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Physical activity modification over time according to socioeconomic position: results from the EPIC-Italy cohort study

Authors :
Valeria Pala
Giovanna Masala
Fulvio Ricceri
Carlotta Sacerdote
Lucia Dansero
Matteo Franco
Luigi Facchini
Luca Manfredi
Benedetta Bendinelli
Melania Assedi
Valentina Vitale
Saverio Caini
Source :
BMJ Open Sport & Exercise Medicine, Vol 10, Iss 3 (2024)
Publication Year :
2024
Publisher :
BMJ Publishing Group, 2024.

Abstract

Objectives Our study aimed to investigate how physical activity (PA) changes over an 11-year follow-up among adults from different socioeconomic positions (SEP) near retirement age. Moreover, an analysis of different PA types is considered.Methods We used data from the EPIC-Italy cohort. We evaluated PA using the Cambridge Physical Activity Index (CPAI) and the metabolic equivalent of tasks (MET) per hour of activity for recreational PA and household PA. Educational level was assessed using the Relative Index of Inequality (RII). Occupational classes were classified according to LIFEPATH Consortium knowledge. Logistic regression was used to analyse PA among SEP and changes during follow-up. Analyses were also conducted separately for sex.Results The higher educated were more prevalent in the higher quartile of recreational PA than the lower educated both at baseline and follow-up (37% vs 28% and 37% vs 27%, respectively). At the baseline, the lower educated had a higher risk of being physically inactive than the higher educated based on recreational PA (overall OR: 1.50, 95% CI 1.40 to 1.60). Manual workers did not show a higher risk of less PA than professionals/managers (overall OR: 1.03, 95% CI 0.91 to 1.16).At follow-up, the lower educated and manual workers showed a higher risk of being physically inactive (lower educated OR: 1.46, 95% CI 1.37 to 1.56; manual worker OR: 1.33, 95% CI 1.18 to 1.50). The analyses of changes in PA showed that those who were less educated or manual workers had a higher risk of worsening their PA during the follow-up period, particularly women in recreational PA and men in CPAI measurement.Conclusion Individuals who had a disadvantaged SEP showed a higher risk of performing less PA over time.

Subjects

Subjects :
Medicine (General)
R5-920

Details

Language :
English
ISSN :
20557647
Volume :
10
Issue :
3
Database :
Directory of Open Access Journals
Journal :
BMJ Open Sport & Exercise Medicine
Publication Type :
Academic Journal
Accession number :
edsdoj.551ee5fdec3e4432846364e26f3757c9
Document Type :
article
Full Text :
https://doi.org/10.1136/bmjsem-2024-001957