Sociodemographic and lifestyle correlates of accelerometer-measured 24-hour physical behavior patterns: a cross-sectional analysis of the ELSA-Brasil cohort Correlatos sociodemográficos e de estilo de vida dos comportamentos de movimento de 24 horas medidos por acelerômetro: uma análise transversal da coorte ELSA-Brasil Correlatos sociodemográficos y del estilo de vida de los patrones de comportamiento físico de 24 horas medidos mediante acelerometría: un análisis transversal de la cohorte ELSA-Brasil
4 affiliations
- 1Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Fiocruz, Rio de Janeiro, Brasil.
- 2Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Fiocruz, Rio de Janeiro, Brasil.
- 3Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Fiocruz, Salvador, Brasil.
- 4Departamento de Saúde, Universidade Estadual de Feira de Santana, Feira de Santana, Brasil.
Abstract
Physical activity, sedentary behavior, and sleep comprise an integrated 24-hour movement continuum that may influence health outcomes. While these behaviors have been studied separately, limited evidence exists on their combined patterns and related sociodemographic and lifestyle factors in middle-income countries like Brazil. The objective was to evaluate associations between sociodemographic and lifestyle correlates and accelerometer-measured 24-hour physical behavior patterns among Brazilian middle-aged and older adults. This cross-sectional analysis included 9,520 adults (mean age 59.2 ± 8.6 years) from the third wave of the ELSA-Brasil cohort study. Physical activity, sedentary behavior, and sleep were objectively measured using triaxial hip-worn accelerometers for seven consecutive days. Behavioral clusters were defined according to daily time spent in physical activity, sedentary behavior, and sleep using Partitioning Around Medoids cluster analysis. Sociodemographic and lifestyle factors were assessed via standardized questionnaires. Multinomial logistic regression models evaluated associations between correlates and behavioral clusters, with Cluster 3 as the reference category. Three clusters were identified: 1 (lower physical activity, higher sedentary behavior, shorter sleep), 2 (intermediate physical activity, intermediate sedentary behavior, intermediate sleep), and 3 (higher physical activity, lower sedentary behavior, longer sleep). Compared with Cluster 3, participants in Cluster 1 were more likely to be male, to have a higher body mass index, to have higher educational attainment, and to have a high income. Similar but weaker associations were observed for Cluster 2. Distinct 24-hour physical behavior patterns among Brazilian adults were associated with sociodemographic and lifestyle factors. These cross-sectional findings emphasize the need for targeted public health strategies promoting healthier 24-hour behavior profiles.
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BibTeX
@article{vale2026sociodemographic,
title = {{Sociodemographic and lifestyle correlates of accelerometer-measured 24-hour physical behavior patterns: a cross-sectional analysis of the ELSA-Brasil cohort Correlatos sociodemográficos e de estilo de vida dos comportamentos de movimento de 24 horas medidos por acelerômetro: uma análise transversal da coorte ELSA-Brasil Correlatos sociodemográficos y del estilo de vida de los patrones de comportamiento físico de 24 horas medidos mediante acelerometría: un análisis transversal de la cohorte ELSA-Brasil}},
author = {Wesley de Souza do Vale and Bruno Pereira de Moura and Rosane Harter Griep and Maria da Conceição Chagas de Almeida and Rogério Tosta de Almeida and Marina Campos Araujo and Maria de Jesus Mendes da Fonseca},
journal = {Cadernos de saude publica},
year = {2026},
month = oct,
doi = {10.1590/0102-311xen004226},
url = {https://europepmc.org/article/PMC/PMC13706634},
note = {CC BY},
}
RIS
TY - JOUR
TI - Sociodemographic and lifestyle correlates of accelerometer-measured 24-hour physical behavior patterns: a cross-sectional analysis of the ELSA-Brasil cohort Correlatos sociodemográficos e de estilo de vida dos comportamentos de movimento de 24 horas medidos por acelerômetro: uma análise transversal da coorte ELSA-Brasil Correlatos sociodemográficos y del estilo de vida de los patrones de comportamiento físico de 24 horas medidos mediante acelerometría: un análisis transversal de la cohorte ELSA-Brasil
AU - Wesley de Souza do Vale
AU - Bruno Pereira de Moura
AU - Rosane Harter Griep
AU - Maria da Conceição Chagas de Almeida
AU - Rogério Tosta de Almeida
AU - Marina Campos Araujo
AU - Maria de Jesus Mendes da Fonseca
PY - 2026
DA - 2026/10/26
JO - Cadernos de saude publica
DO - 10.1590/0102-311xen004226
UR - https://europepmc.org/article/PMC/PMC13706634
AB - Physical activity, sedentary behavior, and sleep comprise an integrated 24-hour movement continuum that may influence health outcomes. While these behaviors have been studied separately, limited evidence exists on their combined patterns and related sociodemographic and lifestyle factors in middle-income countries like Brazil. The objective was to evaluate associations between sociodemographic and lifestyle correlates and accelerometer-measured 24-hour physical behavior patterns among Brazilian middle-aged and older adults. This cross-sectional analysis included 9,520 adults (mean age 59.2 ± 8.6 years) from the third wave of the ELSA-Brasil cohort study. Physical activity, sedentary behavior, and sleep were objectively measured using triaxial hip-worn accelerometers for seven consecutive days. Behavioral clusters were defined according to daily time spent in physical activity, sedentary behavior, and sleep using Partitioning Around Medoids cluster analysis. Sociodemographic and lifestyle factors were assessed via standardized questionnaires. Multinomial logistic regression models evaluated associations between correlates and behavioral clusters, with Cluster 3 as the reference category. Three clusters were identified: 1 (lower physical activity, higher sedentary behavior, shorter sleep), 2 (intermediate physical activity, intermediate sedentary behavior, intermediate sleep), and 3 (higher physical activity, lower sedentary behavior, longer sleep). Compared with Cluster 3, participants in Cluster 1 were more likely to be male, to have a higher body mass index, to have higher educational attainment, and to have a high income. Similar but weaker associations were observed for Cluster 2. Distinct 24-hour physical behavior patterns among Brazilian adults were associated with sociodemographic and lifestyle factors. These cross-sectional findings emphasize the need for targeted public health strategies promoting healthier 24-hour behavior profiles.
SN - 0102-311X
SN - 1678-4464
ER -