Abstract

BackgroundPhysical activity is crucial to preventing noncommunicable diseases. This study aimed to provide up-to-date evidence on the epidemiology of insufficient physical activity across Nigeria to increase awareness and prompt relevant policy and public health response.MethodsA systematic literature search of community-based studies on physical inactivity was conducted. We constructed a meta-regression epidemiologic model to determine the age-adjusted prevalence and number of physically inactive persons in Nigeria for 1995 and 2020.ResultsFifteen studies covering a population of 13 814 adults met our selection criteria. The pooled crude prevalence of physically inactive persons in Nigeria was 52.0% (95% CI: 33.7–70.4), with prevalence in women higher at 55.8% (95% CI: 29.4–82.3) compared to men at 49.3% (95% CI: 24.7–73.9). Across settings, prevalence of physically inactive persons was significantly higher among urban dwellers (56.8%, 35.3–78.4) compared to rural dwellers (18.9%, 11.9–49.8). Among persons aged 20–79 years, the total number of physically inactive persons increased from 14.4 million to 48.6 million between 1995 and 2020, equivalent to a 240% increase over the 25-year period.ConclusionsA comprehensive and robust strategy that addresses occupational policies, town planning, awareness and information, and sociocultural and contextual issues is crucial to improving physical activity levels in Nigeria.

Highlights

  • Physical inactivity has been described as a global pandemic, partly responsible for the rising burden of noncommunicable diseases (NCDs) across world regions.[1]

  • After duplicates have been removed, 267 titles were screened for relevance

  • Our study broadly suggests about 50 million persons in Nigeria do not engage in su cient physical activity on a weekly basis in 2020, using the World Health Organization (WHO) reference, representing an ageadjusted prevalence of 58%

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Summary

Introduction

Physical inactivity has been described as a global pandemic, partly responsible for the rising burden of noncommunicable diseases (NCDs) across world regions.[1] In 2015, physical inactivity directly contributed to 21% of breast cancers, 25% of colon cancers, 27% of diabetes and 30% of ischemic heart diseases globally.[2] In sub-Saharan African, the World Health Organization (WHO) estimated about three million physical inactivity-related deaths in 2014.3 The benefits of staying physically active have been well documented; about a quarter of the global adult population do not currently meet the WHO recommendations of staying active. This study aimed to provide up-to-date evidence on the epidemiology of insuf cient physical activity across Nigeria to increase awareness and prompt relevant policy and public health response. Conclusions A comprehensive and robust strategy that addresses occupational policies, town planning, awareness and information, and sociocultural and contextual issues is crucial to improving physical activity levels in Nigeria

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