Geographical Patterning of Physical Activity Prevalence in Iran: Spatial Analysis of 4 Pooled National Health Surveys Among 119,560 Adults

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Background: To investigate the geographical distribution of physical activity (PA) prevalence among adults aged 15–64 years old across Iran provinces using geographic maps. Methods: Data from 4 consecutive national surveys conducted between 2007 and 2010 were pooled to determine the geographical distribution. Prevalence of low PA with 95% confidence interval was estimated by sociodemographic subpopulations over provinces using complex survey design. Results: In total, 119,560 participants (49.9% females) were included in the analyses. The mean (SD) age of participants was 39.5 (14.3) years. The prevalence of the low PA in the pooled 2007–2010 was 35.8% (95% confidence interval, 34.1–37.6). The 3 provinces with the highest prevalence of low PA were Sistan and Baluchestan, Yazd, and Hormozgan. The results of hot spot analysis showed that the Kerman province was a hot spot, and Ilam, Kermanshah, Hamedan, and Markazi were cold spots for low PA. Ilam, Kohgiluyeh and Boyer-Ahmad, and Mazandaran had the highest total PA volume (metabolic equivalent minutes per week). Hot spot analysis showed that Ilam and Khuzestan provinces were hot spots for the total PA volume. Conclusions: The regions with low and high PA are predominately situated in the near center/southeast and west, respectively.

Sahebkar is with the Department of Social Medicine, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran; and Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran. Heidarian Miri is with the Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Noormohammadpour and M.A. Mansournia are with Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. Tiyuri is with the Student Research Committee, Iran University of Medical Sciences, Tehran, Iran. Pakzad is with the Noor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran; and the Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran. N. Mansournia is with the Department of Endocrinology and Metabolism, AJA University of Medical Sciences, Tehran, Iran. M.A. Mansournia is with the Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. Heidari is with the Department of Endocrinology and Metabolism, Zahedan University of Medical Sciences, Zahedan, Iran. Stamatakis is with Charles Perkins Centre, Epidemiology Unit, The University of Sydney, Sydney, NSW, Australia; and Prevention Research Collaboration, School of Public Health, The University of Sydney, Sydney, NSW, Australia. M.A.

Mansournia (mansournia_ma@yahoo.com) is corresponding author.
Journal of Physical Activity and Health
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