Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
BMC Public Health. 2024 Sep 27;24(1):2610. doi: 10.1186/s12889-024-20134-3.
Physical inactivity is a critical predictor of all-cause mortality and many non-communicable diseases (NCD) including coronary heart disease, diabetes, hypertension, dementia, and several cancers. The main objective of this study was to determine the main barriers to physical activity based on the STEPwise Surveillance in Iran in 2021, to guide policymakers in developing the most effective physical activity increasing strategies.
This cross-sectional study was conducted on 27,515 female and male individuals aged over 18 years from the STEPwise Surveillance 2021. The barriers to physical activity according to the modified version of barriers questionnaire and intrapersonal, interpersonal, economic, cultural, and environmental domains based on social-ecological models were determined. Association between barriers domain and physical activity level was assessed.
Lack of time due to job commitments (31.4%) and family (19.3%) and inappropriate physical conditions including illness, pain, injury, disability, and fatigue (30.4%) were the most frequent barriers to physical activity. Interest in sedentary leisure time activities including virtual space, computer games and watching TV were the next frequent barriers to physical activity (10.01%). Intrapersonal domain had the highest frequency (62.9%) and cultural domain had the lowest frequency (2.3%). Intrapersonal and interpersonal barriers reduced the odds of engaging in physical activity (OR: 0.62, P value < 0.001, OR: 0.76, P value < 0.001).
Intra- and inter-personal domain barriers might reduce the odds of being active. Developing action plans addressing these factors is suggested to increase physical activity levels.
身体活动不足是全因死亡率和许多非传染性疾病（NCD）的重要预测因素，包括冠心病、糖尿病、高血压、痴呆症和多种癌症。本研究的主要目的是根据 2021 年伊朗 STEPWISE 监测结果，确定身体活动的主要障碍，为制定最有效的身体活动增加策略提供指导。
本横断面研究纳入了来自 2021 年 STEPWISE 监测的 27515 名 18 岁以上的男性和女性个体。根据修改后的障碍问卷和基于社会生态模型的个体内部、人际、经济、文化和环境领域确定身体活动障碍。评估障碍领域与身体活动水平之间的关联。
因工作承诺（31.4%）和家庭（19.3%）导致缺乏时间，以及不适当的身体状况，包括疾病、疼痛、损伤、残疾和疲劳（30.4%）是身体活动的最常见障碍。对久坐的休闲时间活动的兴趣，包括虚拟空间、电脑游戏和看电视，是下一个常见的身体活动障碍（10.01%）。个体内部领域的频率最高（62.9%），文化领域的频率最低（2.3%）。个体内部和人际障碍降低了参与身体活动的可能性（OR：0.62，P 值<0.001，OR：0.76，P 值<0.001）。
个体内部和人际障碍可能会降低身体活动的可能性。建议制定解决这些因素的行动计划，以提高身体活动水平。
