Nawab Tabassum, Khalique Najam, Ahmad Anees
Department of Community Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Indian J Community Med. 2024 Nov-Dec;49(6):849-854. doi: 10.4103/ijcm.ijcm_130_23. Epub 2024 Oct 17.
Physical inactivity (PI) is the fourth leading risk factor for global mortality and is potentially modifiable. Understanding its sociodemographic correlates can contribute in planning preventive measures to reduce the same.
A community-based cross-sectional study was done in district Aligarh, Uttar Pradesh. 304 adults aged 20-60 years, giving informed consent were selected by simple random sampling. Pregnant women and those with febrile disease and physical defect were excluded. Predesigned structured proforma and Global Physical Activity Questionnaire were used. Chi-square test and logistic regression analysis were applied using IBM SPSS 23.0.
Prevalence of PI was 47.7% (95% CI: 42.0-52.6). It was significantly higher in urban (55.3% vs 41.1%) than in rural area and among females than in males (68.7% vs 34.9%). PI during work was 74.3%, during travel 78.9%, and during recreation 88.5%. Being female increased odds of PI by almost ten times (adjusted odds atio (AOR) =9.7, 95% CI: 1.6-58.5). Unskilled workers/laborers and farmers (those involved in active occupational work) were found to have lesser odds of PI (AOR = 0.2, 95% CI: 0.1-0.5 and AOR = 0.2, 95% CI: 0.01-0.6, respectively).
PI is highly prevalent among adults. Targeted interventions to increase physical activity in recreational domain are recommended, specially in urban areas and among women. Further studies to explore barriers to physical activity are needed to address this problem.
身体活动不足是全球死亡的第四大主要风险因素，并且具有潜在的可改变性。了解其社会人口学相关因素有助于制定预防措施以减少身体活动不足。
1）估计20至60岁成年人中身体活动不足的患病率；2）确定成年人中身体活动不足的社会人口学决定因素。
在北方邦阿里格尔地区开展了一项基于社区的横断面研究。通过简单随机抽样选取了304名年龄在20至60岁之间且签署知情同意书的成年人。排除孕妇以及患有发热性疾病和身体缺陷的人。使用预先设计的结构化表格和全球身体活动问卷。使用IBM SPSS 23.0进行卡方检验和逻辑回归分析。
身体活动不足的患病率为47.7%（95%置信区间：42.0 - 52.6）。城市地区（55.3%对41.1%）和女性（68.7%对34.9%）的患病率显著高于农村地区和男性。工作期间身体活动不足的比例为74.3%，出行期间为78.9%，娱乐期间为88.5%。女性身体活动不足的几率增加了近十倍（调整后的优势比（AOR）= 9.7，95%置信区间：1.6 - 58.5）。非技术工人/劳动者和农民（从事积极职业工作的人）身体活动不足的几率较低（AOR分别为0.2，95%置信区间：0.1 - 0.5和AOR = 0.2，95%置信区间：0.01 - 0.6）。
身体活动不足在成年人中非常普遍。建议采取有针对性的干预措施，以增加娱乐领域的身体活动，特别是在城市地区和女性中。需要进一步研究以探索身体活动的障碍，以解决这一问题。
