Physical Inactivity and its Sociodemographic Determinants among Adults: A Community-Based Study.

Abstract

Introduction: Physical inactivity (PI) is the fourth leading risk factor for global mortality and is potentially modifiable. Understanding its sociodemographic correlates can contribute in planning preventive measures to reduce the same.

Aims and objectives: 1) To estimate the prevalence of PI among adults aged 20-60 years and 2) to identify the sociodemographic determinants of PI among adults.

Material and methods: A community-based cross-sectional study was done in district Aligarh, Uttar Pradesh. 304 adults aged 20-60 years, giving informed consent were selected by simple random sampling. Pregnant women and those with febrile disease and physical defect were excluded. Predesigned structured proforma and Global Physical Activity Questionnaire were used. Chi-square test and logistic regression analysis were applied using IBM SPSS 23.0.

Results: Prevalence of PI was 47.7% (95% CI: 42.0-52.6). It was significantly higher in urban (55.3% vs 41.1%) than in rural area and among females than in males (68.7% vs 34.9%). PI during work was 74.3%, during travel 78.9%, and during recreation 88.5%. Being female increased odds of PI by almost ten times (adjusted odds atio (AOR) =9.7, 95% CI: 1.6-58.5). Unskilled workers/laborers and farmers (those involved in active occupational work) were found to have lesser odds of PI (AOR = 0.2, 95% CI: 0.1-0.5 and AOR = 0.2, 95% CI: 0.01-0.6, respectively).

Conclusion: PI is highly prevalent among adults. Targeted interventions to increase physical activity in recreational domain are recommended, specially in urban areas and among women. Further studies to explore barriers to physical activity are needed to address this problem.