Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants
Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants
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DOI：
10.1016/s2214-109x(18)30357-7
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发表时间：
2018-10-01
影响因子：
34.3
通讯作者：
Bull, Fiona C.
中科院分区：
文献类型：
--
作者：
Guthold, Regina;Stevens, Gretchen A.;Bull, Fiona C.
体育活动不足是非传染性疾病的主要风险因素，并对心理健康和生活质量产生负面影响。我们描述了各国身体活动不足的水平，并估计了全球和区域趋势。方法我们汇总了基于人口的调查数据，报告了身体活动不足的患病率，其中包括在工作，在家，交通和休闲时间的身体活动（即每周不进行至少150分钟的中等强度或75分钟的高强度体力活动，或两者的任何等效组合）。我们使用回归模型将调查数据调整为标准定义和年龄组。我们估计时间的趋势，使用多层次的混合效应modeling.Findings我们包括来自168个国家，包括190万参与者的358项调查的数据。2016年，全球体力活动不足的年龄标准化患病率为27.5%（95%不确定区间为25.0-32.2），性别差异超过8个百分点（男性为23.4%，21.1-30.7，女性为31.7%，28.6-39.0）。2001年至2016年，活动不足的水平保持稳定（2001年为28.5%，23.9-33.9;变化不显著）。2016年的最高水平是拉丁美洲和加勒比地区的女性（43.7%，42.9-46.5），南亚（43.0%，29.6-74.9），以及高收入西方国家（42.3%，39.1-45.4），而大洋洲男子的水平最低（12.3%，11.2-17.7），东亚和东南亚（17.6%，15.7-23.9），撒哈拉以南非洲（17.9%，15.1-20.5）。2016年，高收入国家的患病率高出两倍以上（36.8%，35.0-38.0）与低收入国家相同（16.2%，14.2-17.9），随着时间的推移，高收入国家的活动不足有所增加（31.6%，2001年为27.1-37.2）。解释如果目前的趋势继续下去，到2025年的全球身体活动目标（身体活动不足相对减少10%）将无法实现。提高人口体育活动水平的政策需要优先考虑并紧急扩大。
Background Insufficient physical activity is a leading risk factor for non-communicable diseases, and has a negative effect on mental health and quality of life. We describe levels of insufficient physical activity across countries, and estimate global and regional trends.Methods We pooled data from population-based surveys reporting the prevalence of insufficient physical activity, which included physical activity at work, at home, for transport, and during leisure time (ie, not doing at least 150 min of moderate-intensity, or 75 min of vigorous-intensity physical activity per week, or any equivalent combination of the two). We used regression models to adjust survey data to a standard definition and age groups. We estimated time trends using multilevel mixed-effects modelling.Findings We included data from 358 surveys across 168 countries, including 1.9 million participants. Global age-standardised prevalence of insufficient physical activity was 27.5% (95% uncertainty interval 25.0-32.2) in 2016, with a difference between sexes of more than 8 percentage points (23.4%, 21.1-30.7, in men vs 31.7%, 28.6-39.0, in women). Between 2001, and 2016, levels of insufficient activity were stable (28.5%, 23.9-33.9, in 2001; change not significant). The highest levels in 2016, were in women in Latin America and the Caribbean (43.7%, 42.9-46.5), south Asia (43.0%, 29.6-74.9), and high-income Western countries (42.3%, 39.1-45.4), whereas the lowest levels were in men from Oceania (12.3%, 11.2-17.7), east and southeast Asia (17.6%, 15.7-23.9), and sub-Saharan Africa (17.9%, 15.1-20.5). Prevalence in 2016 was more than twice as high in high-income countries (36.8%, 35.0-38.0) as in low-income countries (16.2%, 14.2-17.9), and insufficient activity has increased in high-income countries over time (31.6%, 27.1-37.2, in 2001).Interpretation If current trends continue, the 2025 global physical activity target (a 10% relative reduction in insufficient physical activity) will not be met. Policies to increase population levels of physical activity need to be prioritised and scaled up urgently.