Patterns of Physical Activity and Self-rated Health Among Adult Populations in South Asia
Main Article Content
Abstract
Introduction: Although South Asians are considered to be at high risk for cardiovascular diseases, research evidence on the health impacts of physical activity (PA) remains very limited. In this study we aimed to explore the patterns of PA and to investigate whether engaging in regular PA is associated with better Self-Rated Health (SRH) among South Asians.
Methods: Cross-sectional data on population health were drawn from the World Health Survey of WHO. Subjects were 28,020 male and female South Asians (from Bangladesh, India, Nepal, and Sri Lanka) aged 18 years and above. Data were analysed using descriptive and multivariable logistic regression analyses.
Results: The proportion of the sample population reported good SRH was 44.3%, 58.7%, 37.7%, and 73.7% in Bangladeshis, Indians, Nepalese, and Sri Lankans, respectively. Regular engagement in moderate PA was highest in Nepal (69.7%) and lowest in Bangladesh (37.4%). Vigorous PA was highest in India (29.9%) and lowest in Bangladesh (17.9%). In Bangladesh, compared to those never engaged in MPA, those who engaged for 1-2, 3-4, 5-6, or 7 days a week were 30% [AOR=1.306; 95%CI 1.085-1.572], 33% [AOR=1.326; 95%CI 1.093-1.609], 39% [AOR=1.389; 95%CI 1.125-1.716], and 46% [AOR=1.459; 95%CI 1.249-1.705] more likely to report being in good health, respectively.
Conclusions: We found that self-reported engagement in physical activities varies in South Asian countries. Since engaging in PA may help improve subjective and objective health status, health policy makers need to focus on designing exercise-friendly neighbourhoods in an attempt to promote population health.
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References
Jennifer Beam Dowd, Anna Zajacova. Does Self-Rated Health Mean the Same Thing Across Socioeconomic Groups? Evidence from Biomarker Data. Ann Epidemiol. 2010 Oct; 20(10): 743–749.
Lee S, McClain C, Webster N, Han S. Question order sensitivity of subjective well-being measures: focus on life satisfaction, self-rated health, and subjective life expectancy in survey instruments. Qual Life Res. 2016 Oct;25(10):2497-510.
Irina L.G. Todorova, Katherine L. Tucker, Marcia Pescador Jimenez et al. Determinants of self-rated health and the role of acculturation: Implications for health inequalities. Ethn Health. 2013 Dec; 18(6): 10.
Jylhä M. What is self-rated health and why does it predict mortality? Towards a unified conceptual model. Soc Sci Med. 2009 Aug; 69(3):307-16.
Göran Waller. Self-rated health in general practice: a plea for subjectivity. Br J Gen Pract. 2015 Mar; 65(632): 110–111.
Undén AL, Elofsson S. Health from the patient's point of view. How does it relate to the physician's judgement? Fam Pract. 2001 Apr; 18(2):174-80.
Kwaśniewska M, Kaleta D, Dziankowska-Zaborszczyk E, Drygas W, Makowiec-Dabrowska T. Lifestyle index and self-rated health status. Int J Occup Med Environ Health. 2007;20(4):349-56.
Sargent-Cox K, Cherbuin N, Morris L, Butterworth P, Anstey KJ. The effect of health behavior change on self-rated health across the adult life course: a longitudinal cohort study. Prev Med. 2014 Jan;58:75-80.
Warburton, D.E.; Nicol, C.W.; Bredin, S.S. Health benefits of physical activity: The evidence. Can. Med Assoc. J.2006,174, 801–809.
Humphreys, B.R.; McLeod, L.; Ruseski, J.E. physical activity and health outcomes: Evidence from Canada Health Econ. 2014,23, 33–54.
Morris, J.N.; Heady, J.A.; Raffle, P.A.; Roberts, C.G.; Parks, J.W. Coronary heart-disease and physical activity of work. Lancet1953,265, 1111–1120.
I-Min Lee, MBBS, ScD, Eric J Shiroma, MSc, Felipe Lobelo et al. Impact of Physical Inactivity on the World’s Major Non-Communicable Diseases. Lancet. 2012 Jul 21; 380(9838): 219–229.
Global Recommendations on physical activity for Health. Geneva: World Health Organization; 2010. Bookshelf ID: NBK305049.
Pietiläinen KH1, Kaprio J, Borg P, Plasqui G et al. Physical inactivity and obesity: a vicious circle. Obesity (Silver Spring). 2008 Feb;16(2):409-14.
Ding D, Lawson KD, Kolbe-Alexander TL et al. The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet. 2016 Sep 24;388(10051):1311-24.
WHO WORLD HEALTH SURVEY, Survey manual, World Health Organization 2002.
Yaya S, Bishwajit G, Danhoundo G, Shah V, Ekholuenetale M. Trends and determinants of HIV/AIDS knowledge among women in Bangladesh. BMC Public Health. 2016 Aug 17;16(1):812.
Baker DP, Leon J, Smith Greenaway EG, Collins J, Movit M. The Education Effect on Population Health: A Reassessment. Population and Development Review. 2011;37(2):307–332.
Goesling B. The Rising Significance of Education for Health? Social Forces. 2007;85(4):1621–1644.
James Tsai, Earl S Ford, Chaoyang Li, Guixiang Zhao and Lina S Balluz. Physical activity and optimal self-rated health of adults with and without diabetes. BMC Public Health 2010, 10:365.
Catherine Hudon, Hassan Soubhi and Martin Fortin. Relationship between multimorbidity and physical activity: Secondary analysis from the Quebec health survey. BMC Public Health 2008, 8:304.
M.A. Han, K.S. Kim, J. Park, M.G. Kang, S.Y. Ryu. Association between levels of physical activity and poor self-rated health in Korean adults: The Third Korea National Health and Nutrition Examination Survey (KNHANES), 2005. Public Health. October 2009 Volume 123, Issue 10, pages 665–669.
Dumith SC, Hallal PC, Reis RS, Kohl Iii HW. Worldwide prevalence of physical inactivity and its association with human development index in 76 countries. Prev Med2011;53(1e2):24e8.
Bauman A, Bull F, Chey T, Craig C, Ainsworth B, Sallis J, et al. The international prevalence study on physical activity: results from 20 countries. Int J Behav Nutr Phys Activity 2009;6(1):21.
M. Moniruzzamana, M. Mostafa Zamana, M.S. Islalm, H.A.M.N. Ahasanc, H. Kabird, R. Yasmin. physical activity levels in Bangladeshi adults: results from STEPS survey 2010. Public Health 137 (2016) 131e138.
Adrian Bauman, Fiona Bull, Tien Chey, Cora L Craig et al. The International Prevalence Study on PHYSICAL ACTIVITY: results from 20 countries. Int J Behav Nutr Phys Act. 2009; 6: 21.
Hosseinpoor AR, Stewart Williams J, Amin A, Araujo de Carvalho I, Beard J, Boerma T, Kowal P, Naidoo N, Chatterji S. Social determinants of self-reported health in women and men: understanding the role of gender in population health. PLoS One. 2012; 7(4):e34799.
Gilles Ambresin, Physical activitytty Chondros, Christopher Dowrick, Helen Herrman, Jane M. Gunn. Self-Rated Health and Long-Term Prognosis of Depression. Ann Fam Med. 2014 Jan; 12(1): 57–65.
Bishwajit G, Tang S, Yaya S, He Z, Feng Z. Lifestyle Behaviors, Subjective Health, and Quality of Life Among Chinese Men Living With Type 2 Diabetes. Am J Mens Health. 2017 Mar;11(2):357-364.
Carin Warnoff, Mats Lekander, Tomas Hemmingsson et al. Is poor self-rated health associated with low-grade inflammation in 43 110 late adolescent men of the general population? A cross-sectional study. BMJ Open. 2016; 6(4): e009440.
Mucci LA, Wood PA, Cohen B, Clements KM, Brawarsky P, Brooks DR. Validity of self-reported health plan information in a population-based health survey. J Public Health Manag Pract. 2006 Nov-Dec;12(6):570-7.
Fosse NE, Haas SA. Validity and stability of self-reported health among adolescents in a longitudinal, nationally representative survey. Pediatrics. 2009 Mar;123(3):e496-501.
Moniruzzaman M, Mostafa Zaman M, Islalm MS, Ahasan HA, Kabir H, Yasmin R. Physical activity levels in Bangladeshi adults: results from STEPS survey 2010. Public Health. 2016 Aug;137:131-8. .
Ranjit M Anjana, Rajendra Pradeepa, Ashok K Das et al. Physical activity and inactivity patterns in India – results from the ICMR-INDIAB study (Phase-1) [ICMR-INDIAB-5]. Int J Behav Nutr Phys Act. 2014; 11: 26.