A cross-sectional study on the perceived barriers to physical activity and their associations with domain-specific physical activity and sedentary behaviour

Abstract Background Physical inactivity and sedentary behaviour have detrimental consequences to the individual and the economy. Our study examined the prevalence of perceived barriers to physical activity in Singapore’s adult population and their associations with physical activity and sedentary be...

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Main Authors: Yen Sin Koh, P. V. Asharani, Fiona Devi, Kumarasan Roystonn, Peizhi Wang, Janhavi Ajit Vaingankar, Edimansyah Abdin, Chee Fang Sum, Eng Sing Lee, Falk Müller-Riemenschneider, Siow Ann Chong, Mythily Subramaniam
Format: Article
Language:English
Published: BMC 2022-05-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-022-13431-2
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author Yen Sin Koh
P. V. Asharani
Fiona Devi
Kumarasan Roystonn
Peizhi Wang
Janhavi Ajit Vaingankar
Edimansyah Abdin
Chee Fang Sum
Eng Sing Lee
Falk Müller-Riemenschneider
Siow Ann Chong
Mythily Subramaniam
author_facet Yen Sin Koh
P. V. Asharani
Fiona Devi
Kumarasan Roystonn
Peizhi Wang
Janhavi Ajit Vaingankar
Edimansyah Abdin
Chee Fang Sum
Eng Sing Lee
Falk Müller-Riemenschneider
Siow Ann Chong
Mythily Subramaniam
author_sort Yen Sin Koh
collection DOAJ
description Abstract Background Physical inactivity and sedentary behaviour have detrimental consequences to the individual and the economy. Our study examined the prevalence of perceived barriers to physical activity in Singapore’s adult population and their associations with physical activity and sedentary behaviour. Methods This cross-sectional analysis utilised data from a nationwide survey in Singapore. Participants (n = 2867) were recruited from February 2019 to March 2020. The independent variables were internal (e.g. fatigue, age) and external (e.g. weather, cost) perceived barriers to physical activity. The outcomes were domain-specific physical activity (work, transport and leisure) and sedentary behaviour, all of which were assessed using the Global Physical Activity Questionnaire. The associations were examined using zero-inflated negative binomial regressions for physical activity and linear regression for sedentary behaviour. Results The median (Interquartile range) for work-related, transport-related and leisure-related physical activity were 0 (0 – 1440), 600 (160 – 1120) and 360 (0 – 1080) MET (metabolic equivalent)-minutes per week. The median sedentary behaviour (IQR) was 360 (240 – 540) minutes per day. The top three barriers were lack of time (65.3%), fatigue (64.7%) and pollution (56.1%). After adjustment, the level of transport-related physical activity was lower for respondents who cited lacking pavement or parks as a barrier, but higher for those who indicated cost and safety concerns. Respondents who reported pollution as a barrier were more likely to engage in transport-related physical activity. The level of leisure-related physical activity was lower for respondents indicating weather, lack of time and age as barriers, but higher for those reporting safety concerns. The odds of engaging in leisure-related physical activity was lower for those citing age, cost and fatigue as barriers, but higher for those indicating the weather. Sedentary behaviour was positively associated with work and limited accessibility to exercise facilities, but negatively with safety concerns. Conclusion Individuals can be motivated to overcome internal barriers (fatigue, lack of time, cost and age) through social support and emphasis on exercise benefits. External barriers (weather and lack of pavements or parks) can be reduced by raising awareness of existing infrastructure. Sedentary behaviour can be improved by implementing workplace measures, such as reducing the time spent sitting.
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spelling doaj.art-c86794da0ea74b398b0118789774e6952022-12-22T00:39:35ZengBMCBMC Public Health1471-24582022-05-0122111110.1186/s12889-022-13431-2A cross-sectional study on the perceived barriers to physical activity and their associations with domain-specific physical activity and sedentary behaviourYen Sin Koh0P. V. Asharani1Fiona Devi2Kumarasan Roystonn3Peizhi Wang4Janhavi Ajit Vaingankar5Edimansyah Abdin6Chee Fang Sum7Eng Sing Lee8Falk Müller-Riemenschneider9Siow Ann Chong10Mythily Subramaniam11Research Division, Institute of Mental HealthResearch Division, Institute of Mental HealthResearch Division, Institute of Mental HealthResearch Division, Institute of Mental HealthResearch Division, Institute of Mental HealthResearch Division, Institute of Mental HealthResearch Division, Institute of Mental HealthAdmiralty Medical Centre, Khoo Teck Puat HospitalClinical Research Unit, National Healthcare Group PolyclinicsSaw Swee Hock School of Public Health, National University of SingaporeResearch Division, Institute of Mental HealthResearch Division, Institute of Mental HealthAbstract Background Physical inactivity and sedentary behaviour have detrimental consequences to the individual and the economy. Our study examined the prevalence of perceived barriers to physical activity in Singapore’s adult population and their associations with physical activity and sedentary behaviour. Methods This cross-sectional analysis utilised data from a nationwide survey in Singapore. Participants (n = 2867) were recruited from February 2019 to March 2020. The independent variables were internal (e.g. fatigue, age) and external (e.g. weather, cost) perceived barriers to physical activity. The outcomes were domain-specific physical activity (work, transport and leisure) and sedentary behaviour, all of which were assessed using the Global Physical Activity Questionnaire. The associations were examined using zero-inflated negative binomial regressions for physical activity and linear regression for sedentary behaviour. Results The median (Interquartile range) for work-related, transport-related and leisure-related physical activity were 0 (0 – 1440), 600 (160 – 1120) and 360 (0 – 1080) MET (metabolic equivalent)-minutes per week. The median sedentary behaviour (IQR) was 360 (240 – 540) minutes per day. The top three barriers were lack of time (65.3%), fatigue (64.7%) and pollution (56.1%). After adjustment, the level of transport-related physical activity was lower for respondents who cited lacking pavement or parks as a barrier, but higher for those who indicated cost and safety concerns. Respondents who reported pollution as a barrier were more likely to engage in transport-related physical activity. The level of leisure-related physical activity was lower for respondents indicating weather, lack of time and age as barriers, but higher for those reporting safety concerns. The odds of engaging in leisure-related physical activity was lower for those citing age, cost and fatigue as barriers, but higher for those indicating the weather. Sedentary behaviour was positively associated with work and limited accessibility to exercise facilities, but negatively with safety concerns. Conclusion Individuals can be motivated to overcome internal barriers (fatigue, lack of time, cost and age) through social support and emphasis on exercise benefits. External barriers (weather and lack of pavements or parks) can be reduced by raising awareness of existing infrastructure. Sedentary behaviour can be improved by implementing workplace measures, such as reducing the time spent sitting.https://doi.org/10.1186/s12889-022-13431-2Physical activitySedentary behaviourBarriers to physical activityZero-inflated model
spellingShingle Yen Sin Koh
P. V. Asharani
Fiona Devi
Kumarasan Roystonn
Peizhi Wang
Janhavi Ajit Vaingankar
Edimansyah Abdin
Chee Fang Sum
Eng Sing Lee
Falk Müller-Riemenschneider
Siow Ann Chong
Mythily Subramaniam
A cross-sectional study on the perceived barriers to physical activity and their associations with domain-specific physical activity and sedentary behaviour
BMC Public Health
Physical activity
Sedentary behaviour
Barriers to physical activity
Zero-inflated model
title A cross-sectional study on the perceived barriers to physical activity and their associations with domain-specific physical activity and sedentary behaviour
title_full A cross-sectional study on the perceived barriers to physical activity and their associations with domain-specific physical activity and sedentary behaviour
title_fullStr A cross-sectional study on the perceived barriers to physical activity and their associations with domain-specific physical activity and sedentary behaviour
title_full_unstemmed A cross-sectional study on the perceived barriers to physical activity and their associations with domain-specific physical activity and sedentary behaviour
title_short A cross-sectional study on the perceived barriers to physical activity and their associations with domain-specific physical activity and sedentary behaviour
title_sort cross sectional study on the perceived barriers to physical activity and their associations with domain specific physical activity and sedentary behaviour
topic Physical activity
Sedentary behaviour
Barriers to physical activity
Zero-inflated model
url https://doi.org/10.1186/s12889-022-13431-2
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