Long Term Trends in Physical Activity

Establishing Global Levels of Physical Activity[edit | edit source]

Comparisons of levels of Physical Acitivity [PA] between different countries were not possible until a decade ago, as prior to this there were no standardised instruments suitable for this use[1]. Early methods of classifying levels of PA tended to use either occupational classifications or estimations of leisure-time physical acitivities[2][3].

A group of international academics created a standardised instrument for this purpose in the late 1990s[4]: the international physical activity questionnaire (IPAQ), and they tested its reliability and validity in 12 countries, publishing the results in 2003[4] and concluding " IPAQ has reasonable measurement properties for monitoring population levels of physical activity among 18- to 65-yr-old adults in diverse settings". Following this, another assessment instrument was developed: the global physical activity questionnaire (GPAQ)[5].

In the past 10 years, IPAQ and GPAQ data have been collected from approximately two-thirds of countries worldwide which, for the first time, permits a comparative assessment of global patterns of physical activity to be undertaken.

Trends in Sedentary Behaviour[edit | edit source]

Sedentary behaviour, (time spent sitting) has only recently been identified as a public health issue[6]. Sedentary behaviours occur at work, while commuting and during leisure time; thus as urbanisation increases globally, we may expect to see a trend towards increased sedentary behaviour when commuting.

Trends in Physical Activity[edit | edit source]

Changes in the environment and in society have (and will continue to) major effects on population levels of PA[7].

Urbanisation, mechanisation and increased use of motorised transport lead to global changes in PA[8][9]. It is only in recent years, and in high income countries, however, where national surveillance systems have been used to assess trends in PA[7].

Resources[edit | edit source]

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References[edit | edit source]

  1. Bull, FC, Armstrong, TP, Dixon, T, Ham, S, Neiman, A, and Pratt, M. Physical inactivity. in: M Ezzati, AD Lopez, A Rodgers, CJL Murray (Eds.) "Comparative quantification of health risks. Global and regional burden of disease attributable to selected major risk factors." World Health Organization,Geneva; 2004: 729–881
  2. Paffenbarger, RS Jr, Hyde, RT, Wing, AL, and Hsieh, CC.  Physical activity, all-cause mortality, and longevity of college alumni.  N Engl J Med. 1986; 314: 605–613
  3. Morris, JN, Heady, JA, Raffle, PA, Roberts, CG, and Parks, JW.  Coronary heart-disease and physical activity of work.  Lancet. 1953; 265: 1053–1057
  4. 4.0 4.1 Craig, CL, Marshall, AL, Sjostrom, M et al.  International physical activity questionnaire: 12-country reliability and validity.  Med Sci Sports Exerc. 2003; 35: 1381–1395
  5. Bull, FC, Maslin, TS, and Armstrong, T.  Global physical activity questionnaire (GPAQ): nine country reliability and validity study.  J Phys Act Health. 2009; 6: 790–804
  6. Bauman, A, Ainsworth, BE, Sallis, JF et al.  The descriptive epidemiology of sitting a 20-country comparison using the international physical activity questionnaire (IPAQ).  Am J Prev Med. 2011; 41: 228–235
  7. 7.0 7.1 Hallal PC1, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U; Lancet Physical Activity Series Working Group. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012 Jul 21;380(9838):247-5
  8. Sullivan, R, Kinra, S, Ekelund, U et al.  Socio-demographic patterning of physical activity across migrant groups in India: results from the Indian Migration Study.  PLoS One. 2011; 6: e24898
  9. Assah, FK, Ekelund, U, Brage, S, Mbanya, JC, and Wareham, NJ.  Urbanization, physical activity, and metabolic health in sub-Saharan Africa.  Diabetes Care. 2011; 34: 491–496