National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5·7 million participants
Issued Date
2024-08-01
Resource Type
ISSN
2572116X
eISSN
2214109X
Scopus ID
2-s2.0-85198304945
Pubmed ID
38942042
Journal Title
The Lancet Global Health
Volume
12
Issue
8
Start Page
e1232
End Page
e1243
Rights Holder(s)
SCOPUS
Bibliographic Citation
The Lancet Global Health Vol.12 No.8 (2024) , e1232-e1243
Suggested Citation
Strain T., Flaxman S., Guthold R., Semenova E., Cowan M., Riley L.M., Bull F.C., Stevens G.A., Raheem R.A., Agoudavi K., Anderssen S.A., Alkhatib W., Aly E.A.H., Anjana R.M., Bauman A., Bovet P., Moniz T.B., Bulotait G., Caixeta R., Monteiro E.C., Morales C.C., Cortes C.C., Crochemore-Silva I., Cyr-Philbert S., Damasceno A., Davaakhuu N., Ahmed M.A.E., Farnberger C., Farzadfar F., Fernando D., Froboese I., Fromel K., Gage R., Garcia L., Guwatudde D., Hamřík Z., Hansen B.H., Irianto J., Aloufi W.J., Jeon J., Jáuregui A., Kagaruki G.B., Katewongsa P., Katulanda P., Khang Y.H., Malisoux L., Massad S., Mayige M.T., Garcia C.M., Mielke G.I., Mendoza R.M., Moosa S., Msyamboza K.P., Mutungi G., Mwangi K.J., Ndagijimana A., Nyandwi A., Obreja G., Oh K., Werneck A.O., Ondarsuhu D., Palam E., Pereira E., Phy M., Pisaryk V., Põlajev A., Qureshi H., Razak L., Riaz B.K., Richards J., Rodriguez R.R., Saamel M., Savin S., Schurink-Van Et Klooster T., Mengue S.S., Ganapathy S.S., Shukurov S., Sigmundova D., Matos C.S., Somatunga L., Spiroski I., Titze S., Tjandrarini D.H., Turley M., Ugel E., Uwinkindi F., Viali S., Wallmann-Sperlich B., Wendel-Vos W., Widyastari D.A., Yuldashev R., Zoma L.R. National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5·7 million participants. The Lancet Global Health Vol.12 No.8 (2024) , e1232-e1243. e1243. doi:10.1016/S2214-109X(24)00150-5 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/101213
Title
National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5·7 million participants
Author(s)
Strain T.
Flaxman S.
Guthold R.
Semenova E.
Cowan M.
Riley L.M.
Bull F.C.
Stevens G.A.
Raheem R.A.
Agoudavi K.
Anderssen S.A.
Alkhatib W.
Aly E.A.H.
Anjana R.M.
Bauman A.
Bovet P.
Moniz T.B.
Bulotait G.
Caixeta R.
Monteiro E.C.
Morales C.C.
Cortes C.C.
Crochemore-Silva I.
Cyr-Philbert S.
Damasceno A.
Davaakhuu N.
Ahmed M.A.E.
Farnberger C.
Farzadfar F.
Fernando D.
Froboese I.
Fromel K.
Gage R.
Garcia L.
Guwatudde D.
Hamřík Z.
Hansen B.H.
Irianto J.
Aloufi W.J.
Jeon J.
Jáuregui A.
Kagaruki G.B.
Katewongsa P.
Katulanda P.
Khang Y.H.
Malisoux L.
Massad S.
Mayige M.T.
Garcia C.M.
Mielke G.I.
Mendoza R.M.
Moosa S.
Msyamboza K.P.
Mutungi G.
Mwangi K.J.
Ndagijimana A.
Nyandwi A.
Obreja G.
Oh K.
Werneck A.O.
Ondarsuhu D.
Palam E.
Pereira E.
Phy M.
Pisaryk V.
Põlajev A.
Qureshi H.
Razak L.
Riaz B.K.
Richards J.
Rodriguez R.R.
Saamel M.
Savin S.
Schurink-Van Et Klooster T.
Mengue S.S.
Ganapathy S.S.
Shukurov S.
Sigmundova D.
Matos C.S.
Somatunga L.
Spiroski I.
Titze S.
Tjandrarini D.H.
Turley M.
Ugel E.
Uwinkindi F.
Viali S.
Wallmann-Sperlich B.
Wendel-Vos W.
Widyastari D.A.
Yuldashev R.
Zoma L.R.
Flaxman S.
Guthold R.
Semenova E.
Cowan M.
Riley L.M.
Bull F.C.
Stevens G.A.
Raheem R.A.
Agoudavi K.
Anderssen S.A.
Alkhatib W.
Aly E.A.H.
Anjana R.M.
Bauman A.
Bovet P.
Moniz T.B.
Bulotait G.
Caixeta R.
Monteiro E.C.
Morales C.C.
Cortes C.C.
Crochemore-Silva I.
Cyr-Philbert S.
Damasceno A.
Davaakhuu N.
Ahmed M.A.E.
Farnberger C.
Farzadfar F.
Fernando D.
Froboese I.
Fromel K.
Gage R.
Garcia L.
Guwatudde D.
Hamřík Z.
Hansen B.H.
Irianto J.
Aloufi W.J.
Jeon J.
Jáuregui A.
Kagaruki G.B.
Katewongsa P.
Katulanda P.
Khang Y.H.
Malisoux L.
Massad S.
Mayige M.T.
Garcia C.M.
Mielke G.I.
Mendoza R.M.
Moosa S.
Msyamboza K.P.
Mutungi G.
Mwangi K.J.
Ndagijimana A.
Nyandwi A.
Obreja G.
Oh K.
Werneck A.O.
Ondarsuhu D.
Palam E.
Pereira E.
Phy M.
Pisaryk V.
Põlajev A.
Qureshi H.
Razak L.
Riaz B.K.
Richards J.
Rodriguez R.R.
Saamel M.
Savin S.
Schurink-Van Et Klooster T.
Mengue S.S.
Ganapathy S.S.
Shukurov S.
Sigmundova D.
Matos C.S.
Somatunga L.
Spiroski I.
Titze S.
Tjandrarini D.H.
Turley M.
Ugel E.
Uwinkindi F.
Viali S.
Wallmann-Sperlich B.
Wendel-Vos W.
Widyastari D.A.
Yuldashev R.
Zoma L.R.
Author's Affiliation
National Institutes of Health
Badan Riset dan Inovasi Nasional
Maldives National University
Centre Universitaire de Médecine Générale et Santé Publique, Lausanne
Rwanda Biomedical Centre
Universitetet i Agder
Ministry of Health Praia
Ministry of Health Seychelles
University of Rwanda
Universidade Eduardo Mondlane
Ministry of Health Mozambique
SS Cyril and Methodius University Faculty of Medicine
Luxembourg Institute of Health
Ministry of Health Brunei
Ministry of Health Cambodia
Makerere University
Uganda Ministry of Health
National Institute for Medical Research Tanga
Nicolae Testemitanu State University of Medicine and Pharmacy
Ministry of Health Colombo
University of Colombo Faculty of Medicine
University of Colombo
The University of Jordan
Vilniaus Universitetas
Ministry of Health Nairobi
Ministry of Health Saudi Arabia
The University of Western Australia
The University of Queensland
Queen's University Belfast
Egyptian Ministry of Health and Population
The University of Edinburgh
Organisation Mondiale de la Santé
University of Oxford
Rijksinstituut voor Volksgezondheid en Milieu
The University of Sydney
Universität Graz
Instituto Nacional de Salud Publica
University of Otago
Yonsei University
Imperial College London
Universidade Federal de Pelotas
Ministry of Health - New Zealand
Pan American Health Organization
Deutsche Sporthochschule Köln
Mahidol University
Julius-Maximilians-Universität Würzburg
Universidad Católica del Maule
Universidade de São Paulo
Universidade Federal do Rio Grande do Sul
Norges Idrettshøgskole
Univerzita Palackého v Olomouci
Victoria University of Wellington
University of Glasgow
Seoul National University College of Medicine
Madras Diabetes Research Foundation
National Institute of Health Development
Health and Strategic Development
Primary Health Care Improvement Project
Mgmt. and Economics of Healthcare
Wellness & Elderly Affairs
African Population and Health Research Center
Ministry of Health Public Hygiene and Universal Health Coverage
WHO
Ministry of Health
WHO
National Statistical Office
Directorate General of Medical Education
Davycas International
WHO
National Center for Public Health
Korea Disease Control and Prevention Agency
la Fundación Venezolana Para la Investigación
Gorgas Memorial Institute for Health Studies
Oceania University of Medicine
Federal Ministry for Health
WHO
Institute of Hygiene
Badan Riset dan Inovasi Nasional
Maldives National University
Centre Universitaire de Médecine Générale et Santé Publique, Lausanne
Rwanda Biomedical Centre
Universitetet i Agder
Ministry of Health Praia
Ministry of Health Seychelles
University of Rwanda
Universidade Eduardo Mondlane
Ministry of Health Mozambique
SS Cyril and Methodius University Faculty of Medicine
Luxembourg Institute of Health
Ministry of Health Brunei
Ministry of Health Cambodia
Makerere University
Uganda Ministry of Health
National Institute for Medical Research Tanga
Nicolae Testemitanu State University of Medicine and Pharmacy
Ministry of Health Colombo
University of Colombo Faculty of Medicine
University of Colombo
The University of Jordan
Vilniaus Universitetas
Ministry of Health Nairobi
Ministry of Health Saudi Arabia
The University of Western Australia
The University of Queensland
Queen's University Belfast
Egyptian Ministry of Health and Population
The University of Edinburgh
Organisation Mondiale de la Santé
University of Oxford
Rijksinstituut voor Volksgezondheid en Milieu
The University of Sydney
Universität Graz
Instituto Nacional de Salud Publica
University of Otago
Yonsei University
Imperial College London
Universidade Federal de Pelotas
Ministry of Health - New Zealand
Pan American Health Organization
Deutsche Sporthochschule Köln
Mahidol University
Julius-Maximilians-Universität Würzburg
Universidad Católica del Maule
Universidade de São Paulo
Universidade Federal do Rio Grande do Sul
Norges Idrettshøgskole
Univerzita Palackého v Olomouci
Victoria University of Wellington
University of Glasgow
Seoul National University College of Medicine
Madras Diabetes Research Foundation
National Institute of Health Development
Health and Strategic Development
Primary Health Care Improvement Project
Mgmt. and Economics of Healthcare
Wellness & Elderly Affairs
African Population and Health Research Center
Ministry of Health Public Hygiene and Universal Health Coverage
WHO
Ministry of Health
WHO
National Statistical Office
Directorate General of Medical Education
Davycas International
WHO
National Center for Public Health
Korea Disease Control and Prevention Agency
la Fundación Venezolana Para la Investigación
Gorgas Memorial Institute for Health Studies
Oceania University of Medicine
Federal Ministry for Health
WHO
Institute of Hygiene
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: Insufficient physical activity increases the risk of non-communicable diseases, poor physical and cognitive function, weight gain, and mental ill-health. Global prevalence of adult insufficient physical activity was last published for 2016, with limited trend data. We aimed to estimate the prevalence of insufficient physical activity for 197 countries and territories, from 2000 to 2022. Methods: We collated physical activity reported by adults (aged ≥18 years) in population-based surveys. Insufficient physical activity was defined as not doing 150 minutes of moderate-intensity activity, 75 minutes of vigorous-intensity activity, or an equivalent combination per week. We used a Bayesian hierarchical model to compute estimates of insufficient physical activity by country or territory, year, age, and sex. We assessed whether countries or territories, regions, and the world would meet the global target of a 15% relative reduction of the prevalence of insufficient physical activity by 2030 if 2010–22 trends continue. Findings: We included 507 surveys across 163 countries and territories. The global age-standardised prevalence of insufficient physical activity was 31·3% (95% uncertainty interval 28·6–34·0) in 2022, an increase from 23·4% (21·1–26·0) in 2000 and 26·4% (24·8–27·9) in 2010. Prevalence was increasing in 103 (52%) of 197 countries and territories and six (67%) of nine regions, and was declining in the remainder. Prevalence was 5 percentage points higher among female (33·8% [29·9–37·7]) than male (28·7% [25·0–32·6]) individuals. Insufficient physical activity increased in people aged 60 years and older in all regions and both sexes, but age patterns differed for those younger than 60 years. If 2010–22 trends continue, the global target of a 15% relative reduction between 2010 and 2030 will not be met (posterior probability <0·01); however, two regions, Oceania and sub-Saharan Africa, were on track with considerable uncertainty (posterior probabilities 0·70–0·74). Interpretation: Concerted multi-sectoral efforts to reduce insufficient physical activity levels are needed to meet the 2030 target. Physical activity promotion should not exacerbate sex, age, or geographical inequalities. Funding: Ministry of Public Health, Qatar, and World Health Organization. Translations: For the Spanish and Portuguese translations of the abstract see Supplementary Materials section.