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Study data was based on Finnish population\u2010based cross\u2010sectional Health 2011 health examination survey's Physical Activity and Fitness sub\u2010sample. Sample included 4821 over 18\u00a0years old adults, of whom 48% participated. Baseline MVPA was assessed using a hip\u2010worn accelerometer over at least four consecutive days, while PF included assessments of cardiorespiratory and muscular fitness, and balance. MVPA and PF were categorized according to tertile cut points. Information of LTSA, covering all\u2010cause, musculoskeletal, and mental health\u2010related absences lasting more than 10 workdays, were derived from the Finnish Social Insurance Institution's register data. After excluding participants not at risk for LTSA due to old age or retirement, the analytical sample included 1464 participants. Associations were examined with negative binomial regression. After adjusting for key covariates and preceding LTSA, lower LTSA rates were observed among those with highest PF compared to lowest PF (IRR\u00a0=\u00a00.39; 95% CI 0.18\u20130.85) and with highest MVPA compared to lowest MVPA (IRR\u00a0=\u00a00.35; 95% CI 0.19\u20130.66). The associations were mainly similar regardless of chronic diseases or whether the cause of LTSA was a musculoskeletal or mental health condition. The associations became inconsistent over time, especially regarding physical activity. These results emphasize the important role of MVPA and PF as factors supporting work ability and preventing LTSA in general working\u2010age population.<\/jats:p>","DOI":"10.1002\/ejsc.70201","type":"journal-article","created":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T02:27:37Z","timestamp":1780972057000},"source":"Crossref","is-referenced-by-count":0,"title":["Physical Fitness and Device\u2010Based Moderate\u2010to\u2010Vigorous Physical Activity and Risk of Long\u2010Term Sickness Absence\u2014A Prospective Cohort Study With 8\u2010Year Follow\u2010Up"],"prefix":"10.1002","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5197-6042","authenticated-orcid":false,"given":"Valtteri","family":"Pohjola","sequence":"first","affiliation":[{"name":"Finnish Institute for Health and Welfare  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3494-0573","authenticated-orcid":false,"given":"Katariina","family":"Sarttila","sequence":"additional","affiliation":[{"name":"Finnish Institute for Health and Welfare  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5767-6915","authenticated-orcid":false,"given":"Suvi","family":"Parikka","sequence":"additional","affiliation":[{"name":"Finnish Institute for Health and Welfare  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annamari","family":"Lundqvist","sequence":"additional","affiliation":[{"name":"Finnish Institute for Health and Welfare  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jouni","family":"Lahti","sequence":"additional","affiliation":[{"name":"Finnish Institute for Health and Welfare  Helsinki Finland"},{"name":"Department of Public Health University of Helsinki  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Working Group Set up by the Finnish Medical Society Duodecim and the Finnish Society of Addiction Medicine","author":"Alcohol Problems: Current Care Guidelines","year":"2018"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279\u2010014\u20100171\u20100"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.3310"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(12)60735\u20101"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494821993705"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18020501"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2018.01.008"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966\u2010020\u201000988\u20107"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/02664763.2016.1144725"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2010.079582"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102017\u2010097965"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010020\u201001782\u20109"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.07.088"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1515\/aiht\u20102017\u201068\u20102963"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech\u20102021\u2010217998"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001922"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed\u20102011\u2010100144"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqn010"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100838.2009.00886.x"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102023\u2010107849"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(12)61031\u20109"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/joccuh\/uiad006"},{"key":"e_1_2_10_24_1","article-title":"Physical Activity as a Tool to Reduce Disease\u2010Related Work Absenteeism in Sedentary Employees: A Systematic Review","volume":"92","author":"Lopez Bueno R.","year":"2018","journal-title":"Revista Espa\u00f1ola de Salud P\u00fablica"},{"key":"e_1_2_10_25_1","unstructured":"Lundqvist A. andT.M\u00e4ki\u2010Opas.2016.Health 2011 Survey\u2014Methods. 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