Objectively Assessed Physical Activity and Associated Factors Among Adults in Peri-Urban and Rural Eastern Uganda: A Population-based Study

in Journal of Physical Activity and Health
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Background:

Data on physical inactivity, a known risk factor for noncommunicable diseases and its correlates in sub-Saharan Africa are almost absent. We assessed physical activity patterns and associated factors among adults.

Methods:

A populationbased study of 1208 adults was conducted in the Iganga-Mayuge Health and Demographic Surveillance Site, Uganda. Physical activity was assessed using a pedometer for 7 days. Physical inactivity was defined as a daily average of < 7500 steps while sedentary behavior was defined as a daily average of < 5000 steps. Logistic regression was conducted to identify factors associated with physical inactivity and sedentary behavior.

Results:

Of the 1208 participants, 18.8% were sedentary (10.6% of men; 26.9% of women, P < .001), 37.6% were physically inactive (28.5% of men; 46.6% of women, P < .001). Factors associated with sedentary behavior were being female, ≥ 65 years, peri-urban residence, being a domestic worker, formal employment and lower primary education. Factors associated with physical inactivity were being female, 55 to 64 years, ≥ 65 years, peri-urban residence, overweight and obesity.

Conclusions:

Sedentary behavior and physical inactivity were prevalent among the adult population. Targeted physical activity promotion interventions are needed.

Kirunda is with the Dept of Epidemiology and Biostatistics, Makerere University School of Public Health, Kampala, Uganda; and the Centre for International Health, University of Bergen, Bergen, Norway. Wamani is with the Dept of Community Health and Behavioural Sciences, Makerere University School of Public Health, Kampala, Uganda. Fadnes, Van den Broeck, and Tylleskär are with the Centre for International Health, University of Bergen, Bergen, Norway. Fadnes is also with the Dept of Clinical Dentistry, University of Bergen, Bergen, Norway.

Kirunda (bkirunda@musph.ac.ug) is corresponding author.

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