Levels of domain-specific physical activity at work, in the household, for travel and for leisure among 327 789 adults from 104 countries
ObjectiveTo compare the country-level absolute and relative contributions of physical activity at work and in the household, for travel, and during leisure-time to total moderate-to-vigorous physical activity (MVPA).MethodsWe used data collected between 2002 and 2019 from 327 789 participants across...
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| Veröffentlicht in: | British journal of sports medicine Jg. 54; H. 24; S. 1488 - 1497 |
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| Hauptverfasser: | , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
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England
BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
01.12.2020
BMJ Publishing Group LTD BMJ Publishing Group |
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| ISSN: | 0306-3674, 1473-0480, 1473-0480 |
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| Abstract | ObjectiveTo compare the country-level absolute and relative contributions of physical activity at work and in the household, for travel, and during leisure-time to total moderate-to-vigorous physical activity (MVPA).MethodsWe used data collected between 2002 and 2019 from 327 789 participants across 104 countries and territories (n=24 low, n=34 lower-middle, n=30 upper-middle, n=16 high-income) from all six World Health Organization (WHO) regions. We calculated mean min/week of work/household, travel and leisure MVPA and compared their relative contributions to total MVPA using Global Physical Activity Questionnaire data. We compared patterns by country, sex and age group (25–44 and 45–64 years).ResultsMean MVPA in work/household, travel and leisure domains across the 104 countries was 950 (IQR 618–1198), 327 (190–405) and 104 (51–131) min/week, respectively. Corresponding relative contributions to total MVPA were 52% (IQR 44%–63%), 36% (25%–45%) and 12% (4%–15%), respectively. Work/household was the highest contributor in 80 countries; travel in 23; leisure in just one. In both absolute and relative terms, low-income countries tended to show higher work/household (1233 min/week, 57%) and lower leisure MVPA levels (72 min/week, 4%). Travel MVPA duration was higher in low-income countries but there was no obvious pattern in the relative contributions. Women tended to have relatively less work/household and more travel MVPA; age groups were generally similar.ConclusionIn the largest domain-specific physical activity study to date, we found considerable country-level variation in how MVPA is accumulated. Such information is essential to inform national and global policy and future investments to provide opportunities to be active, accounting for country context. |
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| AbstractList | ObjectiveTo compare the country-level absolute and relative contributions of physical activity at work and in the household, for travel, and during leisure-time to total moderate-to-vigorous physical activity (MVPA).MethodsWe used data collected between 2002 and 2019 from 327 789 participants across 104 countries and territories (n=24 low, n=34 lower-middle, n=30 upper-middle, n=16 high-income) from all six World Health Organization (WHO) regions. We calculated mean min/week of work/household, travel and leisure MVPA and compared their relative contributions to total MVPA using Global Physical Activity Questionnaire data. We compared patterns by country, sex and age group (25–44 and 45–64 years).ResultsMean MVPA in work/household, travel and leisure domains across the 104 countries was 950 (IQR 618–1198), 327 (190–405) and 104 (51–131) min/week, respectively. Corresponding relative contributions to total MVPA were 52% (IQR 44%–63%), 36% (25%–45%) and 12% (4%–15%), respectively. Work/household was the highest contributor in 80 countries; travel in 23; leisure in just one. In both absolute and relative terms, low-income countries tended to show higher work/household (1233 min/week, 57%) and lower leisure MVPA levels (72 min/week, 4%). Travel MVPA duration was higher in low-income countries but there was no obvious pattern in the relative contributions. Women tended to have relatively less work/household and more travel MVPA; age groups were generally similar.ConclusionIn the largest domain-specific physical activity study to date, we found considerable country-level variation in how MVPA is accumulated. Such information is essential to inform national and global policy and future investments to provide opportunities to be active, accounting for country context. To compare the country-level absolute and relative contributions of physical activity at work and in the household, for travel, and during leisure-time to total moderate-to-vigorous physical activity (MVPA).OBJECTIVETo compare the country-level absolute and relative contributions of physical activity at work and in the household, for travel, and during leisure-time to total moderate-to-vigorous physical activity (MVPA).We used data collected between 2002 and 2019 from 327 789 participants across 104 countries and territories (n=24 low, n=34 lower-middle, n=30 upper-middle, n=16 high-income) from all six World Health Organization (WHO) regions. We calculated mean min/week of work/household, travel and leisure MVPA and compared their relative contributions to total MVPA using Global Physical Activity Questionnaire data. We compared patterns by country, sex and age group (25-44 and 45-64 years).METHODSWe used data collected between 2002 and 2019 from 327 789 participants across 104 countries and territories (n=24 low, n=34 lower-middle, n=30 upper-middle, n=16 high-income) from all six World Health Organization (WHO) regions. We calculated mean min/week of work/household, travel and leisure MVPA and compared their relative contributions to total MVPA using Global Physical Activity Questionnaire data. We compared patterns by country, sex and age group (25-44 and 45-64 years).Mean MVPA in work/household, travel and leisure domains across the 104 countries was 950 (IQR 618-1198), 327 (190-405) and 104 (51-131) min/week, respectively. Corresponding relative contributions to total MVPA were 52% (IQR 44%-63%), 36% (25%-45%) and 12% (4%-15%), respectively. Work/household was the highest contributor in 80 countries; travel in 23; leisure in just one. In both absolute and relative terms, low-income countries tended to show higher work/household (1233 min/week, 57%) and lower leisure MVPA levels (72 min/week, 4%). Travel MVPA duration was higher in low-income countries but there was no obvious pattern in the relative contributions. Women tended to have relatively less work/household and more travel MVPA; age groups were generally similar.RESULTSMean MVPA in work/household, travel and leisure domains across the 104 countries was 950 (IQR 618-1198), 327 (190-405) and 104 (51-131) min/week, respectively. Corresponding relative contributions to total MVPA were 52% (IQR 44%-63%), 36% (25%-45%) and 12% (4%-15%), respectively. Work/household was the highest contributor in 80 countries; travel in 23; leisure in just one. In both absolute and relative terms, low-income countries tended to show higher work/household (1233 min/week, 57%) and lower leisure MVPA levels (72 min/week, 4%). Travel MVPA duration was higher in low-income countries but there was no obvious pattern in the relative contributions. Women tended to have relatively less work/household and more travel MVPA; age groups were generally similar.In the largest domain-specific physical activity study to date, we found considerable country-level variation in how MVPA is accumulated. Such information is essential to inform national and global policy and future investments to provide opportunities to be active, accounting for country context.CONCLUSIONIn the largest domain-specific physical activity study to date, we found considerable country-level variation in how MVPA is accumulated. Such information is essential to inform national and global policy and future investments to provide opportunities to be active, accounting for country context. To compare the country-level absolute and relative contributions of physical activity at work and in the household, for travel, and during leisure-time to total moderate-to-vigorous physical activity (MVPA). We used data collected between 2002 and 2019 from 327 789 participants across 104 countries and territories (n=24 low, n=34 lower-middle, n=30 upper-middle, n=16 high-income) from all six World Health Organization (WHO) regions. We calculated mean min/week of work/household, travel and leisure MVPA and compared their relative contributions to total MVPA using Global Physical Activity Questionnaire data. We compared patterns by country, sex and age group (25-44 and 45-64 years). Mean MVPA in work/household, travel and leisure domains across the 104 countries was 950 (IQR 618-1198), 327 (190-405) and 104 (51-131) min/week, respectively. Corresponding relative contributions to total MVPA were 52% (IQR 44%-63%), 36% (25%-45%) and 12% (4%-15%), respectively. Work/household was the highest contributor in 80 countries; travel in 23; leisure in just one. In both absolute and relative terms, low-income countries tended to show higher work/household (1233 min/week, 57%) and lower leisure MVPA levels (72 min/week, 4%). Travel MVPA duration was higher in low-income countries but there was no obvious pattern in the relative contributions. Women tended to have relatively less work/household and more travel MVPA; age groups were generally similar. In the largest domain-specific physical activity study to date, we found considerable country-level variation in how MVPA is accumulated. Such information is essential to inform national and global policy and future investments to provide opportunities to be active, accounting for country context. |
| Author | Strain, Tessa Garcia, Leandro Bull, Fiona C Wijndaele, Katrien Cowan, Melanie Brage, Soren Guthold, Regina |
| AuthorAffiliation | 1 MRC Epidemiology Unit , University of Cambridge , Cambridge , UK 3 Centre for Public Health , Queen's University Belfast , Belfast , UK 6 Department of Health Promotion, Division of Universal Health Coverage and Healthier Populations , World Health Organization , Geneva , Switzerland 5 Maternal, Newborn, Child, and Adolescent Health and Ageing Department , World Health Organization , Geneva , Switzerland 2 Physical Activity for Health Research Centre , University of Edinburgh , Edinburgh , UK 4 Department of Noncommunicable Diseases , World Health Organization , Geneva , Switzerland 7 Physical Activity Unit , The University of Western Australia , Perth , Western Australia , Australia |
| AuthorAffiliation_xml | – name: 2 Physical Activity for Health Research Centre , University of Edinburgh , Edinburgh , UK – name: 3 Centre for Public Health , Queen's University Belfast , Belfast , UK – name: 4 Department of Noncommunicable Diseases , World Health Organization , Geneva , Switzerland – name: 1 MRC Epidemiology Unit , University of Cambridge , Cambridge , UK – name: 6 Department of Health Promotion, Division of Universal Health Coverage and Healthier Populations , World Health Organization , Geneva , Switzerland – name: 5 Maternal, Newborn, Child, and Adolescent Health and Ageing Department , World Health Organization , Geneva , Switzerland – name: 7 Physical Activity Unit , The University of Western Australia , Perth , Western Australia , Australia |
| Author_xml | – sequence: 1 givenname: Tessa orcidid: 0000-0002-7086-1047 surname: Strain fullname: Strain, Tessa email: tessa.strain@mrc organization: Physical Activity for Health Research Centre, University of Edinburgh, Edinburgh, UK – sequence: 2 givenname: Katrien orcidid: 0000-0003-2199-7981 surname: Wijndaele fullname: Wijndaele, Katrien organization: MRC Epidemiology Unit, University of Cambridge, Cambridge, UK – sequence: 3 givenname: Leandro orcidid: 0000-0001-5947-2617 surname: Garcia fullname: Garcia, Leandro organization: Centre for Public Health, Queen's University Belfast, Belfast, UK – sequence: 4 givenname: Melanie surname: Cowan fullname: Cowan, Melanie organization: Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland – sequence: 5 givenname: Regina orcidid: 0000-0003-3073-6468 surname: Guthold fullname: Guthold, Regina organization: Maternal, Newborn, Child, and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland – sequence: 6 givenname: Soren orcidid: 0000-0002-1265-7355 surname: Brage fullname: Brage, Soren organization: MRC Epidemiology Unit, University of Cambridge, Cambridge, UK – sequence: 7 givenname: Fiona C orcidid: 0000-0001-8035-4973 surname: Bull fullname: Bull, Fiona C organization: Physical Activity Unit, The University of Western Australia, Perth, Western Australia, Australia |
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| DOI | 10.1136/bjsports-2020-102601 |
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| Issue | 24 |
| Keywords | epidemiology surveillance physical activity |
| Language | English |
| License | This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ. |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Article-2 ObjectType-Feature-1 content type line 23 SB and FCB are joint senior authors. |
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| PublicationTitle | British journal of sports medicine |
| PublicationTitleAbbrev | Br J Sports Med |
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| PublicationYear | 2020 |
| Publisher | BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine BMJ Publishing Group LTD BMJ Publishing Group |
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publication-title: Prev Med doi: 10.1016/j.ypmed.2015.02.009 – volume: 16 start-page: 68 year: 2019 ident: R16 article-title: Physical activity and sedentary behavior patterns and sociodemographic correlates in 116,982 adults from six South American countries: the South American physical activity and sedentary behavior network (SAPASEN) publication-title: Int J Behav Nutr Phys Act doi: 10.1186/s12966-019-0839-9 – volume: 39 start-page: 419 year: 2011 ident: R10 article-title: Macro-environmental factors associated with leisure-time physical activity: a cross-national analysis of EU countries publication-title: Scand J Public Health doi: 10.1177/1403494810396553 – volume: 390 start-page: 2643 year: 2017 ident: R9 article-title: The effect of physical activity on mortality and cardiovascular disease in 130 000 people from 17 high-income, middle-income, and low-income countries: the PURE study publication-title: Lancet doi: 10.1016/S0140-6736(17)31634-3 – year: 2020 ident: R1 article-title: World Health Organization 2020 guidelines on physical activity and sedentary behaviour publication-title: Brit J Sport Med doi: 10.1136/bjsports-2020-102955 – volume: 16 start-page: 121 year: 2019 ident: R15 article-title: Do associations of sex, age and education with transport and leisure-time physical activity differ across 17 cities in 12 countries? 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publication-title: Lancet doi: 10.1016/S0140-6736(12)60735-1 – volume: 3 start-page: 90 year: 2016 ident: R17 article-title: Age-related comparisons by sex in the domains of aerobic physical activity for adults in Scotland publication-title: Prev Med Rep doi: 10.1016/j.pmedr.2015.12.013 – volume: 11 start-page: 26 year: 2014 article-title: Physical activity and inactivity patterns in India - results from the ICMR-INDIAB study (Phase-1) [ICMR-INDIAB-5] publication-title: Int J Behav Nutr Phys Act doi: 10.1186/1479-5868-11-26 – volume: 46 start-page: 1248 year: 2014 article-title: Reliability and validity of a domain-specific last 7-d sedentary time questionnaire publication-title: Med Sci Sports Exerc doi: 10.1249/MSS.0000000000000214 – volume: 134 start-page: 12 year: 2016 article-title: Active commuting reduces sociodemographic differences in adherence to recommendations derived from leisure-time physical activity among Brazilian adults publication-title: Public Health doi: 10.1016/j.puhe.2016.01.016 – volume: 390 start-page: 2643 year: 2017 article-title: The effect of physical activity on mortality and cardiovascular disease in 130 000 people from 17 high-income, middle-income, and low-income countries: the PURE study publication-title: Lancet doi: 10.1016/S0140-6736(17)31634-3 – volume: 14 year: 2014 article-title: Comparisons of intensity-duration patterns of physical activity in the US, Jamaica and 3 African countries publication-title: BMC Public Health doi: 10.1186/1471-2458-14-882 – volume: 16 start-page: 121 year: 2019 article-title: Do associations of sex, age and education with transport and leisure-time physical activity differ across 17 cities in 12 countries? publication-title: Int J Behav Nutr Phys Act doi: 10.1186/s12966-019-0894-2 – volume: 2 year: 2009 article-title: Prevalence of physical inactivity in nine rural indepth health and demographic surveillance systems in five Asian countries publication-title: Glob Health Action doi: 10.3402/gha.v2i0.1985 – volume: 41 start-page: 52 year: 2011 article-title: Physical activity in 22 African countries: results from the World Health Organization STEPwise approach to chronic disease risk factor surveillance publication-title: Am J Prev Med doi: 10.1016/j.amepre.2011.03.008 – volume: 40 start-page: 1382 year: 2011 article-title: Domains of physical activity and all-cause mortality: systematic review and dose-response meta-analysis of cohort studies publication-title: Int J Epidemiol doi: 10.1093/ije/dyr112 – volume: 380 start-page: 258 year: 2012 article-title: Correlates of physical activity: why are some people physically active and others not? publication-title: Lancet doi: 10.1016/S0140-6736(12)60735-1 – volume: 68 start-page: 1305 year: 2009 article-title: Why have physical activity levels declined among Chinese adults? findings from the 1991-2006 China health and nutrition surveys publication-title: Soc Sci Med doi: 10.1016/j.socscimed.2009.01.035 – volume: 10 year: 2015 article-title: Physical activity in Vietnam: estimates and measurement issues publication-title: PLoS One doi: 10.1371/journal.pone.0140941 – volume: 52 start-page: 1320 year: 2018 article-title: Do highly physically active workers die early? A systematic review with meta-analysis of data from 193 696 participants publication-title: Br J Sports Med doi: 10.1136/bjsports-2017-098540 – volume: 16 start-page: 68 year: 2019 article-title: Physical activity and sedentary behavior patterns and sociodemographic correlates in 116,982 adults from six South American countries: the South American physical activity and sedentary behavior network (SAPASEN) publication-title: Int J Behav Nutr Phys Act doi: 10.1186/s12966-019-0839-9 – volume: 4 start-page: 50 year: 2016 article-title: Use of new guidance to profile 'equivalent minutes' of aerobic physical activity for adults in England reveals gender, geographical, and socio-economic inequalities in meeting public health guidance: A cross-sectional study publication-title: Prev Med Rep doi: 10.1016/j.pmedr.2016.05.009 – volume: 13 start-page: 659 year: 2012 article-title: Time use and physical activity: a shift away from movement across the globe publication-title: Obes Rev doi: 10.1111/j.1467-789X.2011.00982.x – volume: 9 start-page: 698 year: 2012 article-title: Validity of the Global Physical Activity Questionnaire (GPAQ) in adult Latinas publication-title: J Phys Act Health doi: 10.1123/jpah.9.5.698 – volume: 16 start-page: 126 year: 2019 article-title: Descriptive epidemiology of physical activity energy expenditure in UK adults (the Fenland study) publication-title: Int J Behav Nutr Phys Act doi: 10.1186/s12966-019-0882-6 – volume: 5 start-page: 23 year: 2007 article-title: Effect of item order on physical activity estimates using the IPAQ publication-title: Californian J Health Promot doi: 10.32398/cjhp.v5i1.1799 – volume: 3 start-page: 90 year: 2016 article-title: Age-related comparisons by sex in the domains of aerobic physical activity for adults in Scotland publication-title: Prev Med Rep doi: 10.1016/j.pmedr.2015.12.013 – volume: 6 start-page: e1077 year: 2018 article-title: Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants publication-title: Lancet Glob Health doi: 10.1016/S2214-109X(18)30357-7 – volume: 52 start-page: 247 year: 2011 article-title: Age-related differences in physical activity profiles of English adults publication-title: Prev Med doi: 10.1016/j.ypmed.2011.02.008 – volume: 6 Suppl 1 start-page: S46 year: 2009 article-title: Test-retest repeatability and relative validity of the Global Physical Activity Questionnaire in a developing country context publication-title: J Phys Act Health doi: 10.1123/jpah.6.s1.s46 – volume: 6 start-page: 790 year: 2009 article-title: Global Physical Activity Questionnaire (GPAQ): nine country reliability and validity study publication-title: J Phys Act Health doi: 10.1123/jpah.6.6.790 – volume: 87 start-page: 1 year: 2018 article-title: ggtern: ternary diagrams using ggplot2 publication-title: J Stat Softw – volume: 39 start-page: 419 year: 2011 article-title: Macro-environmental factors associated with leisure-time physical activity: a cross-national analysis of EU countries publication-title: Scand J Public Health doi: 10.1177/1403494810396553 – volume: 3 year: 2017 article-title: Validation of the Global Physical Activity Questionnaire for self-administration in a European context publication-title: BMJ Open Sport Exerc Med doi: 10.1136/bmjsem-2016-000206 – volume: 74 start-page: 42 year: 2015 article-title: Contrasts in active transport behaviour across four countries: how do they translate into public health benefits? publication-title: Prev Med doi: 10.1016/j.ypmed.2015.02.009 – volume: 48 start-page: 481 year: 2018 article-title: Shifting the physical inactivity curve worldwide by closing the gender gap publication-title: Sports Med doi: 10.1007/s40279-017-0754-7 – volume: 6 start-page: 269 year: 2009 article-title: The physical activity transition publication-title: J Phys Act Health doi: 10.1123/jpah.6.3.269 – volume: 9 Suppl 1 start-page: 119 year: 2008 article-title: Leisure-time physical activity alone may not be a sufficient public health approach to prevent obesity--a focus on China publication-title: Obes Rev doi: 10.1111/j.1467-789X.2007.00452.x – year: 2020 article-title: World Health Organization 2020 guidelines on physical activity and sedentary behaviour publication-title: Brit J Sport Med doi: 10.1136/bjsports-2020-102955 – volume: 65 start-page: 35 year: 2011 article-title: Cross-national comparisons of socioeconomic differences in the prevalence of leisure-time and occupational physical activity, and active commuting in six Asia-Pacific countries publication-title: J Epidemiol Community Health doi: 10.1136/jech.2008.086710 – volume: 74 start-page: 42 year: 2015 ident: 2025080113553926000_54.24.1488.11 article-title: Contrasts in active transport behaviour across four countries: how do they translate into public health benefits? publication-title: Prev Med doi: 10.1016/j.ypmed.2015.02.009 – volume: 9 Suppl 1 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ident: 2025080113553926000_54.24.1488.42 doi: 10.1186/1479-5868-11-26 – ident: 2025080113553926000_54.24.1488.13 doi: 10.1016/S0140-6736(12)60735-1 – ident: 2025080113553926000_54.24.1488.26 doi: 10.1136/bmjsem-2016-000206 – volume: 14 year: 2014 ident: 2025080113553926000_54.24.1488.27 article-title: Comparisons of intensity-duration patterns of physical activity in the US, Jamaica and 3 African countries publication-title: BMC Public Health doi: 10.1186/1471-2458-14-882 – volume: 87 start-page: 1 year: 2018 ident: 2025080113553926000_54.24.1488.29 article-title: ggtern: ternary diagrams using ggplot2 publication-title: J Stat Softw doi: 10.18637/jss.v087.c03 – ident: 2025080113553926000_54.24.1488.5 doi: 10.1093/ije/dyr112 – ident: 2025080113553926000_54.24.1488.10 doi: 10.1177/1403494810396553 – ident: 2025080113553926000_54.24.1488.14 doi: 10.1136/jech.2008.086710 – ident: 2025080113553926000_54.24.1488.6 doi: 10.1016/j.socscimed.2009.01.035 – volume: 6 Suppl 1 start-page: S46 year: 2009 ident: 2025080113553926000_54.24.1488.25 article-title: Test-retest repeatability and relative validity of the Global Physical Activity Questionnaire in a developing country context publication-title: J Phys Act Health doi: 10.1123/jpah.6.s1.s46 – ident: 2025080113553926000_54.24.1488.36 doi: 10.1136/bjsports-2017-098540 – ident: 2025080113553926000_54.24.1488.22 – ident: 2025080113553926000_54.24.1488.20 – volume: 5 start-page: 23 year: 2007 ident: 2025080113553926000_54.24.1488.40 article-title: Effect of item order on physical activity estimates using the IPAQ publication-title: Californian J Health Promot doi: 10.32398/cjhp.v5i1.1799 – ident: 2025080113553926000_54.24.1488.3 – volume: 134 start-page: 12 year: 2016 ident: 2025080113553926000_54.24.1488.35 article-title: Active commuting reduces sociodemographic differences in adherence to recommendations derived from leisure-time physical activity among Brazilian adults publication-title: Public Health doi: 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| Snippet | ObjectiveTo compare the country-level absolute and relative contributions of physical activity at work and in the household, for travel, and during... To compare the country-level absolute and relative contributions of physical activity at work and in the household, for travel, and during leisure-time to... |
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| SubjectTerms | Activities of Daily Living Adult Age Age Factors Data processing Economic development epidemiology Exercise Female Females High income Households Humans Leisure Leisure Activities Low income groups Male Middle Aged Original Research physical activity Population Questionnaires Sex Factors surveillance Surveys and Questionnaires Time Factors Travel - statistics & numerical data Trends Work - statistics & numerical data |
| Title | Levels of domain-specific physical activity at work, in the household, for travel and for leisure among 327 789 adults from 104 countries |
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