Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Scand J Med Sci Sports. 2018 Aug;28(8):1916-1924. doi: 10.1111/sms.13082. Epub 2018 Mar 30.
To assess the prevalence and correlates of low physical activity among Iranian population aged 15-64 years. We used the data collected in National Surveillance of Risk Factors of Non-Communicable Diseases in Iran, 2011. Physical activity was categorized in 3 levels of low, moderate, and high based on a Persian version of Global Physical Activity Questionnaire. The multistage cluster sampling design was accounted for using complex survey analysis method. The sample included 10016 individuals; 41.7% (n = 4178) were men and 58.3% (n = 5837) were women. The mean (SD) age of participants was 38.8 (14.9) years also, and 69.8% (n = 6991) of the participants were from urban areas. The prevalence of low physical activity in the whole population was estimated to be 44.8% (95% CI: 41.7, 48.1). The odds of lower physical activity in the women were 3 times greater than men (OR = 3.14; 95% CI: 2.64, 3.57); in the wealthiest people was 25% lower than the poorest people (OR = 0.75; 95% CI: 0.60, 0.94). The odds of lower physical activity in the age groups 55-64 years were 44% greater than the youngest age groups 15-24 years (OR = 1.44; 95% CI: 1.23, 1.68). The odds of lower physical activity in the obese participants were 18% greater than normal-weight people (OR = 1.18; 95% CI: 1.01, 1.38).). The odds of lower physical activity in diabetic patients were 30% greater than healthy people (OR: 1.30; 95% CI: 1.07, 1.57). The prevalence of low physical activity in Iran, 2011 was high. The correlates of low physical activity in Iran are different to those of Western populations. The main associated factors with low physical activity were female gender, urban area, low socioeconomic status, obesity, diabetes, and older age. Public health policies should target the groups at highest risk of low physical activity.
评估伊朗 15-64 岁人群中体力活动不足的流行率及其相关因素。我们使用了 2011 年伊朗非传染性疾病危险因素国家监测收集的数据。根据波斯语版全球体力活动问卷，体力活动分为低、中、高三个水平。采用多阶段聚类抽样设计，使用复杂的调查分析方法进行分析。样本包括 10016 人；41.7%（n=4178）为男性，58.3%（n=5837）为女性。参与者的平均（SD）年龄为 38.8（14.9）岁，69.8%（n=6991）来自城市地区。整个人群体力活动不足的患病率估计为 44.8%（95%可信区间：41.7，48.1）。女性体力活动不足的可能性是男性的 3 倍（OR=3.14；95%可信区间：2.64，3.57）；最富裕人群比最贫困人群低 25%（OR=0.75；95%可信区间：0.60，0.94）。55-64 岁年龄组体力活动不足的可能性比 15-24 岁年龄组高 44%（OR=1.44；95%可信区间：1.23，1.68）。肥胖参与者体力活动不足的可能性比体重正常者高 18%（OR=1.18；95%可信区间：1.01，1.38）。糖尿病患者体力活动不足的可能性比健康人高 30%（OR：1.30；95%可信区间：1.07，1.57）。2011 年伊朗体力活动不足的患病率较高。伊朗体力活动不足的相关因素与西方人群不同。体力活动不足的主要相关因素为女性、城市地区、低社会经济地位、肥胖、糖尿病和年龄较大。公共卫生政策应针对体力活动不足风险最高的人群。
