Accelerometer derived physical activity patterns in 27.890 middle-aged adults: The SCAPIS cohort study

Elin Ekblom-Bak, Mats Börjesson, Frida Bergman, Göran Bergström, Albin Dahlin-Almevall, Isabel Drake, Gunnar Engström, Jan E. Engvall, Anders Gummesson, Emil Hagström, Ola Hjelmgren, Tomas Jernberg, Peter J. Johansson, Lars Lind, Maria Mannila, André Nyberg, Margaretha Persson, Christian Reitan, Annika Rosengren, Karin RådholmCaroline Schmidt, Magnus C. Sköld, Emily Sonestedt, Johan Sundström, Eva Swahn, Jerry Öhlin, Carl Johan Östgren, Örjan Ekblom

Research output: Contribution to journalArticlepeer-review


The present study aims to describe accelerometer-assessed physical activity (PA) patterns and fulfillment of PA recommendations in a large sample of middle-aged men and women, and to study differences between subgroups of socio-demographic, socio-economic, and lifestyle-related variables. A total of 27 890 (92.5% of total participants, 52% women, aged 50–64 years) middle-aged men and women with at least four days of valid hip-worn accelerometer data (Actigraph GT3X+, wGT3X+ and wGT3X-BT) from the Swedish CArdioPulmonary bioImage Study, SCAPIS, were included. In total, 54.5% of daily wear time was spent sedentary, 39.1% in low, 5.4% in moderate, and only 0.1% in vigorous PA. Male sex, higher education, low financial strain, born in Sweden, and sedentary/light working situation were related to higher sedentary time, but also higher levels of vigorous PA. High BMI and having multiple chronic diseases associated strongly with higher sedentary time and less time in all three PA intensities. All-year physically active commuters had an overall more active PA pattern. The proportion fulfilling current PA recommendations varied substantially (1.4% to 92.2%) depending on data handling procedures and definition used. Twenty-eight percent was defined as having an “at-risk” behavior, which included both high sedentary time and low vigorous PA. In this large population-based sample, a majority of time was spent sedentary and only a fraction in vigorous PA, with clinically important variations between subgroups. This study provides important reference material and emphasizes the importance of a comprehensive assessment of all aspects of the individual PA pattern in future research and clinical practice.

Original languageEnglish
Pages (from-to)866-880
JournalScandinavian Journal of Medicine and Science in Sports
Issue number5
Early online date2022
Publication statusPublished - 2022

Subject classification (UKÄ)

  • Public Health, Global Health, Social Medicine and Epidemiology
  • Sport and Fitness Sciences


  • accelerometery
  • pattern
  • physical Activity
  • population-based
  • SCAPIS Study
  • sedentary


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