1. Epidemiology of physical inactivity in Nigeria: a systematic review and meta-analysis
- Author
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Michael O. Harhay, Akindele Olupelumi Adebiyi, Janet Ige-Elegbede, Wondimagegnehu Alemu, Boni Maxime Ale, Davies Adeloye, Chiamaka Omoyele, Emmanuel Agogo, Rex Mpazanje, Asa Auta, Mary T Dewan, Muktar A Gadanya, and Nnenna Ezeigwe
- Subjects
Adult ,Male ,Rural Population ,medicine.medical_specialty ,Rural dwellers ,Population ,Physical activity ,Nigeria ,030204 cardiovascular system & hematology ,Town planning ,03 medical and health sciences ,0302 clinical medicine ,Environmental health ,Epidemiology ,Prevalence ,Humans ,Medicine ,030212 general & internal medicine ,education ,Exercise ,education.field_of_study ,business.industry ,Public health ,B230 ,Public Health, Environmental and Occupational Health ,General Medicine ,Meta-analysis ,Female ,Sedentary Behavior ,business ,Systematic search - Abstract
Background Physical activity is crucial to preventing noncommunicable diseases. This study aimed to provide up-to-date evidence on the epidemiology of insufficient physical activity across Nigeria to increase awareness and prompt relevant policy and public health response. Methods A systematic literature search of community-based studies on physical inactivity was conducted. We constructed a meta-regression epidemiologic model to determine the age-adjusted prevalence and number of physically inactive persons in Nigeria for 1995 and 2020. Results Fifteen studies covering a population of 13 814 adults met our selection criteria. The pooled crude prevalence of physically inactive persons in Nigeria was 52.0% (95% CI: 33.7–70.4), with prevalence in women higher at 55.8% (95% CI: 29.4–82.3) compared to men at 49.3% (95% CI: 24.7–73.9). Across settings, prevalence of physically inactive persons was significantly higher among urban dwellers (56.8%, 35.3–78.4) compared to rural dwellers (18.9%, 11.9–49.8). Among persons aged 20–79 years, the total number of physically inactive persons increased from 14.4 million to 48.6 million between 1995 and 2020, equivalent to a 240% increase over the 25-year period. Conclusions A comprehensive and robust strategy that addresses occupational policies, town planning, awareness and information, and sociocultural and contextual issues is crucial to improving physical activity levels in Nigeria.
- Published
- 2021
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