Shrestha Rajan, Pahari Durga Prasad, Adhikari Santoshi, Khatri Bijay, Majhi Sangita, Adhikari Tara Ballav, Neupane Dinesh, Kallestrup Per, Vaidya Abhinav
Central Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Department of Public Health, Aarhus University, Aarhus C, Denmark.
PLOS Glob Public Health. 2023 Oct 23;3(10):e0002000. doi: 10.1371/journal.pgph.0002000. eCollection 2023.
Regular physical activity (PA) is one of the effective strategies for mitigating non-communicable diseases, promoting healthy ageing, and preventing premature mortality. In South Asia, up to 34.0% of adults are insufficiently active, and up to 44.1% of adults in Nepal. We sought to assess self-reported PA status and its correlates among teachers in the semi-urban district of Nepal. A cross-sectional descriptive study was conducted among teachers at randomly selected public secondary schools in Bhaktapur, Nepal, from November 2018-April 2019. PA status was assessed in Metabolic Equivalent to task minutes per week using the International Physical Activity Questionnaire (IPAQ)-Long Form. Point estimates and odds ratios were calculated at a 95% confidence interval, and a p-value <0.05 was considered statistically significant. Among the 360 participants, the mean (SD) age was 40.3 (10.2) years, with 52.5% female participation. A low level of PA was seen among 11.9% (95% CI: 8.4-15.2) of teachers, and more than half (56.0%) of the activity was only moderate intensity. Domestic and garden work was the main contributor (43.0%) of total PA, while leisure time was the least (14.0%). Among the socio-demographic factors, only sex was significantly associated (p = 0.005) with PA. Participants living in locations with walkable areas were 3.4 times (95% CI: 1.6-7.3) more likely to be engaged in moderate-to-high level PA than those without. In our study, the point prevalence of insufficient PA among teachers working at public secondary schools was higher than the national point prevalence. PA promotion programs targeting sedentary populations like school teachers should be developed to reduce the point prevalence of insufficient PA.
定期进行体育活动是减轻非传染性疾病、促进健康老龄化和预防过早死亡的有效策略之一。在南亚,高达34.0%的成年人身体活动不足,在尼泊尔这一比例高达44.1%。我们试图评估尼泊尔半城市地区教师自我报告的体育活动状况及其相关因素。2018年11月至2019年4月,在尼泊尔巴克塔普尔随机选取的公立中学教师中开展了一项横断面描述性研究。使用国际体力活动问卷(IPAQ)长表,以代谢当量任务分钟数/周来评估体育活动状况。在95%置信区间计算点估计值和比值比,p值<0.05被认为具有统计学意义。在360名参与者中,平均(标准差)年龄为40.3(10.2)岁,女性参与率为52.5%。11.9%(95%置信区间:8.4 - 15.2)的教师体育活动水平较低,超过一半(56.0%)的活动强度仅为中等。家务和园艺工作是总体育活动的主要贡献者(43.0%),而休闲时间的贡献最少(14.0%)。在社会人口学因素中,只有性别与体育活动显著相关(p = 0.005)。居住在有适宜步行区域的参与者进行中度至高强度体育活动的可能性是没有此类区域者的3.4倍(95%置信区间:1.6 - 7.3)。在我们的研究中,公立中学在职教师体育活动不足的点患病率高于全国点患病率。应制定针对像学校教师这样久坐人群的体育活动促进项目,以降低体育活动不足的点患病率。