{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:34:45Z","timestamp":1792802085284,"version":"4.5.0"},"reference-count":57,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100006392","name":"Centre Hospitalier Universitaire Vaudois","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006392","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Use &amp; Addiction Journal"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Numerous studies documented an unexpected association between physical activity (PA) and alcohol use, suggesting that higher rates of PA may be linked to increased alcohol use. Evidence is lacking on factors explaining this relation. This study investigated cross-sectional associations between time devoted to different domains of PA and unhealthy alcohol use and tested whether these associations differed by age and sex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Data were drawn from the 2017 Swiss Health Survey. Participants (N\u2009=\u200917\u2009328) are representative of the Swiss population and provided information on 3 PA-domains (hours\/day of sport\/exercise, leisure, and commuting) and unhealthy alcohol use (chronic risky drinking [\u226520\u2009g mean daily ethanol for women; \u226540\u2009g for men], heavy episodic drinking [\u22651 occasion\/month with \u226540\u2009g for women\/\u226550\u2009g for men]). Logistic regression models were used to estimate associations between hours\/day spent on the 3 PA-domains and unhealthy alcohol use and to test interactions between PA-domains and sex and age separately. All models were adjusted for tobacco use, body mass index, and demographics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Hours\/day of leisure PA was positively associated with chronic risky drinking (OR\u2009=\u20091.06,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.030). Hours\/day of sport\/exercise PA was positively associated with heavy episodic drinking (OR\u2009=\u20091.12,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.007). No significant association was found for commuting PA. There was a significant interaction between sport\/exercise PA and age on heavy episodic drinking (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Age-stratified analyses revealed positive associations for participants aged 18 to &lt;25 (OR\u2009=\u20091.44,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001), 25 to &lt;35 (OR\u2009=\u20091.23,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.019), and \u226575 (OR\u2009=\u20091.74,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.003), negative for participants aged 35 to &lt;45 (OR\u2009=\u20090.73,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.019), and nonsignificant associations for participants aged 45 to &lt;55 (OR\u2009=\u20090.96,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.720), 55 to &lt;65 (OR\u2009=\u20090.99,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.909), and 65 to &lt;75 (OR\u2009=\u20091.05,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.713).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our results highlight the importance to account for PA-domains and alcohol use patterns when studying the PA-alcohol relationship. Associations between sport\/exercise and heavy episodic drinking differed by age, possibly reflecting the socio-environmental context\u2019s impact across the lifespan. Findings may have implications for alcohol screening and interventions among physically active people.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/29767342251323782","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T07:18:14Z","timestamp":1742368694000},"page":"654-664","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Unraveling the Relationship Between Physical Activity and Unhealthy Alcohol Use in the General Population: A Cross-Sectional Study"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7260-4581","authenticated-orcid":false,"given":"Marianthi Lousiana","family":"Deligianni","sequence":"first","affiliation":[{"name":"Addiction Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1390-7707","authenticated-orcid":false,"given":"Joseph","family":"Studer","sequence":"additional","affiliation":[{"name":"Addiction Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland"},{"name":"Service of Adult Psychiatry North-West, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5064-6377","authenticated-orcid":false,"given":"Nicolas","family":"Bertholet","sequence":"additional","affiliation":[{"name":"Addiction Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,19]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"World Health Organization Physical Activity. Accessed September 25 2023. https:\/\/www.who.int\/health-topics\/physical-activity#tab=tab_1"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.14854"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mhpa.2024.100589"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/pp9.0000000000000018"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2009.12.032"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-019-01187-6"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0890117116664710"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.4278\/ajhp.100929-LIT-328"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibaa008"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2014.03.022"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.3109\/16066359709004359"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.2001.62.467"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-017-9863-x"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000157"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2015.00156"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-015-0273-z"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11556-010-0076-3"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2011.04.003"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2016.12.008"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/16184742.2021.1890801"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1123\/jcsp.2022-0034"},{"key":"e_1_3_3_23_2","unstructured":"Enqu\u00eate suisse sur la sant\u00e9. Office f\u00e9d\u00e9ral de la statistique. Accessed January 23 2025. https:\/\/www.bfs.admin.ch\/bfs\/fr\/home\/statistiques\/sante\/enquetes\/sgb.html"},{"key":"e_1_3_3_24_2","volume-title":"International Guide for Monitoring Alcohol Consumption and Related Harm","author":"World Health Organization","year":"2000","unstructured":"World Health Organization. International Guide for Monitoring Alcohol Consumption and Related Harm. World Health Organization; 2000."},{"key":"e_1_3_3_25_2","unstructured":"Gmel G Kuendig H Notari L Gmel C. Monitorage suisse des addictions : consommation d\u2019alcool tabac et drogues ill\u00e9gales en Suisse en 2016. 2017. Accessed August 28 2023. https:\/\/www.addictionsuisse.ch\/wp-content\/uploads\/library_sumo\/gmel_2tl0igxj1e6t.pdf"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/jech.57.6.397"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-011843"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e3181651651"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/add.13887"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17228299"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1111\/sms.13653"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-019-0535-9"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2013.09.024"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291709991942"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(21)00159-6"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12295"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-006-9018-6"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1080\/19325037.2017.1369198"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu13061856"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.alcohol.2013.12.003"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1177\/1012690213509257"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agu061"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2011.587487"},{"key":"e_1_3_3_44_2","first-page":"202","article-title":"Maturing out of problematic alcohol use","volume":"28","author":"O\u2019Malley PM.","year":"2004","unstructured":"O\u2019Malley PM. Maturing out of problematic alcohol use. Alcohol Res Health. 2004;28:202-204.","journal-title":"Alcohol Res Health"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1080\/16078055.2024.2413066"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000591"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-15-1792-1_23"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00221-024-06791-1"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2007.02.008"},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.abrep.2016.03.001"},{"key":"e_1_3_3_51_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.21-00339"},{"key":"e_1_3_3_52_2","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdy202"},{"key":"e_1_3_3_53_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyw126"},{"key":"e_1_3_3_54_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-016-0375-9"},{"key":"e_1_3_3_55_2","doi-asserted-by":"publisher","DOI":"10.1111\/add.15849"},{"key":"e_1_3_3_56_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2009.12.006"},{"key":"e_1_3_3_57_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(88)92890-5"},{"key":"e_1_3_3_58_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000002777"}],"container-title":["Substance Use &amp; Addiction Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29767342251323782","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/29767342251323782","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/29767342251323782","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:50:55Z","timestamp":1777600255000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/29767342251323782"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,19]]},"references-count":57,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1177\/29767342251323782"],"URL":"https:\/\/doi.org\/10.1177\/29767342251323782","relation":{},"ISSN":["2976-7342","2976-7350"],"issn-type":[{"value":"2976-7342","type":"print"},{"value":"2976-7350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,19]]}}}