Physical Inactivity, Inequalities, and Disparities Across Districts of Iran: A STEPs Survey-Based Analysis

Author:

Hajebi Amirali1ORCID,Nasserinejad Maryam12ORCID,Azadnajafabad Sina1ORCID,Ghasemi Erfan1ORCID,Rezaei Negar13ORCID,Yoosefi Moein1ORCID,Ghamari Azin1,Keykhaei Mohammad14ORCID,Ghanbari Ali1ORCID,Mohammadi Esmaeil1ORCID,Rashidi Mohammad-Mahdi1ORCID,Gorgani Fateme1,Moghimi Mana1,Namazi Shabestari Alireza5ORCID,Farzadfar Farshad13ORCID

Affiliation:

1. Endocrinology and Metabolism Population Sciences Institute, Non-Communicable Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran

2. Department of Biostatistics, Faculty of Paramedical Sciences, Shahid Beheshti University of Medical Science, Tehran, Iran

3. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

4. Feinberg Cardiovascular Research Institute, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA

5. Department of Geriatric Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Background: We aimed to estimate the prevalence of physical inactivity in all districts of Iran and the disparities between subgroups defined by various measures. Methods: Small area estimation method was employed to estimate the prevalence of physical inactivity in districts based on the remaining districts in which data on the level of physical inactivity were available. Various comparisons on the estimations were done based on socioeconomic, sex, and geographical stratifications to determine the disparities of physical inactivity among districts of Iran. Results: All districts of Iran had a higher prevalence of physical inactivity compared with the world average. The estimated prevalence of physical inactivity among all men in all districts was 46.8% (95% uncertainty interval, 45.9%–47.7%). The highest and lowest estimated disparity ratio of physical inactivity were 1.95 and 1.14 in males, and 2.25 and 1.09 in females, respectively. Females significantly had a higher prevalence of 63.5% (62.7%–64.3%). Among both sexes, the poor population and urban residents significantly had higher prevalence of physical inactivity than rich population and rural residents, respectively. Conclusions: The high prevalence of physical inactivity among Iranian adult population suggests the urgent need to adopt population-wide action plans and policies to handle this major public health problem and avert the probable burden.

Publisher

Human Kinetics

Subject

Orthopedics and Sports Medicine,Epidemiology,Public Health, Environmental and Occupational Health,Physical Therapy, Sports Therapy and Rehabilitation

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