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Prevalence and correlates of physical inactivity among older adults in Malaysia: Findings from the National Health and Morbidity Survey (NHMS) 2015
Institution:1. Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Jalan Bangsar, Kuala Lumpur, Malaysia;2. Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Jalan Pahang, Kuala Lumpur, Malaysia;3. Centre for Epidemiology and Evidence Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia;1. Erasmus University, Erasmus School of Health Policy and Management, P.O. Box 1738, 3000 DR Rotterdam, the Netherlands;2. Amsterdam Public Health Research Institute and Department of Epidemiology and Biostatistics, VU University Medical Centre, De Boelelaan 1117, 1081 HV Amsterdam, the Netherlands;1. Lifestyle Science Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Kepala Batas, 13200, Pulau Pinang, Malaysia;2. Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaakob Latif, 56000, Kuala Lumpur, Malaysia;3. Institute for Medical Research, Ministry of Health Malaysia, Jalan Pahang, 50588, Kuala Lumpur, Malaysia;1. School of Economics, Finance and Banking, College of Business, Universiti Utara Malaysia, UUM Sintok, 06010 Kedah Darul Aman, Malaysia;2. Centre for Burden of Disease Research, Institute for Public Health, Ministry of Health Malaysia, Jalan Bangsar, 50590 Kuala Lumpur, Malaysia;3. School of Government, College of Law, Government and International Studies, Universiti Utara Malaysia, UUM Sintok, 06010 Kedah Darul Aman, Malaysia;4. Department of Business Administration, Faculty of Economics and Management Sciences, International Islamic University Malaysia, 50728 Kuala Lumpur, Malaysia;1. Department of Food and Biological Engineering, Jiangsu University, Zhenjiang, Jiangsu - 212013, PR China;2. Department of Chemistry and Chemical Engineering, Jiangsu University, Zhenjiang, Jiangsu - 212013, PR China;1. Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia;2. Julius Centre University of Malaya, Centre for Clinical Epidemiology and Evidence-Based Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
Abstract:Malaysia has an increasingly aging population. Despite the substantial benefits of physical activity for healthy aging, older adults are considered the most physically inactive segment of the Malaysian population. The purpose of this study was to determine the prevalence of physical inactivity among older adults in Malaysia and its correlates. We analysed data on adults aged ≥60 years (n = 3790) from the National Health and Morbidity Survey (NHMS) 2015, a cross-sectional, nationwide population-based survey covering information on socio-demographic characteristics, physical activity and other lifestyle-related variables, health conditions, and functional limitations. Individuals included in this study were classified as physically active or physically inactive. Logistic regression was used to determine factors associated with physical inactivity. The overall prevalence of physical inactivity among older adults aged ≥60 years old was 48.8%. Physical inactivity was significantly more prevalent among females, older age groups, Indians, those being single/widowed/divorced, those with no formal education, those who reported high sedentary time (≥7 h/day), those with diabetes, anaemia, and functional limitations (p < 0.001). In fully adjusted analyses, females, older age, high household income (≥MYR4000), inadequate fruits and vegetables consumption (<5 servings/day), high sedentary time, having diabetes, and having mobility impairment were all associated with physical inactivity. Approximately half of the Malaysian older population are physically inactive. Identifying the correlates of physical inactivity among Malaysian older adults will help to develop public health policies and interventions that encourage active living among older people and promote healthy aging in Malaysia.
Keywords:Physical inactivity  Prevalence  Older adults  National Heath and Morbidity Survey  Malaysia
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