Socioeconomic gradient in physical activity: findings from the PERSIAN cohort study
Abstract Background The level of socioeconomic-related inequality in physical activity in Iran is largely unknown. This study investigates socioeconomic-related inequality in poor-physical activity (PPA) among Iranian adults. Methods A total of 129,257 adult participants enrolled in the PERSIAN (Pro...
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BMC
2019-10-01
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| Online Access: | http://link.springer.com/article/10.1186/s12889-019-7715-z |
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| author | Ali Kazemi Karyani Behzad Karmi Matin Shahin Soltani Satar Rezaei Moslem Soofi Yahya Salimi Mehdi Moradinazar Mohammad Hajizadeh Yahya Pasdar Behrooz Hamzeh Loghman Barzegar Ali Akbar Haghdoost Reza Malekzadeh Hossein Poustchi Zahra Mohammadi Elnaz Faramarzi Ali Reza Safarpour Farhad Pourfarzi Mahmood Moosazadeh Azim Nejatizadeh Mojtaba Farjam Davoud Vahabzadeh Ali Ahmadi Fereshteh Ghorat Jafar Ahmadi Fariborz Mansour-Ghanaei Mohammad Reza Mirjalili Saeid Eslami Najmeh Maharlouei Seyed Mehdi Tabatabaei Sara Sarvandian Farid Najafi |
| author_facet | Ali Kazemi Karyani Behzad Karmi Matin Shahin Soltani Satar Rezaei Moslem Soofi Yahya Salimi Mehdi Moradinazar Mohammad Hajizadeh Yahya Pasdar Behrooz Hamzeh Loghman Barzegar Ali Akbar Haghdoost Reza Malekzadeh Hossein Poustchi Zahra Mohammadi Elnaz Faramarzi Ali Reza Safarpour Farhad Pourfarzi Mahmood Moosazadeh Azim Nejatizadeh Mojtaba Farjam Davoud Vahabzadeh Ali Ahmadi Fereshteh Ghorat Jafar Ahmadi Fariborz Mansour-Ghanaei Mohammad Reza Mirjalili Saeid Eslami Najmeh Maharlouei Seyed Mehdi Tabatabaei Sara Sarvandian Farid Najafi |
| author_sort | Ali Kazemi Karyani |
| collection | DOAJ |
| description | Abstract Background The level of socioeconomic-related inequality in physical activity in Iran is largely unknown. This study investigates socioeconomic-related inequality in poor-physical activity (PPA) among Iranian adults. Methods A total of 129,257 adult participants enrolled in the PERSIAN (Prospective Epidemiological Research Studies in IrAN) Cohort were included in this study. Physical activity of adults was measured using metabolic equivalent rates (METs). Physical activity less than 41 METs/hour/day was considered PPA. The Concentration index (C) was used to quantify socioeconomic-related inequality in PPA. Moreover, the C was decomposed to identify the relative contribution of explanatory variables to inequality in PPA. Results There were significant regional variations in physical activity level among Iranian adults (29.8–76.5%). The positive value of C (0.098, 95% CI = 0.092 to 0.104) suggested that the higher concentration of PPA among higher socioeconomic status (SES) adults in Iran which was consistently observed in all cohort sites. Conclusions The higher prevalence of PPA among Iranian adults, especially, women and older adults, warrant further public health attention. Since PPA is concentrated more among the high-SES population in Iran, strategies for the promotion of physical activity should focus more on economically well-off population. |
| first_indexed | 2024-12-11T07:38:22Z |
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| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-11T07:38:22Z |
| publishDate | 2019-10-01 |
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| spelling | doaj.art-51dd412d516c4e09b1df9228ed7bb9a52022-12-22T01:15:39ZengBMCBMC Public Health1471-24582019-10-0119111110.1186/s12889-019-7715-zSocioeconomic gradient in physical activity: findings from the PERSIAN cohort studyAli Kazemi Karyani0Behzad Karmi Matin1Shahin Soltani2Satar Rezaei3Moslem Soofi4Yahya Salimi5Mehdi Moradinazar6Mohammad Hajizadeh7Yahya Pasdar8Behrooz Hamzeh9Loghman Barzegar10Ali Akbar Haghdoost11Reza Malekzadeh12Hossein Poustchi13Zahra Mohammadi14Elnaz Faramarzi15Ali Reza Safarpour16Farhad Pourfarzi17Mahmood Moosazadeh18Azim Nejatizadeh19Mojtaba Farjam20Davoud Vahabzadeh21Ali Ahmadi22Fereshteh Ghorat23Jafar Ahmadi24Fariborz Mansour-Ghanaei25Mohammad Reza Mirjalili26Saeid Eslami27Najmeh Maharlouei28Seyed Mehdi Tabatabaei29Sara Sarvandian30Farid Najafi31Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical SciencesResearch Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical SciencesResearch Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical SciencesResearch Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical SciencesSocial Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical SciencesSocial Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical SciencesResearch Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical SciencesSchool of Health Administration, Faculty of Health, Dalhousie UniversityNutritional Sciences Department, School of Public Health, Kermanshah University of Medical SciencesDepartment of Public Health, Kermanshah University of Medical SciencesResearch Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical SciencesModeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical SciencesLiver and Pancreatobiliary Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical SciencesLiver and Pancreatobiliary Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical SciencesLiver, Pancreatic, and Biliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical SciencesLiver and Gastrointestinal Diseases Research center, Tabriz University of Medical SciencesGastroenterohepatology Research Center, Shiraz University of Medical SciencesDigestive Disease Research Center, Ardabil University of Medical SciencesHealth Sciences Research center, Addiction Institute, Mazandaran University of Medical SciencesMolecular Medicine Research Center, Hormozgan University of Medical SciencesNoncommunicable Diseases Research Center, Fasa University of Medical SciencesSocial Determinants of Health Research Center, Urmia University of Medical SciencesModeling in Health Research Center, Shahrekord University of Medical SciencesTraditional and Complementary Medicine Research Center, Sabzevar University of Medical SciencesDepartment of Radiology, Medical School, Rafsanjan University of Medical SciencesGastrointestinal and Liver Diseases Research Center, Guilan University of Medical SciencesShahid Sadoughi University of Medical SciencesPharmaceutical Research Center, Pharmaceutical Research Institute, Mashhad University of Medical SciencesHealth Policy Research Center, Shiraz University of Medical SciencesHealth Promotion Research Center, Zahedan University of Medical SciencesDepartment of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical SciencesResearch Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical SciencesAbstract Background The level of socioeconomic-related inequality in physical activity in Iran is largely unknown. This study investigates socioeconomic-related inequality in poor-physical activity (PPA) among Iranian adults. Methods A total of 129,257 adult participants enrolled in the PERSIAN (Prospective Epidemiological Research Studies in IrAN) Cohort were included in this study. Physical activity of adults was measured using metabolic equivalent rates (METs). Physical activity less than 41 METs/hour/day was considered PPA. The Concentration index (C) was used to quantify socioeconomic-related inequality in PPA. Moreover, the C was decomposed to identify the relative contribution of explanatory variables to inequality in PPA. Results There were significant regional variations in physical activity level among Iranian adults (29.8–76.5%). The positive value of C (0.098, 95% CI = 0.092 to 0.104) suggested that the higher concentration of PPA among higher socioeconomic status (SES) adults in Iran which was consistently observed in all cohort sites. Conclusions The higher prevalence of PPA among Iranian adults, especially, women and older adults, warrant further public health attention. Since PPA is concentrated more among the high-SES population in Iran, strategies for the promotion of physical activity should focus more on economically well-off population.http://link.springer.com/article/10.1186/s12889-019-7715-zInequalityPhysical activitySocioeconomic statusIranPERSIAN |
| spellingShingle | Ali Kazemi Karyani Behzad Karmi Matin Shahin Soltani Satar Rezaei Moslem Soofi Yahya Salimi Mehdi Moradinazar Mohammad Hajizadeh Yahya Pasdar Behrooz Hamzeh Loghman Barzegar Ali Akbar Haghdoost Reza Malekzadeh Hossein Poustchi Zahra Mohammadi Elnaz Faramarzi Ali Reza Safarpour Farhad Pourfarzi Mahmood Moosazadeh Azim Nejatizadeh Mojtaba Farjam Davoud Vahabzadeh Ali Ahmadi Fereshteh Ghorat Jafar Ahmadi Fariborz Mansour-Ghanaei Mohammad Reza Mirjalili Saeid Eslami Najmeh Maharlouei Seyed Mehdi Tabatabaei Sara Sarvandian Farid Najafi Socioeconomic gradient in physical activity: findings from the PERSIAN cohort study BMC Public Health Inequality Physical activity Socioeconomic status Iran PERSIAN |
| title | Socioeconomic gradient in physical activity: findings from the PERSIAN cohort study |
| title_full | Socioeconomic gradient in physical activity: findings from the PERSIAN cohort study |
| title_fullStr | Socioeconomic gradient in physical activity: findings from the PERSIAN cohort study |
| title_full_unstemmed | Socioeconomic gradient in physical activity: findings from the PERSIAN cohort study |
| title_short | Socioeconomic gradient in physical activity: findings from the PERSIAN cohort study |
| title_sort | socioeconomic gradient in physical activity findings from the persian cohort study |
| topic | Inequality Physical activity Socioeconomic status Iran PERSIAN |
| url | http://link.springer.com/article/10.1186/s12889-019-7715-z |
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