十一个非洲国家成年人体育活动的长期趋势和社会人口差异:2003-2020。

IF 5.6 1区 医学 Q1 NUTRITION & DIETETICS
Adewale L Oyeyemi, Raphael H O Araujo, Umar A Hassan, Edward Ofori, Chad Stetcher, André O Werneck
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引用次数: 0

摘要

背景:在非洲,预计到 2030 年,与缺乏体力活动相关的非传染性疾病(NCDs)造成的死亡率将超过传染性疾病造成的死亡率。监测体力活动(PA)对于规划应对非传染性疾病和地球健康的公共卫生干预措施非常重要,但有关非洲体力活动趋势的证据却很匮乏。本研究探讨了非洲国家总体体力活动和体力活动领域(休闲、职业和交通)的长期趋势,并研究了非洲国家在体力活动趋势方面的性别、年龄和教育差异:我们利用 STEPwise 方法对 11 个非洲国家(阿尔及利亚、贝宁、博茨瓦纳、佛得角、厄立特里亚、埃斯瓦提尼、马拉维、马里、中非共和国、圣多美和普林西比以及赞比亚)的非传染性疾病风险因素进行监测,这些国家在 2003/2010 年(第一波)和 2010/2020 年(第二波)之间至少进行了两次调查。在第一波和第二波调查中,分别有 29,282 名和 40,147 名成年人(18-69 岁)使用全球体育锻炼问卷完成了体育锻炼访谈。性别、年龄和教育状况均为自我报告。得出了加权的单个国家体育锻炼流行率和 95% 置信区间 (95%CI)。通过随机效应荟萃分析评估了各国 PA 趋势的集合估计值。此外,还调查了 PA 趋势中的性别、年龄和教育差异:具体国家的结果显示,8 个国家的总 PA 呈显著上升趋势。7 个国家的一些休闲时间 PA(增加 2.0% - 13.9%)和≥ 150 分钟/周的交通 PA(增加 4.0% - 24.5%)呈显著增长趋势,而 5 个国家的职业 PA(增加 6.6% - 56.9%)呈显著增长趋势。随着时间的推移,在达到世界卫生组织活动量指南要求方面的性别、年龄和教育差距保持相对稳定,但大多数国家在休闲、交通和职业活动量方面的差距有所扩大:结论:17 年来,非洲成年人的总体活动量略有增加。仍有许多成年人,尤其是妇女和教育程度较低的人,在特定领域的活动量方面表现不佳。需要采取政策和环境干预措施来改善非洲国家的活动量,并减少休闲、交通和职业活动量方面的性别、年龄和教育差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Secular trends and sociodemographic disparities in physical activity among adults in eleven African countries: WHO STEPS 2003-2020.

Background: Mortality from physical inactivity-related non-communicable diseases (NCDs) is projected to surpass deaths from communicable diseases by 2030 in Africa. Monitoring physical activity (PA) is important for planning public health interventions addressing NCDS and planetary health, but there is a dearth of evidence on PA trends in Africa. This study explored the secular trends in overall and domains of PA (leisure, occupation, and transport), and examined the gender, age, and education disparities in PA trends across African countries.

Methods: We utilized data from the STEPwise approach to NCDs risk factor surveillance in eleven African countries (Algeria, Benin, Botswana, Cabo Verde, Eritrea, Eswatini, Malawi, Mali, Central Africa Republic, Sao Tome and Principe, and Zambia) with at least two surveys conducted between 2003/2010 (first-wave) and 2010/2020 (second-waves). A total of 29,282 and 40,147 adults (18-69 years) in the first and second waves, respectively, completed PA interviews using the Global Physical Activity Questionnaire. Gender, age, and education status were self-reported. Weighted individual-country PA prevalence and 95% confidence interval (95%CI) were obtained. Random-effect meta-analysis was conducted to assess pooled estimates of PA trends across countries. Gender, age, and education disparities in PA trends were also investigated.

Results: Country-specific results showed significant upward trends in total PA in eight countries. Seven countries showed significant increasing trends in some leisure-time PA (2.0% - 13.9% increase) and ≥ 150 min/week transport PA (4.0% - 24.5% increase), while five countries recorded significant increasing trends in occupational PA (6.6% - 56.9% increase). Gender, age and education disparities in meeting the WHO PA guidelines remained relatively stable over time, but disparities in leisure, transport and occupational PA increased in most countries.

Conclusions: The prevalence of overall PA among African adults has marginally increased over 17 years. There are still many adults, especially women and people with lower education, not doing well in domain specific PA. Policy and environmental interventions are needed to improve PA and to reduce gender, age, and education disparities in leisure, transport, and occupational PA in African countries.

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来源期刊
CiteScore
13.80
自引率
3.40%
发文量
138
审稿时长
4-8 weeks
期刊介绍: International Journal of Behavioral Nutrition and Physical Activity (IJBNPA) is an open access, peer-reviewed journal offering high quality articles, rapid publication and wide diffusion in the public domain. IJBNPA is devoted to furthering the understanding of the behavioral aspects of diet and physical activity and is unique in its inclusion of multiple levels of analysis, including populations, groups and individuals and its inclusion of epidemiology, and behavioral, theoretical and measurement research areas.
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