TY - JOUR
T1 - Active commuting and leisure-time physical activity among adults in western Nepal
T2 - A cross-sectional study
AU - Paudel, Susan
AU - Subedi, Narayan
AU - McLachlan, Craig S.
AU - Smith, Ben J.
AU - Kallestrup, Per
AU - Neupane, Dinesh
N1 - Funding Information:
Funding This project was a part of a project, Community-Based Management of Non-Communicable Diseases (COBIN), which was associated with a research work toward a PhD degree supported by Aarhus University scholarship. This study was partially supported by Nepal Development Society and Jayanti Memorial Trust.
Publisher Copyright:
©
PY - 2021/8/12
Y1 - 2021/8/12
N2 - Objective To determine the prevalence and sociodemographic factors associated with active commuting and leisure-time physical activity (LTPA) among adults in western Nepal. Design Cross-sectional study. Setting Adults from semiurban areas in western Nepal. Participants 2815 adults aged 25-65 years who participated in the 'Community-Based Management of Hypertension in Nepal (COBIN)' Study. Multiple logistic regression analysis was used to identify the sociodemographic factors associated with active commuting and LTPA. Outcome Self-reported participation in active commuting and LTPA. Results Most study participants (96%) commuted actively (walked or cycled) from one place to another. Our results showed that only a small proportion (3.7%) of participants engaged in moderate or vigorous LTPA. Compared with those in paid employment, the odds of commuting actively were higher among people working in agriculture or as labourers (OR: 4.57, 95% CI: 2.46 to 8.48), those retired/unemployed (OR: 2.98, 95% CI: 1.42 to 6.25) and those in unpaid employment (OR: 1.85, 95% CI: 1.06 to 3.22). Adults who were overweight or had obesity were less likely to commute actively. Compared with adults aged 25-34 years, older adults were less likely (OR: 0.35, 95% CI: 0.17 to 0.72) to engage in LTPA. Women were 0.46 times less likely to engage in LTPA compared with men. Conclusion Most adults engaged in active commuting for work or travel. Less than 5% participated in any form of moderate or vigorous LTPA. Longitudinal studies incorporating objective assessment of physical activity and a range of individual, interpersonal, and environmental factors will help understand how to promote active commuting and LTPA among Nepalese adults. Trial registration number: ClinicalTrials.gov NCT02428075.
AB - Objective To determine the prevalence and sociodemographic factors associated with active commuting and leisure-time physical activity (LTPA) among adults in western Nepal. Design Cross-sectional study. Setting Adults from semiurban areas in western Nepal. Participants 2815 adults aged 25-65 years who participated in the 'Community-Based Management of Hypertension in Nepal (COBIN)' Study. Multiple logistic regression analysis was used to identify the sociodemographic factors associated with active commuting and LTPA. Outcome Self-reported participation in active commuting and LTPA. Results Most study participants (96%) commuted actively (walked or cycled) from one place to another. Our results showed that only a small proportion (3.7%) of participants engaged in moderate or vigorous LTPA. Compared with those in paid employment, the odds of commuting actively were higher among people working in agriculture or as labourers (OR: 4.57, 95% CI: 2.46 to 8.48), those retired/unemployed (OR: 2.98, 95% CI: 1.42 to 6.25) and those in unpaid employment (OR: 1.85, 95% CI: 1.06 to 3.22). Adults who were overweight or had obesity were less likely to commute actively. Compared with adults aged 25-34 years, older adults were less likely (OR: 0.35, 95% CI: 0.17 to 0.72) to engage in LTPA. Women were 0.46 times less likely to engage in LTPA compared with men. Conclusion Most adults engaged in active commuting for work or travel. Less than 5% participated in any form of moderate or vigorous LTPA. Longitudinal studies incorporating objective assessment of physical activity and a range of individual, interpersonal, and environmental factors will help understand how to promote active commuting and LTPA among Nepalese adults. Trial registration number: ClinicalTrials.gov NCT02428075.
KW - health services administration & management
KW - hypertension
KW - public health
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U2 - 10.1136/bmjopen-2021-051846
DO - 10.1136/bmjopen-2021-051846
M3 - Article
C2 - 34385256
AN - SCOPUS:85113137565
VL - 11
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
IS - 8
M1 - e051846
ER -