Prevalence of physical inactivity in nine rural INDEPTH Health and Demographic Surveillance Systems in five Asian countries.

Prevalence of physical inactivity in nine rural INDEPTH Health and Demographic Surveillance Systems in five Asian countries.
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DOI:
10.3402/gha.v2i0.1985
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发表时间:
2009-09-28
影响因子:
2.6
通讯作者:
Huu Bich T
Huu Bich T
中科院分区:
医学3区
文献类型:
--
作者:
Ng N;Hakimi M;Van Minh H;Juvekar S;Razzaque A;Ashraf A;Masud Ahmed S;Kanungsukkasem U;Soonthornthada K;Huu Bich T

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缺乏身体活动导致中风和心脏病等慢性非传染性疾病的发病率和死亡率上升。在高收入国家,研究测量了人口的身体活动水平,但大多数低收入和中等收入国家缺乏可比数据。 评估五个亚洲国家选定农村地区缺乏身体活动的程度及其相关因素。 这项多中心横断面研究在孟加拉国、印度、印度尼西亚、泰国和越南的INDEPTH网络内的9个农村卫生和人口监测系统(HDSS)中心进行。使用世界卫生组织逐步监测方法(STEPS)的方法,从每个HDSS抽样框架中随机选择约2,000名年龄在25-64岁之间的男性和女性。使用全球体力活动问卷第2版(GPAQ 2)测量工作和休闲时间的体力活动以及往返各地的体力活动。总活动计算为每周在每个活动领域中花费的时间之和(代谢当量分钟),并用于确定身体活动水平。多变量逻辑回归分析用于评估与低体力活动水平相关的人口统计学因素。 缺乏身体活动的患病率范围从越南Chililab HDSS的13%到越南Filabavi HDSS的58%。除了越南的两个地点外,大多数男子都参加体育活动。大多数受访者步行或骑自行车从一个地方到另一个地方至少需要10分钟,但印度尼西亚和泰国的HDSS中有一些例外。大多数男女答卷人在闲暇时间不活动。女性、年龄较大和受教育程度高与缺乏身体活动显著相关。 这项研究表明,在INDEPTH网络内的亚洲HDSS中,超过四分之一的男性和三分之一的女性缺乏身体活动。越南两个HDSS之间的大幅波动为探索进一步城市化和环境对身体活动的影响提供了机会。考虑到体育活动在改善健康和预防慢性非传染性疾病方面的重要性,需要努力促进体育活动,特别是在这些环境中的妇女、老年人和高等教育群体中。
Physical inactivity leads to higher morbidity and mortality from chronic non-communicable diseases (NCDs) such as stroke and heart disease. In high income countries, studies have measured the population level of physical activity, but comparable data are lacking from most low and middle-income countries. To assess the level of physical inactivity and its associated factors in selected rural sites in five Asian countries. The multi-site cross-sectional study was conducted in nine rural Health and Demographic Surveillance System (HDSS) sites within the INDEPTH Network in Bangladesh, India, Indonesia, Thailand, and Vietnam. Using the methodology from the WHO STEPwise approach to Surveillance (STEPS), about 2,000 men and women aged 25–64 years were selected randomly from each HDSS sampling frame. Physical activity at work and during leisure time, and on travel to and from places, was measured using the Global Physical Activity Questionnaire version 2 (GPAQ2). The total activity was calculated as the sum of the time spent in each domain of activities in metabolic equivalent-minutes per week, and was used to determine the level of physical activity. Multivariable logistic regression was used to assess demographic factors associated with a low level of physical activity. The prevalence of physical inactivity ranged from 13% in Chililab HDSS in Vietnam to 58% in Filabavi HDSS in Vietnam. The majority of men were physically active, except in the two sites in Vietnam. Most of the respondents walked or cycled for at least 10 minutes to get from place to place, with some exceptions in the HDSSs in Indonesia and Thailand. The majority of respondents, both men and women, were inactive during their leisure time. Women, older age, and high level of education were significantly associated with physical inactivity. This study showed that over 1/4 men and 1/3 women in Asian HDSSs within the INDEPTH Network are physically inactive. The wide fluctuations between the two HDSS in Vietnam offer an opportunity to explore further urbanisation and environmental impacts on physical activity. Considering the importance of physical activity in improving health and preventing chronic NCDs, efforts need to be made to promote physical activity particularly among women, older people, and high education groups in these settings.
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