Prevalence and risk factors of physical inactivity among middle-aged and older Chinese in Shenzhen: a cross-sectional study

Zhou, Yanfeng; Wu, Jiang; Zhang, Shenchao; Yan, Shijiao; He, Liping; Mkandawire, Naomie; Song, Xinyue; Gan, Yong; Li, Wenzhen; Yang, Tingting; Li, Jing; Xiao-zhou, Zeng; Wang, Zhihong; Lu, Zuxun

doi:10.1136/bmjopen-2017-019775

Cited by 28 publications

(27 citation statements)

References 28 publications

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“…Previous studies had shown that the levels of physical inactivity and SB were high in urban China 10 11. Compared with urban areas, rural areas are at a relatively low level.…”

Section: Discussionmentioning

confidence: 88%

“…Even within a country, the prevalence of physical inactivity varies from region to region. In China, the prevalence of physical inactivity was 63.1% in Shenzhen,10 and another study in Shanghai showed that only 18.4% of participants showed physical activity (PA) 11. Although previous studies had explored the prevalence of PA and SB among inhabitants of urban China, there is little evidence of these in rural areas of China that have undergone rapid socioeconomic development 12.…”

Section: Introductionmentioning

confidence: 99%

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The prevalence and influencing factors of physical activity and sedentary behaviour in the rural population in China: the Henan Rural Cohort Study

Shen

et al. 2019

BMJ Open

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ObjectivesTo estimate the prevalence and influencing factors of physical activity (PA) and sedentary behaviour (SB) in rural areas of China.DesignCross-sectional study.SettingA multistage, stratified cluster sampling method was used to obtain samples in the general population of Henan province in China.Participants38 515 participants aged 18–79 years were enrolled from the Henan Rural Cohort Study for the cross-sectional study.Main outcome measuresThe International Physical Activity Questionnaire was used to assess the levels of PA and SB. Multiple logistic regression analysis was used to calculate ORs and 95% CIs of potential influencing factors with physical inactivity.ResultsThe age-standardised prevalence of light PA and sitting >7.5 hours per day were 32.74% and 26.88% in the general Chinese rural adults, respectively. Gender differences were: 34.91%, 29.76% for men and 31.75%, 25.16% for women, respectively. The prevalence of participants with both light PA and sitting >7.5 hours per day was 13.95%. Education at least junior middle school, divorced/widowed/unmarried, RMB1000> per capita monthly income ≥RMB500, sitting >7.5 hours per day were negatively associated with light PA. For sitting >7.5 hours per day, the negative factors were being men, divorced/widowed/unmarried, heavy smoking, Fishery products, vegetable and fruits intake .ConclusionPhysical inactivity and SB were high in rural China. There is an increased need to promote a healthy lifestyle to the rural population.Clinical trial registrationThe Henan Rural Cohort Study has been registered with the Chinese Clinical Trial Register.Registration number: ChiCTR-OOC-15006699.http://www.chictr.org.cn/showproj.aspx?proj=11375

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“…Previous studies had shown that the levels of physical inactivity and SB were high in urban China 10 11. Compared with urban areas, rural areas are at a relatively low level.…”

Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

The prevalence and influencing factors of physical activity and sedentary behaviour in the rural population in China: the Henan Rural Cohort Study

Shen

et al. 2019

BMJ Open

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“…In the present study, most of participants did not reach the recommended frequency or volume of PA with or without diabetes. A cross-sectional study [18] conducted in Shenzhen, a city in southern China, affirmed that 63.1% community residents aged more than 40 years were physical inactive with a higher proportion in the older age group. A systematic review [19] targeted to older adults showed certain pivotal barriers for PA. On the one hand, internal factors may account for low-level of PA, including physical limitations (e.g., pain or discomfort and lack of strength, balance or flexibility), negative perception (e.g., apathy and fear of injury) and existing sedentary habits.…”

Section: Discussionmentioning

confidence: 99%

Physical Activity Dimensions and Its Association with Risk of Diabetes in Middle and Older Aged Chinese People

Zeng

Bian

Cui

et al. 2020

IJERPH

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Background: Diabetes and physical inactivity are prevalent worldwide. Risk of diabetes is known to be related with insufficient physical activity (PA), but associations with the respective dimensions of PA is unclear. Objective: To describe the patterns of physical activity among Chinese middle- and older-aged individuals and figure out their associations with diabetes risk in different dimensions. Methods: Extracting self-reported data from China Health and Retirement Longitudinal Study (CHARLS, 2015), this study included 6196 participants. Multivariate logistic regression was conducted to determine the association between diabetes risk and PA dimensions such as intensity, frequency, duration, and volume. Results: Concerning frequency, lower diabetes risk was associated with performing vigorous PA at any frequency overall. For duration, smaller odds of diabetes were observed in performing vigorous PA 2–4 h/day (OR 0.46, 95%CI 0.30 to 0.71), moderate PA ≥4 h/day (OR 0.59, 95%CI 0.42 to 0.82) and light PA ≥4 h/day (OR 0.59, 95%CI 0.41 to 0.85) overall. For volume, lower diabetes risk was associated with performing moderate-to-vigorous PA (MVPA) ≥2250 METs/week (OR 0.58, 95%CI 0.42 to 0.81) in middle-aged group (45–64 years), whereas no significant associations between MVPA and diabetes risk were found in older aged group (≥65 years). Conclusions: Our results revealed that physical inactivity is prevalent in China, with a greater proportion in the diabetes group. Lower risk of diabetes was associated with higher frequency, longer duration and longer volume of PA at higher intensity in middle-aged respondents and similar associations at lower intensity for the older adults. Additionally, further well-designed prospective studies are needed to confirm our findings.

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“…In China, only 15% of the adult residents exercise regularly which is much lower than Singapore and the United States [7]. Zhou et al [8] reported a prevalence of 63.1% for physical inactivity among Chinese middleaged and older people. To promote physical activity and improve elderly health, Chinese government implemented "Healthy China Action (2019-2030)" in July 2019, in which "Fitness-for-all Campaign" and "Elderly Health Promotion Action" were involved as major actions [9].…”

Section: Introductionmentioning

confidence: 99%

Do Physical Activity-Related Knowledge, Attitudes, and Behaviors Play a Role in the Elderly's Mental Health? A Cross-Sectional Study from the China Health and Nutrition Survey

Yang¹,

Wei²,

He³

et al. 2020

Preprint

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Background: Physical activity (PA)-related knowledge, attitudes, and behaviors (KABs) are important content of health management. We conducted this study to (a) describe PA-related KABs of Chinese older adults, and (b) examine the association between PA-related KABs and mental health.Methods: This study used data from the 2015 China Health and Nutrition Survey (CHNS). 4048 residents aged 60 years and older were included as study subjects, assessing their PA-related knowledge, attitudes, behaviors, and mental health. Comparison of PA-related KABs in urban and rural areas, as well as in different mental health groups were conducted using chi-square test. Ordinal logistic regression analysis was applied to assess the associations between PA-related KABs and mental health.Results: The proportion for knowing about the benefits of physical activity, knowing about appropriate exercise intensity, and knowing about healthy weight were 76.7%, 44.3%, and 75.4%, respectively. 89.2% of the participants hold positive attitude towards physical activity. 45.0%, 12.1%, and 12.9% of the participants reported preferring walking & Tai Chi, ball games, and body building, respectively. Participants in urban areas had significantly better PA-related KABs than those in rural areas (all p-values < 0.001). Adjusted ORs with 95% CI showed that participants who knew about the benefits of physical activity (OR = 1.19, 95% CI = 1.02-1.38); hold positive attitude towards physical activity (OR = 1.31, 95% CI = 1.08-1.59); and reported preferring walking & Tai Chi (OR = 1.40, 95% CI = 1.23-1.60), ball games (OR = 1.45, 95% CI = 1.17-1.79), body building (OR = 1.33, 95% CI = 1.09-1.63) had significant better mental health.Conclusions: Elderly residents in rural areas experienced significant poorer PA-related KABs than those in urban areas, especially for PA-related behaviors. Better PA-related knowledge, attitudes, and behaviors were associated with higher mental health in Chinese elderly residents.

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Prevalence and risk factors of physical inactivity among middle-aged and older Chinese in Shenzhen: a cross-sectional study

Cited by 28 publications

References 28 publications

The prevalence and influencing factors of physical activity and sedentary behaviour in the rural population in China: the Henan Rural Cohort Study

The prevalence and influencing factors of physical activity and sedentary behaviour in the rural population in China: the Henan Rural Cohort Study

Physical Activity Dimensions and Its Association with Risk of Diabetes in Middle and Older Aged Chinese People

Do Physical Activity-Related Knowledge, Attitudes, and Behaviors Play a Role in the Elderly's Mental Health? A Cross-Sectional Study from the China Health and Nutrition Survey

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