Physical activity and sedentary behaviour in the Middle East and North Africa: An overview of systematic reviews and meta-analysis.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
09 06 2020
Historique:
received: 04 06 2019
accepted: 14 05 2020
entrez: 11 6 2020
pubmed: 11 6 2020
medline: 15 12 2020
Statut: epublish

Résumé

To support the global strategy to reduce risk factors for obesity, we synthesized the evidence on physical activity (PA) and sedentary behaviour in the Middle East and North Africa (MENA) region. Our systematic overview included seven systematic reviews reporting 229 primary studies. The meta-analysis included 125 prevalence measures from 20 MENA countries. After 2000, 50.8% of adults (ranging from 13.2% in Sudan to 94.9% in Jordan) and 25.6% of youth (ranging from 8.3% in Egypt to 51.0% in Lebanon) were sufficiently active. Limited data on PA behaviours is available for MENA countries, with the exception of Gulf Cooperation Council countries. The meta-regression identified gender and geographical coverage among youth, and the PA measurement as predictors of PA prevalence for both adults and youth. Our analysis suggests a significant PA prevalence increase among adults over the last two decades. The inconsistency in sedentary behaviour measurement is related to the absence of standardized guidelines for its quantification and interpretation. The global epidemic of insufficient PA is prevalent in MENA. Lower PA participation among youth and specifically females should be addressed by focused lifestyle interventions. The recognition of sedentary behaviour as a public health issue in the region remains unclear. Additional data on PA behaviours is needed from low- and middle-income countries in the region.

Identifiants

pubmed: 32518254
doi: 10.1038/s41598-020-66163-x
pii: 10.1038/s41598-020-66163-x
pmc: PMC7283267
doi:

Types de publication

Journal Article Meta-Analysis Research Support, Non-U.S. Gov't Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

9363

Références

The World Health Organization (WHO). Noncommunicable diseases, https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases (2018).
International Diabetes Federation (IDF). IDF Diabetes Atlas. (2017).
Hurt, R. T., Kulisek, C., Buchanan, L. A. & McClave, S. A. The Obesity Epidemic: Challenges, Health Initiatives, and Implications for Gastroenterologists. Gastroenterology & Hepatology 6, 780–792 (2010).
Nikoloski, Z. & Williams, G. In Metabolic Syndrome (ed R.S. Ahima) (Springer International Publishing Switzerland 2016, Philadelphia, PA, USA).
Warburton, D. E. R., Nicol, C. W. & Bredin, S. S. D. Health benefits of physical activity: the evidence. Canadian Medical Association Journal 174, 801–809, https://doi.org/10.1503/cmaj.051351 (2006).
doi: 10.1503/cmaj.051351 pubmed: 16534088
World Health Organization (WHO). In Global Recommendations on Physical Activity for Health (World Health Organization 2010, Geneva, 2010).
Committee, U. S. D. O. H. A. H. S. P. A. G. A. 2018 Physical Activity Guidelines Advisory Committee Scientific Report.. (Washington, DC:).
González, K., Fuentes, J. & Márquez, J. L. Physical Inactivity, Sedentary Behavior and Chronic Diseases. Korean Journal of Family Medicine 38, 111–115, https://doi.org/10.4082/kjfm.2017.38.3.111 (2017).
doi: 10.4082/kjfm.2017.38.3.111 pubmed: 28572885 pmcid: 5451443
Hallal, P. C. et al. Global physical activity levels: surveillance progress, pitfalls, and prospects. The Lancet 380, 247–257, https://doi.org/10.1016/S0140-6736(12)60646-1 (2012).
doi: 10.1016/S0140-6736(12)60646-1
Kyu, H. H. et al. Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the Global Burden of Disease Study 2013. BMJ 354, i3857, https://doi.org/10.1136/bmj.i3857 (2016).
doi: 10.1136/bmj.i3857 pubmed: 27510511 pmcid: 4979358
Lee, C. D., Folsom, A. R. & Blair, S. N. Physical activity and stroke risk: a meta-analysis. Stroke 34, 2475–2481, https://doi.org/10.1161/01.Str.0000091843.02517.9d (2003).
doi: 10.1161/01.Str.0000091843.02517.9d pubmed: 14500932
Lee, I. M. et al. Impact of Physical Inactivity on the World’s Major Non-Communicable Diseases. Lancet 380, 219–229, https://doi.org/10.1016/S0140-6736(12)61031-9 (2012).
doi: 10.1016/S0140-6736(12)61031-9 pubmed: 22818936 pmcid: 3645500
Biswas A O. P. et al. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults a systematic review and meta-analysis of sedentary time and disease incidence, mortality, and hospitalization. 162(2):123–32 (2015).
Carson, V. et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Applied Physiology, Nutrition, and Metabolism 41, S240–S265, https://doi.org/10.1139/apnm-2015-0630 (2016).
doi: 10.1139/apnm-2015-0630 pubmed: 27306432
Patterson, R. et al. Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis. European Journal of Epidemiology, https://doi.org/10.1007/s10654-018-0380-1 (2018).
Berlin, J. A. & Colditz, G. A. A meta-analysis of physical activity in the prevention of coronary heart disease. American journal of epidemiology 132, 612–628 (1990).
pubmed: 2144946 doi: 10.1093/oxfordjournals.aje.a115704
Sofi, F., Capalbo, A., Cesari, F., Abbate, R. & Gensini, G. F. Physical activity during leisure time and primary prevention of coronary heart disease: an updated meta-analysis of cohort studies. European Journal of Cardiovascular Prevention & Rehabilitation 15, 247–257, https://doi.org/10.1097/HJR.0b013e3282f232ac (2008).
doi: 10.1097/HJR.0b013e3282f232ac
Thune, I. & Furberg, A.-S. Physical activity and cancer risk: dose-response and cancer, all sites and site-specific. Medicine & Science in Sports & Exercise 33, S530–S550 (2001).
doi: 10.1097/00005768-200106001-00025
Street, S. J., Wells, J. C. K. & Hills, A. P. Windows of opportunity for physical activity in the prevention of obesity. Obesity Reviews 16, 857–870, https://doi.org/10.1111/obr.12306 (2015).
doi: 10.1111/obr.12306 pubmed: 26222544
Biddle, S. J. H. & Asare, M. Physical activity and mental health in children and adolescents: a review of reviews. British Journal of Sports Medicine 45, 886–895, https://doi.org/10.1136/bjsports-2011-090185 (2011).
doi: 10.1136/bjsports-2011-090185 pubmed: 21807669
Khan, N. A. & Hillman, C. H. The Relation of Childhood Physical Activity and Aerobic Fitness to Brain Function and Cognition: A Review. Pediatric Exercise Science 26, 138–146, https://doi.org/10.1123/pes.2013-0125 (2014).
doi: 10.1123/pes.2013-0125 pubmed: 24722921
World Health Organization (WHO). Global Strategy on Diet, Physical Activity and Health, http://www.who.int/dietphysicalactivity/factsheet_inactivity/en/ (2018).
Hallal, P. C., Martins, R. C. & Ramírez, A. The Lancet Physical Activity Observatory: promoting physical activity worldwide. The Lancet 384, 471–472, https://doi.org/10.1016/S0140-6736(14)61321-0 (2014).
doi: 10.1016/S0140-6736(14)61321-0
Varela, A. R. et al. Mapping the historical development of physical activity and health research: A structured literature review and citation network analysis. Preventive Medicine 111, 466–472, https://doi.org/10.1016/j.ypmed.2017.10.020 (2018).
doi: 10.1016/j.ypmed.2017.10.020 pubmed: 29709233
Sallis, J. F. et al. Progress in physical activity over the Olympic quadrennium. The Lancet 388, 1325–1336, https://doi.org/10.1016/S0140-6736(16)30581-5 (2016).
doi: 10.1016/S0140-6736(16)30581-5
Guthold, R., Stevens, G. A., Riley, L. M. & Bull, F. C. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants. The Lancet Global Health, https://doi.org/10.1016/S2214-109X(18)30357-7 (2018).
Chaabna, K. et al. Gray literature in systematic reviews on population health in the Middle East and North Africa: protocol of an overview of systematic reviews and evidence mapping. Systematic Reviews 7, 94, https://doi.org/10.1186/s13643-018-0751-4 (2018).
doi: 10.1186/s13643-018-0751-4 pubmed: 30021616 pmcid: 6052529
Booth, A. et al. PROSPERO at one year: an evaluation of its utility. Systematic Reviews 2, 4, https://doi.org/10.1186/2046-4053-2-4 (2013).
doi: 10.1186/2046-4053-2-4 pubmed: 23320413 pmcid: 3563608
Moher, D., Liberati, A., Tetzlaff, J. & Altman, D. G. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 62, 1006–1012, https://doi.org/10.1016/j.jclinepi.2009.06.005 (2009).
doi: 10.1016/j.jclinepi.2009.06.005 pubmed: 19631508
Higgins J & Green S. (The Cochrane Collaboration, 2011).
Quenby, M., Dwayne, V. E. & Emma, I. Searching for grey literature for systematic reviews: challenges and benefits. Research Synthesis Methods 5, 221–234, https://doi.org/10.1002/jrsm.1106 (2014).
doi: 10.1002/jrsm.1106
Ouzzani, M., Hammady, H., Fedorowicz, Z. & Elmagarmid, A. Rayyan—a web and mobile app for systematic reviews. Systematic Reviews 5, 210, https://doi.org/10.1186/s13643-016-0384-4 (2016).
doi: 10.1186/s13643-016-0384-4 pubmed: 27919275 pmcid: 5139140
Troiano, R. P., Gabriel, K. K. P., Welk, G. J., Owen, N. & Sternfeld, B. Reported Physical Activity and Sedentary Behavior: Why Do You Ask? Journal of Physical Activity and Health 9, S68–S75, https://doi.org/10.1123/jpah.9.s1.s68 (2012).
doi: 10.1123/jpah.9.s1.s68 pubmed: 22287450
Mehairi, A. E. et al. Metabolic syndrome among Emirati adolescents: a school-based study. PLoS One 8, e56159, https://doi.org/10.1371/journal.pone.0056159 (2013).
doi: 10.1371/journal.pone.0056159 pubmed: 23418529 pmcid: 3572014
Muhairi, S. J. et al. Vitamin D deficiency among healthy adolescents in Al Ain, United Arab Emirates. BMC Public Health 13, 33, https://doi.org/10.1186/1471-2458-13-33 (2013).
doi: 10.1186/1471-2458-13-33 pubmed: 23311702 pmcid: 3610121
Wasfi, A. S., El-Sherbiny, A. A., Gurashi, E. & Al Sayegh, F. U. Sport practice among private secondary-school students in Dubai in 2004. East Mediterr Health J 14, 704–714 (2008).
pubmed: 18720635
Chaabna, K., Cheema, S. & Mamtani, R. Migrants, healthy worker effect, and mortality trends in the Gulf Cooperation Council countries. PLOS ONE 12, e0179711, https://doi.org/10.1371/journal.pone.0179711 (2017).
doi: 10.1371/journal.pone.0179711 pubmed: 28632794 pmcid: 5478152
Jakovljevic, M. M. et al. Population aging and migration - history and UN forecasts in the EU-28 and its east and south near neighborhood - one century perspective 1950-2050. Globalization and health 14, 30, https://doi.org/10.1186/s12992-018-0348-7 (2018).
doi: 10.1186/s12992-018-0348-7 pubmed: 29548339 pmcid: 5857107
Farrag, N. S., Cheskin, L. J. & Farag, M. K. A systematic review of childhood obesity in the Middle East and North Africa (MENA) region: Prevalence and risk factors meta-analysis. Advances in pediatric research 4, 8, https://doi.org/10.12715/apr.2017.4.8 (2017).
doi: 10.12715/apr.2017.4.8 pubmed: 29354689 pmcid: 5773115
UN news. Malnutrition among children in Yemen at ‘all-time high,’ warns UNICEF, https://news.un.org/en/story/2016/12/547632-malnutrition-among-children-yemen-all-time-high-warns-unicef#.WI_-ifl97IU (2016).
World Bank. Middle East and North Africa., http://www.worldbank.org/en/region/mena/overview (2018).
Khan, H. T. A., Hussein, S. & Deane, J. Nexus Between Demographic Change and Elderly Care Need in the Gulf Cooperation Council (GCC) Countries: Some Policy Implications. Ageing International 42, 466–487, https://doi.org/10.1007/s12126-017-9303-9 (2017).
doi: 10.1007/s12126-017-9303-9 pubmed: 29213159 pmcid: 5702386
Higgins, J. P. T., Thompson, S. G., Deeks, J. J. & Altman, D. G. Measuring inconsistency in meta-analyses. BMJ 327, 557–560, https://doi.org/10.1136/bmj.327.7414.557 (2003).
doi: 10.1136/bmj.327.7414.557 pubmed: 12958120 pmcid: 12958120
Michael Borenstein, Larry V. Hedges, Julian P.T. Higgins & Rothstein, H. R. Borenstein, M. Introduction to meta-analysis.. (John Wiley & Son, 2009).
Schwarzer, G. (CRAN, 2018).
National Institutes of Health: Division of Cancer Control and Population Sciences. List of physical activity standard questionnaires validations studies, https://epi.grants.cancer.gov/paq/validation.html (
Shea, B. J. et al. Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Medical Research Methodology 7, 10, https://doi.org/10.1186/1471-2288-7-10 (2007).
doi: 10.1186/1471-2288-7-10 pubmed: 17302989 pmcid: 1810543
Shea, B. J. et al. AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews. Journal of Clinical Epidemiology 62, 1013–1020, https://doi.org/10.1016/j.jclinepi.2008.10.009 (2009).
doi: 10.1016/j.jclinepi.2008.10.009 pubmed: 19230606
Institute of Medicine of the National Academies. Finding What Works in Health Care: Standards for Systematic Reviews. (Washington, DC: THE NATIONAL ACADEMIES PRESS 2011).
National Heart, L., and Blood Institute (NHLBI)/National Institutes of Health (NIH),. In Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies (2018).
Davids, E. & Roman, N. A systematic review of the relationship between parenting styles and children’s physical activity. Vol. 20 (2014).
Mabry, R., Koohsari, M. J., Bull, F. & Owen, N. A systematic review of physical activity and sedentary behaviour research in the oil-producing countries of the Arabian Peninsula. BMC Public Health 16, 1003, https://doi.org/10.1186/s12889-016-3642-4 (2016).
doi: 10.1186/s12889-016-3642-4 pubmed: 27655373 pmcid: 5031342
Mabry, R. M., Reeves, M. M., Eakin, E. G. & Owen, N. Evidence of physical activity participation among men and women in the countries of the Gulf cooperation council: a review. Obesity reviews: an official journal of the International Association for the Study of Obesity 11, 457–464, https://doi.org/10.1111/j.1467-789X.2009.00655.x (2010).
doi: 10.1111/j.1467-789X.2009.00655.x
Ranasinghe, C. D., Ranasinghe, P., Jayawardena, R. & Misra, A. Physical activity patterns among South-Asian adults: a systematic review. International Journal of Behavioral Nutrition and Physical Activity 10, 116, https://doi.org/10.1186/1479-5868-10-116 (2013).
doi: 10.1186/1479-5868-10-116 pubmed: 24119682
Boyle, M. H. Guidelines for evaluating prevalence studies. Evidence Based Mental Health 1, 37–39, https://doi.org/10.1136/ebmh.1.2.37 (1998).
doi: 10.1136/ebmh.1.2.37
Yammine, K. The prevalence of physical activity among the young population of UAE: a meta-analysis. Perspectives in Public Health 137, 275–280, https://doi.org/10.1177/1757913916675388 (2016).
doi: 10.1177/1757913916675388 pubmed: 27810999
Al-Hazzaa, H. M. Physical inactivity in Saudi Arabia revisited: A systematic review of inactivity prevalence and perceived barriers to active living. Int J Health Sci (Qassim) 12, 50–64 (2018).
Sharara, E., Akik, C., Ghattas, H. & Makhlouf Obermeyer, C. Physical inactivity, gender and culture in Arab countries: a systematic assessment of the literature. BMC Public Health 18, 639, https://doi.org/10.1186/s12889-018-5472-z (2018).
doi: 10.1186/s12889-018-5472-z pubmed: 29776343 pmcid: 5960209
International Physical Activity Questionnaire, https://docs.google.com/viewer?a=v&pid=sites&srcid=ZGVmYXVsdGRvbWFpbnx0aGVpcGFxfGd4OjE0NDgxMDk3NDU1YWRlZTM (2005).
World Health Organization (WHO). In Working version 5 (Geneva 2014).
Al-Hazzaa, H. M., Musaiger, A. O. & Group, A. R. Arab Teens Lifestyle Study (ATLS): objectives, design, methodology and implications. Diabetes Metab Syndr Obes 4, 417–426, https://doi.org/10.2147/DMSO.S26676 (2011).
doi: 10.2147/DMSO.S26676 pubmed: 22253540 pmcid: 3257970
Al-Hazzaa, H. M. Pedometer-determined physical activity among obese and non-obese 8- to 12-year-old Saudi schoolboys. J Physiol Anthropol 26, 459–465 (2007).
pubmed: 17704624 doi: 10.2114/jpa2.26.459
Al-Thani, M. et al. Lifestyle Patterns Are Associated with Elevated Blood Pressure among Qatari Women of Reproductive Age: A Cross-Sectional National Study. Nutrients 7, 7593–7615, https://doi.org/10.3390/nu7095355 (2015).
doi: 10.3390/nu7095355 pubmed: 26371041 pmcid: 4586550
El-Aty, M. A. et al. Metabolic Syndrome and Its Components: Secondary analysis of the World Health Survey, Oman. Sultan Qaboos Univ Med J 14, e460–467 (2014).
pubmed: 25364547 pmcid: 4205056
Mabry, R. M., Winkler, E. A., Reeves, M. M., Eakin, E. G. & Owen, N. Correlates of Omani adults’ physical inactivity and sitting time. Public Health Nutr 16, 65–72, https://doi.org/10.1017/s1368980012002844 (2013).
doi: 10.1017/s1368980012002844 pubmed: 22626450
WHO-STEPS Survey Kuwait. World Health Organization (WHO) Stepwise Approach to NCD Surveillance, Kuwait. (MOH & WHO, Kuwait City, Kuwait, 2008).
WHO-STEPS Survey Saudi Arabia. World Heath Organization (WHO) Stepwise Approach to NCD Surveillance - Country-Specific Standard Report. (MOH, WHO & EMRO, Riyadh, Saudi Arabia, 2005).
Al-Hazzaa, H. M., Abahussain, N. A., Al-Sobayel, H. I., Qahwaji, D. M. & Musaiger, A. O. Physical activity, sedentary behaviors and dietary habits among Saudi adolescents relative to age, gender and region. International Journal of Behavioral Nutrition and Physical Activity 8, 140 (2011).
pubmed: 22188825 doi: 10.1186/1479-5868-8-140
Al-Hazzaa, H. M. et al. A cross-cultural comparison of health behaviors between Saudi and British adolescents living in urban areas: gender by country analyses. Int J Environ Res Public Health 10, 6701–6720, https://doi.org/10.3390/ijerph10126701 (2013).
doi: 10.3390/ijerph10126701 pubmed: 24300072 pmcid: 3881136
Al-Hazzaa, H. M. & Al-Rasheedi, A. A. Adiposity and physical activity levels among preschool children in Jeddah, Saudi Arabia. Saudi medical journal 28, 766–773 (2007).
pubmed: 17457449
Al-Hazzaa, H. M. et al. Association of dietary habits with levels of physical activity and screen time among adolescents living in Saudi Arabia. J Hum Nutr Diet 27(Suppl 2), 204–213, https://doi.org/10.1111/jhn.12147 (2013).
doi: 10.1111/jhn.12147 pubmed: 23889093
Al-Nakeeb, Y. et al. Obesity, physical activity and sedentary behavior amongst British and Saudi youth: a cross-cultural study. Int J Environ Res Public Health 9, 1490–1506, https://doi.org/10.3390/ijerph9041490 (2012).
doi: 10.3390/ijerph9041490 pubmed: 22690207 pmcid: 3366625
Al-Nuaim, A. A. et al. The Prevalence of Physical Activity and Sedentary Behaviours Relative to Obesity among Adolescents from Al-Ahsa, Saudi Arabia: Rural versus Urban Variations. J Nutr Metab 2012, 417589, https://doi.org/10.1155/2012/417589 (2012).
doi: 10.1155/2012/417589 pubmed: 22315673 pmcid: 3270420
Allafi, A. et al. Physical activity, sedentary behaviours and dietary habits among Kuwaiti adolescents: gender differences. Public Health Nutr 17, 2045–2052, https://doi.org/10.1017/S1368980013002218 (2013).
doi: 10.1017/S1368980013002218 pubmed: 23987909
Farghaly, N. F., Ghazali, B. M., Al-Wabel, H. M., Sadek, A. A. & Abbag, F. I. Life style and nutrition and their impact on health of Saudi school students in Abha, Southwestern region of Saudi Arabia. Saudi medical journal 28, 415–421 (2007).
pubmed: 17334472
Gharib, N. M. & Rasheed, P. Obesity Among Bahraini Children and Adolescents: Prevalence And Associated Factors. Journal of the Bahrain Medical Society 20 (2008).
Guthold, R., Cowan, M. J., Autenrieth, C. S., Kann, L. & Riley, L. M. Physical activity and sedentary behavior among schoolchildren: a 34-country comparison. J Pediatr 157(43-49), e41, https://doi.org/10.1016/j.jpeds.2010.01.019 (2010).
doi: 10.1016/j.jpeds.2010.01.019
Guthold, R., Ono, T., Strong, K. L., Chatterji, S. & Morabia, A. Worldwide variability in physical inactivity a 51-country survey. American journal of preventive medicine 34, 486–494, https://doi.org/10.1016/j.amepre.2008.02.013 (2008).
doi: 10.1016/j.amepre.2008.02.013 pubmed: 18471584
Kilani, H., Al-Hazzaa, H., Waly, M. I. & Musaiger, A. Lifestyle Habits: Diet, physical activity and sleep duration among Omani adolescents. Sultan Qaboos Univ Med J 13, 510–519 (2013).
pubmed: 24273660 pmcid: 3836639 doi: 10.12816/0003309
Mahfouz, A. A. et al. Obesity and related behaviors among adolescent school boys in Abha City, Southwestern Saudi Arabia. J Trop Pediatr 54, 120–124, https://doi.org/10.1093/tropej/fmm089 (2008).
doi: 10.1093/tropej/fmm089 pubmed: 18039676
Mahfouz, A. A. et al. Nutrition, physical activity, and gender risks for adolescent obesity in Southwestern Saudi Arabia. Saudi J Gastroenterol 17, 318–322, https://doi.org/10.4103/1319-3767.84486 (2011).
doi: 10.4103/1319-3767.84486 pubmed: 21912058 pmcid: 3178919
Musaiger, A. O. & Zagzoog, N. Dietary and lifestyle habits among adolescent girls in Saudi Arabia. Nutrition & Food Science 43, 605–610 (2013).
doi: 10.1108/NFS-12-2012-0130
Yousef, S., Eapen, V., Zoubeidi, T. & Mabrouk, A. Behavioral correlation with television watching and videogame playing among children in the United Arab Emirates. Int J Psychiatry Clin Pract 18, 203–207, https://doi.org/10.3109/13651501.2013.874442 (2013).
doi: 10.3109/13651501.2013.874442
Youssef, R. M., Al Shafie, K., Al-Mukhaini, M. & Al-Balushi, H. Physical activity and perceived barriers among high-school students in Muscat, Oman. East Mediterr Health J 19, 759–768 (2013).
pubmed: 24313036 doi: 10.26719/2013.19.9.759
Pate, R. R., Pratt, M. & Blair, S. N. et al. Physical activity and public health: A recommendation from the centers for disease control and prevention and the american college of sports medicine. JAMA 273, 402–407, https://doi.org/10.1001/jama.1995.03520290054029 (1995).
doi: 10.1001/jama.1995.03520290054029 pubmed: 7823386
Human energy requirements. Scientific background papers from the Joint FAO/WHO/UNU Expert Consultation. October 17-24, 2001.. Report No. 1368-9800 (Print) 1368-9800, 929-1228 (Rome, Italy, 2005).
Tremblay, M. S. et al. New Canadian physical activity guidelines. Appl Physiol Nutr Metab 36(36-46), 47–58, https://doi.org/10.1139/h11-009 (2011).
doi: 10.1139/h11-009
Sisson, S. B. & Katzmarzyk, P. T. International prevalence of physical activity in youth and adults. Obesity reviews: an official journal of the International Association for the Study of Obesity 9, 606–614, https://doi.org/10.1111/j.1467-789X.2008.00506.x (2008).
doi: 10.1111/j.1467-789X.2008.00506.x
Khuwaja, A. K. & Kadir, M. M. Gender differences and clustering pattern of behavioural risk factors for chronic non-communicable diseases: community-based study from a developing country. Chronic Illn 6, 163–170, https://doi.org/10.1177/1742395309352255 (2010).
doi: 10.1177/1742395309352255 pubmed: 20444764
Cleland, C. L. et al. Validity of the Global Physical Activity Questionnaire (GPAQ) in assessing levels and change in moderate-vigorous physical activity and sedentary behaviour. BMC Public Health 14, 1255, https://doi.org/10.1186/1471-2458-14-1255 (2014).
doi: 10.1186/1471-2458-14-1255 pubmed: 25492375 pmcid: 4295403
Craig, C. L. et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 35, 1381–1395, https://doi.org/10.1249/01.Mss.0000078924.61453.Fb (2003).
doi: 10.1249/01.Mss.0000078924.61453.Fb pubmed: 12900694
Ainsworth, B. E. et al. Comparison of the 2001 BRFSS and the IPAQ Physical Activity Questionnaires. Medicine & Science in Sports & Exercise 38, 1584–1592, https://doi.org/10.1249/01.mss.0000229457.73333.9a (2006).
doi: 10.1249/01.mss.0000229457.73333.9a
Ekelund, U. et al. Criterion-related validity of the last 7-day, short form of the International Physical Activity Questionnaire in Swedish adults. Public Health Nutrition 9, 258–265, https://doi.org/10.1079/PHN2005840 (2006).
doi: 10.1079/PHN2005840 pubmed: 16571181
Lee, P. H., Macfarlane, D. J., Lam, T. H. & Stewart, S. M. Validity of the international physical activity questionnaire short form (IPAQ-SF): A systematic review. The International Journal of Behavioral Nutrition and Physical Activity 8, 115–115, https://doi.org/10.1186/1479-5868-8-115 (2011).
doi: 10.1186/1479-5868-8-115 pubmed: 22018588 pmcid: 3214824
Rzewnicki, R., Auweele, Y. V. & Bourdeaudhuij, I. D. Addressing overreporting on the International Physical Activity Questionnaire (IPAQ) telephone survey with a population sample. Public Health Nutrition 6, 299–305, https://doi.org/10.1079/PHN2002427 (2003).
doi: 10.1079/PHN2002427 pubmed: 12740079
Centers for Disease Control and Prevention: National Center for Cahronic Disease Prevention and Health Promotion. The Behavioral Risk Factor Surveillance System (BRFSS) questionnaire. (U.S 2018).
Australian Institute of Health and Welfare (AIHW). The Active Australia Survey: a guide and manual for implementation, analysis and reporting. (Canberra, Australia 2003).
Alkahtani, S. A. Convergent validity: agreement between accelerometry and the Global Physical Activity Questionnaire in college-age Saudi men. BMC Research Notes 9, 436, https://doi.org/10.1186/s13104-016-2242-9 (2016).
doi: 10.1186/s13104-016-2242-9 pubmed: 27608684 pmcid: 5016864
Healy, G. N. et al. Measurement of Adults’ Sedentary Time in Population-Based Studies. American journal of preventive medicine 41, 216–227, https://doi.org/10.1016/j.amepre.2011.05.005 (2011).
doi: 10.1016/j.amepre.2011.05.005 pubmed: 21767730 pmcid: 3179387
Sallis, J. F. Measuring Physical Activity: Practical Approaches for Program Evaluation in Native American Communities. Journal of public health management and practice: JPHMP 16, 404–410, https://doi.org/10.1097/PHH.0b013e3181d52804 (2010).
doi: 10.1097/PHH.0b013e3181d52804 pubmed: 20689389
Graf, C. et al. Feasibility and acceptance of exercise recommendations (10,000 steps a day) within routine German health check (Check-Up 35/GOÄ29)—study protocol. Pilot and Feasibility Studies 2, 52, https://doi.org/10.1186/s40814-016-0092-9 (2016).
doi: 10.1186/s40814-016-0092-9 pubmed: 27965869 pmcid: 5154129
Tudor-Locke, C. et al. BMI-referenced standards for recommended pedometer-determined steps/day in children. Preventive Medicine 38, 857–864, https://doi.org/10.1016/j.ypmed.2003.12.018 (2004).
doi: 10.1016/j.ypmed.2003.12.018 pubmed: 15193909
Beets, M., Beighle, A., Bottai, M., Rooney, L. & Tilley, F. Pedometer-Determined Step-Count Guidelines for Afterschool Programs. Vol. 9 (2012).
Harrington, D. M. et al. Step-based translation of physical activity guidelines in the Lower Mississippi Delta. Applied Physiology, Nutrition, and Metabolism 36, 583–585, https://doi.org/10.1139/h11-053 (2011).
doi: 10.1139/h11-053 pubmed: 21854159
Tudor-Locke, C., Williams, J. E., Reis, J. P. & Pluto, D. Utility of pedometers for assessing physical activity: convergent validity. Sports Med 32, 795–808, https://doi.org/10.2165/00007256-200232120-00004 (2002).
doi: 10.2165/00007256-200232120-00004 pubmed: 12238942
Rowlands, A. V. & Eston, R. G. Comparison of accelerometer and pedometer measures of physical activity in boys and girls, ages 8-10 years. Research quarterly for exercise and sport 76, 251–257, https://doi.org/10.1080/02701367.2005.10599296 (2005).
doi: 10.1080/02701367.2005.10599296 pubmed: 16270702
Beets, M. et al. Convergent Validity of Pedometer and Accelerometer Estimates of Moderate-to-Vigorous Physical Activity of Youth. Vol. 8 Suppl 2 (2011).
McNamara, E., Hudson, Z. & Taylor, S. J. C. Measuring activity levels of young people: the validity of pedometers. British Medical Bulletin 95, 121–137, https://doi.org/10.1093/bmb/ldq016 (2010).
doi: 10.1093/bmb/ldq016 pubmed: 20562207
Al-Hazzaa, H. M., Al-Sobayel, H. I. & Musaiger, A. O. Convergent Validity of the Arab Teens Lifestyle Study (ATLS) Physical Activity Questionnaire. International Journal of Environmental Research and Public Health 8, 3810 (2011).
pubmed: 22016718 pmcid: 3194119 doi: 10.3390/ijerph8093810
Hidding, L. M., Altenburg, T. M., Mokkink, L. B., Terwee, C. B. & Chinapaw, M. J. M. Systematic review of childhood sedentary behavior questionnaires: What do we know and what is next? Sports Med 47, https://doi.org/10.1007/s40279-016-0610-1 (2017).
Kim, Y., Welk, G. J., Braun, S. I. & Kang, M. Extracting objective estimates of sedentary behavior from accelerometer data: measurement considerations for surveillance and research applications. PLoS One 10, https://doi.org/10.1371/journal.pone.0118078 (2015).
Klaren, R. E., Hubbard, E. A., Zhu, W. & Motl, R. W. Reliability of accelerometer scores for measuring sedentary and physical activity behaviors in persons with multiple sclerosis. Adapt Phys Act Quart 33, https://doi.org/10.1123/apaq.2015-0007 (2016).
Manns, P., Ezeugwu, V., Armijo-Olivo, S., Vallance, J. & Healy, G. N. Accelerometer-Derived Pattern of Sedentary and Physical Activity Time in Persons with Mobility Disability: National Health and Nutrition Examination Survey 2003 to 2006. J Am Geriatr Soc 63, https://doi.org/10.1111/jgs.13490 (2015).
Peterson, N. E., Sirard, J. R., Kulbok, P. A., DeBoer, M. D. & Erickson, J. M. Validation of accelerometer thresholds and inclinometry for measurement of sedentary behavior in young adult University students. Res Nurs Health 38, https://doi.org/10.1002/nur.21694 (2015).
Trost, S. G., McIver, K. L. & Pate, R. R. Conducting accelerometer-based activity assessments in field-based research. Med Sci Sports Exerc 37, S531–543 (2005).
pubmed: 16294116 pmcid: 16294116 doi: 10.1249/01.mss.0000185657.86065.98
Tudor-Locke, C., Craig, C. L., Thyfault, J. P. & Spence, J. C. A step-defined sedentary lifestyle index: <5000 steps/day. Applied Physiology, Nutrition, and Metabolism 38, 100–114, https://doi.org/10.1139/apnm-2012-0235 (2012).
doi: 10.1139/apnm-2012-0235 pubmed: 23438219
Al-Hazzaa Physical activity profile of college male students. King Saud University Journal (Educational Sciences) 2, 383–396 (1990).
Gawwad, E. S. A. Stages of change in physical activity, self efficacy and decisional balance among saudi university students. Journal of family & community medicine 15, 107–115 (2008).
Khalaf, A. et al. Female university students’ physical activity levels and associated factors–a cross-sectional study in southwestern Saudi Arabia. Int J Environ Res Public Health 10, 3502–3517, https://doi.org/10.3390/ijerph10083502 (2013).
doi: 10.3390/ijerph10083502 pubmed: 23939387 pmcid: 3774451
Awadalla, N. J. et al. Assessment of physical inactivity and perceived barriers to physical activity among health college students, south-western Saudi Arabia. East Mediterr Health J 20, 596–604 (2014).
pubmed: 25356690 doi: 10.26719/2014.20.10.596
Amin, T. T., Suleman, W., Ali, A., Gamal, A. & Al Wehedy, A. Pattern, prevalence, and perceived personal barriers toward physical activity among adult Saudis in Al-Hassa, KSA. J Phys Act Health 8, 775–784, https://doi.org/10.1123/jpah.8.6.775 (2011).
doi: 10.1123/jpah.8.6.775 pubmed: 21832292
Majeed, F. Association of BMI with diet and physical activity of female medical students at the University of Dammam, Kingdom of Saudi Arabia. Journal of Taibah University Medical Sciences 10, 188–196, https://doi.org/10.1016/j.jtumed.2014.11.004 (2015).
doi: 10.1016/j.jtumed.2014.11.004
Al-Otaibi, H. H. Measuring stages of change, perceived barriers and self efficacy for physical activity in Saudi Arabia. Asian Pac J Cancer Prev 14, 1009–1016, https://doi.org/10.7314/apjcp.2013.14.2.1009 (2013).
doi: 10.7314/apjcp.2013.14.2.1009 pubmed: 23621177
Mandil, A. M., Alfurayh, N. A., Aljebreen, M. A. & Aldukhi, S. A. Physical activity and major non-communicable diseases among physicians in Central Saudi Arabia. Saudi medical journal 37, 1243–1250, https://doi.org/10.15537/smj.2016.11.16268 (2016).
doi: 10.15537/smj.2016.11.16268 pubmed: 27761564 pmcid: 5303803
Bajamal, E. et al. Physical Activity Among Female Adolescents in Jeddah, Saudi Arabia: A Health Promotion Model-Based Path Analysis. Nurs Res 66, 473–482, https://doi.org/10.1097/nnr.0000000000000244 (2017).
doi: 10.1097/nnr.0000000000000244 pubmed: 29095378
Al-Nozha, M. M. et al. Prevalence of physical activity and inactivity among Saudis aged 30-70 years. A population-based cross-sectional study. Saudi medical journal 28, 559–568 (2007).
pubmed: 17457478
Alam, A. A. Obesity among female school children in North West Riyadh in relation to affluent lifestyle. Saudi medical journal 29, 1139–1144 (2008).
pubmed: 18690307
Alsubaie, A. S. R. & Omer, E. O. M. Physical Activity Behavior Predictors, Reasons and Barriers among Male Adolescents in Riyadh, Saudi Arabia: Evidence for Obesogenic Environment. Int. J Health Sci (Qassim) 9, 400–408 (2015).
AlQuaiz, A. M. & Tayel, S. A. Barriers to a healthy lifestyle among patients attending primary care clinics at a university hospital in Riyadh. Annals of Saudi medicine 29, 30–35, https://doi.org/10.4103/0256-4947.51818 (2009).
doi: 10.4103/0256-4947.51818 pubmed: 19139617 pmcid: 2813614
Samara, A., Nistrup, A., Al-Rammah, T. Y. & Aro, A. R. Lack of facilities rather than sociocultural factors as the primary barrier to physical activity among female Saudi university students. Int. J Womens Health 7, 279–286, https://doi.org/10.2147/ijwh.S80680 (2015).
doi: 10.2147/ijwh.S80680
Al-Hazzaa, H. M. et al. Patterns and determinants of physical activity among Saudi adolescents. J Phys Act Health 11, 1202–1211, https://doi.org/10.1123/jpah.2012-0427 (2014).
doi: 10.1123/jpah.2012-0427 pubmed: 23963597
Berger, G. & Peerson, A. Giving young Emirati women a voice: participatory action research on physical activity. Health Place 15, 117–124, https://doi.org/10.1016/j.healthplace.2008.03.003 (2009).
doi: 10.1016/j.healthplace.2008.03.003 pubmed: 18515171
Kim, H. J., Choi-Kwon, S., Kim, H., Park, Y. H. & Koh, C. K. Health-promoting lifestyle behaviors and psychological status among Arabs and Koreans in the United Arab Emirates. Res Nurs Health 38, 133–141, https://doi.org/10.1002/nur.21644 (2015).
doi: 10.1002/nur.21644 pubmed: 25620727
Mabry, R. M., Al-Busaidi, Z. Q., Reeves, M. M., Owen, N. & Eakin, E. G. Addressing physical inactivity in Omani adults: perceptions of public health managers. Public Health Nutr 17, 674–681, https://doi.org/10.1017/s1368980012005678 (2014).
doi: 10.1017/s1368980012005678 pubmed: 23347388
Huang, N.-C., Kung, S.-F. & Hu, S. The Relationship between Urbanization, the Built Environment, and Physical Activity among Older Adults in Taiwan. International Journal of Environmental Research and Public Health 15, 836 (2018).
pmcid: 5981875 doi: 10.3390/ijerph15050836
Kabisch, N., van den Bosch, M. & Lafortezza, R. The health benefits of nature-based solutions to urbanization challenges for children and the elderly - A systematic review. Environmental research 159, 362–373, https://doi.org/10.1016/j.envres.2017.08.004 (2017).
doi: 10.1016/j.envres.2017.08.004 pubmed: 28843167
McCloskey, M. L. et al. Disparities in dietary intake and physical activity patterns across the urbanization divide in the Peruvian Andes. International Journal of Behavioral Nutrition and Physical Activity 14, 90, https://doi.org/10.1186/s12966-017-0545-4 (2017).
doi: 10.1186/s12966-017-0545-4 pubmed: 28693514
Eime, R. M. et al. The relationship of sport participation to provision of sports facilities and socioeconomic status: a geographical analysis. Australian and New Zealand Journal of Public Health 41, 248–255, https://doi.org/10.1111/1753-6405.12647 (2017).
doi: 10.1111/1753-6405.12647 pubmed: 28110514
O’Donoghue, G. et al. Socio-economic determinants of physical activity across the life course: A “Determinants of DIet and Physical ACtivity” (DEDIPAC) umbrella literature review. PLOS ONE 13, e0190737, https://doi.org/10.1371/journal.pone.0190737 (2018).
doi: 10.1371/journal.pone.0190737 pubmed: 29351286 pmcid: 5774703
Al-Rukban, M. O. Obesity among Saudi male adolescents in Riyadh, Saudi Arabia. Saudi medical journal 24, 27–33 (2003).
pubmed: 12590269
Alquaiz, A. M. et al. Correlates of cardiovascular disease risk scores in women in Riyadh, Kingdom of Saudi Arabia. Women Health 55, 103–117, https://doi.org/10.1080/03630242.2014.972020 (2015).
doi: 10.1080/03630242.2014.972020 pubmed: 25569108
Al-Gelban, K. S. Dietary habits and exercise practices among the students of a Saudi Teachers’ Training College. Saudi medical journal 29, 754–759 (2008).
pubmed: 18454227
Memish, Z. A. et al. Burden of disease, injuries, and risk factors in the Kingdom of Saudi Arabia, 1990-2010. Prev Chronic Dis 11, E169, https://doi.org/10.5888/pcd11.140176 (2014).
doi: 10.5888/pcd11.140176 pubmed: 25275806 pmcid: 4184091
Al-Baghli, N. A. et al. Overweight and obesity in the eastern province of Saudi Arabia. Saudi medical journal 29, 1319–1325 (2008).
pubmed: 18813420
Al-Mutairi, R. L., Bawazir, A. A., Ahmed, A. E. & Jradi, H. Health beliefs related to diabetes mellitus prevention among adolescents in Saudi Arabia. Sultan Qaboos University Medical Journal 15, e398 (2015).
pubmed: 26355752 pmcid: 4554276 doi: 10.18295/squmj.2015.15.03.015
Musaiger, A. O. et al. Perceived barriers to weight maintenance among university students in Kuwait: the role of gender and obesity. Environ Health Prev Med 19, 207–214, https://doi.org/10.1007/s12199-013-0377-z (2014).
doi: 10.1007/s12199-013-0377-z pubmed: 24402439 pmcid: 4019762
Rahim, H. F. et al. Non-communicable diseases in the Arab world. Lancet 383, 356–367, https://doi.org/10.1016/s0140-6736(13)62383-1 (2014).
doi: 10.1016/s0140-6736(13)62383-1 pubmed: 24452044
Baglar, R. “Oh God, save us from sugar”: an ethnographic exploration of diabetes mellitus in the United Arab Emirates. Med Anthropol 32, 109–125, https://doi.org/10.1080/01459740.2012.671399 (2013).
doi: 10.1080/01459740.2012.671399 pubmed: 23406063
Al-Rafaee, S. A. & Al-Hazzaa, H. M. Physical activity profile of adult males in Riyadh City. Saudi medical journal 22, 784–789 (2001).
pubmed: 11590453
Al-Kandari, F. & Vidal, V. L. Correlation of the health-promoting lifestyle, enrollment level, and academic performance of College of Nursing students in Kuwait. Nurs Health Sci 9, 112–119, https://doi.org/10.1111/j.1442-2018.2007.00311.x (2007).
doi: 10.1111/j.1442-2018.2007.00311.x pubmed: 17470185
Ali, H. I., Baynouna, L. M. & Bernsen, R. M. Barriers and facilitators of weight management: perspectives of Arab women at risk for type 2 diabetes. Health Soc Care Community 18, 219–228, https://doi.org/10.1111/j.1365-2524.2009.00896.x (2010).
doi: 10.1111/j.1365-2524.2009.00896.x pubmed: 20059569
Al Junaibi, A., Abdulle, A., Sabri, S., Hag-Ali, M. & Nagelkerke, N. The prevalence and potential determinants of obesity among school children and adolescents in Abu Dhabi, United Arab Emirates. Int J Obes (Lond) 37, 68–74, https://doi.org/10.1038/ijo.2012.131 (2013).
doi: 10.1038/ijo.2012.131
Ng, S. W. et al. Nutrition transition in the United Arab Emirates. Eur J Clin Nutr 65, 1328–1337, https://doi.org/10.1038/ejcn.2011.135 (2011).
doi: 10.1038/ejcn.2011.135 pubmed: 21772317 pmcid: 3304306
Albawardi, N. M., Jradi, H. & Al-Hazzaa, H. M. Levels and correlates of physical activity, inactivity and body mass index among Saudi women working in office jobs in Riyadh city. BMC Womens Health 16, 33, https://doi.org/10.1186/s12905-016-0312-8 (2016).
doi: 10.1186/s12905-016-0312-8 pubmed: 27323844 pmcid: 4915164
Amin, T. T., Al Khoudair, A. S., Al Harbi, M. A. & Al Ali, A. R. Leisure time physical activity in Saudi Arabia: prevalence, pattern and determining factors. Asian Pac J Cancer Prev 13, 351–360, https://doi.org/10.7314/apjcp.2012.13.1.351 (2012).
doi: 10.7314/apjcp.2012.13.1.351 pubmed: 22502700
Al-Hazzaa, H. M. Health-enhancing physical activity among Saudi adults using the International Physical Activity Questionnaire (IPAQ). Public Health Nutr 10, 59–64, https://doi.org/10.1017/S1368980007184299 (2007).
doi: 10.1017/S1368980007184299 pubmed: 17212844
Taha, A. Z. Self-reported knowledge and pattern of physical activity among school students in Al Khobar, Saudi Arabia. East Mediterr Health J 14, 344–355 (2008).
pubmed: 18561726
Al-Sobayel, H., Al-Hazzaa, H. M., Abahussain, N. A., Qahwaji, D. M. & Musaiger, A. O. Gender differences in leisure-time versus non-leisure-time physical activity among Saudi adolescents. Ann Agric Environ Med 22, 344–348, https://doi.org/10.5604/12321966.1152091 (2015).
doi: 10.5604/12321966.1152091 pubmed: 26094536
Collison, K. S. et al. Sugar-sweetened carbonated beverage consumption correlates with BMI, waist circumference, and poor dietary choices in school children. BMC Public Health 10, 234, https://doi.org/10.1186/1471-2458-10-234 (2010).
doi: 10.1186/1471-2458-10-234 pubmed: 20459689 pmcid: 2877673
Al-Kandari, Y. Y. Prevalence of obesity in Kuwait and its relation to sociocultural variables. Obesity reviews: an official journal of the International Association for the Study of Obesity 7, 147–154, https://doi.org/10.1111/j.1467-789X.2006.00231.x (2006).
doi: 10.1111/j.1467-789X.2006.00231.x
Carter, A. O., Saadi, H. F., Reed, R. L. & Dunn, E. V. Assessment of obesity, lifestyle, and reproductive health needs of female citizens of Al Ain, United Arab Emirates. J Health Popul Nutr 22, 75–83 (2004).
pubmed: 15190815
Garawi, F., Ploubidis, G. B., Devries, K., Al-Hamdan, N. & Uauy, R. Do routinely measured risk factors for obesity explain the sex gap in its prevalence? Observations from Saudi Arabia. BMC public health 15, 254–254, https://doi.org/10.1186/s12889-015-1608-6 (2015).
doi: 10.1186/s12889-015-1608-6 pubmed: 25848853 pmcid: 4371623
Amin, T. T. et al. Physical activity and cancer prevention: awareness and meeting the recommendations among adult Saudis. Asian Pac J Cancer Prev 15, 2597–2606, https://doi.org/10.7314/apjcp.2014.15.6.2597 (2014).
doi: 10.7314/apjcp.2014.15.6.2597 pubmed: 24761870
Al-Isa, A. N., Campbell, J., Desapriya, E. & Wijesinghe, N. Social and Health Factors Associated with Physical Activity among Kuwaiti College Students. J Obes 2011, 512363, https://doi.org/10.1155/2011/512363 (2011).
doi: 10.1155/2011/512363 pubmed: 21603221 pmcid: 3092689
Sabri, S. et al. Some risk factors for hypertension in the United Arab Emirates. East Mediterr Health J 10, 610–619 (2004).
pubmed: 16335653
Al-Nakeeb, Y., Lyons, M., Dodd, L. J. & Al-Nuaim, A. An investigation into the lifestyle, health habits and risk factors of young adults. Int J Environ Res Public Health 12, 4380–4394, https://doi.org/10.3390/ijerph120404380 (2015).
doi: 10.3390/ijerph120404380 pubmed: 25913183 pmcid: 4410253
Khalid, M. E. M. The association between strenuous physical activity and obesity in high and low altitude populations in southern Saudi Arabia. International journal of obesity and related metabolic disorders: journal of the International Association for the Study of Obesity 19, 776–780 (1995).
Assah, F. K., Ekelund, U., Brage, S., Mbanya, J. C. & Wareham, N. J. Urbanization, physical activity, and metabolic health in sub-Saharan Africa. Diabetes Care 34, 491–496, https://doi.org/10.2337/dc10-0990 (2011).
doi: 10.2337/dc10-0990 pubmed: 21270205 pmcid: 3024374
Sullivan, R. et al. Socio-demographic patterning of physical activity across migrant groups in India: results from the Indian Migration Study. PLoS One 6, e24898, https://doi.org/10.1371/journal.pone.0024898 (2011).
doi: 10.1371/journal.pone.0024898 pubmed: 22022366 pmcid: 3194815
Monda, K. L., Gordon-Larsen, P., Stevens, J. & Popkin, B. M. China’s transition: The effect of rapid urbanization on adult occupational physical activity. Social Science & Medicine 64, 858–870, https://doi.org/10.1016/j.socscimed.2006.10.019 (2007).
doi: 10.1016/j.socscimed.2006.10.019
Shediac-Rizkallah, M. C., Soweid, R. A. A., Farhat, T. M. & Yeretzian, J. Adolescent health-related behaviors in postwar Lebanon: findings among students at the American University of Beirut. International quarterly of community health education 20, 115–131 (2000).
doi: 10.2190/UM5G-3EJN-NAC1-FG8J
Fazah, A. et al. Activity, inactivity and quality of life among Lebanese adolescents. Pediatr Int 52, 573–578, https://doi.org/10.1111/j.1442-200X.2009.03021.x (2010).
doi: 10.1111/j.1442-200X.2009.03021.x pubmed: 20030747
Jabre, P., Sikias, P., Khater-Menassa, B., Baddoura, R. & Awada, H. Overweight children in Beirut: prevalence estimates and characteristics. Child Care Health Dev 31, 159–165, https://doi.org/10.1111/j.1365-2214.2004.00458.x (2005).
doi: 10.1111/j.1365-2214.2004.00458.x pubmed: 15715695
Rguibi, M. & Belahsen, R. High blood pressure in urban Moroccan Sahraoui women. J Hypertens 25, 1363–1368, https://doi.org/10.1097/HJH.0b013e3280f31b83 (2007).
doi: 10.1097/HJH.0b013e3280f31b83 pubmed: 17563556
Rguibi, M. & Belahsen, R. Overweight and obesity among urban Sahraoui women of South Morocco. Ethn Dis 14, 542–547 (2004).
pubmed: 15724774
El-Gilany, A. H., Badawi, K., El-Khawaga, G. & Awadalla, N. Physical activity profile of students in Mansoura University, Egypt. East Mediterr Health J 17, 694–702 (2011).
pubmed: 21977573 doi: 10.26719/2011.17.8.694
Abolfotouh, M. A., Bassiouni, F. A., Mounir, G. M. & Fayyad, R. Health-related lifestyles and risk behaviours among students living in Alexandria University Hostels. East Mediterr Health J 13, 376–391 (2007).
pubmed: 17684859
Nsour, M., Mahfoud, Z., Kanaan, M. N. & Balbeissi, A. Prevalence and predictors of nonfatal myocardial infarction in Jordan. East Mediterr Health J 14, 818–830 (2008).
pubmed: 19166165
Madanat, H. & Merrill, R. M. Motivational factors and stages of change for physical activity among college students in Amman, Jordan. Promotion & education 13, 185–190 (2006).
doi: 10.1177/175797590601300303
Musaiger, A. O. et al. Perceived barriers to healthy eating and physical activity among adolescents in seven Arab countries: a cross-cultural study. ScientificWorldJournal 2013, 232164, https://doi.org/10.1155/2013/232164 (2013).
doi: 10.1155/2013/232164 pubmed: 24348144 pmcid: 3848306
Musharrafieh, U. et al. Determinants of university students physical exercise: a study from Lebanon. Int J Public Health 53, 208–213, https://doi.org/10.1007/s00038-008-7037-x (2008).
doi: 10.1007/s00038-008-7037-x pubmed: 18716725
Hallaj, F. A., El Geneidy, M. M., Mitwally, H. H. & Ibrahim, H. S. Activity patterns of residents in homes for the elderly in Alexandria, Egypt. East Mediterr Health J 16, 1183–1188 (2010).
pubmed: 21218743 doi: 10.26719/2010.16.11.1183
Aounallah-Skhiri, H. et al. Health and behaviours of Tunisian school youth in an era of rapid epidemiological transition. East Mediterr Health J 15, 1201–1214 (2009).
pubmed: 20214134
Lachheb, M. Religion in practice. The veil in the sporting space in Tunisia. Social Compass 59, 120–135 (2012).
doi: 10.1177/0037768611432122
Rguibi, M. & Belahsen, R. Fattening practices among Moroccan Saharawi women. East Mediterr Health J 12, 619–624 (2006).
pubmed: 17333802
El Rhazi, K. et al. Prevalence of obesity and associated sociodemographic and lifestyle factors in Morocco. Public Health Nutr 14, 160–167, https://doi.org/10.1017/s1368980010001825 (2011).
doi: 10.1017/s1368980010001825 pubmed: 20602865
Abdul-Rahim, H. F. et al. Obesity in a rural and an urban Palestinian West Bank population. International journal of obesity and related metabolic disorders: journal of the International Association for the Study of Obesity 27, 140–146, https://doi.org/10.1038/sj.ijo.0802160 (2003).
doi: 10.1038/sj.ijo.0802160
Sirdah, M. M., Al Laham, N. A. & Abu Ghali, A. S. Prevalence of metabolic syndrome and associated socioeconomic and demographic factors among Palestinian adults (20-65 years) at the Gaza Strip. Diabetes Metab Syndr 5, 93–97, https://doi.org/10.1016/j.dsx.2012.02.024 (2011).
doi: 10.1016/j.dsx.2012.02.024 pubmed: 22813411
Gharaibeh, M., Al-Ma’aitah, R. & Al Jada, N. Lifestyle practices of Jordanian pregnant women. Int Nurs Rev 52, 92–100, https://doi.org/10.1111/j.1466-7657.2005.00257.x (2005).
doi: 10.1111/j.1466-7657.2005.00257.x pubmed: 15842321
Haddad, L. G., Owies, A. & Mansour, A. Wellness appraisal among adolescents in Jordan: a model from a developing country: a cross-sectional questionnaire survey. Health Promot Int 24, 130–139, https://doi.org/10.1093/heapro/dap013 (2009).
doi: 10.1093/heapro/dap013 pubmed: 19304735
Sibai, A. M., Costanian, C., Tohme, R., Assaad, S. & Hwalla, N. Physical activity in adults with and without diabetes: from the ‘high-risk’ approach to the ‘population-based’ approach of prevention. BMC Public Health 13, 1002, https://doi.org/10.1186/1471-2458-13-1002 (2013).
doi: 10.1186/1471-2458-13-1002 pubmed: 24153099 pmcid: 4015809
Al-Tannir, M., Kobrosly, S., Itani, T., El-Rajab, M. & Tannir, S. Prevalence of physical activity among Lebanese adults: a cross-sectional study. Journal of Physical Activity and Health 6, 315–320 (2009).
pubmed: 19564659 doi: 10.1123/jpah.6.3.315
Najdi, A. et al. Correlates of physical activity in Morocco. Preventive medicine 52, 355–357 (2011).
pubmed: 21419160 doi: 10.1016/j.ypmed.2011.03.009
Fouad, M., Rastam, S., Ward, K. & Maziak, W. Prevalence of obesity and its associated factors in Aleppo, Syria. Prev Control 2, 85–94, https://doi.org/10.1016/j.precon.2006.09.001 (2006).
doi: 10.1016/j.precon.2006.09.001 pubmed: 18040524 pmcid: 2094121
Al Ali, R., Rastam, S., Fouad, F. M., Mzayek, F. & Maziak, W. Modifiable cardiovascular risk factors among adults in Aleppo, Syria. International journal of public health 56, 653–662 (2011).
pubmed: 21814848 doi: 10.1007/s00038-011-0278-0
Al Sabbah, H., Vereecken, C., Kolsteren, P., Abdeen, Z. & Maes, L. Food habits and physical activity patterns among Palestinian adolescents: findings from the national study of Palestinian schoolchildren (HBSC-WBG2004). Public health nutrition 10, 739–746 (2007).
pubmed: 17381946 doi: 10.1017/S1368980007665501
Al-Tawil, N. G., Abdulla, M. M. & Abdul Ameer, A. J. Prevalence of and factors associated with overweight and obesity among a group of Iraqi women. East Mediterr Health J 13, 420–429 (2007).
pubmed: 17684862
Centers for Disease Control and Prevention. Prevalence of selected risk factors for chronic disease–Jordan, 2002. MMWR. Morbidity and mortality weekly report 52, 1042 (2003).
Moukhyer, M., Van Eijk, J., De Vries, N. & Bosma, H. Health-related behaviors of Sudanese adolescents. Education for health 21, 184 (2008).
pubmed: 19034840
Chamieh, M. C. et al. Diet, physical activity and socio-economic disparities of obesity in Lebanese adults: findings from a national study. BMC Public Health 15, 279, https://doi.org/10.1186/s12889-015-1605-9 (2015).
doi: 10.1186/s12889-015-1605-9 pubmed: 25880751 pmcid: 4373105
Batnitzky, A. Obesity and household roles: gender and social class in Morocco. Sociol Health Illn 30, 445–462, https://doi.org/10.1111/j.1467-9566.2007.01067.x (2008).
doi: 10.1111/j.1467-9566.2007.01067.x pubmed: 18373507
Aounallah-Skhiri, H. et al. Nutritional status of Tunisian adolescents: associated gender, environmental and socio-economic factors. Public Health Nutr 11, 1306–1317, https://doi.org/10.1017/s1368980008002693 (2008).
doi: 10.1017/s1368980008002693 pubmed: 18561866
Maatoug, J. et al. Clustering of risk factors with smoking habits among adults, Sousse, Tunisia. Preventing chronic disease 10, E211–E211, https://doi.org/10.5888/pcd10.130075 (2013).
doi: 10.5888/pcd10.130075 pubmed: 24355104 pmcid: 3869528
Chacar, H. R. & Salameh, P. Public schools adolescents’ obesity and growth curves in Lebanon. J Med Liban 59, 80–88 (2011).
pubmed: 21834492
Salazar-Martinez, E. et al. Overweight and obesity status among adolescents from Mexico and Egypt. Arch Med Res 37, 535–542, https://doi.org/10.1016/j.arcmed.2005.10.014 (2006).
doi: 10.1016/j.arcmed.2005.10.014 pubmed: 16624655
Ammouri, A. A., Neuberger, G., Nashwan, A. J. & Al‐Haj, A. M. Determinants of self‐reported physical activity among Jordanian adults. Journal of Nursing Scholarship 39, 342–348 (2007).
pubmed: 18021135 doi: 10.1111/j.1547-5069.2007.00191.x
Mahasneh, S. M. Health perceptions and health behaviours of poor urban Jordanian women. J Adv Nurs 36, 58–68, https://doi.org/10.1046/j.1365-2648.2001.01943.x (2001).
doi: 10.1046/j.1365-2648.2001.01943.x pubmed: 11555050

Auteurs

Sonia Chaabane (S)

Institute for Population Health, Weill Cornell Medicine-Qatar, Doha, Qatar.

Karima Chaabna (K)

Institute for Population Health, Weill Cornell Medicine-Qatar, Doha, Qatar. kac2047@qatar-med.cornell.edu.

Amit Abraham (A)

Institute for Population Health, Weill Cornell Medicine-Qatar, Doha, Qatar.

Ravinder Mamtani (R)

Institute for Population Health, Weill Cornell Medicine-Qatar, Doha, Qatar.

Sohaila Cheema (S)

Institute for Population Health, Weill Cornell Medicine-Qatar, Doha, Qatar.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH