WHO European Office for the Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation.
EPIUnit-Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
Eur J Public Health. 2021 Oct 11;31(4):846-853. doi: 10.1093/eurpub/ckab028.
Physical inactivity is a major risk factor for non-communicable diseases. However, recent and systematically obtained national-level data to guide policy responses are often lacking, especially in countries in Eastern Europe and Central Asia. This article describes physical inactivity patterns among adults in Armenia, Azerbaijan, Belarus, Georgia, Kyrgyzstan, Republic of Moldova, Tajikistan, Turkey and Uzbekistan.
Data were collected using the Global Physical Activity Questionnaire drawing nationally representative samples of adults in each country. The national prevalence of physical inactivity was calculated as well as the proportional contribution to total physical activity (PA) during work, transport and leisure-time. An adjusted logistic regression model was applied to analyze the association of age, gender, education, household status and income with physical inactivity.
National prevalence of physical inactivity ranged from 10.1% to 43.6%. The highest proportion of PA was registered during work or in the household in most countries, whereas the lowest was during leisure-time in all countries. Physical inactivity was more likely with older age in eight countries, with female gender in three countries, and with living alone in three countries. There was no clear pattern of association with education and income.
Prevalence of physical inactivity is heterogeneous across the region. PA during leisure-time contributes minimally to total PA in all countries. Policies and programs that increase opportunities for active travel and leisure-time PA, especially for older adults, women and people living alone will be an essential part of strategies to increase overall population PA.
身体活动不足是非传染性疾病的一个主要危险因素。然而，往往缺乏最新的、系统获取的国家级数据来指导政策应对，尤其是在东欧和中亚国家。本文描述了亚美尼亚、阿塞拜疆、白俄罗斯、格鲁吉亚、吉尔吉斯斯坦、摩尔多瓦共和国、塔吉克斯坦、土耳其和乌兹别克斯坦成年人身体活动不足的模式。
使用全球身体活动问卷收集数据，该问卷在每个国家抽取具有代表性的成年人样本。计算了身体活动不足的全国流行率，以及工作、交通和休闲时间内对总身体活动的比例贡献。应用调整后的逻辑回归模型分析了年龄、性别、教育、家庭状况和收入与身体活动不足的关联。
身体活动不足的全国流行率从 10.1%到 43.6%不等。在大多数国家，工作或家庭中的身体活动比例最高，而在所有国家中，休闲时间的身体活动比例最低。八个国家中，年龄较大的人更有可能不活动，三个国家中，女性更有可能不活动，三个国家中，独居的人更有可能不活动。教育和收入与身体活动不足之间没有明显的关联模式。
该地区身体活动不足的流行率存在差异。所有国家的休闲时间身体活动对总身体活动的贡献最小。增加积极出行和休闲时间身体活动机会的政策和方案，特别是针对老年人、女性和独居者的政策和方案，将是提高整个人口身体活动水平战略的重要组成部分。
