Global disease burden attributed to low physical activity in 204 countries and territories from 1990 to 2019: Insights from the Global Burden of Disease 2019 Study

Achraf Ammar; Khaled Trabelsi; Souhail Hermassi; Ali Asghar Kolahi; Mohammad Ali Mansournia; Haitham Jahrami; Omar Boukhris; Mohamed Ali Boujelbane; Jordan M. Glenn; Cain C.T. Clark; Aria Nejadghaderi; Luca Puce; Saeid Safiri; Hamdi Chtourou; Wolfgang I. Schöllhorn; Piotr Zmijewski; Nicola Luigi Bragazzi

doi:10.5114/biolsport.2023.121322

Global disease burden attributed to low physical activity in 204 countries and territories from 1990 to 2019: Insights from the Global Burden of Disease 2019 Study

Achraf Ammar, Khaled Trabelsi, Souhail Hermassi, Ali Asghar Kolahi, Mohammad Ali Mansournia, Haitham Jahrami, Omar Boukhris, Mohamed Ali Boujelbane, Jordan M. Glenn, Cain C.T. Clark, Aria Nejadghaderi, Luca Puce, Saeid Safiri, Hamdi Chtourou, Wolfgang I. Schöllhorn, Piotr Zmijewski, Nicola Luigi Bragazzi

Centre for Healthcare and Communities

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

5 Downloads (Pure)

Abstract

The purpose of this investigation is to estimate the global disease burden attributable to low physical activity (PA) in 204 countries and territories from 1990 to 2019 by age, sex, and Socio-Demographic Index (SDI). Detailed information on global deaths and disability-adjusted life years (DALYs) attributable to low PA were collected from the Global Burden of Disease Study 2019. The ideal exposure scenario of PA was defined as 3000-4500 metabolic equivalent minutes per week and low PA was considered to be less than this threshold. Age-standardization was used to improve the comparison of rates across locations or between time periods. In 2019, low PA seems to contribute to 0.83 million [95% uncertainty interval (UI) 0.43 to 1.47] deaths and 15.75 million (95% UI 8.52 to 28.62) DALYs globally, an increase of 83.9% (95% UI 69.3 to 105.7) and 82.9% (95% UI 65.5 to 112.1) since 1990, respectively. The age-standardized rates of low-PA-related deaths and DALYs per 100,000 people in 2019 were 11.1 (95% UI 5.7 to 19.5) and 198.4 (95% UI 108.2 to 360.3), respectively. Of all age-standardized DALYs globally in 2019, 0.6% (95% UI 0.3 to 1.1) may be attributable to low PA. The association between SDI and the proportion of age-standardized DALYs attributable to low PA suggests that regions with the highest SDI largely decreased their proportions of age-standardized DALYs attributable to low PA during 1990-2019, while other regions tended to have increased proportions in the same timeframe. In 2019, the rates of low-PA-related deaths and DALYs tended to rise with increasing age in both sexes, with no differences between males and females in the age-standardized rates. An insufficient accumulation of PA across the globe occurs together with a considerable public health burden. Health initiatives to promote PA within different age groups and countries are urgently needed.

Original language	English
Pages (from-to)	835-855
Number of pages	21
Journal	Biology of Sport
Volume	40
Issue number	3
DOIs	https://doi.org/10.5114/biolsport.2023.121322
Publication status	Published - 22 Nov 2022

Bibliographical note

Copyright: © Institute of Sport – National Research Instutite. All articles are distributed under the terms of the Creative Commons Attribution Share Alike 4.0 License (https://creativecommons.org/licenses/by-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.

Funder

The GBD 2019 study was funded by the Bill and Melinda Gates Foundation. The present study was also funded by Hunan Youth Talent Project (2019RS2014) and National Natural Science Foundation of China (81800393). However, the funders were not involved in any way in the preparation of this manuscript. We thank all members of the Institute for Health Metrics and Evaluation (IHME), University of Washington, and all collaborators involved in GBD 2019 study.

Publisher Copyright:
© 2023 Institute of Sport. All rights reserved.

Keywords

Death rates
Disability-adjusted life years
Global burden of disease
Physical inactivity
Public Health

ASJC Scopus subject areas

Orthopedics and Sports Medicine
Physical Therapy, Sports Therapy and Rehabilitation
Physiology (medical)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.5114/biolsport.2023.121322Licence: CC BY-SA

PublishedFinal published version, 5.73 MBLicence: CC BY-SA

Cite this

Ammar, A., Trabelsi, K., Hermassi, S., Kolahi, A. A., Mansournia, M. A., Jahrami, H., Boukhris, O., Boujelbane, M. A., Glenn, J. M., Clark, C. C. T., Nejadghaderi, A., Puce, L., Safiri, S., Chtourou, H., Schöllhorn, W. I., Zmijewski, P., & Bragazzi, N. L. (2022). Global disease burden attributed to low physical activity in 204 countries and territories from 1990 to 2019: Insights from the Global Burden of Disease 2019 Study. Biology of Sport, 40(3), 835-855. https://doi.org/10.5114/biolsport.2023.121322

Ammar, A, Trabelsi, K, Hermassi, S, Kolahi, AA, Mansournia, MA, Jahrami, H, Boukhris, O, Boujelbane, MA, Glenn, JM, Clark, CCT, Nejadghaderi, A, Puce, L, Safiri, S, Chtourou, H, Schöllhorn, WI, Zmijewski, P & Bragazzi, NL 2022, 'Global disease burden attributed to low physical activity in 204 countries and territories from 1990 to 2019: Insights from the Global Burden of Disease 2019 Study', Biology of Sport, vol. 40, no. 3, pp. 835-855. https://doi.org/10.5114/biolsport.2023.121322

@article{97d886f4767c49219c524de82caa06d3,

title = "Global disease burden attributed to low physical activity in 204 countries and territories from 1990 to 2019: Insights from the Global Burden of Disease 2019 Study",

abstract = "The purpose of this investigation is to estimate the global disease burden attributable to low physical activity (PA) in 204 countries and territories from 1990 to 2019 by age, sex, and Socio-Demographic Index (SDI). Detailed information on global deaths and disability-adjusted life years (DALYs) attributable to low PA were collected from the Global Burden of Disease Study 2019. The ideal exposure scenario of PA was defined as 3000-4500 metabolic equivalent minutes per week and low PA was considered to be less than this threshold. Age-standardization was used to improve the comparison of rates across locations or between time periods. In 2019, low PA seems to contribute to 0.83 million [95% uncertainty interval (UI) 0.43 to 1.47] deaths and 15.75 million (95% UI 8.52 to 28.62) DALYs globally, an increase of 83.9% (95% UI 69.3 to 105.7) and 82.9% (95% UI 65.5 to 112.1) since 1990, respectively. The age-standardized rates of low-PA-related deaths and DALYs per 100,000 people in 2019 were 11.1 (95% UI 5.7 to 19.5) and 198.4 (95% UI 108.2 to 360.3), respectively. Of all age-standardized DALYs globally in 2019, 0.6% (95% UI 0.3 to 1.1) may be attributable to low PA. The association between SDI and the proportion of age-standardized DALYs attributable to low PA suggests that regions with the highest SDI largely decreased their proportions of age-standardized DALYs attributable to low PA during 1990-2019, while other regions tended to have increased proportions in the same timeframe. In 2019, the rates of low-PA-related deaths and DALYs tended to rise with increasing age in both sexes, with no differences between males and females in the age-standardized rates. An insufficient accumulation of PA across the globe occurs together with a considerable public health burden. Health initiatives to promote PA within different age groups and countries are urgently needed.",

keywords = "Death rates, Disability-adjusted life years, Global burden of disease, Physical inactivity, Public Health",

author = "Achraf Ammar and Khaled Trabelsi and Souhail Hermassi and Kolahi, {Ali Asghar} and Mansournia, {Mohammad Ali} and Haitham Jahrami and Omar Boukhris and Boujelbane, {Mohamed Ali} and Glenn, {Jordan M.} and Clark, {Cain C.T.} and Aria Nejadghaderi and Luca Puce and Saeid Safiri and Hamdi Chtourou and Sch{\"o}llhorn, {Wolfgang I.} and Piotr Zmijewski and Bragazzi, {Nicola Luigi}",

note = "Copyright: {\textcopyright} Institute of Sport – National Research Instutite. All articles are distributed under the terms of the Creative Commons Attribution Share Alike 4.0 License (https://creativecommons.org/licenses/by-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.",

year = "2022",

month = nov,

day = "22",

doi = "10.5114/biolsport.2023.121322",

language = "English",

volume = "40",

pages = "835--855",

journal = "Biology of Sport",

issn = "0860-021X",

publisher = "Termedia Publishing",

number = "3",

}

TY - JOUR

T1 - Global disease burden attributed to low physical activity in 204 countries and territories from 1990 to 2019

T2 - Insights from the Global Burden of Disease 2019 Study

AU - Ammar, Achraf

AU - Trabelsi, Khaled

AU - Hermassi, Souhail

AU - Kolahi, Ali Asghar

AU - Mansournia, Mohammad Ali

AU - Jahrami, Haitham

AU - Boukhris, Omar

AU - Boujelbane, Mohamed Ali

AU - Glenn, Jordan M.

AU - Clark, Cain C.T.

AU - Nejadghaderi, Aria

AU - Puce, Luca

AU - Safiri, Saeid

AU - Chtourou, Hamdi

AU - Schöllhorn, Wolfgang I.

AU - Zmijewski, Piotr

AU - Bragazzi, Nicola Luigi

N1 - Copyright: © Institute of Sport – National Research Instutite. All articles are distributed under the terms of the Creative Commons Attribution Share Alike 4.0 License (https://creativecommons.org/licenses/by-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.

PY - 2022/11/22

Y1 - 2022/11/22

N2 - The purpose of this investigation is to estimate the global disease burden attributable to low physical activity (PA) in 204 countries and territories from 1990 to 2019 by age, sex, and Socio-Demographic Index (SDI). Detailed information on global deaths and disability-adjusted life years (DALYs) attributable to low PA were collected from the Global Burden of Disease Study 2019. The ideal exposure scenario of PA was defined as 3000-4500 metabolic equivalent minutes per week and low PA was considered to be less than this threshold. Age-standardization was used to improve the comparison of rates across locations or between time periods. In 2019, low PA seems to contribute to 0.83 million [95% uncertainty interval (UI) 0.43 to 1.47] deaths and 15.75 million (95% UI 8.52 to 28.62) DALYs globally, an increase of 83.9% (95% UI 69.3 to 105.7) and 82.9% (95% UI 65.5 to 112.1) since 1990, respectively. The age-standardized rates of low-PA-related deaths and DALYs per 100,000 people in 2019 were 11.1 (95% UI 5.7 to 19.5) and 198.4 (95% UI 108.2 to 360.3), respectively. Of all age-standardized DALYs globally in 2019, 0.6% (95% UI 0.3 to 1.1) may be attributable to low PA. The association between SDI and the proportion of age-standardized DALYs attributable to low PA suggests that regions with the highest SDI largely decreased their proportions of age-standardized DALYs attributable to low PA during 1990-2019, while other regions tended to have increased proportions in the same timeframe. In 2019, the rates of low-PA-related deaths and DALYs tended to rise with increasing age in both sexes, with no differences between males and females in the age-standardized rates. An insufficient accumulation of PA across the globe occurs together with a considerable public health burden. Health initiatives to promote PA within different age groups and countries are urgently needed.

AB - The purpose of this investigation is to estimate the global disease burden attributable to low physical activity (PA) in 204 countries and territories from 1990 to 2019 by age, sex, and Socio-Demographic Index (SDI). Detailed information on global deaths and disability-adjusted life years (DALYs) attributable to low PA were collected from the Global Burden of Disease Study 2019. The ideal exposure scenario of PA was defined as 3000-4500 metabolic equivalent minutes per week and low PA was considered to be less than this threshold. Age-standardization was used to improve the comparison of rates across locations or between time periods. In 2019, low PA seems to contribute to 0.83 million [95% uncertainty interval (UI) 0.43 to 1.47] deaths and 15.75 million (95% UI 8.52 to 28.62) DALYs globally, an increase of 83.9% (95% UI 69.3 to 105.7) and 82.9% (95% UI 65.5 to 112.1) since 1990, respectively. The age-standardized rates of low-PA-related deaths and DALYs per 100,000 people in 2019 were 11.1 (95% UI 5.7 to 19.5) and 198.4 (95% UI 108.2 to 360.3), respectively. Of all age-standardized DALYs globally in 2019, 0.6% (95% UI 0.3 to 1.1) may be attributable to low PA. The association between SDI and the proportion of age-standardized DALYs attributable to low PA suggests that regions with the highest SDI largely decreased their proportions of age-standardized DALYs attributable to low PA during 1990-2019, while other regions tended to have increased proportions in the same timeframe. In 2019, the rates of low-PA-related deaths and DALYs tended to rise with increasing age in both sexes, with no differences between males and females in the age-standardized rates. An insufficient accumulation of PA across the globe occurs together with a considerable public health burden. Health initiatives to promote PA within different age groups and countries are urgently needed.

KW - Death rates

KW - Disability-adjusted life years

KW - Global burden of disease

KW - Physical inactivity

KW - Public Health

UR - http://www.scopus.com/inward/record.url?scp=85144643144&partnerID=8YFLogxK

U2 - 10.5114/biolsport.2023.121322

DO - 10.5114/biolsport.2023.121322

M3 - Article

AN - SCOPUS:85144643144

SN - 0860-021X

VL - 40

SP - 835

EP - 855

JO - Biology of Sport

JF - Biology of Sport

IS - 3

ER -

Global disease burden attributed to low physical activity in 204 countries and territories from 1990 to 2019: Insights from the Global Burden of Disease 2019 Study

Abstract

Bibliographical note

Funder

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this