Abstract
Prevalence And Correlates Of 24-hour Movement Guideline Adherence Among Postmenopausal Women In The Swan Study: 1347
Medicine and science in sports and exercise, Vol.58(10S), 1347
10/2026
DOI: 10.1249/01.mss.0001262664.99979.bd
Abstract
PURPOSE: Adherence to 24-hour movement guidelines is related to health benefits in postmenopausal women, yet little research has examined correlates of adherence in this group. This study examined sociodemographic and health factors associated with guideline adherence in a diverse sample of postmenopausal women.
METHODS: These analyses included a U.S. based sample of 1,160 postmenopausal women in the Study of Women’s Health Across the Nation (SWAN) with valid accelerometry-based sleep and waking data. Adherence to the Canadian 24-hour movement guidelines was defined as (1) 7-9 hours of sleep per night (7-8 hours for adults ≥65 y), (2) ≤8 h/day sedentary behavior (SED), (3) ≥5 h/day light-intensity physical activity (LPA), and (4) ≥150 min/week moderate-to-vigorous physical activity (MVPA). Logistic regression models, adjusted for study site, examined sociodemographic and health-related correlates of adherence to all four guidelines combined and to each individual guideline; variables associated with adherence at p <.10 in initial models were included in multivariable models.
RESULTS: Only 17.5% of participants met all four 24-hour movement guidelines, with adherence highest for LPA (88.0%) and lowest for sleep (26.6%). Higher sleep efficiency (per 1% increase; odds ratio [OR]=1.07, 95% confidence interval [CI] 1.03-1.11, p<.001) was associated with greater odds of overall adherence. Older age (per year; OR=0.93, 95% CI 0.86-1.00, p=.031) and living in an unsafe neighborhood (yes vs. no; OR=0.37, 95% CI 0.15-0.92, p=.013) were associated with lower odds of overall adherence. Factors associated with adherence to individual guidelines varied, with race/ethnicity, employment status, education, health risks (e.g., sleep apnea, obesity, anxiety), sleep health characteristics (e.g., timing, efficiency), and health behaviors (e.g., smoking, alcohol consumption) associated with adherence to at least one guideline.
CONCLUSION: Adherence to all four movement behavior guidelines was low, with sleep being the least commonly achieved. Sociodemographic and health-related characteristics may help identify postmenopausal women at a greater risk of non-adherence.
Details
- Title: Subtitle
- Prevalence And Correlates Of 24-hour Movement Guideline Adherence Among Postmenopausal Women In The Swan Study: 1347
- Creators
- Rachel M. Sanders - University of PittsburghSylvia E. Badon - Kaiser PermanenteKelliann K. Davis - University of PittsburghErin E. Dooley - University of Alabama at BirminghamKelley Pettee Gabriel - University of Alabama at BirminghamSanjay R. Patel - University of PittsburghSharon E. Taverno Ross - University of PittsburghRebecca C. Thurston - University of PittsburghKara M. Whitaker - University of IowaChristopher E. Kline - University of Pittsburgh
- Resource Type
- Abstract
- Publication Details
- Medicine and science in sports and exercise, Vol.58(10S), 1347
- DOI
- 10.1249/01.mss.0001262664.99979.bd
- ISSN
- 0195-9131
- eISSN
- 1530-0315
- Publisher
- Lippincott Williams & Wilkins
- Grant note
- National Institutes of Health (NIH), Department of Health and Human Services (DHHS), through the National Institute on Aging (NIA) National Institute of Nursing Research (NINR) NIH Office of Research on Women's Health (ORWH): U01NR 004061, U01AG012505, U01AG012535, U01AG012531, U01AG012539, U01AG012546, U01AG012553, U01AG012554, U01AG012495, U19AG063720
The Study of Women's Health Across the Nation (SWAN) has grant support from the National Institutes of Health (NIH), Department of Health and Human Services (DHHS), through the National Institute on Aging (NIA), the National Institute of Nursing Research (NINR), and the NIH Office of Research on Women's Health (ORWH) (Grants U01NR 004061; U01AG012505; U01AG012535; U01AG012531; U01AG012539; U01AG012546; U01AG012553; U01AG012554; U01AG012495; and U19AG063720). The content of this abstract is solely the responsibility of the authors and does not necessarily represent the official views of the NIA, NINR, ORWH, or the NIH.
- Language
- English
- Date published
- 10/2026
- Academic Unit
- Epidemiology; Health, Sport, and Human Physiology
- Record Identifier
- 9985230928102771
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