Physical activity and sedentary behaviour in the Middle East and North Africa: An overview of systematic reviews and meta-analysis
Physical activity and sedentary behaviour in the Middle East and North Africa: An overview of systematic reviews and meta-analysis
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DOI：
10.1038/s41598-020-66163-x
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发表时间：
2020-06-09
影响因子：
4.6
通讯作者：
Cheema, Sohaila
中科院分区：
文献类型：
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作者：
Chaabane, Sonia;Chaabna, Karima;Cheema, Sohaila
为了支持减少肥胖风险因素的全球战略，我们综合了中东和北非（MENA）地区关于体力活动（PA）和久坐行为的证据。我们的系统性综述包括7篇系统性综述，报告了229项主要研究。荟萃分析包括来自20个中东和北非国家的125项流行率指标。2000年后，50.8%的成年人（从苏丹的13.2%到约旦的94.9%）和25.6%的青年（从埃及的8.3%到黎巴嫩的51.0%）充分活跃。除海湾合作理事会国家外，中东和北非国家关于巴勒斯坦权力机构行为的数据有限。元回归确定了青年的性别和地理覆盖范围，以及PA测量作为成人和青年PA患病率的预测因素。我们的分析表明，在过去的二十年中，成人中PA患病率显著增加。久坐行为测量的不一致性与缺乏量化和解释的标准化准则有关。PA不足的全球流行病在中东和北非普遍存在。应通过有针对性的生活方式干预措施解决青年特别是女性参与公共行政的比例较低的问题。该区域是否认识到久坐行为是一个公共卫生问题仍不清楚。需要该区域中低收入国家提供更多的关于巴勒斯坦权力机构行为的数据。
To support the global strategy to reduce risk factors for obesity, we synthesized the evidence on physical activity (PA) and sedentary behaviour in the Middle East and North Africa (MENA) region. Our systematic overview included seven systematic reviews reporting 229 primary studies. The meta-analysis included 125 prevalence measures from 20 MENA countries. After 2000, 50.8% of adults (ranging from 13.2% in Sudan to 94.9% in Jordan) and 25.6% of youth (ranging from 8.3% in Egypt to 51.0% in Lebanon) were sufficiently active. Limited data on PA behaviours is available for MENA countries, with the exception of Gulf Cooperation Council countries. The meta-regression identified gender and geographical coverage among youth, and the PA measurement as predictors of PA prevalence for both adults and youth. Our analysis suggests a significant PA prevalence increase among adults over the last two decades. The inconsistency in sedentary behaviour measurement is related to the absence of standardized guidelines for its quantification and interpretation. The global epidemic of insufficient PA is prevalent in MENA. Lower PA participation among youth and specifically females should be addressed by focused lifestyle interventions. The recognition of sedentary behaviour as a public health issue in the region remains unclear. Additional data on PA behaviours is needed from low- and middle-income countries in the region.