Prevalence of Total and Domain-Specific Physical Activity and Associated Factors Among Nepalese Adults: A Quantile Regression Analysis

Paudel, Susan; Owen, Alice; Héritier, Stéphane; Smith, Ben J.

doi:10.1123/jpah.2019-0441

Cited by 5 publications

(10 citation statements)

References 34 publications

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“…Participation in LTPA was minimal, and gender variations were evident, with men more likely to engage in LTPA. These findings support previous quantitative studies from Nepal, including the most recent World Health Organization Stepwise Approach to Surveillance (STEPS) survey [ 12 , 14 , 23 , 35 , 36 ]. Gender differences were also reported for walking, with men walking more regularly and allocating more time.…”

Section: Discussionsupporting

confidence: 89%

“…Consistent with other South Asian countries [ 13 ], occupational and transport-related activities are the most prevalent forms of physical activity (PA) while engagement in LTPA is minimal [ 12 ]. Overall, the percentage contribution of LTPA to total PA was 1% among males and 0.3% among females aged 40 years and older [ 14 ]. The retired or unemployed, those with higher education and those from affluent households were most likely to engage in LTPA [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…Overall, the percentage contribution of LTPA to total PA was 1% among males and 0.3% among females aged 40 years and older [ 14 ]. The retired or unemployed, those with higher education and those from affluent households were most likely to engage in LTPA [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Socio-ecological influences of leisure-time physical activity among Nepalese adults: a qualitative study

2021

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Background With economic and social changes, participation in occupational and transport-related physical activity is declining among Nepalese adults, highlighting the growing importance of leisure-time physical activity. However, limited information is available to guide public health policies and interventions to promote leisure-time physical activity in Nepal. This study aimed to qualitatively explore the socioecological influences of participation in leisure-time physical activity among Nepalese adults aged 40 years and above. Methods A total of 51 adults (30 females and 21 males) participated in one of the nine focus groups conducted in Kathmandu, Nepal. A semi-structured guide based on the social-ecological model of physical activity was used to facilitate these focus groups. Data were analysed using a reflexive thematic analysis approach in NVivo 12. Results Participation in leisure-time physical activity was minimal and leisure time was mostly spent resting, socialising, or engaging in sedentary activities such as watching television. Walking was the most common form of leisure-time physical activity, and men reported being more active than women. Individual-level barriers included lack of knowledge, lack of skill, lack of motivation, considering oneself as sufficiently active and engagement in sedentary screen activities. Family and household responsibilities, lack of support and fear of being judged constituted the interpersonal barriers while environmental barriers included an absence of a supportive social norm, lack of open spaces, weather conditions and perceived lack of safety. Health benefits, prioritising physical activity, social support, provision of group-based activities and age-appropriate public exercise facilities were identified as major facilitators. Conclusion Critical issues that need to be addressed to increase leisure-time physical activity among Nepalese adults include traditional gender roles, family and social support, and social norms. Modifications of the built environment, such as public exercise facilities, offer further opportunities and will require coordination beyond the health sector.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

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Socio-ecological influences of leisure-time physical activity among Nepalese adults: a qualitative study

2021

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“…Among participants, PA was mostly the result of routine activities or because there was no other alternative. Consistent with a previous Nepalese study (Kadariya & Aro, 2018; Paudel et al, 2020), women were primarily involved in household activities, whereas active commuting was the dominant form of PA for men. However, women with chronic diseases participated more frequently in other nondomestic forms of PA compared with those without these diseases.…”

Section: Discussionsupporting

confidence: 88%

Exploration of Physical Activity Barriers and Facilitators Among Adults in Kathmandu, Nepal

2021

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Previous research suggests that a range of factors influence an individual’s physical activity (PA) participation, but studies among Nepalese adults are limited. In this qualitative study, we aimed to explore the multilevel influences upon PA participation among community-dwelling adults aged 40 years and above living in an urban setting in Kathmandu, Nepal. Men ( n = 21) and women ( n = 30) were purposively sampled to participate in one of nine focus group discussions. Types of PA undertaken constituted activities related to housework, farm work, and active travel. Individual-level barriers included lack of knowledge, lack of motivation, perceptions of already being active, personal limitations, and lack of time. Interpersonal barriers included household responsibilities and lack of support. Broader environmental barriers included lack of infrastructure for active commuting, poor safety, rising use of motorized transport, lack of resting areas, weak social norms about PA, declining agricultural engagement, mechanization, and improved access to technology and facilities. Some differences were observed between the gender and disease groups. Health benefits, integration into domestic work, opportunities for social interaction, and social support were the facilitators. Interventions focusing on families, highlighting the short- and long-term benefits of PA, addressing gender roles, and ensuring women are better supported represent opportunities to promote PA. Community-based interventions will be essential to establish social norms around PA and improve social support.

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“…14 Previous Nepalese studies have reported an age-related decline in active-commuting and negative association with higher education, marital status and unpaid employment. 15 …”

Section: Introductionmentioning

confidence: 99%

Active commuting and leisure-time physical activity among adults in western Nepal: a cross-sectional study

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ObjectiveTo determine the prevalence and sociodemographic factors associated with active commuting and leisure-time physical activity (LTPA) among adults in western Nepal.DesignCross-sectional study.SettingAdults from semiurban areas in western Nepal.Participants2815 adults aged 25–65 years who participated in the ‘Community-Based Management of Hypertension in Nepal (COBIN)’ Study. Multiple logistic regression analysis was used to identify the sociodemographic factors associated with active commuting and LTPA.OutcomeSelf-reported participation in active commuting and LTPA.ResultsMost study participants (96%) commuted actively (walked or cycled) from one place to another. Our results showed that only a small proportion (3.7%) of participants engaged in moderate or vigorous LTPA. Compared with those in paid employment, the odds of commuting actively were higher among people working in agriculture or as labourers (OR: 4.57, 95% CI: 2.46 to 8.48), those retired/unemployed (OR: 2.98, 95% CI: 1.42 to 6.25) and those in unpaid employment (OR: 1.85, 95% CI: 1.06 to 3.22). Adults who were overweight or had obesity were less likely to commute actively. Compared with adults aged 25–34 years, older adults were less likely (OR: 0.35, 95% CI: 0.17 to 0.72) to engage in LTPA. Women were 0.46 times less likely to engage in LTPA compared with men.ConclusionMost adults engaged in active commuting for work or travel. Less than 5% participated in any form of moderate or vigorous LTPA. Longitudinal studies incorporating objective assessment of physical activity and a range of individual, interpersonal, and environmental factors will help understand how to promote active commuting and LTPA among Nepalese adults.Trial registration number: ClinicalTrials.gov NCT02428075.

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Prevalence of Total and Domain-Specific Physical Activity and Associated Factors Among Nepalese Adults: A Quantile Regression Analysis

Cited by 5 publications

References 34 publications

Socio-ecological influences of leisure-time physical activity among Nepalese adults: a qualitative study

Socio-ecological influences of leisure-time physical activity among Nepalese adults: a qualitative study

Exploration of Physical Activity Barriers and Facilitators Among Adults in Kathmandu, Nepal

Active commuting and leisure-time physical activity among adults in western Nepal: a cross-sectional study

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