BMC Public Health (Oct 2019)
Socioeconomic gradient in physical activity: findings from the PERSIAN cohort study
- Ali Kazemi Karyani,
- Behzad Karmi Matin,
- Shahin Soltani,
- Satar Rezaei,
- Moslem Soofi,
- Yahya Salimi,
- Mehdi Moradinazar,
- Mohammad Hajizadeh,
- Yahya Pasdar,
- Behrooz Hamzeh,
- Loghman Barzegar,
- Ali Akbar Haghdoost,
- Reza Malekzadeh,
- Hossein Poustchi,
- Zahra Mohammadi,
- Elnaz Faramarzi,
- Ali Reza Safarpour,
- Farhad Pourfarzi,
- Mahmood Moosazadeh,
- Azim Nejatizadeh,
- Mojtaba Farjam,
- Davoud Vahabzadeh,
- Ali Ahmadi,
- Fereshteh Ghorat,
- Jafar Ahmadi,
- Fariborz Mansour-Ghanaei,
- Mohammad Reza Mirjalili,
- Saeid Eslami,
- Najmeh Maharlouei,
- Seyed Mehdi Tabatabaei,
- Sara Sarvandian,
- Farid Najafi
Affiliations
- Ali Kazemi Karyani
- Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences
- Behzad Karmi Matin
- Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences
- Shahin Soltani
- Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences
- Satar Rezaei
- Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences
- Moslem Soofi
- Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences
- Yahya Salimi
- Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences
- Mehdi Moradinazar
- Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences
- Mohammad Hajizadeh
- School of Health Administration, Faculty of Health, Dalhousie University
- Yahya Pasdar
- Nutritional Sciences Department, School of Public Health, Kermanshah University of Medical Sciences
- Behrooz Hamzeh
- Department of Public Health, Kermanshah University of Medical Sciences
- Loghman Barzegar
- Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences
- Ali Akbar Haghdoost
- Modeling in Health Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences
- Reza Malekzadeh
- Liver and Pancreatobiliary Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences
- Hossein Poustchi
- Liver and Pancreatobiliary Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences
- Zahra Mohammadi
- Liver, Pancreatic, and Biliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences
- Elnaz Faramarzi
- Liver and Gastrointestinal Diseases Research center, Tabriz University of Medical Sciences
- Ali Reza Safarpour
- Gastroenterohepatology Research Center, Shiraz University of Medical Sciences
- Farhad Pourfarzi
- Digestive Disease Research Center, Ardabil University of Medical Sciences
- Mahmood Moosazadeh
- Health Sciences Research center, Addiction Institute, Mazandaran University of Medical Sciences
- Azim Nejatizadeh
- Molecular Medicine Research Center, Hormozgan University of Medical Sciences
- Mojtaba Farjam
- Noncommunicable Diseases Research Center, Fasa University of Medical Sciences
- Davoud Vahabzadeh
- Social Determinants of Health Research Center, Urmia University of Medical Sciences
- Ali Ahmadi
- Modeling in Health Research Center, Shahrekord University of Medical Sciences
- Fereshteh Ghorat
- Traditional and Complementary Medicine Research Center, Sabzevar University of Medical Sciences
- Jafar Ahmadi
- Department of Radiology, Medical School, Rafsanjan University of Medical Sciences
- Fariborz Mansour-Ghanaei
- Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences
- Mohammad Reza Mirjalili
- Shahid Sadoughi University of Medical Sciences
- Saeid Eslami
- Pharmaceutical Research Center, Pharmaceutical Research Institute, Mashhad University of Medical Sciences
- Najmeh Maharlouei
- Health Policy Research Center, Shiraz University of Medical Sciences
- Seyed Mehdi Tabatabaei
- Health Promotion Research Center, Zahedan University of Medical Sciences
- Sara Sarvandian
- Department of Biostatistics and Epidemiology, School of Public Health, Ahvaz Jundishapur University of Medical Sciences
- Farid Najafi
- Research Center for Environmental Determinants of Health (RCEDH), Health Institute, Kermanshah University of Medical Sciences
- DOI
- https://doi.org/10.1186/s12889-019-7715-z
- Journal volume & issue
-
Vol. 19,
no. 1
pp. 1 – 11
Abstract
Abstract Background The level of socioeconomic-related inequality in physical activity in Iran is largely unknown. This study investigates socioeconomic-related inequality in poor-physical activity (PPA) among Iranian adults. Methods A total of 129,257 adult participants enrolled in the PERSIAN (Prospective Epidemiological Research Studies in IrAN) Cohort were included in this study. Physical activity of adults was measured using metabolic equivalent rates (METs). Physical activity less than 41 METs/hour/day was considered PPA. The Concentration index (C) was used to quantify socioeconomic-related inequality in PPA. Moreover, the C was decomposed to identify the relative contribution of explanatory variables to inequality in PPA. Results There were significant regional variations in physical activity level among Iranian adults (29.8–76.5%). The positive value of C (0.098, 95% CI = 0.092 to 0.104) suggested that the higher concentration of PPA among higher socioeconomic status (SES) adults in Iran which was consistently observed in all cohort sites. Conclusions The higher prevalence of PPA among Iranian adults, especially, women and older adults, warrant further public health attention. Since PPA is concentrated more among the high-SES population in Iran, strategies for the promotion of physical activity should focus more on economically well-off population.
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