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International Journal of Public Health

, Volume 59, Issue 2, pp 231–241 | Cite as

Gender-specific changes in physical activity pattern in Iran: national surveillance of risk factors of non-communicable diseases (2007–2011)

  • Jalil Koohpayehzadeh
  • Koorosh Etemad
  • Mehrshad Abbasi
  • Alipasha Meysamie
  • Sara Sheikhbahaei
  • Fereshteh Asgari
  • Sina Noshad
  • Nima Hafezi-Nejad
  • Ali Rafei
  • Mostafa Mousavizadeh
  • Elias Khajeh
  • Maryam Ebadi
  • Manouchehr Nakhjavani
  • Alireza Esteghamati
Original Article

Abstract

Objectives

This study describes the gender-specific pattern of physical activity (PA) in Iran 2011. The 4-year changes in PA levels (domains) are also determined according to the Iran’s national surveys conducted on 2007 and 2011.

Methods

Physical activity assessed based on the global physical activity questionnaire. In all, 4,121 (2007), and 7,436 (2011) adults were analyzed.

Results

Based on 2011 survey, 56.4 %, 39.2 %, and 74.4 % of participants were physically inactive at work, commuting and recreation, respectively. In all domains of PA, males showed a higher degree of activity (min/day) than females (P value <0.001). The overall prevalence of physical inactivity was increased from 15 % (2007) to 21.5 % (2011) (P value <0.001). Over the 4 years, a significant decline in total physical activity (MET × min/week) and the duration of commuting activity were noted in both genders. Work-related activity was dramatically decreased in females. However, the time spent in recreational activity remained relatively constant.

Conclusions

This report indicating that the Iranian population, particularly females, have become less active during the survey period. Physical inactivity should receive more attention as a public health issue.

Keywords

Physical activity Adult Iran Epidemiology GPAQ Health surveys 

Notes

Acknowledgments

This study was supported by the Center for Disease Control, Ministry of Health and Medical Education, Tehran, Iran.

References

  1. Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, O’Brien WL, Bassett DR Jr, Schmitz KH, Emplaincourt PO, Jacobs DR Jr, Leon AS (2000) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32:S498–S504PubMedCrossRefGoogle Scholar
  2. Allender S, Foster C, Hutchinson L, Arambepola C (2008) Quantification of urbanization in relation to chronic diseases in developing countries: a systematic review. J Urban Health 85:938–951PubMedCentralPubMedCrossRefGoogle Scholar
  3. Allender S, Wickramasinghe K, Goldacre M, Matthews D, Katulanda P (2011) Quantifying urbanization as a risk factor for noncommunicable disease. J Urban Health 88:906–918PubMedCentralPubMedCrossRefGoogle Scholar
  4. Amin TT, Al Khoudair AS, Al Harbi MA, Al Ali AR (2012) Leisure time physical activity in Saudi Arabia: prevalence, pattern and determining factors. Asian Pac J Cancer Prev 13:351–360PubMedCrossRefGoogle Scholar
  5. Armstrong T, Bull F (2006) Development of the World Health Organization global physical activity questionnaire (GPAQ). J Public Health 14:66–70CrossRefGoogle Scholar
  6. Azizi F, Ghanbarian A, Momenan AA, Hadaegh F, Mirmiran P, Hedayati M, Mehrabi Y, Zahedi-Asl S (2009) Prevention of non-communicable disease in a population in nutrition transition: Tehran Lipid and Glucose Study phase II. Trials 10:5PubMedCentralPubMedCrossRefGoogle Scholar
  7. Barengo NC, Nissinen A, Tuomilehto J, Pekkarinen H (2002) Twenty-five-year trends in physical activity of 30- to 59-year-old populations in eastern Finland. Med Sci Sports Exerc 34:1302–1307PubMedCrossRefGoogle Scholar
  8. Bauman A, Armstrong T, Davies J, Owen N, Brown W, Bellew B, Vita P (2003) Trends in physical activity participation and the impact of integrated campaigns among Australian adults, 1997–99. Aust N Z J Public Health 27:76–79PubMedCrossRefGoogle Scholar
  9. Bauman A, Bull F, Chey T, Craig CL, Ainsworth BE, Sallis JF, Bowles HR, Hagstromer M, Sjostrom M, Pratt M (2009) The International Prevalence Study on physical activity: results from 20 countries. Int J Behav Nutr Phys Act 6:21PubMedCentralPubMedCrossRefGoogle Scholar
  10. Bauman A, Ma G, Cuevas F, Omar Z, Waqanivalu T, Phongsavan P, Keke K, Bhushan A (2010) Cross-national comparisons of socioeconomic differences in the prevalence of leisure-time and occupational physical activity, and active commuting in six Asia-Pacific countries. J Epidemiol Community Health 65:35–43PubMedCrossRefGoogle Scholar
  11. Brownson RC, Boehmer TK, Luke DA (2005) Declining rates of physical activity in the United States: what are the contributors? Annu Rev Public Health 26:421–443PubMedCrossRefGoogle Scholar
  12. Bull FC, Maslin TS, Armstrong T (2009) Global physical activity questionnaire (GPAQ): nine country reliability and validity study. J Phys Act Health 6:790–804PubMedGoogle Scholar
  13. Caspersen CJ, Powell KE, Christenson GM (1985) Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep 100:126–131PubMedCentralPubMedGoogle Scholar
  14. de Nazelle A, Nieuwenhuijsen MJ, Anto JM, Brauer M, Briggs D, Braun-Fahrlander C, Cavill N, Cooper AR, Desqueyroux H, Fruin S, Hoek G, Panis LI, Janssen N, Jerrett M, Joffe M, Andersen ZJ, van Kempen E, Kingham S, Kubesch N, Leyden KM, Marshall JD, Matamala J, Mellios G, Mendez M, Nassif H, Ogilvie D, Peiro R, Perez K, Rabl A, Ragettli M, Rodriguez D, Rojas D, Ruiz P, Sallis JF, Terwoert J, Toussaint JF, Tuomisto J, Zuurbier M, Lebret E (2011) Improving health through policies that promote active travel: a review of evidence to support integrated health impact assessment. Environ Int 37:766–777PubMedCrossRefGoogle Scholar
  15. Drygas W, Kwasniewska M, Kaleta D, Pikala M, Bielecki W, Gluszek J, Zdrojewski T, Pajak A, Kozakiewicz K, Broda G (2009) Epidemiology of physical inactivity in Poland: prevalence and determinants in a former communist country in socioeconomic transition. Public Health 123:592–597PubMedCrossRefGoogle Scholar
  16. Dumith SC, Hallal PC, Reis RS, Kohl HW 3rd (2011) Worldwide prevalence of physical inactivity and its association with human development index in 76 countries. Prev Med 53:24–28PubMedCrossRefGoogle Scholar
  17. Esteghamati A, Meysamie A, Khalilzadeh O, Rashidi A, Haghazali M, Asgari F, Kamgar M, Gouya MM, Abbasi M (2009) Third national surveillance of risk factors of non-communicable diseases (SuRFNCD-2007) in Iran: methods and results on prevalence of diabetes, hypertension, obesity, central obesity, and dyslipidemia. BMC Public Health 9:167PubMedCentralPubMedCrossRefGoogle Scholar
  18. Esteghamati A, Khalilzadeh O, Mohammad K, Meysamie A, Rashidi A, Kamgar M, Abbasi M, Asgari F, Haghazali M (2010) Secular trends of obesity in Iran between 1999 and 2007: national surveys of risk factors of non-communicable diseases. Metab Syndr Relat Disord 8:209–213PubMedCrossRefGoogle Scholar
  19. Esteghamati A, Khalilzadeh O, Rashidi A, Kamgar M, Meysamie A, Abbasi M (2011a) Physical activity in Iran: results of the third national surveillance of risk factors of non-communicable diseases (SuRFNCD-2007). J Phys Act Health 8:27–35PubMedGoogle Scholar
  20. Esteghamati A, Noshad S, Nazeri A, Khalilzadeh O, Khalili M, Nakhjavani M (2011b) Patterns of fruit and vegetable consumption among Iranian adults: a SuRFNCD-2007 study. Br J Nutr 108:177–181PubMedCrossRefGoogle Scholar
  21. Ghassemi H, Harrison G, Mohammad K (2002) An accelerated nutrition transition in Iran. Public Health Nutr 5:149–155PubMedCrossRefGoogle Scholar
  22. Guthold R, Ono T, Strong KL, Chatterji S, Morabia A (2008) Worldwide variability in physical inactivity a 51-country survey. Am J Prev Med 34:486–494PubMedCrossRefGoogle Scholar
  23. Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U (2012) Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet 380:247–257PubMedCrossRefGoogle Scholar
  24. Heath GW, Parra DC, Sarmiento OL, Andersen LB, Owen N, Goenka S, Montes F, Brownson RC (2012) Evidence-based intervention in physical activity: lessons from around the world. Lancet 380:272–281PubMedCrossRefGoogle Scholar
  25. Kahn EB, Ramsey LT, Brownson RC, Heath GW, Howze EH, Powell KE, Stone EJ, Rajab MW, Corso P (2002) The effectiveness of interventions to increase physical activity. A systematic review. Am J Prev Med 22:73–107PubMedCrossRefGoogle Scholar
  26. Kohl HW 3rd, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, Kahlmeier S (2012) The pandemic of physical inactivity: global action for public health. Lancet 380:294–305PubMedCrossRefGoogle Scholar
  27. Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT (2012) Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 380:219–229PubMedCentralPubMedCrossRefGoogle Scholar
  28. Lindstrom M, Isacsson SO, Merlo J (2003) Increasing prevalence of overweight, obesity and physical inactivity: two population-based studies 1986 and 1994. Eur J Public Health 13:306–312PubMedCrossRefGoogle Scholar
  29. Ng SW, Popkin BM (2012) Time use and physical activity: a shift away from movement across the globe. Obes Rev 13:659–680PubMedCentralPubMedCrossRefGoogle Scholar
  30. Patel RB, Burke TF (2009) Urbanization—an emerging humanitarian disaster. N Engl J Med 361:741–743PubMedCrossRefGoogle Scholar
  31. Roman-Vinas B, Serra-Majem L, Ribas-Barba L, Roure-Cuspinera E, Cabezas C, Vallbona C, Plasencia A (2007) Trends in physical activity status in Catalonia, Spain (1992–2003). Public Health Nutr 10:1389–1395PubMedCrossRefGoogle Scholar
  32. Sigmundova D, Sigmund E, Fromel K, Suchomel A (2011) Gender differences in physical activity, sedentary behavior and BMI in the Liberec region: the IPAQ study in 2002–2009. J Hum Kinet 28:123–131Google Scholar
  33. Steffen LM, Arnett DK, Blackburn H, Shah G, Armstrong C, Luepker RV, Jacobs DR Jr (2006) Population trends in leisure-time physical activity: Minnesota Heart Survey, 1980–2000. Med Sci Sports Exerc 38:1716–1723PubMedCrossRefGoogle Scholar
  34. Trinh OT, Nguyen ND, Dibley MJ, Phongsavan P, Bauman AE (2008) The prevalence and correlates of physical inactivity among adults in Ho Chi Minh City. BMC Public Health 8:204PubMedCentralPubMedCrossRefGoogle Scholar
  35. Warren JM, Ekelund U, Besson H, Mezzani A, Geladas N, Vanhees L (2010) Assessment of physical activity—a review of methodologies with reference to epidemiological research: a report of the exercise physiology section of the European association of cardiovascular prevention and rehabilitation. Eur J Cardiovasc Prev Rehabil 17:127–139PubMedCrossRefGoogle Scholar
  36. World Health Organization (2005) WHO STEPS surveillance manual: The WHO STEPwise approach to chronic disease risk factor surveillance. http://www.who.int/chp/steps/resources/Analysis_Programs_Documentation_v2.0.pdf. Accessed 15 Oct 2013
  37. World Health Organization (2012) community-based initiative series: effect of urbanization on incidence of noncommunicable disease. http://applications.emro.who.int/dsaf/EMPUB_2012_864.pdf. Accessed 15 Oct 2013
  38. Yeats B (2012) Women and physical activity (gender impact assessment no. 12). http://whv.org.au/static/files/assets/a3b15e42/GIA_12_Physical_Activity.pdf. Accessed 15 Oct 2013

Copyright information

© Swiss School of Public Health 2013

Authors and Affiliations

  • Jalil Koohpayehzadeh
    • 1
  • Koorosh Etemad
    • 1
  • Mehrshad Abbasi
    • 2
  • Alipasha Meysamie
    • 3
  • Sara Sheikhbahaei
    • 2
  • Fereshteh Asgari
    • 1
  • Sina Noshad
    • 2
  • Nima Hafezi-Nejad
    • 2
  • Ali Rafei
    • 1
  • Mostafa Mousavizadeh
    • 2
  • Elias Khajeh
    • 2
  • Maryam Ebadi
    • 2
  • Manouchehr Nakhjavani
    • 2
  • Alireza Esteghamati
    • 2
  1. 1.Center for Disease ControlTehranIran
  2. 2.Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of MedicineTehran University of Medical SciencesTehranIran
  3. 3.Department of Preventive Medicine, School of MedicineTehran University of Medical SciencesTehranIran

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