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. 2012 Sep 11:9:110.
doi: 10.1186/1479-5868-9-110.

The influence of the macro-environment on physical activity: a multilevel analysis of 38 countries worldwide

Jizzo R Bosdriesz  1 , Margot I Witvliet, Tommy L S Visscher, Anton E Kunst
Affiliations

The influence of the macro-environment on physical activity: a multilevel analysis of 38 countries worldwide

Jizzo R Bosdriesz et al. Int J Behav Nutr Phys Act. .

Abstract

Background: As indicated by the ANGELO framework and similar models, various environmental factors influence population levels of physical activity (PA). To date attention has focused on the micro-level environment, while evidence on the macro-level environment remains scarce and mostly limited to high-income countries. This study aims to investigate whether environmental factors at macro-level are associated with PA among a broader range of countries.

Methods: Data from the World Health Survey (WHS) was used to analyze 177,035 adults from 38 (mostly low and middle income) countries. The International Physical Activity Questionnaire-Short Form (IPAQ-S) was used to measure PA. Respondents were classified as active or inactive for vigorous PA, moderate PA and walking. Multilevel logistic regression was performed to assess associations between macro-level environmental factors and the prevalence of PA, with control for individual-level socioeconomic factors.

Results: The prevalence of PA varied widely between countries and types of PA (5.0%-93.8%). A negative association was found between gross domestic product and PA, odds ratios for men were 0.76 (95% CI: 0.65-0.89) for moderate PA and 0.79 (95% CI: 0.63-0.98) for walking. A higher temperature was associated with less PA (all types) and higher urbanization was associated with less vigorous and moderate PA. More gender equality was also associated with more walking for women. Governmental functioning and literacy rate were not found to be associated with any type of PA.

Conclusions: This exploratory study indicates that factors such as climate, economic development and cultural factors are determinants of the level of overall PA at national levels. This underlines the suggestion that the macro-environment should be regarded as an important influence on PA.

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Figures

Figure 1
Figure 1
Prevalence of vigorous physical activity stratified by country.
Figure 2
Figure 2
Prevalence of moderate physical activity stratified by country.
Figure 3
Figure 3
Prevalence of walking stratified by country.
See this image and copyright information in PMC

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References

    1. Bauman AE. Updating the evidence that physical activity is good for health: an epidemiological review 2000-2003. J Sci Med Sport. 2004;7:6–19. - PubMed
    1. Jacoby E, Bull F, Neiman A. Rapid changes in lifestyle make increased physical activity a priority for the Americas. Rev Panam Salud Publica. 2003;14:223–228. - PubMed
    1. Sherwood NE, Jeffery RW. The behavioral determinants of exercise: implications for physical activity interventions. Annu Rev Nutr. 2000;20:21–44. doi: 10.1146/annurev.nutr.20.1.21. - DOI - PubMed
    1. Giles-Corti B, Donovan RJ. The relative influence of individual, social and physical environment determinants of physical activity. Soc Sci Med. 2002;54:1793–1812. doi: 10.1016/S0277-9536(01)00150-2. - DOI - PubMed
    1. Kumanyika S, Jeffery RW, Morabia A, Ritenbaugh C, Antipatis VJ. Obesity prevention: the case for action. Int J Obes Relat Metab Disord. 2002;26:425–436. doi: 10.1038/sj.ijo.0801938. - DOI - PubMed