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January 17, 2026Scientific Reports0 citationsOpen Access

Distribution of device-measured 24-h movement behaviors in older adults: cross-sectional findings from the HUNT4 study

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KSKaren SverdrupAUAstrid UstadGTGro Gujord Tangen

Key Points

  • This study aims to describe the 24-hour time distribution of physical activity types, postures, and sleep among older adults and to examine factors influencing this distribution.
  • Cross-sectional design based on data from the HUNT4 survey (2017–19)
  • Included 8,114 community-dwelling adults aged 65 and older
  • Device-measured data collected via accelerometers for physical activity and sleep analysis
  • Used machine learning models to derive movement behaviors and survey-weighted regression models for analysis
  • Participants spent an average of 9.2 hours sitting and 7.1 hours sleeping per day
  • Standing and walking time decreased with age, while sitting and lying (awake) time increased
  • Women spent more time standing and sleeping compared to men, who walked and sat more
  • Higher education levels correlated with increased standing and walking time and decreased sitting time

Abstract

Abstract Comprehensive mapping of key physical activity (PA) types, postures, and sleep among older adults is important for informing public health policies and interventions. This study aimed to describe the 24-h time distribution of key PA types, postures, and sleep in a population-based sample of community-dwelling older adults and explore whether age, sex, and educational level influenced this distribution. Participants 65 years and older from the fourth survey of the Trøndelag Health Study (HUNT4, 2017–19) with ≥ 1 day of complete accelerometer recording were included (n = 8,114). PA types (walking, running, cycling), postures (standing, sitting, lying (awake)), and sleep were derived from the accelerometer data using validated machine learning models. Survey-weighted regression models were applied to describe the 24-h time distribution of PA types, postures, and sleep by age, sex, and education. Participants spent 4.1 h standing ( SD 85.3 min), 82.8 min ( SD 40.3 min) walking, 0.2 min ( SD 1.7 min) running, 4.6 min ( SD 7.2 min) cycling, 9.2 h ( SD 115.5 min) sitting, 2.1 h ( SD 86.6 min) lying (awake), and 7.1 h ( SD 50.4 min) sleeping per day. Time spent standing and walking decreased, while time spent sitting, lying (awake), and sleeping increased with higher age. Women spent more time standing and sleeping, and less time walking, sitting, and lying (awake) than men. Higher education was associated with more time standing and walking and less time sitting. This study provides novel insights into the distribution of 24-h movement behaviors among older adults and can serve as a benchmark for future research on key PA types, postures, sleep, and their interactions.

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Cite This Study

Sverdrup et al. (2026) studied this question.

synapsesocial.com/papers/696b26d7d2a12237a934a208https://doi.org/10.1038/s41598-026-36355-y
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