Alkerwi Ala'a, Schuh Barbara, Sauvageot Nicolas, Zannad Faiez, Olivier Arnaud, Guillaume Michèle, Albert Adelin, Larsson Charlotte A
Luxembourg Institute of Health L.I.H. , Strassen.
Luxembourg Institute of Health L.I.H. , Strassen ; Division of Social Medicine and Global Health, Department of Clinical Sciences, Malmö, Lund University , Sweden.
J Public Health Res. 2015 Mar 26;4(1):406. doi: 10.4081/jphr.2015.406. eCollection 2015 Feb 20.
Though the influence of physical activity in preventing cardiovascular diseases is well documented, only a few comparative studies have determined the degree of adherence to physical activity recommendations among populations and identified the demographic, socioeco-nomic, behavioural and health-related factors associated with good compliance.
Cross-sectional interregional NESCaV survey of 3133 subjects compared three populations, Luxembourg, Lorraine (France) and Wallonia (Belgium), by using the International Physical Activity Questionnaire. Age and gender prevalence rates of physical activity were standardized to the European population.
The likelihood to meet the recommendations was higher in Luxembourg, after adjustment for age, gender, education, employment, weight status, morbidity score, health perception and level of importance attributed to the practice of physical activity (P<0.0001). The odds for meeting the recommendations were significantly higher among those with secondary than tertiary education. Compared to good self-health perception, subjects with poor or fair self-perceived health were less likely to meet the recommendations; this also applied to those attributing little or enough importance to physical activity compared with great importance.
Region, education, self-perceived health and perception of importance of physical activity were emerged as independent determinants of meeting the recommendations. Awareness of the positive health effects of physical activity might thus be crucial for motivating the people to become more active. Further research is needed to explore potential region-specific factors which might explain the difference in population behaviours with respect to physical activity. Significance for public healthThis manuscript describes the prevalence of physical activity level of adult population from three European regions, Luxembourg, Wallonia and Lorraine, based on the adherence to the WHO physical activity recommendations. It identifies the potential demographic, socioeconomic, perceptive and behavioural factors associated with meeting physical activity recommendations. This study hence has a significant public health interest; as it constitutes a first step to help decision-makers and health authorities to target at-risk populations and to guide the development of preventive programs. Preventing physical inactivity in the Greater Region, the fourth leading cause of mortality, can reduce cardiovascular disease burden and substantially improve overall health of a big segment of the European population.
尽管体育活动在预防心血管疾病方面的影响已有充分记录，但只有少数比较研究确定了人群中遵守体育活动建议的程度，并确定了与良好依从性相关的人口统计学、社会经济、行为和健康相关因素。
采用国际体育活动问卷，对卢森堡、洛林（法国）和瓦隆（比利时）三个地区的3133名受试者进行了跨地区NESCaV横断面调查。将体育活动的年龄和性别患病率标准化为欧洲人口。
在对年龄、性别、教育程度、就业情况、体重状况、发病率评分、健康认知以及对体育活动重视程度进行调整后，卢森堡符合建议的可能性更高（P<0.0001）。接受中等教育的人符合建议的几率显著高于接受高等教育的人。与自我健康认知良好的人相比，自我健康认知较差或一般的受试者符合建议的可能性较小；与非常重视体育活动的人相比，对体育活动重视程度低或一般的人也是如此。
地区、教育程度、自我健康认知以及对体育活动的重视程度是符合建议的独立决定因素。因此，了解体育活动对健康的积极影响可能对激励人们增加运动量至关重要。需要进一步研究探索潜在的地区特定因素，这些因素可能解释不同人群在体育活动方面行为的差异。对公共卫生的意义 本手稿根据对世界卫生组织体育活动建议的遵守情况，描述了卢森堡、瓦隆和洛林这三个欧洲地区成年人口的体育活动水平患病率。它确定了与符合体育活动建议相关的潜在人口统计学、社会经济、认知和行为因素。因此，本研究具有重大的公共卫生意义；因为它是帮助决策者和卫生当局针对高危人群并指导预防计划制定的第一步。预防身体不活动（这是第四大主要死因）可减轻心血管疾病负担，并大幅改善很大一部分欧洲人口的整体健康状况。
