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Levels of physical activity among adults 18–64 years old in 28 European countries
Institution:1. Ergospirometry and Rehabilitation, Medical School, National and Kapodistrian University of Athens, Greece;2. Department of Social and Behavioral Sciences, Center for Global Tobacco Control, Harvard School of Public Health, Boston, MA, USA;3. Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Greece;4. School of Public Health, Imperial College London, United Kingdom;1. Department of Epidemiology, Health Economics and Public Health, UMR1027 INSERM–Toulouse University, Toulouse University Hospital (CHU), Toulouse, France;2. Department of Epidemiology and Public Health, INSERM UMR744, Pasteur Institute of Lille, Lille Nord de France University–UDSL, Lille, France;3. Department of Epidemiology and Public Health, EA 3430, FMTS, Strasbourg University, Strasbourg, France;4. Department of Public Health, Strasbourg University Hospital, Strasbourg, France;5. Department of Cardiology B, Toulouse University Hospital, Toulouse, France;1. The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, Postboks 2099, 1014 Copenhagen K, Denmark;2. Clinical Institute, University of Southern Denmark, Winsløwparken 19, 5000 Odense C, Denmark;3. Department of Endocrinology, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense, Denmark;4. Research Unit for Dietary Studies at The parker Institute, Copenhagen University Hospitals, Bispebjerg and Frederiksberg, Nordre Fasanvej 57, Road 8, 2000 Frederiksberg, Denmark;5. Institute of Preventive Medicine, Capital Region, Bispebjerg and Frederiksberg University Hospitals, Nordre Fasanvej 57, Road 8, 2000 Frederiksberg, Denmark;6. The Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders, The University of Sydney, Level 2 Charles Perkins Centre D17, Johns Hopkins Drive, Camperdown NSW 2006, Australia;7. National Institute of Public Health, University of Southern Denmark, Øster Farimagsgade 5 A, 1353 Copenhagen K, Denmark;1. Center for Clinical Research, Southern Illinois University School of Medicine, 201 E. Madison, Springfield, IL 62794-9664, United States;2. Springfield Public Schools-District 186, 900 W. Edwards, Springfield, IL 62704, United States;3. Department of Family and Community Medicine, Southern Illinois University School of Medicine, 913 N. Rutledge, Springfield, IL 62794-9671, United States;4. Office of Community Health and Service, Southern Illinois University School of Medicine, 201 E. Madison, Springfield, IL 62794-9604, United States;1. Center of Research in Childhood Health (RICH), Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark;2. The Center of Inflammation and Metabolism (CIM) and The Center for Physical Activity Research (CFAS) at Rigshospitalet, Copenhagen, The Danish Diabetes Academy, Odense, Denmark;3. SDU Muscle Research Cluster (SMRC), Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark;4. Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway
Abstract:BackgroundSedentary lifestyle is associated with more than three million deaths annually. Data from the 2013 Eurobarometer survey were analyzed to assess levels of physical activity across the European Union (EU) and to explore factors associated with adequate and high physical activity.MethodsA representative sample of n = 19,978 individuals aged 18–64 years from the 28 EU countries (sub-sample of the Eurobarometer survey, wave 80.2) was analyzed. Frequency and average duration of walking, moderate and vigorous physical activity was assessed with a self-reported questionnaire. Participants were then classified as physically inactive or adequately/highly active, based on the World Health Organization's (WHO) recommendations. The total amount of MET-minutes (MET-min) per week was also calculated for each respondent.ResultsThe proportion of physically inactive individuals was 28.6%, (12.4% in Sweden to 53.7% in Cyprus), while 59.1% of the respondents (37.9% in Portugal and Cyprus to 72.2% in Sweden) were classified as highly active. The mean total weekly physical activity was 2151 MET-min (95%CI: 2095–2206), of which 891 MET-min (95%CI: 858–924) were contributed by vigorous exercise, 559 MET-min (95%CI: 540–578) by moderate exercise (excluding walking) and 690 MET-min (95%CI: 673–706) by walking. Male gender, younger age, residence in rural areas and Northern Europe, higher education level and ability to pay bills were independently associated with higher physical activity.ConclusionOne fourth of the EU population did not meet the WHO's recommendations for physical activity, with wide inequalities between and within countries. Wide-reaching environmental approaches are required to promote physical activity and address these inequalities.
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