Accelerometer-measured physical activity in Chinese adults

Am J Prev Med. 2010 Jun;38(6):583-91. doi: 10.1016/j.amepre.2010.02.012.

Abstract

Background: Following adoption of a Western lifestyle, China is experiencing a decline in physical activity levels, which is projected to contribute to future increases in the burden of chronic diseases.

Purpose: This study aims to target public health interventions and identify personal characteristics associated with physical activity and sedentary behavior in urban Chinese adults.

Methods: In a sample of 576 men and women aged 40-74 years from Shanghai, multiple logistic regression was used to examine demographic, anthropometric, and lifestyle factors in relation to levels of physical activity and sedentary behavior assessed by Actigraph accelerometers.

Results: Participants spent 317 minutes/day in physical activity and 509 minutes/day sedentary. In multivariate models, people aged > or =60 years were significantly less likely than those aged <50 years to engage in physical activity (OR=0.29, 95% CI=0.17, 0.49) and more likely to spend time sedentary (OR=2.77, 95% CI=1.53, 5.05). Similarly, obese individuals were less likely to be physically active (OR=0.34, 95% CI=0.17, 0.66) and they were suggestively more likely to be sedentary (OR=1.87, 95% CI=0.94, 3.71) than normal-weight individuals. Furthermore, current cigarette smokers were less physically active than those who formerly or never smoked (OR=0.47, 95% CI=0.28, 0.78).

Conclusions: Physical activity promotion programs in urban China should target older people, obese individuals, and cigarette smokers, as these population subgroups exhibited low levels of physical activity.

MeSH terms

  • Acceleration
  • Adult
  • Age Factors
  • Aged
  • China
  • Cohort Studies
  • Female
  • Humans
  • Life Style*
  • Logistic Models
  • Male
  • Middle Aged
  • Monitoring, Physiologic / instrumentation
  • Motor Activity*
  • Multivariate Analysis
  • Obesity / epidemiology*
  • Prospective Studies
  • Smoking / epidemiology*
  • Urban Population