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3/2023
vol. 40
abstract:
Original paper
Global disease burden attributed to low physical activity in 204 countries and territories from 1990 to 2019: Insights from the Global Burden of Disease 2019 Study
Mohammad Ali Mansournia
7
,
Omar Boukhris
3, 10, 11
,
Mohamed Ali Boujelbane
3
,
Aria Nejadghaderi
14, 15
,
Wolfgang I. Schöllhorn
1
,
1.
Department of Training and Movement Science, Institute of Sport Science,
Johannes Gutenberg-University Mainz, Mainz, Germany
2.
Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology:
Physical Activity, Health and Learning (LINP2), UFR STAPS (Faculty of
Sport Sciences), UPL, Paris Nanterre University, Nanterre, France
3.
High Institute of Sport and Physical Education, University of Sfax, Tunisia
4.
Research laboratory, Education, Motricity, Sport and Health (EM2S),
LR15JS01, High Institute of Sport and Physical Education, University of
Sfax, Tunisia
5.
Sport Science Program (SSP), College of Arts and Sciences (CAS), Qatar
University, Doha 2713, Qatar
6.
Social Determinants of Health Research Center, Shahid Beheshti
University of Medical Sciences, Tehran, Iran
7.
Department of Epidemiology and Biostatistics, School of Public Health,
Tehran University of Medical Sciences, Tehran, Iran
8.
Ministry of Health, Manama 410, Bahrain
9.
Department of Psychiatry, College of Medicine and Medical Sciences,
Arabian Gulf University,Manama 323, Bahrain
10.
Research Unit: “Physical Activity, Sport, and Health”, UR18JS01, National
Observatory of Sport, Tunis 1003, Tunisia
11.
Sport and Exercise Science, School of Allied Health, Human Services
and Sport, La Trobe University, Melbourne 3086, Australia
12.
Department of Health, Exercise Science Research Center Human
Performance and Recreation, University of Arkansas, Fayetteville, AR
72701, USA
13.
Centre for Intelligent Healthcare, Coventry University, Coventry CV1 5FB,
UK
14.
Physical Medicine and Rehabilitation Research Center, Aging Research
Institute, Tabriz University of Medical Sciences, Tabriz, Iran
15.
Social Determinants of Health Research Center, Department of Community
Medicine, Faculty of Medicine, Tabriz University of Medical Sciences,
Tabriz, Iran
16.
Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics,
Maternal and Child Health (DINOGMI), University of Genoa, Genoa,
Italy
17.
Tuberculosis and Lung Disease Research Center, Tabriz University of
Medical Sciences, Tabriz, Iran
18.
Department of Community Medicine, Faculty of Medicine, Tabriz
University of Medical Sciences, Tabriz, Iran
19.
Jozef Pilsudski University of Physical Education in Warsaw, 00-
809 Warsaw, Poland
20.
Laboratory for Industrial and Applied Mathematics (LIAM), Department
of Mathematics and Statistics, York University, Toronto, ON M3J 1P3,
Canada
Biol Sport. 2023;40(3):835–855
Online publish date: 2022/11/22
PlumX metrics:
The purpose of this investigation is to estimate the global disease burden attributable to low physical activity (PA) in 204 countries and territories from 1990 to 2019 by age, sex, and Socio-Demographic Index (SDI). Detailed information on global deaths and disability-adjusted life years (DALYs) attributable to low PA were collected from the Global Burden of Disease Study 2019. The ideal exposure scenario of PA was defined as 3000-4500 metabolic equivalent minutes per week and low PA was considered to be less than this threshold. Age-standardization was used to improve the comparison of rates across locations or between time periods. In 2019, low PA seems to contribute to 0.83 million [95% uncertainty interval (UI) 0.43 to 1.47] deaths and 15.75 million (95% UI 8.52 to 28.62) DALYs globally, an increase of 83.9% (95% UI 69.3 to 105.7) and 82.9% (95% UI 65.5 to 112.1) since 1990, respectively. The age-standardized rates of low-PA-related deaths and DALYs per 100,000 people in 2019 were 11.1 (95% UI 5.7 to 19.5) and 198.4 (95% UI 108.2 to 360.3), respectively. Of all age-standardized DALYs globally in 2019, 0.6% (95% UI 0.3 to 1.1) may be attributable to low PA. The association between SDI and the proportion of age-standardized DALYs attributable to low PA suggests that regions with the highest SDI largely decreased their proportions of age-standardized DALYs attributable to low PA during 1990-2019, while other regions tended to have increased proportions in the same timeframe. In 2019, the rates of low-PA-related deaths and DALYs tended to rise with increasing age in both sexes, with no differences between males and females in the age-standardized rates. An insufficient accumulation of PA across the globe occurs together with a considerable public health burden. Health initiatives to promote PA within different age groups and countries are urgently needed.
keywords:
global burden of disease, physical inactivity, death rates, disability-adjusted life years, public health
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