Department of Public Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the NETHERLANDS.
Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UNITED KINGDOM.
Med Sci Sports Exerc. 2020 Oct;52(10):2152-2161. doi: 10.1249/MSS.0000000000002357.
There is a paucity of data on physical activity (PA) among migrants from sub-Saharan Africa, yet physical inactivity is a key risk factor for noncommunicable diseases. We examined the levels of physical inactivity and its determinants among Ghanaians in different geographical locations.
We used the Research on Obesity and Diabetes among African Migrants data of Ghanaian adults (n = 4760) age 25-70 yr in rural and urban Ghana and three European cities (Amsterdam, London, and Berlin). Using total physical activity metabolic equivalent of task, physical inactivity was defined as total physical activity metabolic equivalent of task minutes per week less than 600. Logistic regression was used to examine the differences in the levels and the determinants of physical inactivity across sites.
Physical inactivity was higher among Ghanaian migrants (14.6% in Amsterdam, 24.1% in Berlin, and 36.6% in London) and urban Ghanaians (29.0%) compared with rural Ghanaians (11.2%). After adjustment for covariates (age, sex, education, health status, smoking status, body mass index, and social network) using rural Ghanaians as the comparator group, the odds ratios for physical inactivity in men ranged from 3.67 (95% confidence interval, 2.19-6.16) in urban Ghanaians to 10.37 (5.96-18.02) in London Ghanaians, and from 3.27 (2.46-4.35) in urban Ghanaians to 4.41 (3.12-6.22) in London Ghanaians in women. Migrants in London and Berlin had higher odds of physical inactivity compared with Amsterdam. Increased age, university education, and overweight/obesity were positively associated with physical inactivity, whereas social support was inversely associated with physical inactivity with variability across sites.
Findings indicate high prevalence of physical inactivity among Ghanaians in all sites, particularly among Ghanaians in Europe. Hence, there is the need to take local context into account to improve PA.
来自撒哈拉以南非洲的移民人群的身体活动（PA）数据较少，但身体活动不足是导致非传染性疾病的一个关键风险因素。我们研究了加纳人在不同地理位置的身体活动不足水平及其决定因素。
我们使用加纳成年人（25-70 岁）的肥胖和糖尿病研究中的非洲移民数据（n=4760），这些加纳人分别来自加纳农村和城市以及欧洲的三个城市（阿姆斯特丹、伦敦和柏林）。使用总身体活动代谢当量任务，身体活动不足定义为每周总身体活动代谢当量任务分钟数少于 600 分钟。使用逻辑回归来检查不同地点的身体活动不足水平和决定因素的差异。
与农村加纳人（11.2%）相比，加纳移民（阿姆斯特丹 14.6%、柏林 24.1%和伦敦 36.6%）和城市加纳人（29.0%）的身体活动不足率更高。在调整年龄、性别、教育、健康状况、吸烟状况、体重指数和社交网络等协变量后，以农村加纳人为参照组，男性身体活动不足的比值比范围为城市加纳人（3.67，95%置信区间 2.19-6.16）至伦敦加纳人（10.37，5.96-18.02），以及城市加纳人（3.27，2.46-4.35）至伦敦加纳人（4.41，3.12-6.22）。与阿姆斯特丹相比，伦敦和柏林的移民身体活动不足的几率更高。年龄较大、接受过大学教育和超重/肥胖与身体活动不足呈正相关，而社会支持与身体活动不足呈负相关，但各地点的变异性不同。
研究结果表明，加纳人在所有地点的身体活动不足发生率较高，尤其是在欧洲的加纳人。因此，需要考虑当地情况以提高身体活动量。
