Journal
OBESITY REVIEWS
Volume 15, Issue -, Pages 27-36Publisher
WILEY
DOI: 10.1111/obr.12127
Keywords
China; Physical activity; distribution; quantile regression
Categories
Funding
- National Institute of Nutrition and Food Safety, China Center for Disease Control and Prevention
- Carolina Population Center, University of North Carolina at Chapel Hill [5 R24 HD050924]
- National Institutes of Health (NIH) [R01-HD30880, DK056350, R24 HD050924, R01-HL108427, R01-HD38700]
- Fogarty International Center
- NIH
- China-Japan Friendship Hospital, Ministry of Health
- NIH NHLBI [R01-HD30880, R01-HL108427]
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT [R01HD030880, R24HD050924] Funding Source: NIH RePORTER
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT [R01HD038700] Funding Source: NIH RePORTER
- FOGARTY INTERNATIONAL CENTER [D43TW009077] Funding Source: NIH RePORTER
- NATIONAL HEART, LUNG, AND BLOOD INSTITUTE [R01HL108427] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES [P30DK056350] Funding Source: NIH RePORTER
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Previous studies have linked work, home production, travel activities and inactivity with weight and health outcomes. However, these focused on average physical activity (PA) over time rather than changes in PA and associated sociodemographic and economic factors and urbanicity. Using the 1991-2011 China Health and Nutrition Survey data, we estimated the metabolic equivalent of task hours per week for individuals in occupational, domestic, travel and active leisure domains and sedentary hours per week. We present the distributions among adult men and women (aged 18-60), and use quantile regression models to explore factors associated with these trends. Trend analyses on the distribution of PA show declines along the whole distribution of occupational PA for men and women and domestic PA for women in China. These patterns remain consistent after adjusting for individual- and household-level factors. Controlling for urbanicity mitigated the decrease in occupational PA, particularly for men, but not the decrease in domestic PA. Given China's rapid urbanization and its association with occupational PA declines and the strong time trend in domestic PA, there is a need to invest in interventions and policies that promote PA during leisure and travel times.
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