Hanif Abu Abdullah Mohammad, Hasan Mehedi, Khan Md Showkat Ali, Hossain Md Mokbul, Shamim Abu Ahmed, Mitra Dipak Kumar, Hossaine Moyazzam, Ullah Mohammad Aman, Sarker Samir Kanti, Rahman S M Mustafizur, Bulbul Md Mofijul Islam, Mridha Malay Kanti
Centre for Non-Communicable Diseases and Nutrition, BRAC University James P Grant School of Public Health, Dhaka, Bangladesh.
Department of Public Health, North South University, Dhaka, Bangladesh.
BMJ Open Sport Exerc Med. 2021 Sep 12;7(3):e001135. doi: 10.1136/bmjsem-2021-001135. eCollection 2021.
Insufficient physical activity (IPA) is a crucial risk factor for non-communicable diseases (NCDs). The elderly population has a higher likelihood of suffering from NCDs. We aimed to estimate the prevalence of and factors associated with IPA among the elderly people in Bangladesh.
We analysed data from the Bangladesh Food Security and Nutrition Surveillance round 2018-2019, collected from 82 rural, non-slum urban and slum clusters selected using multistage cluster sampling. IPA was defined as <150 min of moderate intensity or <75 min of vigorous intensity or equivalent in a typical week. The weighted prevalence of IPA was estimated by gender and across different variables. Crude and adjusted prevalence ratios were calculated using Poisson regression with robust variance.
The weighted prevalence of IPA among elderly people was 38.4%, with a slightly higher prevalence in women (39.7% vs 37.3%). Factors associated with higher prevalence of IPA in both sexes were-higher age, living in non-slum urban areas, unemployed or homemaker, not currently married, sedentary behaviour and self-reported hypertension. Further, >10 years of education, inadequate fruits and vegetable consumption, self-reported asthma and higher waist circumference among men; and higher household income and self-reported diabetes among women were associated with a higher prevalence of IPA.
IPA is highly prevalent among Bangladeshi elderly men and women. Sedentary behaviour, inadequate fruits and vegetable consumption and higher waist circumference were the modifiable factors of IPA. Evidence from this study can guide the development of appropriate interventions to promote healthy ageing in Bangladesh.
身体活动不足是导致非传染性疾病的关键风险因素。老年人群患非传染性疾病的可能性更高。我们旨在估计孟加拉国老年人身体活动不足的患病率及其相关因素。
我们分析了2018 - 2019年孟加拉国粮食安全与营养监测第二轮的数据，这些数据来自通过多阶段整群抽样选取的82个农村、非贫民窟城市和贫民窟群组。身体活动不足被定义为在典型的一周内，中等强度活动时间<150分钟，或高强度活动时间<75分钟，或相当于此强度的活动时间。按性别和不同变量估计身体活动不足的加权患病率。使用稳健方差的泊松回归计算粗患病率和调整患病率比值。
老年人身体活动不足的加权患病率为38.4%，女性患病率略高（39.7%对37.3%）。与男女身体活动不足患病率较高相关的因素包括：年龄较大、居住在非贫民窟城市地区、失业或家庭主妇、目前未婚、久坐行为以及自我报告患有高血压。此外，男性接受>10年教育、水果和蔬菜摄入量不足、自我报告患有哮喘以及腰围较大；女性家庭收入较高和自我报告患有糖尿病与身体活动不足患病率较高相关。
身体活动不足在孟加拉国老年男性和女性中非常普遍。久坐行为、水果和蔬菜摄入量不足以及腰围较大是身体活动不足的可改变因素。本研究的证据可为制定促进孟加拉国健康老龄化的适当干预措施提供指导。
