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Does Multiple Sclerosis Differently Impact Physical Activity in Women and Man? A Quantitative Study Based on Wearable Accelerometers

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  • Massimiliano Pau

    (Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, 09123 Cagliari, Italy)

  • Micaela Porta

    (Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, 09123 Cagliari, Italy)

  • Giancarlo Coghe

    (Department of Medical Sciences and Public Health, University of Cagliari, 09123 Cagliari, Italy)

  • Jessica Frau

    (Department of Medical Sciences and Public Health, University of Cagliari, 09123 Cagliari, Italy)

  • Lorena Lorefice

    (Department of Medical Sciences and Public Health, University of Cagliari, 09123 Cagliari, Italy)

  • Eleonora Cocco

    (Department of Medical Sciences and Public Health, University of Cagliari, 09123 Cagliari, Italy)

Abstract

In people with multiple sclerosis (pwMS), fatigue, weakness and spasticity may reduce mobility and promote sedentary behavior. However, little is known about the existence of possible differences in the way MS modifies the propensity to perform physical activity (PA) in men and women. The present study aimed to partly close this gap by means of quantitative analysis carried out using wearable sensors. Forty-five pwMS (23 F, 22 M, mean age 50.3) and 41 unaffected age- and sex-matched individuals wore a tri-axial accelerometer 24 h/day for 7 consecutive days. Raw data were processed to calculate average number of daily steps, vector magnitude (VM) counts, and percentage of time spent in sedentary behavior and in PA of different intensities (i.e., light and moderate-to-vigorous, MVPA). Women with MS spent more time in sedentary behavior and exhibited a reduced amount of light intensity activity with respect to men, while MVPA was similar across sexes. However, in comparison with unaffected individuals, the overall PA patterns appear significantly modified mostly in women who, in presence of the disease, present increased sedentary behavior, reduced MVPA, number of daily steps and VM counts. The findings of the present study highlight the urgency of including sex as variable in all studies on PA in pwMS.

Suggested Citation

  • Massimiliano Pau & Micaela Porta & Giancarlo Coghe & Jessica Frau & Lorena Lorefice & Eleonora Cocco, 2020. "Does Multiple Sclerosis Differently Impact Physical Activity in Women and Man? A Quantitative Study Based on Wearable Accelerometers," IJERPH, MDPI, vol. 17(23), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8848-:d:452710
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    References listed on IDEAS

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    1. Mario Azevedo & Cora Araújo & Felipe Reichert & Fernando Siqueira & Marcelo Silva & Pedro Hallal, 2007. "Gender differences in leisure-time physical activity," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 52(1), pages 8-15, February.
    2. Tim Althoff & Rok Sosič & Jennifer L. Hicks & Abby C. King & Scott L. Delp & Jure Leskovec, 2017. "Large-scale physical activity data reveal worldwide activity inequality," Nature, Nature, vol. 547(7663), pages 336-339, July.
    3. Anne McMunn & Lauren Bird & Elizabeth Webb & Amanda Sacker, 2020. "Gender Divisions of Paid and Unpaid Work in Contemporary UK Couples," Work, Employment & Society, British Sociological Association, vol. 34(2), pages 155-173, April.
    4. Dyck, Isabel, 1995. "Hidden geographies: The changing lifeworlds of women with multiple sclerosis," Social Science & Medicine, Elsevier, vol. 40(3), pages 307-320, February.
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    Cited by:

    1. Emanuela Gualdi-Russo & Luciana Zaccagni, 2021. "Physical Activity for Health and Wellness," IJERPH, MDPI, vol. 18(15), pages 1-6, July.

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