Objective: This study examined the change in physical activity status and
patterns and their associations with urban and rural residence and employment status in
Mongolia.Methods: We analyzed data from 7,738 adults aged from 20 to 64 years (n =
2,877 and 4,861 for 2005 and 2013, respectively) from the Mongolian STEPS Survey on the
Prevalence of Non-Communicable Disease Risk Factors (NCD-STEPS survey). Physical activity
in three domains, including work (occupational and household work); transport (walk or
cycling); and leisure (sport or fitness) was measured by Global Physical Activity
Questionnaire (GPAQ). Physical activity levels were classified into three groups: low,
moderate, and high according to the GPAQ analysis framework. The associations between
physical activity time, residential area, and employment status were examined using a
multivariate negative binomial regression model.Results: The percentage of respondents with low-level physical activity
increased from 10.9% in 2005 to 27.2% in 2013. The median minutes of physical activity
time per week were 1,020 in 2005 and 600 in 2013. Physical activity time at work,
transport and overall decreased in 2013. Work-related physical activity was the most
dominant component of physical activity time (55.6% in 2005 and 54.6% in 2013), the
transport domain was the second-highest contributor of physical activity time in 2005
(24.0%) and was replaced by the leisure domain (26.8%) in 2013. Rural residents practiced
more physical activity at work, transport, and leisure than urban residents did in 2005
(prevalence ratio [PR]: 1.33, 95% confidence interval [CI]: 1.20–1.47; PR: 1.21, 95%CI:
1.14–1.29; and PR: 1.21, 95%CI: 1.13–1.30, respectively), but there was no significant
difference by residential area in 2013. Mongolian adults with higher educational
attainment, employee status, and non-employment status were less likely to engage in
physical activity compared to those among adults with lower educational attainment and
self-employed status.