Observatory of Healthy & Active Living of Spain Active Foundation, Centre for Sport Studies, King Juan Carlos University, Madrid, Spain.
GO fit LAB, Ingesport, Madrid, Spain.
BMC Public Health. 2020 Aug 26;20(1):1206. doi: 10.1186/s12889-020-09293-1.
Sedentary behaviour (SB) has been identified as an important mortality risk factor. Health organizations have recognised SB as a public health challenge with major health, social, and economic consequences. Researchers have alerted the need to develop specific strategies, to monitor, prevent, and reduce SB. However, there is no systematic analysis of the SB changes in European Union adults. We aimed to examine SB changes between 2002 and 2017 in the European Union (EU) adult population.
SB prevalence (>4h30mins of sitting time/day) of 96,004 adults as a whole sample and country-by-country was analysed in 2002, 2005, 2013, and 2017 of the Sport and Physical Activity EU Special Eurobarometers' data. The SB question of a modified version of the International Physical Activity Questionnaire was considered. SB prevalence between countries and within years was analysed with a χ2 test, and SB between genders was analysed with the Z-Score test for two population proportions.
An association between the SB prevalence and the years was found (p < 0.001), with increases for the whole sample (2002: 49.3%, 48.5-50.0 95% confidence interval (CI); 2017: 54.5%, 53.9-55.0 95% CI) and men (2002: 51.2%, 50.0-52.4 95% CI; 2017: 55.8%, 55.0-56.7 95% CI) and women (2002: 47.6%, 46.6-48.7 95% CI; 2017: 53.4%, 52.6-54.1 95% CI) separately. The adjusted standardised residuals showed an increase in the observed prevalence versus the expected during 2013 and 2017 for the whole sample and women and during 2017 for men. For all years, differences were observed in the SB prevalence between countries for the whole sample, and men and women separately (p < 0.001). Besides, the SB prevalence was always higher in men versus women in the overall EU sample (p < 0.001).
SB prevalence increased between 2002 and 2017 for the EU as a whole and for both sexes separately. Additionally, differences in SB prevalence were observed for all years between EU countries in the whole sample and both sexes separately. Lastly, SB was consistently higher in men than women. These findings reveal a limited impact of current policies and interventions to tackle SB at the EU population level.
久坐行为（SB）已被确定为一个重要的死亡风险因素。健康组织已经认识到 SB 是一个具有重大健康、社会和经济后果的公共卫生挑战。研究人员提醒需要制定具体策略来监测、预防和减少 SB。然而，目前还没有对欧盟成年人 SB 变化的系统分析。我们旨在研究 2002 年至 2017 年间欧盟成年人的 SB 变化。
2002 年、2005 年、2013 年和 2017 年，对体育和身体活动欧盟特殊 Eurobarometer 数据中 96004 名成年人的整体样本和国家样本的 SB 患病率（>4 小时 30 分钟/天的坐姿时间）进行了分析。考虑了修改后的国际体力活动问卷的 SB 问题。使用 χ2 检验分析了各国之间和各年之间的 SB 患病率，使用两个人口比例的 Z 分数检验分析了男女之间的 SB 患病率。
发现 SB 患病率与年份之间存在关联（p<0.001），整个样本（2002 年：49.3%，48.5-50.0%置信区间（CI）；2017 年：54.5%，53.9-55.0%CI）和男性（2002 年：51.2%，50.0-52.4%CI；2017 年：55.8%，55.0-56.7%CI）和女性（2002 年：47.6%，46.6-48.7%CI；2017 年：53.4%，52.6-54.1%CI）的患病率均有所增加。调整后的标准化残差显示，2013 年和 2017 年期间，整个样本和女性的观察到的患病率相对于预期值有所增加，而 2017 年期间男性的患病率有所增加。对于所有年份，整个样本以及男性和女性之间的 SB 患病率在各国之间均存在差异（p<0.001）。此外，在整个欧盟样本中，男性的 SB 患病率始终高于女性（p<0.001）。
2002 年至 2017 年间，整个欧盟以及男性和女性的 SB 患病率均有所上升。此外，在整个样本和男性和女性中，所有年份的欧盟国家之间的 SB 患病率均存在差异。最后，SB 在男性中始终高于女性。这些发现表明，目前在欧盟人口层面上解决 SB 的政策和干预措施的影响有限。
