Ammar Achraf, Trabelsi Khaled, Hermassi Souhail, Kolahi Ali-Asghar, Mansournia Mohammad Ali, Jahrami Haitham, Boukhris Omar, Boujelbane Mohamed Ali, Glenn Jordan M, Clark Cain C T, Nejadghaderi Aria, Puce Luca, Safiri Saeid, Chtourou Hamdi, Schöllhorn Wolfgang I, Zmijewski Piotr, Bragazzi Nicola Luigi
Department of Training and Movement Science, Institute of Sport Science, Johannes Gutenberg-University Mainz, Mainz, Germany.
Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS (Faculty of Sport Sciences), UPL, Paris Nanterre University, Nanterre, France.
Biol Sport. 2023 Jul;40(3):835-855. doi: 10.5114/biolsport.2023.121322. Epub 2022 Nov 22.
The purpose of this investigation is to estimate the global disease burden attributable to low physical activity (PA) in 204 countries and territories from 1990 to 2019 by age, sex, and Socio-Demographic Index (SDI). Detailed information on global deaths and disability-adjusted life years (DALYs) attributable to low PA were collected from the Global Burden of Disease Study 2019. The ideal exposure scenario of PA was defined as 3000-4500 metabolic equivalent minutes per week and low PA was considered to be less than this threshold. Age-standardization was used to improve the comparison of rates across locations or between time periods. In 2019, low PA seems to contribute to 0.83 million [95% uncertainty interval (UI) 0.43 to 1.47] deaths and 15.75 million (95% UI 8.52 to 28.62) DALYs globally, an increase of 83.9% (95% UI 69.3 to 105.7) and 82.9% (95% UI 65.5 to 112.1) since 1990, respectively. The age-standardized rates of low-PA-related deaths and DALYs per 100,000 people in 2019 were 11.1 (95% UI 5.7 to 19.5) and 198.4 (95% UI 108.2 to 360.3), respectively. Of all age-standardized DALYs globally in 2019, 0.6% (95% UI 0.3 to 1.1) may be attributable to low PA. The association between SDI and the proportion of age-standardized DALYs attributable to low PA suggests that regions with the highest SDI largely decreased their proportions of age-standardized DALYs attributable to low PA during 1990-2019, while other regions tended to have increased proportions in the same timeframe. In 2019, the rates of low-PA-related deaths and DALYs tended to rise with increasing age in both sexes, with no differences between males and females in the age-standardized rates. An insufficient accumulation of PA across the globe occurs together with a considerable public health burden. Health initiatives to promote PA within different age groups and countries are urgently needed.
本研究旨在按年龄、性别和社会人口指数（SDI）估算1990年至2019年期间204个国家和地区因低体力活动（PA）导致的全球疾病负担。从《2019年全球疾病负担研究》中收集了因低PA导致的全球死亡和伤残调整生命年（DALY）的详细信息。PA的理想暴露情景定义为每周3000 - 4500代谢当量分钟，低PA被认为低于此阈值。采用年龄标准化来改善不同地点或不同时间段之间率的比较。2019年，低PA似乎导致全球083万例死亡[95%不确定区间（UI）为0.43至147]和1575万例DALY（95% UI为8.52至28.62），自1990年以来分别增加了83.9%（95% UI为69.3至105.7）和82.9%（95% UI为65.5至112.1）。2019年每10万人中与低PA相关的死亡和DALY的年龄标准化率分别为11.1（95% UI为5.7至19.5）和198.4（95% UI为108.2至360.3）。在2019年全球所有年龄标准化DALY中，0.6%（95% UI为0.3至1.1）可能归因于低PA。SDI与年龄标准化DALY中归因于低PA的比例之间的关联表明，在1990 - 2019年期间，SDI最高的地区在很大程度上降低了其年龄标准化DALY中归因于低PA的比例，而其他地区在同一时间段内该比例往往有所增加。2019年，与低PA相关的死亡和DALY发生率在两性中均随年龄增长而上升，年龄标准化率在男性和女性之间没有差异。全球PA积累不足与相当大的公共卫生负担并存。迫切需要在不同年龄组和国家开展促进PA的健康倡议。
