{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T16:10:22Z","timestamp":1778170222808,"version":"3.51.4"},"reference-count":35,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Individuals with musculoskeletal pain are generally advised to \u201cbe active\u201d, \u201creduce sedentary behavior\u201d, and \u201csleep enough\u201d, but such broad recommendations can be challenging to implement in daily life. We identified 24\u2010h physical behavior compositions associated with musculoskeletal pain, using cross\u2010sectional data from 817 participants in the Copenhagen City Heart Study. Daily durations of sedentary behavior, standing, light intensity, and moderate\u2010to\u2010vigorous physical activity during leisure and work, and time in bed were measured using thigh\u2010 and hip\u2010worn accelerometers (24\u2009h\/day for 7\u2009days) and were used as exposure. The outcome was persistent musculoskeletal pain (past 6\u2009months, pain intensity or activity limitation: \u2265\u20093 on a 0\u201310 scale). We used logistic regression models to predict 24\u2010h physical behavior compositions with the 15% lowest and highest probabilities of pain. Persistent musculoskeletal pain was reported by 40%. Individuals with a low and high probability of persistent musculoskeletal pain had distinct 24\u2010h physical behavior compositions compared to the mean 24\u2010h composition of the study population. Individuals with a low probability of pain had less leisure time sedentary behavior and time in bed but more sedentary behavior during work (\u201csweet spot\u201d composition). Those with a high probability of pain had more leisure time sedentary behavior and time in bed but were less sedentary and more active during work (\u201csour spot\u201d composition). In conclusion, these results can inform the development of actionable domain\u2010specific 24\u2010h physical behavior guidelines for individuals with musculoskeletal pain and aid in developing targeted interventions to improve musculoskeletal health, but we acknowledge the risk of reversed causality.<\/jats:p>","DOI":"10.1111\/sms.70149","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T07:09:28Z","timestamp":1760684968000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Association Between 24\u2010h Physical Behavior Compositions and Persistent Musculoskeletal Pain"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2745-2870","authenticated-orcid":false,"given":"Melker S.","family":"Johansson","sequence":"first","affiliation":[{"name":"Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics University 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Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8422-9969","authenticated-orcid":false,"given":"Mette","family":"Korsh\u00f8j","sequence":"additional","affiliation":[{"name":"Department of Occupational and Social Medicine Holb\u00e6k Hospital, a Part of Copenhagen University Hospital  Holb\u00e6k Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magnus T.","family":"Jensen","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Copenhagen  Herlev Denmark"},{"name":"Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"},{"name":"Copenhagen City Heart Study Bispebjerg Hospital  Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Hartvigsen","sequence":"additional","affiliation":[{"name":"Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics University of Southern Denmark  Odense 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