TY - JOUR
T1 - National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022
T2 - a pooled analysis of 507 population-based surveys with 5·7 million participants
AU - Country Data Author Group
AU - Strain, Tessa
AU - Flaxman, Seth
AU - Guthold, Regina
AU - Semenova, Elizaveta
AU - Cowan, Melanie
AU - Riley, Leanne M.
AU - Bull, Fiona C.
AU - Stevens, Gretchen A.
AU - Raheem, Raheema Abdul
AU - Agoudavi, Kokou
AU - Anderssen, Sigmund Alfred
AU - Alkhatib, Walid
AU - Aly, Eman Abdelkreem Hassan
AU - Anjana, Ranjit Mohan
AU - Bauman, Adrian
AU - Bovet, Pascal
AU - Moniz, Teresa Brito
AU - Bulotait, Gabija
AU - Caixeta, Roberta
AU - Monteiro, Emilia Castro
AU - Morales, Carlos Celis
AU - Cortes, Carolina Chaves
AU - Crochemore-Silva, Inacio
AU - Cyr-Philbert, Shana
AU - Damasceno, Albertino
AU - Davaakhuu, Narantuya
AU - Ahmed, Manal A.Elimam
AU - Farnberger, Claus
AU - Farzadfar, Farshad
AU - Fernando, Desha
AU - Froboese, Ingo
AU - Fromel, Karel
AU - Gage, Ryan
AU - Garcia, Leandro
AU - Guwatudde, David
AU - Hamřík, Zdeněk
AU - Hansen, Bjorge Herman
AU - Irianto, Joko
AU - Aloufi, Wejdan Jazaa
AU - Jeon, Justin
AU - Jáuregui, Alejandra
AU - Kagaruki, Gibson B.
AU - Katewongsa, Piyawat
AU - Katulanda, Prasad
AU - Khang, Young Ho
AU - Malisoux, Laurent
AU - Massad, Salwa
AU - Mayige, Mary Theodory
AU - Garcia, Catalina Medina
AU - Widyastari, Dyah Anantalia
N1 - Publisher Copyright:
© 2024 World Health Organization
PY - 2024/8
Y1 - 2024/8
N2 - Background: Insufficient physical activity increases the risk of non-communicable diseases, poor physical and cognitive function, weight gain, and mental ill-health. Global prevalence of adult insufficient physical activity was last published for 2016, with limited trend data. We aimed to estimate the prevalence of insufficient physical activity for 197 countries and territories, from 2000 to 2022. Methods: We collated physical activity reported by adults (aged ≥18 years) in population-based surveys. Insufficient physical activity was defined as not doing 150 minutes of moderate-intensity activity, 75 minutes of vigorous-intensity activity, or an equivalent combination per week. We used a Bayesian hierarchical model to compute estimates of insufficient physical activity by country or territory, year, age, and sex. We assessed whether countries or territories, regions, and the world would meet the global target of a 15% relative reduction of the prevalence of insufficient physical activity by 2030 if 2010–22 trends continue. Findings: We included 507 surveys across 163 countries and territories. The global age-standardised prevalence of insufficient physical activity was 31·3% (95% uncertainty interval 28·6–34·0) in 2022, an increase from 23·4% (21·1–26·0) in 2000 and 26·4% (24·8–27·9) in 2010. Prevalence was increasing in 103 (52%) of 197 countries and territories and six (67%) of nine regions, and was declining in the remainder. Prevalence was 5 percentage points higher among female (33·8% [29·9–37·7]) than male (28·7% [25·0–32·6]) individuals. Insufficient physical activity increased in people aged 60 years and older in all regions and both sexes, but age patterns differed for those younger than 60 years. If 2010–22 trends continue, the global target of a 15% relative reduction between 2010 and 2030 will not be met (posterior probability <0·01); however, two regions, Oceania and sub-Saharan Africa, were on track with considerable uncertainty (posterior probabilities 0·70–0·74). Interpretation: Concerted multi-sectoral efforts to reduce insufficient physical activity levels are needed to meet the 2030 target. Physical activity promotion should not exacerbate sex, age, or geographical inequalities. Funding: Ministry of Public Health, Qatar, and World Health Organization. Translations: For the Spanish and Portuguese translations of the abstract see Supplementary Materials section.
AB - Background: Insufficient physical activity increases the risk of non-communicable diseases, poor physical and cognitive function, weight gain, and mental ill-health. Global prevalence of adult insufficient physical activity was last published for 2016, with limited trend data. We aimed to estimate the prevalence of insufficient physical activity for 197 countries and territories, from 2000 to 2022. Methods: We collated physical activity reported by adults (aged ≥18 years) in population-based surveys. Insufficient physical activity was defined as not doing 150 minutes of moderate-intensity activity, 75 minutes of vigorous-intensity activity, or an equivalent combination per week. We used a Bayesian hierarchical model to compute estimates of insufficient physical activity by country or territory, year, age, and sex. We assessed whether countries or territories, regions, and the world would meet the global target of a 15% relative reduction of the prevalence of insufficient physical activity by 2030 if 2010–22 trends continue. Findings: We included 507 surveys across 163 countries and territories. The global age-standardised prevalence of insufficient physical activity was 31·3% (95% uncertainty interval 28·6–34·0) in 2022, an increase from 23·4% (21·1–26·0) in 2000 and 26·4% (24·8–27·9) in 2010. Prevalence was increasing in 103 (52%) of 197 countries and territories and six (67%) of nine regions, and was declining in the remainder. Prevalence was 5 percentage points higher among female (33·8% [29·9–37·7]) than male (28·7% [25·0–32·6]) individuals. Insufficient physical activity increased in people aged 60 years and older in all regions and both sexes, but age patterns differed for those younger than 60 years. If 2010–22 trends continue, the global target of a 15% relative reduction between 2010 and 2030 will not be met (posterior probability <0·01); however, two regions, Oceania and sub-Saharan Africa, were on track with considerable uncertainty (posterior probabilities 0·70–0·74). Interpretation: Concerted multi-sectoral efforts to reduce insufficient physical activity levels are needed to meet the 2030 target. Physical activity promotion should not exacerbate sex, age, or geographical inequalities. Funding: Ministry of Public Health, Qatar, and World Health Organization. Translations: For the Spanish and Portuguese translations of the abstract see Supplementary Materials section.
UR - http://www.scopus.com/inward/record.url?scp=85198304945&partnerID=8YFLogxK
U2 - 10.1016/S2214-109X(24)00150-5
DO - 10.1016/S2214-109X(24)00150-5
M3 - Article
C2 - 38942042
AN - SCOPUS:85198304945
SN - 2572-116X
VL - 12
SP - e1232-e1243
JO - The Lancet Global Health
JF - The Lancet Global Health
IS - 8
ER -