{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T22:47:25Z","timestamp":1793227645043,"version":"4.5.0"},"reference-count":56,"publisher":"Human Kinetics","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Purpose<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    To examine associations of device-measured activity behaviors with overall, physical, and mental health-related quality of life (HRQoL) in patients with metabolic dysfunction-associated steatotic liver disease (MASLD).\n                    <jats:italic>\n                      <jats:bold>Methods<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    This cross-sectional study included 101 patients (50.0\u00a0y, 57.43% male) with MASLD who routinely visited hepatology clinics. Participants wore wActiSleep-BT accelerometers on their nondominant wrist for 7\u00a0days to measure their sedentary behavior (in hours per day), light physical activity (PA; in minutes per day), moderate-to-vigorous PA (in minutes per day), and the Physical Activity and Sitting Time Balance Index. The Chronic Liver Disease Questionnaire for Nonalcoholic Fatty Liver Disease was utilized to assess overall, physical, and mental HRQoL. Adjusted multiple and multivariable linear regression assessed the relationships between activity behaviors and HRQoL.\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Complex relationships were observed such that higher sedentary behavior or moderate-to-vigorous PA were independently correlated with poorer overall, physical, or mental HRQoL (beta ranged between \u22120.09 and \u22120.118,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u2009.05). Conversely, higher light PA was independently associated with improved overall (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    \u2009=\u20090.005,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.021) and physical (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    \u2009=\u20090.015,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.006) HRQoL. Physical Activity and Sitting Time Balanced Index indicated that higher total PA combined with lower sedentary behavior was correlated to enhanced physical HRQoL (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    \u2009=\u20090.033,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u2009.034).\n                    <jats:italic>\n                      <jats:bold>Conclusions<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    These findings signify the importance of incorporating activity behavior interventions in MASLD treatment strategies to enhance patient-reported outcomes, particularly HRQoL. Still, further prospective research with more robust designs and addressing the current limitations is warranted to achieve more thorough insights into the relationships between different activity behaviors and HRQoL in patients with MASLD.\n                  <\/jats:p>","DOI":"10.1123\/jpah.2025-0522","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T16:53:04Z","timestamp":1778172784000},"page":"1296-1304","source":"Crossref","is-referenced-by-count":1,"title":["Associations of Device-Measured Activity Behaviors With Health-Related Quality of Life in Patients With Metabolic Dysfunction-Associated Steatotic Liver Disease"],"prefix":"10.1123","volume":"23","author":[{"given":"Hadeel F.","family":"Saad","sequence":"first","affiliation":[{"name":"Department of Exercise Physiology, College of Sports Sciences and Physical Activity, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid A.","family":"Alswat","sequence":"additional","affiliation":[{"name":"Liver Disease Research Center, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sulaiman Omer","family":"Aljaloud","sequence":"additional","affiliation":[{"name":"Department of Exercise Physiology, College of Sports Sciences and Physical Activity, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maram","family":"Alkhamash","sequence":"additional","affiliation":[{"name":"Liver Disease Research Center, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amani","family":"Alsadoon","sequence":"additional","affiliation":[{"name":"Liver Disease Research Center, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3814-6243","authenticated-orcid":true,"given":"Abdullah Bandar","family":"Alansare","sequence":"additional","affiliation":[{"name":"Department of Exercise Physiology, College of Sports Sciences and Physical Activity, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"6","key":"r1","series-title":"Expert Rev Gastroenterol Hepatol","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1080\/17474124.2024.2374472","article-title":"From NAFLD to MASLD: what does it mean?","volume":"18","author":"Chrysavgis L","year":"2024","unstructured":"Chrysavgis L, Cholongitas E. From NAFLD to MASLD: what does it mean? Expert Rev Gastroenterol Hepatol. 2024;18(6):217\u2013221. PubMed ID: 38934451 doi:10.1080\/17474124.2024.2374472"},{"issue":"10","key":"r2","series-title":"Clin Gastroenterol Hepatol","doi-asserted-by":"publisher","first-page":"1999","DOI":"10.1016\/j.cgh.2024.03.006","article-title":"The global epidemiology of nonalcoholic fatty liver disease and nonalcoholic steatohepatitis among patients with type 2 diabetes","volume":"22","author":"Younossi ZM","year":"2024","unstructured":"Younossi ZM, Golabi P, Price JK, et\u00a0al. The global epidemiology of nonalcoholic fatty liver disease and nonalcoholic steatohepatitis among patients with type 2 diabetes. Clin Gastroenterol Hepatol. 2024;22(10):1999\u20132010.e8. PubMed ID: 38521116 doi:10.1016\/j.cgh.2024.03.006"},{"issue":"1","key":"r3","series-title":"J Hepatol","doi-asserted-by":"publisher","first-page":"S47","DOI":"10.1016\/j.jhep.2014.12.012","article-title":"NAFLD: a multisystem disease","volume":"62","author":"Byrne CD","year":"2015","unstructured":"Byrne CD, Targher G. NAFLD: a multisystem disease. J Hepatol. 2015;62(1):S47\u2013S64. doi:10.1016\/j.jhep.2014.12.012"},{"issue":"8","key":"r4","series-title":"Liver Int","doi-asserted-by":"publisher","first-page":"1209","DOI":"10.1111\/liv.13391","article-title":"A disease\u2010specific quality of life instrument for non\u2010alcoholic fatty liver disease and non\u2010alcoholic steatohepatitis: CLDQ\u2010NAFLD","volume":"37","author":"Younossi ZM","year":"2017","unstructured":"Younossi ZM, Stepanova M, Henry L, et\u00a0al. A disease\u2010specific quality of life instrument for non\u2010alcoholic fatty liver disease and non\u2010alcoholic steatohepatitis: CLDQ\u2010NAFLD. Liver Int. 2017;37(8):1209\u20131218. PubMed ID: 28211165 doi:10.1111\/liv.13391"},{"issue":"3","key":"r5","series-title":"Gastroenterology","doi-asserted-by":"publisher","first-page":"912","DOI":"10.1053\/j.gastro.2020.11.051","article-title":"AGA clinical practice update on lifestyle modification using diet and exercise to achieve weight loss in the management of nonalcoholic fatty liver disease: expert review","volume":"160","author":"Younossi ZM","year":"2021","unstructured":"Younossi ZM, Corey KE, Lim JK. AGA clinical practice update on lifestyle modification using diet and exercise to achieve weight loss in the management of nonalcoholic fatty liver disease: expert review. Gastroenterology. 2021;160(3):912\u2013918. PubMed ID: 33307021 doi:10.1053\/j.gastro.2020.11.051"},{"key":"r6","series-title":"Front Med","article-title":"MASLD treatment\u2014a shift in the paradigm is imminent","volume":"10","author":"Machado MV","year":"2023","unstructured":"Machado MV. MASLD treatment\u2014a shift in the paradigm is imminent. Front Med. 2023;10:1316284."},{"issue":"10","key":"r7","series-title":"Clin Gastroenterol Hepatol","doi-asserted-by":"publisher","first-page":"2085","DOI":"10.1016\/j.cgh.2018.12.016","article-title":"Health-related quality of life in nonalcoholic fatty liver disease associates with hepatic inflammation","volume":"17","author":"Huber Y","year":"2019","unstructured":"Huber Y, Boyle M, Hallsworth K, et\u00a0al. Health-related quality of life in nonalcoholic fatty liver disease associates with hepatic inflammation. Clin Gastroenterol Hepatol. 2019;17(10):2085\u20132092.e1. PubMed ID: 30580090 doi:10.1016\/j.cgh.2018.12.016"},{"key":"r8","series-title":"J Psychosom Res","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/j.jpsychores.2018.07.004","article-title":"Quality of life in patients with nonalcoholic fatty liver disease: a systematic review","volume":"112","author":"Assimakopoulos K","year":"2018","unstructured":"Assimakopoulos K, Karaivazoglou K, Tsermpini E-E, Diamantopoulou G, Triantos C. Quality of life in patients with nonalcoholic fatty liver disease: a systematic review. J Psychosom Res. 2018;112:73\u201380. PubMed ID: 30097139 doi:10.1016\/j.jpsychores.2018.07.004"},{"issue":"24","key":"r9","series-title":"Int J Environ Res Public Health","article-title":"Quality of life in adults with metabolic dysfunction-associated fatty liver disease","volume":"18","author":"Hwang T-I","year":"2021","unstructured":"Hwang T-I, Han A-L. Quality of life in adults with metabolic dysfunction-associated fatty liver disease. Int J Environ Res Public Health. 2021;18(24):13145."},{"issue":"10","key":"r10","series-title":"PLoS One","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0140599","article-title":"Health-related quality of life in relation to obesity grade, type 2 diabetes, metabolic syndrome and inflammation","volume":"10","author":"Slagter SN","year":"2015","unstructured":"Slagter SN, van Vliet-Ostaptchouk JV, van Beek AP, et\u00a0al. Health-related quality of life in relation to obesity grade, type 2 diabetes, metabolic syndrome and inflammation. PLoS One. 2015;10(10):e0140599. doi:10.1371\/journal.pone.0140599"},{"issue":"6","key":"r11","series-title":"Clin Auton Res","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1007\/s10286-009-0031-4","article-title":"Fatigue and autonomic dysfunction in non-alcoholic fatty liver disease","volume":"19","author":"Newton JL","year":"2009","unstructured":"Newton JL, Pairman J, Wilton K, Jones DE, Day C. Fatigue and autonomic dysfunction in non-alcoholic fatty liver disease. Clin Auton Res. 2009;19(6):319\u2013326. PubMed ID: 19768633 doi:10.1007\/s10286-009-0031-4"},{"key":"r12","series-title":"Gastroenterol Rep","article-title":"Advancements in pharmacological treatment of NAFLD\/MASLD: a focus on metabolic and liver-targeted interventions","volume":"12","author":"Ciardullo S","year":"2024","unstructured":"Ciardullo S, Muraca E, Vergani M, Invernizzi P, Perseghin G. Advancements in pharmacological treatment of NAFLD\/MASLD: a focus on metabolic and liver-targeted interventions. Gastroenterol Rep. 2024;12:goae029."},{"issue":"1","key":"r13","series-title":"Hepatology","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1002\/hep.32618","article-title":"Patient\u2010centered care: key elements applicable to chronic liver disease","volume":"78","author":"Verma M","year":"2023","unstructured":"Verma M, Brahmania M, Fortune BE, Asrani SK, Fuchs M, Volk ML. Patient\u2010centered care: key elements applicable to chronic liver disease. Hepatology. 2023;78(1):307\u2013318. PubMed ID: 35712801 doi:10.1002\/hep.32618"},{"key":"r14","series-title":"Global Levels of Physical Inactivity in Adults: Off Track for 2030","year":"2024","unstructured":"World Health Organization. Global Levels of Physical Inactivity in Adults: Off Track for 2030; 2024."},{"issue":"10","key":"r15","series-title":"Dig Dis Sci","doi-asserted-by":"publisher","first-page":"3604","DOI":"10.1007\/s10620-020-06673-w","article-title":"Breaking down barriers to physical activity in patients with nonalcoholic fatty liver disease","volume":"66","author":"Stine JG","year":"2021","unstructured":"Stine JG, Soriano C, Schreibman I, et\u00a0al. Breaking down barriers to physical activity in patients with nonalcoholic fatty liver disease. Dig Dis Sci. 2021;66(10):3604\u20133611. PubMed ID: 33098023 doi:10.1007\/s10620-020-06673-w"},{"issue":"3","key":"r16","series-title":"Am J Gastroenterol","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1038\/ajg.2010.488","article-title":"Physical activity recommendations, exercise intensity, and histological severity of nonalcoholic fatty liver disease","volume":"106","author":"Kistler KD","year":"2011","unstructured":"Kistler KD, Brunt EM, Clark JM, et\u00a0al. Physical activity recommendations, exercise intensity, and histological severity of nonalcoholic fatty liver disease. Am J Gastroenterol. 2011;106(3):460\u2013468. PubMed ID: 21206486 doi:10.1038\/ajg.2010.488"},{"issue":"2","key":"r17","series-title":"Health Psychol Rev","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1080\/17437199.2017.1396191","article-title":"Sedentary behaviours and health-related quality of life. A systematic review and meta-analysis","volume":"12","author":"Boberska M","year":"2018","unstructured":"Boberska M, Szczuka Z, Kruk M, et\u00a0al. Sedentary behaviours and health-related quality of life. A systematic review and meta-analysis. Health Psychol Rev. 2018;12(2):195\u2013210. PubMed ID: 29092686 doi:10.1080\/17437199.2017.1396191"},{"key":"r18","series-title":"Int J Cardiol","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1016\/j.ijcard.2016.03.015","article-title":"Implications of light-intensity physical activity in improving health-related quality of life among congestive heart failure patients","volume":"212","author":"Loprinzi PD","year":"2016","unstructured":"Loprinzi PD. Implications of light-intensity physical activity in improving health-related quality of life among congestive heart failure patients. Int J Cardiol. 2016;212:16\u201317. PubMed ID: 27015644 doi:10.1016\/j.ijcard.2016.03.015"},{"issue":"2","key":"r19","series-title":"Psychosom Med","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1097\/PSY.0000000000001034","article-title":"The relationship between objectively measured step count, clinical characteristics, and quality of life among depressed patients recently hospitalized with systolic heart failure","volume":"84","author":"Holber JP","year":"2022","unstructured":"Holber JP, Abebe KZ, Huang Y, et\u00a0al. The relationship between objectively measured step count, clinical characteristics, and quality of life among depressed patients recently hospitalized with systolic heart failure. Psychosom Med. 2022;84(2):231\u2013236. PubMed ID: 34724453 doi:10.1097\/PSY.0000000000001034"},{"issue":"11","key":"r20","series-title":"Qual Life Res","doi-asserted-by":"publisher","first-page":"2987","DOI":"10.1007\/s11136-020-02566-7","article-title":"Longitudinal associations of light-intensity physical activity with quality of life, functioning and fatigue after colorectal cancer","volume":"29","author":"van Roekel EH","year":"2020","unstructured":"van Roekel EH, Duch\u00e2teau J, Bours M, et\u00a0al. Longitudinal associations of light-intensity physical activity with quality of life, functioning and fatigue after colorectal cancer. Qual Life Res. 2020;29(11):2987\u20132998. PubMed ID: 32617891 doi:10.1007\/s11136-020-02566-7"},{"issue":"3","key":"r21","series-title":"Psychother Psychosom","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1159\/000116610","article-title":"A randomized controlled trial of the effect of aerobic exercise training on feelings of energy and fatigue in sedentary young adults with persistent fatigue","volume":"77","author":"Puetz TW","year":"2008","unstructured":"Puetz TW, Flowers SS, O\u2019Connor PJ. A randomized controlled trial of the effect of aerobic exercise training on feelings of energy and fatigue in sedentary young adults with persistent fatigue. Psychother Psychosom. 2008;77(3):167\u2013174. PubMed ID: 18277063 doi:10.1159\/000116610"},{"issue":"1","key":"r22","series-title":"Pediatr Exerc Sci","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1123\/pes.2017-0067","article-title":"Effect of low-versus high-intensity exercise training on biomarkers of inflammation and endothelial dysfunction in adolescents with obesity: a 6-month randomized exercise intervention study","volume":"30","author":"Ten\u00f3rio TR","year":"2018","unstructured":"Ten\u00f3rio TR, Balagopal PB, Andersen LB, et\u00a0al. Effect of low-versus high-intensity exercise training on biomarkers of inflammation and endothelial dysfunction in adolescents with obesity: a 6-month randomized exercise intervention study. Pediatr Exerc Sci. 2018;30(1):96\u2013105. PubMed ID: 28787243 doi:10.1123\/pes.2017-0067"},{"issue":"2","key":"r23","series-title":"J Clin Biochem Nutr","doi-asserted-by":"publisher","first-page":"130","DOI":"10.3164\/jcbn.16-29","article-title":"Influence of regular exercise on gastric emptying in healthy men: a pilot study","volume":"59","author":"Matsuzaki J","year":"2016","unstructured":"Matsuzaki J, Suzuki H, Masaoka T, Tanaka K, Mori H, Kanai T. Influence of regular exercise on gastric emptying in healthy men: a pilot study. J Clin Biochem Nutr. 2016;59(2):130\u2013133. PubMed ID: 27698540 doi:10.3164\/jcbn.16-29"},{"issue":"4","key":"r24","series-title":"Physiol Rev","doi-asserted-by":"publisher","first-page":"2561","DOI":"10.1152\/physrev.00022.2022","article-title":"Physiology of sedentary behavior","volume":"103","author":"Pinto AJ","year":"2023","unstructured":"Pinto AJ, Bergouignan A, Dempsey PC, et\u00a0al. Physiology of sedentary behavior. Physiol Rev. 2023;103(4):2561\u20132622. PubMed ID: 37326297 doi:10.1152\/physrev.00022.2022"},{"issue":"1","key":"r25","series-title":"Gastro Hep Adv","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1016\/j.gastha.2023.09.001","article-title":"Health-related social needs in patients with gastroparesis: relationships to symptom severity and quality of life","volume":"3","author":"Lee SO","year":"2024","unstructured":"Lee SO, Barrett AC, Silver PJ, Parkman HP. Health-related social needs in patients with gastroparesis: relationships to symptom severity and quality of life. Gastro Hep Adv. 2024;3(1):48\u201354. PubMed ID: 39132189 doi:10.1016\/j.gastha.2023.09.001"},{"issue":"3","key":"r26","series-title":"Arthritis Care Res","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1002\/acr.24122","article-title":"Fatigue and its association with social participation, functioning, and quality of life in systemic sclerosis","volume":"73","author":"Murphy SL","year":"2021","unstructured":"Murphy SL, Kratz AL, Whibley D, Poole JL, Khanna D. Fatigue and its association with social participation, functioning, and quality of life in systemic sclerosis. Arthritis Care Res. 2021;73(3):415\u2013422. doi:10.1002\/acr.24122"},{"issue":"1","key":"r27","series-title":"Sci Rep","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-03791-x","article-title":"Health-related quality of life and insulin resistance over a 10-year follow-up","volume":"11","author":"Kazukauskiene N","year":"2021","unstructured":"Kazukauskiene N, Podlipskyte A, Varoneckas G, Mickuviene N. Health-related quality of life and insulin resistance over a 10-year follow-up. Sci Rep. 2021;11(1):24294. doi:10.1038\/s41598-021-03791-x"},{"issue":"3","key":"r28","series-title":"J Cachexia Sarcopenia Muscle","doi-asserted-by":"publisher","first-page":"1228","DOI":"10.1002\/jcsm.13243","article-title":"Sarcopenia and health\u2010related quality of life: a systematic review and meta\u2010analysis","volume":"14","author":"Beaudart C","year":"2023","unstructured":"Beaudart C, Demonceau C, Reginster JY, et\u00a0al. Sarcopenia and health\u2010related quality of life: a systematic review and meta\u2010analysis. J Cachexia Sarcopenia Muscle. 2023;14(3):1228\u20131243. PubMed ID: 37139947 doi:10.1002\/jcsm.13243"},{"issue":"4","key":"r29","series-title":"Int J Speech Lang Pathol","doi-asserted-by":"publisher","first-page":"329","DOI":"10.3109\/17549507.2012.663789","article-title":"Does mode of administration affect health-related quality-of-life outcomes after stroke?","volume":"14","author":"Caute A","year":"2012","unstructured":"Caute A, Northcott S, Clarkson L, Pring T, Hilari K. Does mode of administration affect health-related quality-of-life outcomes after stroke? Int J Speech Lang Pathol. 2012;14(4):329\u2013337. PubMed ID: 22472032 doi:10.3109\/17549507.2012.663789"},{"issue":"6","key":"r30","series-title":"Gac Sanit","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1016\/S0213-9111(05)71393-5","article-title":"Comparison between telephone and self-administration of Short Form Health Survey Questionnaire (SF-36)","volume":"19","author":"Garc\u00eda M","year":"2005","unstructured":"Garc\u00eda M, Rohlfs I, Vila J, et\u00a0al. Comparison between telephone and self-administration of Short Form Health Survey Questionnaire (SF-36). Gac Sanit. 2005;19(6):433\u2013439. PubMed ID: 16483520 doi:10.1016\/S0213-9111(05)71393-5"},{"issue":"3","key":"r31","series-title":"Br J Sports Med","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1136\/bjsports-2013-093154","article-title":"Using accelerometers to measure physical activity in large-scale epidemiological studies: issues and challenges","volume":"48","author":"Lee I-M","year":"2014","unstructured":"Lee I-M, Shiroma EJ. Using accelerometers to measure physical activity in large-scale epidemiological studies: issues and challenges. Br J Sports Med. 2014;48(3):197\u2013201. PubMed ID: 24297837 doi:10.1136\/bjsports-2013-093154"},{"issue":"12","key":"r32","series-title":"J Sci Med Sport","doi-asserted-by":"publisher","first-page":"1101","DOI":"10.1016\/j.jsams.2017.04.017","article-title":"Comparability and feasibility of wrist-and hip-worn accelerometers in free-living adolescents","volume":"20","author":"Scott JJ","year":"2017","unstructured":"Scott JJ, Rowlands AV, Cliff DP, Morgan PJ, Plotnikoff RC, Lubans DR. Comparability and feasibility of wrist-and hip-worn accelerometers in free-living adolescents. J Sci Med Sport. 2017;20(12):1101\u20131106. PubMed ID: 28501418 doi:10.1016\/j.jsams.2017.04.017"},{"issue":"2","key":"r33","series-title":"Med Sci Sports Exerc","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1249\/MSS.0b013e3181ed61a3","article-title":"Validation of accelerometer wear and nonwear time classification algorithm","volume":"43","author":"Choi L","year":"2011","unstructured":"Choi L, Liu Z, Matthews CE, Buchowski MS. Validation of accelerometer wear and nonwear time classification algorithm. Med Sci Sports Exerc. 2011;43(2):357\u2013364. PubMed ID: 20581716 doi:10.1249\/MSS.0b013e3181ed61a3"},{"issue":"22","key":"r34","series-title":"J Sports Sci","doi-asserted-by":"publisher","first-page":"2569","DOI":"10.1080\/02640414.2020.1794244","article-title":"Development of cut-points for determining activity intensity from a wrist-worn ActiGraph accelerometer in free-living adults","volume":"38","author":"Montoye AH","year":"2020","unstructured":"Montoye AH, Clevenger KA, Pfeiffer KA, et\u00a0al. Development of cut-points for determining activity intensity from a wrist-worn ActiGraph accelerometer in free-living adults. J Sports Sci. 2020;38(22):2569\u20132578. PubMed ID: 32677510 doi:10.1080\/02640414.2020.1794244"},{"issue":"24","key":"r35","series-title":"Br J Sports Med","doi-asserted-by":"publisher","first-page":"1451","DOI":"10.1136\/bjsports-2020-102955","article-title":"World Health Organization 2020 guidelines on physical activity and sedentary behaviour","volume":"54","author":"Bull FC","year":"2020","unstructured":"Bull FC, Al-Ansari SS, Biddle S, et\u00a0al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451\u20131462. PubMed ID: 33239350 doi:10.1136\/bjsports-2020-102955"},{"issue":"10","key":"r36","series-title":"Appl Physiol Nutr Metab","doi-asserted-by":"publisher","first-page":"S57","DOI":"10.1139\/apnm-2020-0467","article-title":"Canadian 24-Hour Movement Guidelines for Adults aged 18\u201364\u00a0years and adults aged 65\u00a0years or older: an integration of physical activity, sedentary behaviour, and sleep","volume":"45","author":"Ross R","year":"2020","unstructured":"Ross R, Chaput J-P, Giangregorio LM, et\u00a0al. Canadian 24-Hour Movement Guidelines for Adults aged 18\u201364\u00a0years and adults aged 65\u00a0years or older: an integration of physical activity, sedentary behaviour, and sleep. Appl Physiol Nutr Metab. 2020;45(10):S57\u2013S102. doi:10.1139\/apnm-2020-0467"},{"issue":"6","key":"r37","series-title":"Am J Prev Med","doi-asserted-by":"publisher","first-page":"832","DOI":"10.1016\/j.amepre.2024.07.015","article-title":"A physical activity and sitting time balance index and all-cause mortality risk","volume":"67","author":"Botlero R","year":"2024","unstructured":"Botlero R, Sethi P, Gasevic D, Owen N, Barr E, Dunstan DW. A physical activity and sitting time balance index and all-cause mortality risk. Am J Prev Med. 2024;67(6):832\u2013840. PubMed ID: 39053656 doi:10.1016\/j.amepre.2024.07.015"},{"key":"r38","series-title":"PeerJ","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.16059","article-title":"Physical activity and health-related quality of life among adults living in Jeddah city Saudi Arabia","volume":"11","author":"Abdulrashid OA","year":"2023","unstructured":"Abdulrashid OA, Shah HBU, Baeshen WA, et\u00a0al. Physical activity and health-related quality of life among adults living in Jeddah city Saudi Arabia. PeerJ. 2023;11:e16059. doi:10.7717\/peerj.16059"},{"key":"r39","series-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J","year":"2013","unstructured":"Cohen J. Statistical Power Analysis for the Behavioral Sciences. Routledge; 2013."},{"issue":"1","key":"r40","series-title":"BMC Public Health","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-19252-9","article-title":"Associations between domains of sedentary behavior, well-being, and quality of life\u2013a cross-sectional study","volume":"24","author":"Teno SC","year":"2024","unstructured":"Teno SC, Silva MN, J\u00fadice PB. Associations between domains of sedentary behavior, well-being, and quality of life\u2013a cross-sectional study. BMC Public Health. 2024;24(1):1756. doi:10.1186\/s12889-024-19252-9"},{"issue":"1","key":"r41","series-title":"Int J Behav Nutr Phys Act","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-021-01196-7","article-title":"Light-intensity physical activity and mental ill health: a systematic review of observational studies in the general population","volume":"18","author":"Felez-Nobrega M","year":"2021","unstructured":"Felez-Nobrega M, Bort-Roig J, Ma R, et\u00a0al. Light-intensity physical activity and mental ill health: a systematic review of observational studies in the general population. Int J Behav Nutr Phys Act. 2021;18(1):123. doi:10.1186\/s12966-021-01196-7"},{"issue":"1","key":"r42","series-title":"Am J Cardiovasc Dis","first-page":"53","article-title":"The effect of physical activity on quality of life and serum glucose and cholesterol levels in patients with congenital heart disease","volume":"11","author":"Mart\u00ednez-Quintana E","year":"2021","unstructured":"Mart\u00ednez-Quintana E, Estupi\u00f1\u00e1n-Le\u00f3n H, D\u00e9niz-D\u00e9niz L, et\u00a0al. The effect of physical activity on quality of life and serum glucose and cholesterol levels in patients with congenital heart disease. Am J Cardiovasc Dis. 2021;11(1):53\u201364. PubMed ID: 33815920"},{"issue":"2","key":"r43","series-title":"Asian Pac J Cancer Prev","doi-asserted-by":"publisher","first-page":"379","DOI":"10.31557\/APJCP.2024.25.2.379","article-title":"Does exercise improve health-related quality of life of colorectal cancer survivors? a systematic review and meta-analysis","volume":"25","author":"Razak NA","year":"2024","unstructured":"Razak NA, Azhar AR, Baharuddin IH, et\u00a0al. Does exercise improve health-related quality of life of colorectal cancer survivors? a systematic review and meta-analysis. Asian Pac J Cancer Prev. 2024;25(2):379\u2013391. PubMed ID: 38415522 doi:10.31557\/APJCP.2024.25.2.379"},{"issue":"1","key":"r44","series-title":"Health Qual Life Outcomes","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-022-01940-y","article-title":"Effect of aerobic exercise intensity on health-related quality of life in severe obesity: a randomized controlled trial","volume":"20","author":"Berge J","year":"2022","unstructured":"Berge J, Hjelmes\u00e6th J, Kolotkin RL, et\u00a0al. Effect of aerobic exercise intensity on health-related quality of life in severe obesity: a randomized controlled trial. Health Qual Life Outcomes. 2022;20(1):34. doi:10.1186\/s12955-022-01940-y"},{"issue":"4","key":"r45","series-title":"Spor Hekimli\u011fi Dergisi","first-page":"192","article-title":"Moderate intensity aerobic exercise effects on the quality of life and general health","volume":"56","author":"Sak D","year":"2021","unstructured":"Sak D, Day\u0131 T, G\u00fcnay E, \u00d6niz A. Moderate intensity aerobic exercise effects on the quality of life and general health. Spor Hekimli\u011fi Dergisi. 2021;56(4):192\u2013197."},{"issue":"3","key":"r46","series-title":"Am J Cardiol","doi-asserted-by":"publisher","first-page":"466","DOI":"10.1016\/j.amjcard.2018.10.027","article-title":"Relation of hepatic fibrosis in nonalcoholic fatty liver disease to left ventricular diastolic function and exercise tolerance","volume":"123","author":"Canada JM","year":"2019","unstructured":"Canada JM, Abbate A, Collen R, et\u00a0al. Relation of hepatic fibrosis in nonalcoholic fatty liver disease to left ventricular diastolic function and exercise tolerance. Am J Cardiol. 2019;123(3):466\u2013473. PubMed ID: 30502049 doi:10.1016\/j.amjcard.2018.10.027"},{"issue":"3","key":"r47","series-title":"Curr Oncol Rep","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-018-0681-2","article-title":"Exercise training and cardiovascular health in cancer patients","volume":"20","author":"Squires RW","year":"2018","unstructured":"Squires RW, Shultz AM, Herrmann J. Exercise training and cardiovascular health in cancer patients. Curr Oncol Rep. 2018;20(3):27. doi:10.1007\/s11912-018-0681-2"},{"issue":"2","key":"r48","series-title":"Occup Environ Med","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1136\/oemed-2020-106753","article-title":"Occupational physical activity, not leisure-time physical activity, is associated with increased high-sensitivity C reactive protein levels","volume":"78","author":"Lee J","year":"2021","unstructured":"Lee J, Kim H-R, Jang T-W, Lee D-W, Lee YM, Kang M-Y. Occupational physical activity, not leisure-time physical activity, is associated with increased high-sensitivity C reactive protein levels. Occup Environ Med. 2021;78(2):86\u201391. PubMed ID: 32912859 doi:10.1136\/oemed-2020-106753"},{"key":"r49","series-title":"Prog Cardiovasc Dis","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/j.pcad.2020.12.010","article-title":"The physiological benefits of sitting less and moving more: opportunities for future research","volume":"73","author":"Hwang C-L","year":"2022","unstructured":"Hwang C-L, Chen S-H, Chou C-H, et\u00a0al. The physiological benefits of sitting less and moving more: opportunities for future research. Prog Cardiovasc Dis. 2022;73:61\u201366. PubMed ID: 33453285 doi:10.1016\/j.pcad.2020.12.010"},{"issue":"1","key":"r50","series-title":"Frontline Gastroenterol","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1136\/flgastro-2014-100432","article-title":"Non-alcoholic fatty liver disease is associated with higher levels of objectively measured sedentary behaviour and lower levels of physical activity than matched healthy controls","volume":"6","author":"Hallsworth K","year":"2015","unstructured":"Hallsworth K, Thoma C, Moore S, et\u00a0al. Non-alcoholic fatty liver disease is associated with higher levels of objectively measured sedentary behaviour and lower levels of physical activity than matched healthy controls. Frontline Gastroenterol. 2015;6(1):44\u201351. PubMed ID: 25580206 doi:10.1136\/flgastro-2014-100432"},{"issue":"1","key":"r51","series-title":"Epidemiol Rev","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1093\/epirev\/mxab004","article-title":"Assessment of physical activity in adults using wrist accelerometers","volume":"43","author":"Liu F","year":"2021","unstructured":"Liu F, Wanigatunga AA, Schrack JA. Assessment of physical activity in adults using wrist accelerometers. Epidemiol Rev. 2021;43(1):65\u201393. doi:10.1093\/epirev\/mxab004"},{"issue":"1","key":"r52","series-title":"Chest","doi-asserted-by":"publisher","first-page":"S65","DOI":"10.1016\/j.chest.2020.03.012","article-title":"Cross-sectional studies: strengths, weaknesses, and recommendations","volume":"158","author":"Wang X","year":"2020","unstructured":"Wang X, Cheng Z. Cross-sectional studies: strengths, weaknesses, and recommendations. Chest. 2020;158(1):S65\u2013S71. doi:10.1016\/j.chest.2020.03.012"},{"issue":"8","key":"r53","series-title":"J Gerontol A Biol Sci Med Sci","doi-asserted-by":"publisher","first-page":"1039","DOI":"10.1093\/gerona\/glw026","article-title":"Assessing daily physical activity in older adults: unraveling the complexity of monitors, measures, and methods","volume":"71","author":"Schrack JA","year":"2016","unstructured":"Schrack JA, Cooper R, Koster A, et\u00a0al. Assessing daily physical activity in older adults: unraveling the complexity of monitors, measures, and methods. J Gerontol A Biol Sci Med Sci. 2016;71(8):1039\u20131048. PubMed ID: 26957472 doi:10.1093\/gerona\/glw026"},{"key":"r54","series-title":"Gait Posture","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1016\/j.gaitpost.2016.10.014","article-title":"Accuracy of inclinometer functions of the activPAL and ActiGraph GT3X+: a focus on physical activity","volume":"51","author":"An H-S","year":"2017","unstructured":"An H-S, Kim Y, Lee J-M. Accuracy of inclinometer functions of the activPAL and ActiGraph GT3X+: a focus on physical activity. Gait Posture. 2017;51:174\u2013180. PubMed ID: 27780084 doi:10.1016\/j.gaitpost.2016.10.014"},{"issue":"24","key":"r55","series-title":"J Clin Med","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14248666","article-title":"Associations of mentally active and passive sedentary behavior with sleep quality and duration in pregnant women of advanced versus younger maternal age","volume":"14","author":"Alansare AB","year":"2025","unstructured":"Alansare AB. Associations of mentally active and passive sedentary behavior with sleep quality and duration in pregnant women of advanced versus younger maternal age. J Clin Med. 2025;14(24):8666. doi:10.3390\/jcm14248666"},{"issue":"8","key":"r56","series-title":"Scand J Med Sci Sports","doi-asserted-by":"publisher","first-page":"1224","DOI":"10.1111\/sms.14165","article-title":"Association of domain\u2010specific physical activity and sedentary behavior with cardiometabolic health among office workers","volume":"32","author":"Kitano N","year":"2022","unstructured":"Kitano N, Kai Y, Jindo T, Fujii Y, Tsunoda K, Arao T. Association of domain\u2010specific physical activity and sedentary behavior with cardiometabolic health among office workers. Scand J Med Sci Sports. 2022;32(8):1224\u20131235. PubMed ID: 35426181 doi:10.1111\/sms.14165"}],"container-title":["Journal of Physical Activity and Health"],"original-title":[],"link":[{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jpah\/23\/9\/article-p1296.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/jpah\/23\/9\/article-p1296.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.humankinetics.com\/downloadpdf\/journals\/jpah\/23\/9\/article-p1296.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:28:42Z","timestamp":1787765322000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.humankinetics.com\/view\/journals\/jpah\/23\/9\/article-p1296.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":56,"journal-issue":{"issue":"9"},"URL":"https:\/\/doi.org\/10.1123\/jpah.2025-0522","relation":{},"ISSN":["1543-3080","1543-5474"],"issn-type":[{"value":"1543-3080","type":"print"},{"value":"1543-5474","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]}}}