Academic Journal

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.
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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