大人は運動不足による健康への脅威に直面している(Adults face health threat from lack of physical activity)

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2024-07-19 エディンバラ大学

エディンバラ大学とWHOの研究によると、2022年には世界の成人の約3分の1が推奨される運動量を満たしていませんでした。また、2010年から2022年にかけて運動不足の成人の割合が26%から31%に増加し、2030年までに35%に達すると予測されています。WHOは成人に対し、毎週150分の中程度の運動または75分の高強度の運動を推奨しており、これを満たさないことを「運動不足」と定義しています。運動不足の割合が最も高かったのは高所得アジア太平洋地域(48%)と南アジア(45%)で、特に女性や60歳以上の人々に多く見られました。研究では、過去10年間で世界の約半数の国がある程度の進展を見せ、22カ国が2030年までに運動不足を15%減少させる可能性があるとされています。これらの発見は、癌や心臓病のリスクを減らし、精神的健康と福祉を向上させるために運動量を増やす必要性を強調しています。

<関連情報>

2000年から2022年までの成人の身体活動不足の全国的、地域的、世界的傾向:500~700万人が参加した507の人口ベースの調査のプール分析 National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5·7 million participants

Tessa Strain, PhD;Seth Flaxman, PhD;Regina Guthold, PhD;Elizaveta Semenova, PhD;Melanie Cowan, MPH;Leanne M Riley, MSc;et al.
The Lancet Global Health  Published:June 25, 2024
DOI:https://doi.org/10.1016/S2214-109X(24)00150-5

大人は運動不足による健康への脅威に直面している(Adults face health threat from lack of physical activity)

Summary

Background
Insufficient physical activity increases the risk of non-communicable diseases, poor physical and cognitive function, weight gain, and mental ill-health. Global prevalence of adult insufficient physical activity was last published for 2016, with limited trend data. We aimed to estimate the prevalence of insufficient physical activity for 197 countries and territories, from 2000 to 2022.

Methods
We collated physical activity reported by adults (aged ≥18 years) in population-based surveys. Insufficient physical activity was defined as not doing 150 minutes of moderate-intensity activity, 75 minutes of vigorous-intensity activity, or an equivalent combination per week. We used a Bayesian hierarchical model to compute estimates of insufficient physical activity by country or territory, year, age, and sex. We assessed whether countries or territories, regions, and the world would meet the global target of a 15% relative reduction of the prevalence of insufficient physical activity by 2030 if 2010–22 trends continue.

Findings
We included 507 surveys across 163 countries and territories. The global age-standardised prevalence of insufficient physical activity was 31·3% (95% uncertainty interval 28·6–34·0) in 2022, an increase from 23·4% (21·1–26·0) in 2000 and 26·4% (24·8–27·9) in 2010. Prevalence was increasing in 103 (52%) of 197 countries and territories and six (67%) of nine regions, and was declining in the remainder. Prevalence was 5 percentage points higher among female (33·8% [29·9–37·7]) than male (28·7% [25·0–32·6]) individuals. Insufficient physical activity increased in people aged 60 years and older in all regions and both sexes, but age patterns differed for those younger than 60 years. If 2010–22 trends continue, the global target of a 15% relative reduction between 2010 and 2030 will not be met (posterior probability <0·01); however, two regions, Oceania and sub-Saharan Africa, were on track with considerable uncertainty (posterior probabilities 0·70–0·74).

Interpretation
Concerted multi-sectoral efforts to reduce insufficient physical activity levels are needed to meet the 2030 target. Physical activity promotion should not exacerbate sex, age, or geographical inequalities.

Funding
Ministry of Public Health, Qatar, and World Health Organization.

Translations
For the Spanish and Portuguese translations of the abstract see Supplementary Materials section.

医療・健康
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