GOLD Report Global Initiative for Chronic Obstructive Lung Disease. (2023).
The Global Asthma Report. Int. J. Tubercul. Lung Dis. 26, S1–S102 (2022).
Soriano, J. B. et al. Prevalence and attributable health burden of chronic respiratory diseases, 1990–2017: a systematic analysis for the global burden of disease study 2017. Lancet Respir Med. 8, 585–596 (2020).
Venkatesan, P. GINA report for asthma. Lancet Respir. Med. 11, 589 (2023).
Godfrey, M. S. & Jankowich, M. D. The vital capacity is vital epidemiology and clinical significance of the restrictive spirometry pattern. Chest 149, 238–251 (2016).
Dharmage, S. C. et al. Lifetime spirometry patterns of obstruction and restriction, and their risk factors and outcomes: a prospective cohort study. Lancet Respir Med. 11, 273–282 (2023).
Google Scholar
WHO. Global Status Report on Physical Activity (2022).
Husu, P., Tokola, K., Vähä-Ypyä, H. & Vasankari, T. Measured Physical Activity, Sedentary Behavior and Physical Fitness of Finns 2018–2022. (2022).
Vähä-Ypyä, H. et al. How adherence to the updated physical activity guidelines should be assessed with accelerometer? Eur. J. Public. Health. 32, I50–I55 (2022).
Google Scholar
Husu, P. et al. Physical activity has decreased in finnish children and adolescents from 2016 to 2022. BMC Public. Health 24, (2024).
Lee, I. M. et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 380, 219–229 (2012).
Google Scholar
Biswas, A. et al. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults a systematic review and meta-analysis. Ann. Intern. Med. 162, 123–132 (2015).
Google Scholar
Peralta, G. P. et al. Body mass index and weight change are associated with adult lung function trajectories: the prospective ECRHS study. Thorax 75, 313–320 (2020).
Google Scholar
Samet, J. M. & Tobacco smoking. The leading cause of preventable disease worldwide. Thorac. Surg. Clin. 23, 103–112 (2013).
Garcia-Aymerich, J., Lange, P., Benet, M., Schnohr, P. & Antó, J. M. Regular physical activity reduces hospital admission and mortality in chronic obstructive pulmonary disease: A population based cohort study. Thorax 61, 772–778 (2006).
Google Scholar
Gimeno-Santos, E. et al. Determinants and outcomes of physical activity in patients with COPD: A systematic review. Thorax 69, 731–739 (2014).
Google Scholar
Watz, H. et al. An official European respiratory society statement on physical activity in COPD. Eur. Respir. J. 44, 1521–1537 (2014).
Google Scholar
Loponen, J. et al. Daily physical activity and lung function decline in adult-onset asthma: a 12-year follow-up study. Eur. Clin. Respir J. 5, (2018).
Cordova-Rivera, L., Gibson, P. G., Gardiner, P. A., Powell, H. & McDonald, V. M. Physical activity and exercise capacity in severe asthma: key clinical associations. J. Allergy Clin. Immunology: Pract. 6, 814–822 (2018).
Carsin, A. E. et al. Restrictive spirometry pattern is associated with low physical activity levels. A population based international study. Respir Med. 146, 116–123 (2019).
Google Scholar
Carsin, A. E. et al. Regular physical activity levels and incidence of restrictive spirometry pattern: A longitudinal analysis of 2 Population-Based cohorts. Am. J. Epidemiol. 189, 1521–1528 (2020).
Google Scholar
Mak, K. F. et al. Cochrane library: pulmonary rehabilitation for chronic obstructive pulmonary disease (Review). Adv. Solid State Lasers. 1, AF4A4 (2014).
Spruit, M. A., Pitta, F., McAuley, E., ZuWallack, R. L. & Nici, L. Pulmonary rehabilitation and physical activity in patients with chronic obstructive pulmonary disease. Am. J. Respir Crit. Care Med. 192, 924–933 (2015).
Google Scholar
Luzak, A. et al. Association of physical activity with lung function in lung-healthy German adults: results from the KORA FF4 study. BMC Pulm Med. 17, 1–9 (2017).
Smith, M. P. et al. Physical activity is not associated with spirometric indices in lung-healthy German youth. Eur. Respir. J. 48, 428–440 (2016).
Google Scholar
Barboza, M. L. et al. Association between physical activity in daily life and pulmonary function in adult smokers. Jornal Brasileiro De Pneumologia. 42, 130–135 (2016).
Google Scholar
Dogra, S. et al. Physical activity and sedentary time are related to clinically relevant health outcomes among adults with obstructive lung disease. BMC Pulm Med. 18, 1–13 (2018).
Mensink-Bout, S. M. et al. Associations of physical condition with lung function and asthma in adolescents from the general population. Pediatr. Allergy Immunol. 33, 1–7 (2022).
Fuertes, E. et al. Leisure-time vigorous physical activity is associated with better lung function: the prospective ECRHS study. Thorax 73, 376–384 (2018).
Google Scholar
Jakes, R. W. et al. Physical inactivity is associated with lower forced expiratory volume in 1 second European prospective investigation into Cancer-Norfolk prospective population study. Am. J. Epidemiol. 156, 139–147 (2002).
Google Scholar
Dogra, S. et al. Movement behaviours are associated with lung function in middle-aged and older adults: A cross-sectional analysis of the Canadian longitudinal study on aging. BMC Public. Health. 18, 1–9 (2018).
Nystad, W., Samuelsen, S. O., Nafstad, P. & Langhammer, A. Association between level of physical activity and lung function among Norwegian men and women: the HUNT study. Int. J. Tuberculosis Lung Disease. 10, 1399–1405 (2006).
Google Scholar
Cheng, Y. J. et al. Effects of physical activity on exercise tests and respiratory function. Br. J. Sports Med. 37, 521–528 (2003).
Google Scholar
Mälkiä, E. & Impivaara, O. Intensity of physical activity and respiratory function in subjects with and without bronchial asthma. Scand. J. Med. Sci. Sports. 8, 27–32 (1998).
Google Scholar
Skender, S. et al. Accelerometry and physical activity questionnaires – A systematic review. BMC Public. Health. 16, 1–10 (2016).
Husu, P. et al. Reliability and validity of Self-Reported questionnaires assessing physical activity and sedentary behavior in Finland. Int. J. Environ. Res. Public. Health. 21, 686 (2024).
Google Scholar
Benadjaoud, M. A. et al. The association between accelerometer-assessed physical activity and respiratory function in older adults differs between smokers and non-smokers. Sci. Rep. 9, (2019).
Collaud, S., Touilloux, B., von Garnier, C., Marques-Vidal, P. & Kraege, V. Physical activity and lung function association in a healthy community-dwelling European population. BMC Pulm Med. 24, 169 (2024).
Google Scholar
Heistaro, S. & Methodology Report The Health 2000 Survey. Helsinki. National Public Health Institute. vol. 2008. (2013).
Lundqvist, A. & Mäki-Opas, T. Health Survey (2016).
Pellegrino, R. et al. Interpretative strategies for lung function tests. Eur. Respir. J. 26, 948–968 (2005).
Google Scholar
Quanjer, P. H. et al. Multi-ethnic reference values for spirometry for the 3-95-yr age range: the global lung function 2012 equations. Eur. Respir. J. 40, 1324–1343 (2012).
Google Scholar
Husu, P. et al. Objectively measured sedentary behavior and physical activity in a sample of Finnish adults: A cross-sectional study. BMC Public. Health. 16, 1–11 (2016).
Celis-Morales, C. A. et al. Objective vs. self-reported physical activity and sedentary time: effects of measurement method on relationships with risk biomarkers. PLoS One 7, (2012).
Vähä-Ypyä, H., Vasankari, T., Husu, P., Suni, J. & Sievänen, H. A universal, accurate intensity-based classification of different physical activities using Raw data of accelerometer. Clin. Physiol. Funct. Imaging. 35, 64–70 (2015).
Google Scholar
Vähä-Ypyä, H. et al. Validation of cut-points for evaluating the intensity of physical activity with accelerometry-based mean amplitude deviation (MAD). PLoS One. 10, 1–13 (2015).
Jetté, M., Sidney, K. & Blümchen, G. Metabolic equivalents (METS) in exercise testing, exercise prescription, and evaluation of functional capacity. Clin. Cardiol. 13, 555–565 (1990).
Google Scholar
Vähä-Ypyä, H., Husu, P., Suni, J., Vasankari, T. & Sievänen, H. Reliable recognition of lying, sitting, and standing with a hip-worn accelerometer. Scand. J. Med. Sci. Sports. 28, 1092–1102 (2018).
Google Scholar
Härkänen, T. et al. Systematic handling of missing data in complex study designs – experiences from the Health 2000 and 2011 Surveys. J. Appl. Stat. 43 2772–2790 (2016).
Elbehairy, A. F. et al. Pulmonary gas exchange abnormalities in mild chronic obstructive pulmonary disease implications for dyspnea and exercise intolerance. Am. J. Respir Crit. Care Med. 191, 1384–1394 (2015).
Google Scholar
Mattila, T. et al. Controlling chronic respiratory diseases in Finland from 1996 to 2018. Eur. Respir. J. 60 (2022).
Haahtela, T. et al. A 10 year asthma programme in finland: major change for the better. Thorax 61, 663–670 (2006).
Google Scholar
Bédard, A. et al. Physical activity and lung function-cause or consequence? PLoS One 15, (2020).
Garcia-Aymerich, J., Lange, P., Benet, M., Schnohr, P. & Antó, J. M. Regular physical activity modifies Smoking-related lung function decline and reduces risk of chronic obstructive pulmonary disease. Am. J. Respir Crit. Care Med. 175, 458–463 (2007).
Google Scholar
Dogra, S. et al. Effects of replacing sitting time with physical activity on lung function: an analysis of the Canadian longitudinal study on aging. Health Rep. 30, 12–23 (2019).
Google Scholar
Gleeson, M. et al. The anti-inflammatory effects of exercise: mechanisms and implications for the prevention and treatment of disease. Nat. Rev. Immunol. 11, 607–610 (2011).
Google Scholar
Jones, R. L. & Nzekwu, M. M. U. The effects of body mass index on lung volumes. Chest 130, 827–833 (2006).
Google Scholar
Chen, H. I. & Kuo, C. S. Relationship between respiratory muscle function and age, sex, and other factors. J. Appl. Physiol. 66, 943–948 (1989).
Google Scholar
WHO Guidelines on Physical Activity and Sedentary Behaviour (World Health Organization, 2020).
UKK institute for Health Promotion Research. Weekly Physical Activity Recommendation for 18–64-year-olds.
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