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Physical activity level and its sociodemographic correlates in a peri-urban Nepalese population : a cross-sectional study from the Jhaukhel-Duwakot health demographic surveillance site

机译:身体活动水平及其社会人口学与尼泊尔城市周边人口相关:来自Jhaukhel-Duwakot健康人口监测站点的横断面研究

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摘要

BACKGROUND: Physical inactivity is a leading risk factor for cardiovascular and other noncommunicable diseases in high-, low- and middle-income countries. Nepal, a low-income country in South Asia, is undergoing an epidemiological transition. Although the reported national prevalence of physical inactivity is relatively low, studies in urban and peri-urban localities have always shown higher prevalence. Therefore, this study aimed to measure physical activity in three domains-work, travel and leisure-in a peri-urban community and assess its variations across different sociodemographic correlates. METHODS: Adult participants (n=640) from six randomly selected wards of the Jhaukhel-Duwakot Health Demographic Surveillance Site (JD-HDSS) near Kathmandu responded to the Global Physical Activity Questionnaire. To determine total physical activity, we calculated the metabolic equivalent of task in minutes/week for each domain and combined the results. Respondents were categorized into high, moderate or low physical activity. We also calculated the odds ratio for low physical activity in various sociodemographic variables and self-reported cardiometabolic states. RESULTS: The urbanizing JD-HDSS community showed a high prevalence of low physical activity (43.3%; 95% CI 39.4-47.1). Work-related activity contributed most to total physical activity. Furthermore, women and housewives and older, more educated and self-or government-employed respondents showed a greater prevalence of physical inactivity. Respondents with hypertension, diabetes or overweight/obesity reported less physical activity than individuals without those conditions. Only 5% of respondents identified physical inactivity as a cardiovascular risk factor. CONCLUSIONS: Our findings reveal a high burden of physical inactivity in a peri-urban community of Nepal. Improving the level of physical activity involves sensitizing people to its importance through appropriate multi-sector strategies that provide encouragement across all sociodemographic groups.
机译:背景:缺乏运动是高,中,低收入国家心血管和其他非传染性疾病的主要危险因素。尼泊尔是南亚的一个低收入国家,正在经历一种流行病学转变。尽管报告的全国缺乏体育活动的患病率相对较低,但是在城市和城市周边地区的研究始终显示出较高的患病率。因此,本研究旨在测量郊区社区三个方面的体育活动:工作,旅行和休闲,并评估其在不同社会人口学相关因素之间的变化。方法:从加德满都附近的Jhaukhel-Duwakot健康人口统计监视站点(JD-HDSS)的六个随机选择的病房中的成年参与者(n = 640)对《全球体育活动问卷》进行了答复。为了确定总体体育活动,我们以分钟/周为单位对每个领域计算了任务的代谢当量,并将结果合并。受访者分为高,中或低体力活动。我们还计算了各种社会人口统计学变量和自我报告的心脏代谢状态下低体力活动的优势比。结果:城镇化的JD-HDSS社区的低运动强度患病率较高(43.3%; 95%CI 39.4-47.1)。与工作有关的活动对总体体育活动的贡献最大。此外,妇女和家庭主妇以及年龄较大,受过良好教育和自雇或由政府雇用的受访者中,缺乏运动的患病率更高。高血压,糖尿病或超重/肥胖的受访者的体育活动要比没有那些状况的个体少。只有5%的受访者认为缺乏运动是心血管疾病的危险因素。结论:我们的发现揭示了尼泊尔城市周边社区缺乏体育锻炼的负担。提高体育活动的水平涉及通过适当的多部门策略使人们意识到体育活动的重要性,这些战略为所有社会人口学群体提供了鼓励。

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