity of cognitive dysfunction (beta-binomial regression). Analyses were adjusted for sex, age, educational level, moderate- to vigorous physical activity, sleep duration, risky alcohol intake and emotional health limitations.<br />Results: A total of 1559 participants were included. In the fully adjusted model, each additional hour of occupational sitting was associated with 8% lower odds of reporting cognitive dysfunction (odds ratio (OR) 0.92, 95% confidence interval (CI) 0.87-0.98), while each additional hour of leisure-time sitting was associated with 12% higher odds (OR 1.12, 95% CI 1.03-1.21). Neither occupational nor leisure-time sitting was significantly associated with the severity of cognitive dysfunction among individuals reporting any dysfunction.<br />Conclusions: Domain-specific sitting time was associated with the occurrence, but not the severity, of self-reported cognitive dysfunction in middle-aged adults. The contrasting associations observed for occupational and leisure-time sitting suggest that the context of sedentary behavior may be relevant for cognitive health. Future longitudinal studies using device-based measurements are needed to clarify causality and to explore the potential role of cognitively active and passive sedentary behaviors.<br /> (© 2026. The Author(s).)
– Name: Abstract
  Label: Competing Interests
  Group: Ab
  Data: Declarations. Ethics approval and consent to participate: The study was conducted in accordance with the Declaration of Helsinki. Ethical approval has been granted by the Regional Ethical Review Board in Umeå and by the Swedish Ethical Review Authority for the SCAPIS study (Dnr 2010-228-31 M) and for this study (Dnr 2016-152-31, 2021-05910-01). All participants provided written informed consent before data collection [11]. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
– Name: Ref
  Label: References
  Group: RefInfo
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        Text: English
    Subjects:
      – SubjectFull: Sweden epidemiology
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Middle Aged
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      – SubjectFull: Female
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      – SubjectFull: Occupations statistics & numerical data
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      – SubjectFull: Leisure Activities
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      – SubjectFull: Sedentary Behavior
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      – SubjectFull: Accelerometry
        Type: general
      – SubjectFull: Sitting Position
        Type: general
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      – TitleFull: Associations between accelerometer-assessed occupational and leisure-time sitting and self-reported cognitive dysfunction in Swedish middle-aged adults: a cross-sectional analysis from the SCAPIS study.
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      – PersonEntity:
          Name:
            NameFull: Svartengren M
      – PersonEntity:
          Name:
            NameFull: Wennberg P
      – PersonEntity:
          Name:
            NameFull: Fortuin-de Smidt M
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 10
              M: 09
              Text: 2026 Sep 10
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1471-2458
          Numbering:
            – Type: volume
              Value: 26
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: BMC public health
              Type: main
ResultId 1