The Prevalence and 5-Year Incidence Rate of Low Physical Activity in an Urban Population of 10,000 in Southeastern Iran: Relationship With Other Cardiovascular Risk Factors

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Hamid Najafipour
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Masoomeh Kahnooji
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Mohammad Reza Baneshi
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Mahboobeh Yeganeh
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Milad Ahmadi Gohari
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Mitra Shadkam Farokhi
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Ali Mirzazadeh
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Background: Because of high prevalence of coronary artery diseases (CADs) in Iran and their relationship with low physical activity (LPA), this study aimed to measure the epidemic size of LPA, its incidence rate, and its relationship with other CAD risk factors in Kerman, Iran. Methods: About 10,000 adults were randomly recruited through single-stage cluster sampling. Demographic characteristics, biochemical variables, smoking, opium use, mental status, and physical activities were assessed. The relationship between LPA and 7 other CAD risk factors was measured. Five-year incidence rate of LPA was calculated according to the data from the physically active participants in the first phase of the study (n = 3416) who attended the second phase after 5 years. Results: The prevalence of low, moderate, and intense physical activity was 47.2%, 34.8%, and 18.0%, respectively. LPA rose from 45.1% to 62.2% after the age of 25 years. Women had higher LPA than men. Participants with LPA had significantly higher chance of cigarette smoking, diabetes, overweight/obesity, hypertension, and opium addiction. Five-year incidence rate of LPA was 5.1 persons/100 person-years among physically active population. Conclusion: Almost half of the studied population suffering from LPA was at risk of CAD. Such risky lifestyle pattern while worsened in the last 5 years makes the emerging of CAD epidemic unavoidable, if appropriate timely interventions not being in place accordingly.

Najafipour is with the Department of Physiology and Pharmacology, Cardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences; Kahnooji is with the Physiology Research Center, Institute of Basic and Clinical Physiology Sciences; Baneshi and Ahmadi Gohari are with the Department of Biostatistics, Modeling in Health Research Center, Institute for Futures Studies in Health; Yeganeh is with the Gastroenterology and Hepatology Research Center, Institute of Basic and Clinical Physiology Sciences; Shadkam Farokhi is with the Endocrinology and Metabolism Research Center, Institute of Basic and Clinical Physiology Sciences; Kerman University of Medical Sciences, Kerman, Iran. Mirzazadeh is with the Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA. Kahnooji is also with the Physiology Research Center and Department of Cardiology, Shafa Hospital, Kerman, Iran.

Kahnooji (kahnooji4868@gmail.com) is corresponding author.
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  • 1.

    WHO. Cardiovascular Diseases (CVDs). Fact sheet. 2011. Available at http://www.who.int/mediacentre/factsheets/fs317/en/index.html

  • 2.

    Fuster V, Kelly BB, Vedanthan R. Global cardiovascular health: urgent need for an intersectoral approach. J Am Coll Cardiol. 2011;58(12):12081210. PubMed ID: 21903051 doi:10.1016/j.jacc.2011.05.038

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Sadeghi M, Haghdoost AA, Bahrampour A, Dehghani M. Modeling the burden of cardiovascular diseases in Iran from 2005 to 2025: the impact of demographic changes. Iran J Public Health. 2017;46(4):506516. PubMed ID: 28540267

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Saadat S, Yousefifard M, Asady H, Jafari AM, Fayaz M, Hosseini M. The most important causes of death in Iranian population; a Retrospective Cohort Study. Emergency. 2015;3(1):1621. PubMed ID: 26512364

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    WHO. Physical Activity Fact sheet. 2012. Available at http://www.who.int/dietphysicalactivity/pa/en/index.html

  • 6.

    Momenan AA, Delshad M, Mirmiran P, Ghanbarian A, Azizi F. Leisure time physical activity and its determinants among adults in Tehran: Tehran lipid and glucose study. Int J Prev Med. 2011;2(4):243251. PubMed ID: 22174964

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Esteghamati A, Khalilzadeh O, Rashidi A, Kamgar M, Meysamie A, Abbasi M. Physical activity in Iran: results of the third national Surveillance of Risk Factors of Non-communicable Diseases (SuRFNCD-2007). J Phys Act Health. 2011;8(1):2735. PubMed ID: 21297182 doi:10.1123/jpah.8.1.27

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Sahebkar M, Heidarian Miri H, Noormohammadpour P, et al. Prevalence and correlates of low physical activity in the Iranian population: national survey on non‐communicable diseases in 2011. Scand J Med Sci Sports. 2018;28(8):19161924. PubMed ID: 29528518 doi:10.1111/sms.13082

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Kelishadi R, Qorbani M, Motlagh ME, Ardalan G, Heshmat R, Hovsepian S. Socioeconomic disparities in dietary and physical activity habits of Iranian children and adolescents: the CASPIAN-IV study. Arch Iran Med. 2016;19(1):530537. PubMed ID: 27544360

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Mohebi F, Mohajer B, Yoosefi M, et al. Physical activity profile of the Iranian population: STEPS survey, 2016. BMC Public Health. 2019;19(1):1266. PubMed ID: 31519165 doi:10.1186/s12889-019-7592-5

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Fakhrzadeh H, Djalalinia S, Mirarefin M, et al. Prevalence of physical inactivity in Iran: a systematic review. J Cardiovasc Thorac Res. 2016;8:9297. PubMed ID: 27777692 doi:10.15171/jcvtr.2016.20

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Najafipour H, Moazenzadeh M, Afshari M, et al. Prevalence of low physical activity and its relationship with other cardiovascular risk factors: a community-based study (KERCADRS). ARYA Atheroscler. 2016;12(5):212219. PubMed ID: 28458695

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Afghan M, Ghasemi A, Azizi F. Seven-year changes of leisure-time and occupational physical activity among Iranian adults (Tehran lipid and glucose study). Iran J Public Health. 2016;45(1):4147. PubMed ID: 27057520

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Statistical Center of Iran: National Census of Population and Housing of Iran. 2016. Available at http://www.amar.org.ir/Default.aspx?tabid=133

    • Search Google Scholar
    • Export Citation
  • 15.

    Najafipour H, Yousefzadeh G, Forood A, Karamouzian M, Shadkam M, Mirzazadeh A. Overweight and obesity prevalence and its predictors in a general population: a community-based study in Kerman, Iran (Kerman coronary artery diseases risk factors studies). ARYA Atheroscler. 2016;12(1):18. PubMed ID: 27114733

    • Search Google Scholar
    • Export Citation
  • 16.

    Rashidy Pour A, Malek M, Eskandarian R, Ghorbani R. Prevalence of obesity and some related factors in 30–70 year-old population of Semnan province, Iran. J Isfahan Med School. 2009;10(1):516528.

    • Search Google Scholar
    • Export Citation
  • 17.

    Najafipour H, Mirzazadeh A, Haghdoost A, et al. Coronary artery disease risk factors in an urban and peri-urban setting, Kerman, Southeast of Iran (KERCADR study): methodology and preliminary report. Iran J Public Health. 2012;41(9):8692. PubMed ID: 23193513

    • Search Google Scholar
    • Export Citation
  • 18.

    World Health Organization. WHO STEPS Surveillance Manual, Global Physical Activity Questionnaire (GPAQ). Geneva, Switzerland: WHO; 2008.

    • Search Google Scholar
    • Export Citation
  • 19.

    Center for Disease Control and Prevention (CDC). Principles of Epidemiology in Public Health Practice: An Introduction to Applied Epidemiology and Biostatistics. 3rd ed. Lesson 3: Measures of risk. Washington, DC: U.S. Department of Health & Human Services; May 18, 2012.

    • Search Google Scholar
    • Export Citation
  • 20.

    Najafipour H, Nasri HR, Afshari M, et al. Hypertension: diagnosis, control status and its predictors in general population aged between 15 and 75 years: a community-based study in southeastern Iran. Int J Public Health. 2014;59(6):9991009. PubMed ID: 25227395 doi:10.1007/s00038-014-0602-6

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Arnett DK, Jacobs DR, Luepker RV, Blackburn H, Armstrong C, Claas SA. Twenty-year trends in serum cholesterol, hypercholesterolemia, and cholesterol medication use—the Minnesota Heart Survey, 1980–1982 to 2000–2002. Circulation. 2005;112(25):38843891. PubMed ID: 16344385 doi:10.1161/CIRCULATIONAHA.105.549857

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Kaviani H, Mousavi AS. Psychological Interviews and Tests. 1st Vol. Tehran, Iran: Sana Publishers; 2001:169 and 179 [in Persian].

  • 23.

    Najafipour H, Masoomi M, Shahesmaeili A, et al. Effect of opium consumption on coronary artery disease risk factors and oral health: results of KERCADRS population-based survey on 5900 subjects aged 15–75 years. Int J Preventive Med. 2015;6(1):42. doi:10.4103/2008-7802.157470

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24.

    Yousefzadeh G, Shokoohi M, Najafipour H, Eslami M, Salehi F. Association between opium use and metabolic syndrome in an urban population in Southern Iran: results of the Kerman Coronary Artery Disease Risk factor Study (KERCADRS). ARYA Atheroscler. 2015;11(1):1420. PubMed ID: 26089926

    • Search Google Scholar
    • Export Citation
  • 25.

    Bergman P, Grjibovski A, Hagströmer M, Bauman A, Sjöström M. Adherence to physical activity recommendations and the influence of socio-demographic correlates: “a population-based cross-sectional study. BMC Public Health. 2008;8(1):367375. doi:10.1186/1471-2458-8-367

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Hallal PC, Hallal PC, Victora CG, Wells JC, Lima RC. Physical inactivity: prevalence and associated variables in Brazilian adults. Med Sci Sports Exerc. 2003;35(11):1894900. PubMed ID: 14600556 doi:10.1249/01.MSS.0000093615.33774.0E

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Motefaker M, Sadrbafghi SM, Rafiee M, et al. Epidemiology of physical activity: a population based study in Yazd cityide attempt and its relation to stressors and supportive systems: a study in Karaj city. Tehran University Medical Journal (TUMJ). 2007;65(4):7781.

    • Search Google Scholar
    • Export Citation
  • 28.

    Kelishadi R, Ghatrehsamani SH, Hosseini M, Mirmoghtadaee P, Mansouri S, Poursafa P. Barriers to physical activity in a population-based sample of children and adolescents in Isfahan, Iran. Int J Prev Med. 2010;1(2):131137. PubMed ID: 21566774

    • Search Google Scholar
    • Export Citation
  • 29.

    Dashti S, Leonard Joseph H, Jafarzadeh Esfehani A, Tin Tin S, Abd Latiff L, Jafarzadeh Esfehani R. Perceived barriers to physical activity among Iranian women. World Appl Sci J. 2014;32(3):422428.

    • Search Google Scholar
    • Export Citation
  • 30.

    Södergren M, Sundquist J, Johansson SE, Sundquist K. Physical activity, exercise and self-rated health: a population-based study from Sweden. BMC Public Health. 2008;8(1):352368. doi:10.1186/1471-2458-8-352

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 31.

    Janghorbani M, Amini M, Willett WC, et al. First nationwide survey of prevalence of overweight, underweight, and abdominal obesity in Iranian adults. Obesity. 2007;15(11):27972808. doi:10.1038/oby.2007.332

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Mensink G, Loose N, Oomen C. Physical activity and its association with other lifestyle factors. Eur J Epidemiol. 1997;13(7):771778. PubMed ID: 9384266 doi:10.1023/A:1007474220830

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Salimzadeh H, Najafipour H, Mirzaiepour F, Navadeh S, Shadkam M, Mirzazadeh A. Pattern of active and passive smoking among adult population; findings of a population based survey in Kerman (KERCADR study), Iran. Addict Health. 2016;8(1):8.

    • Search Google Scholar
    • Export Citation
  • 34.

    Ströhle A. Physical activity, exercise, depression and anxiety disorders. J Neural Transm. 2009;116:777784. doi:10.1007/s00702-008-0092-x

  • 35.

    Grundy SM, Cleeman JI, Daniels SR, et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation. 2005;112(17):27352752. PubMed ID: 16157765 doi:10.1161/CIRCULATIONAHA.105.169404

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 36.

    Joukar S, Najafipour H, Malekpour-Afshar R, Mirzaeipour F, Nasri HR. The effect of passive opium smoking on cardiovascular indices of rabbits with normal and ischemic hearts. Open Cardiovasc Med J. 2010;4:16. PubMed ID: 20148098 doi:10.2174/1874192401004010001

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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