Estimating the changing burden of disease attributable to low levels of physical activity in South Africa for 2000, 2006 and 2012

被引:0
|
作者
Neethling, I. [1 ,2 ]
Lambert, E. V. [3 ]
Cois, A. [1 ,4 ]
Roomaney, R. A. [1 ]
Awotiwon, O. F. [1 ]
Pacella, R. [2 ]
Bradshaw, D. [1 ]
Pillay-van Wyk, V. [1 ]
机构
[1] South African Med Res Council, Burden Dis Res Unit, Cape Town, South Africa
[2] Univ Greenwich, Inst Lifecourse Dev, London, England
[3] Univ Cape Town, Res Ctr Hlth Phys Act Lifestyle & Sport, Div Exercise Sci & Sports Med, Dept Human Biol,Fac Hlth Sci, Rondebosch, South Africa
[4] Stellenbosch Univ, Dept Global Hlth, Div Hlth Syst & Publ Hlth, Cape Town, South Africa
来源
SAMJ SOUTH AFRICAN MEDICAL JOURNAL | 2022年 / 112卷 / 8B期
基金
英国医学研究理事会;
关键词
D O I
10.7196/SAMJ.2022.v112i8b.16484
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background. Physical activity is associated with a lower risk of cardiovascular outcomes, certain cancers and diabetes. The previous South African Comparative Risk Assessment (SACRA1) study assessed the attributable burden of low physical activity for 2000, but updated estimates are required, as well as an assessment of trends over time. Objective. To estimate the national prevalence of physical activity by age, year and sex and to quantify the burden of disease attributable to low physical activity in South Africa (SA) for 2000, 2006 and 2012. Methods. Comparative risk assessment methodology was used. Physical activity was treated as a categorical variable with four categories, i.e. inactive, active, very active and highly active. Prevalence estimates of physical activity levels, representing the three different years, were derived from two national surveys. Physical activity estimates together with the relative risks from the Global Burden of Disease, Injuries, and Risk Factors (GBD) 2016 study were used to calculate population attributable fractions due to inactive, active and very active levels of physical activity relative to highly active levels considered to be the theoretical minimum risk exposure (>8 000 metabolic equivalent of time (MET)-min/wk), in accordance with the GBD 2016 study. These were applied to relevant disease outcomes sourced from the Second National Burden of Disease Study to calculate attributable deaths, years of life lost, years lived with disability and disability adjusted life years (DALYs). Uncertainty analysis was performed using Monte Carlo simulation. Results. The prevalence of physical inactivity (<600 METS) decreased by 16% and 8% between 2000 and 2012 for females and males, respectively. Attributable DALYs due to low physical activity increased between 2000 (n=194 284) and 2006 (n=238 475), but decreased thereafter in 2012 (n=219 851). The attributable death age-standardised rates (ASRs) declined between 2000 and 2012 from 60/100 000 population in 2000 to 54/100 000 population in 2012. Diabetes mellitus type 2 displaced ischaemic heart disease as the largest contributor to attributable deaths, increasing from 31% in 2000 to 42% in 2012. Conclusions. Low physical activity is responsible for a large portion of disease burden in SA. While the decreased attributable death ASR due to low physical activity is encouraging, this burden may be lowered further with an additional reduction in the overall prevalence of physical inactivity, in particular. It is concerning that the attributable burden for diabetes mellitus is growing, which suggests that existing non-communicable disease policies need better implementation, with ongoing surveillance of physical activity, and population- and community-based interventions are required in order to reach set targets.
引用
收藏
页码:639 / 648
页数:10
相关论文
共 50 条
  • [41] Spatiotemporal trends of cardiovascular disease burden attributable to low physical activity during 1990-2019: an analysis of the Global Burden of Disease Study 2019
    Lu, Yunyan
    Lan, Tian
    PUBLIC HEALTH, 2024, 228 : 137 - 146
  • [42] Objectively measured physical activity levels of children and adolescents in rural South Africa: High volume of physical activity at low intensity
    Craig, Eva
    Bland, Ruth
    Reilly, John
    APPLIED PHYSIOLOGY NUTRITION AND METABOLISM, 2013, 38 (01) : 81 - 84
  • [43] The global, regional, and national disease burden of breast cancer attributable to low physical activity from 1990 to 2019: an analysis of the Global Burden of Disease Study 2019
    Yin, Xiaolin
    Zhang, Tongchao
    Zhang, Yuan
    Man, Jinyu
    Yang, Xiaorong
    Lu, Ming
    INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 2022, 19 (01)
  • [44] The global, regional, and national disease burden of breast cancer attributable to low physical activity from 1990 to 2019: an analysis of the Global Burden of Disease Study 2019
    Xiaolin Yin
    Tongchao Zhang
    Yuan Zhang
    Jinyu Man
    Xiaorong Yang
    Ming Lu
    International Journal of Behavioral Nutrition and Physical Activity, 19
  • [45] The global, regional, and national disease burden of colorectal cancer attributable to low physical activity from 1990 to 2021: an analysis of the Global Burden of Disease Study 2021
    Lian, Yanxue
    Alruwaili, Alwaleed M.
    Luo, Pincheng
    INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2025, 40 (01)
  • [46] The cardiovascular disease burden attributable to low physical activity in the Western Pacific Region, 1990-2019: an age-period-cohort analysis of the Global Burden of Disease study
    Liu, Zeye
    Li, Ziping
    Xie, Jing
    Xia, Ruibing
    Li, Yakun
    Zhang, Fengwen
    Ouyang, Wenbin
    Wang, Shouzheng
    Pan, Xiangbin
    EUROPEAN HEART JOURNAL-QUALITY OF CARE AND CLINICAL OUTCOMES, 2024, 10 (03) : 203 - 215
  • [47] The global burden of cardiovascular diseases and type 2 diabetes attributable to low physical activity, 1990-2019: an analysis from the global burden of disease study
    Zhang, Junhan
    Yuan, Zongxiang
    Mo, Chuye
    Kang, Yiwen
    Wang, Fengyi
    Wei, Xueqin
    Huang, Shihui
    Qin, Fang
    Jiang, Junjun
    Liang, Hao
    Ye, Li
    FRONTIERS IN CARDIOVASCULAR MEDICINE, 2023, 10
  • [48] Estimating the current and future cancer burden attributable to inadequate leisure-time physical activity among adults in Canada
    Friedenreich, Christine
    Brenner, Darren
    Ruan, Yibing
    Poirier, Abbey
    Grevers, Xin
    Franco, Eduardo
    Villeneuve, Paul
    Walter, Stephen
    Volesky, Karena
    JOURNAL OF PHYSICAL ACTIVITY & HEALTH, 2018, 15 (10): : S105 - S106
  • [49] Physical Activity Levels of Adolescents and Adults With Cerebral Palsy in Urban South Africa
    Salie, Roshaan
    Eken, Maaike M.
    Donald, Kirsten A.
    Fieggen, A. Graham
    Langerak, Nelleke G.
    FRONTIERS IN NEUROLOGY, 2021, 12
  • [50] Global, regional and national burden of ischaemic heart disease attributable to high body mass index and low physical activity from 1990 to 2021
    Lin, Wenwen
    Jiang, Xinye
    Chen, Jingyi
    Yuan, Yin
    Li, Qiaowei
    Wu, Hongkun
    Huang, Feng
    Zhu, Pengli
    DIABETES OBESITY & METABOLISM, 2025, 27 (05): : 2561 - 2572