{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T19:06:09Z","timestamp":1747249569525,"version":"3.32.0"},"reference-count":53,"publisher":"Human Kinetics","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Background<\/jats:bold>:<\/jats:italic> There is a dearth of knowledge regarding the relationship between engaging in moderate and vigorous physical activity and long-term sickness absence (LTSA), particularly among various population subgroups such as individuals of different ages or body mass indices. We aimed to evaluate the prospective associations of moderate and vigorous leisure-time physical activity with the risk of LTSA in the general working population. <jats:italic><jats:bold>Methods<\/jats:bold>:<\/jats:italic> A prospective cohort study with a 2-year register follow-up was conducted, where 68,222 representative workers from Denmark completed a questionnaire about work environment, lifestyle, and health. Data on LTSA (\u22656 consecutive weeks of sickness absence) were obtained from the Danish Register for Evaluation of Marginalization. We used Cox regression for the statistical analysis, adjusting for relevant confounding factors. We also performed age- and BMI-stratified analyses. <jats:italic><jats:bold>Results<\/jats:bold>:<\/jats:italic> In the fully adjusted model, 2 to 4\u00a0hours per week of moderate activity (hazard ratios [HR]\u2009=\u20090.87; 95% CI, 0.77 to 0.99) and \u22652\u00a0hours per week of vigorous activity reduced LTSA risk compared with no physical activity. However, 2 to 4\u00a0hours per week of vigorous activity (HR\u2009=\u20090.84; 95% CI, 0.76 to 0.91) provided the greatest risk reduction. In the total sample, the complete absence of vigorous activity was associated with increased risk of LTSA (HR\u2009=\u20091.13; 95% CI, 1.05 to 1.22). In stratified analyses, the results were consistent for workers &lt;50\u00a0years (HR\u2009=\u20091.14; 95% CI, 1.03 to 1.26), \u226550\u00a0years (HR\u2009=\u20091.13; 95% CI, 1.02 to 1.26), and those with a BMI\u2009\u2265\u200925 (HR\u2009=\u20091.16; 95% CI, 1.06 to 1.28). The complete absence of moderate activity was not associated with LTSA. <jats:italic><jats:bold>Conclusion<\/jats:bold>:<\/jats:italic> Vigorous leisure-time physical activity appears to be more important than moderate activity to prevent LTSA.<\/jats:p>","DOI":"10.1123\/jpah.2024-0352","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T18:05:33Z","timestamp":1731521133000},"page":"85-91","source":"Crossref","is-referenced-by-count":1,"title":["Leisure-Time Physical Activity to Reduce Risk of Long-Term Sickness Absence Across Diverse Subgroups in the Working Population\u2014A Prospective Cohort Study of 68,000 Participants"],"prefix":"10.1123","volume":"22","author":[{"given":"\u00c1lvaro","family":"Morera","sequence":"first","affiliation":[{"name":"Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8670-8346","authenticated-orcid":true,"given":"Joaqu\u00edn","family":"Calatayud","sequence":"additional","affiliation":[{"name":"Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain"},{"name":"National Research Centre for the Working Environment, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7865-3429","authenticated-orcid":true,"given":"Rub\u00e9n","family":"L\u00f3pez-Bueno","sequence":"additional","affiliation":[{"name":"Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, Valencia, Spain"},{"name":"National Research Centre for the Working Environment, Copenhagen, Denmark"},{"name":"Department of Physical Medicine and Nursing, University of Zaragoza, Zaragoza, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4068-9338","authenticated-orcid":true,"given":"Rodrigo","family":"N\u00fa\u00f1ez-Cort\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), University of Valencia, Valencia, Spain"},{"name":"Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1843-6884","authenticated-orcid":true,"given":"R\u00fani","family":"Bl\u00e1foss","sequence":"additional","affiliation":[{"name":"National Research Centre for the Working Environment, Copenhagen, Denmark"},{"name":"Research Unit for Muscle Physiology and Biomechanics, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9820-2895","authenticated-orcid":true,"given":"Sebastian","family":"Venge Skovlund","sequence":"additional","affiliation":[{"name":"National Research Centre for the Working Environment, Copenhagen, Denmark"},{"name":"Research Unit for Muscle Physiology and Biomechanics, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2777-8085","authenticated-orcid":true,"given":"Lars Louis","family":"Andersen","sequence":"additional","affiliation":[{"name":"National Research Centre for the Working Environment, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"issue":"9","key":"r1","series-title":"Int J Environ Res Public Health","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18094618","article-title":"Work resumption after a fixed-term disability pension: changes over time during a period of decreasing incidence of disability retirement","volume":"18","author":"Laaksonen M","year":"2021","unstructured":"Laaksonen M. 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