Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Department of Public Health, Sefako Makgatho Health Sciences University, Pretoria, Gauteng, South Africa.
BMJ Open. 2022 Aug 26;12(8):e058156. doi: 10.1136/bmjopen-2021-058156.
This study aimed to determine the prevalence and associated factors of physical inactivity in middle-aged and older adults in India.
Population-based cross-sectional study.
Nationally representative sample of general community-dwelling middle-aged and older adult population in India.
The sample included 72 262 adults (45 years and older, mean age 58.8 years, SD=11.8), from the longitudinal ageing study in India wave 1 in 2017-2018.
Self-reported physical activity, along with physical measurements, health status and health behaviour, and sociodemographic covariates. Multivariable logistic regression calculated OR with 95% CI for physical inactivity.
Overall, 36.7% were physically inactive, 42.6% among men, and 32.4% among women (p<0.001). In the adjusted logistic regression analysis, among both men and women, older age (70 years and older), being Sikh, impaired vision and depressive symptoms were positively and cognitive functioning, current tobacco use and social participation were negatively associated with physical inactivity. In addition, among men, higher socioeconomic status, urban residence, functional disability and heart disease or stroke were positively associated with physical inactivity, and among women being married and higher education were negatively, and insomnia symptoms and poor or fair self-rated health status were positively associated with physical inactivity.
Almost 4 in 10 middle-aged and older adults in India had inadequate physical activity. Overall and gender specific risk factors for physical inactivity were identified. Interventions may operate at multiple levels and consider gender-related physical inactivity patterns.
本研究旨在确定印度中年和老年人身体活动不足的流行率及其相关因素。
基于人群的横断面研究。
印度全国代表性的中年和老年普通社区居民样本。
该样本包括来自 2017-2018 年印度纵向老龄化研究第 1 波的 72262 名成年人（45 岁及以上，平均年龄 58.8 岁，标准差=11.8）。
身体活动情况采用自我报告方式，同时还测量了身体测量值、健康状况和行为以及社会人口学协变量。多变量逻辑回归计算了身体活动不足的比值比（OR）及其 95%置信区间（CI）。
总体而言，36.7%的人身体活动不足，其中男性占 42.6%，女性占 32.4%（p<0.001）。在调整后的逻辑回归分析中，男性和女性中，年龄较大（70 岁及以上）、锡克教徒、视力受损和抑郁症状与身体活动不足呈正相关，认知功能、当前吸烟和社会参与与身体活动不足呈负相关。此外，男性中，较高的社会经济地位、城市居住、功能障碍、心脏病或中风与身体活动不足呈正相关，而女性中，已婚和较高的教育程度与身体活动不足呈负相关，失眠症状和较差或一般的自我报告健康状况与身体活动不足呈正相关。
印度近 4 成中年和老年人身体活动不足。确定了总体和特定性别与身体活动不足相关的因素。干预措施可以在多个层面进行，并考虑与性别相关的身体活动不足模式。
