Abstract

The World Health Organization has set physical activity guidelines to reduce physical inactivity and its consequences. However, 1.4 billion adults worldwide are not meeting the recommendation. Adherence to this recommendation and its correlates has not been assessed in Southwest Ethiopia. To determine the proportion of healthy adults meeting the physical activity recommendations and identify its correlates in urban centers of Southwest Ethiopia. A community-based cross-sectional study was conducted in 2021, involving 1191 adults. Data was collected using the Global Physical Activity Questionnaire. Multivariable logistic regression was used to identify factors associated with meeting the physical activity recommendations using a 95% confidence interval of adjusted odds ratio (AOR) at a p-value of < 0.05. A total of 1191adults participated in this study with a 93.3% response rate. Females accounted for more than half of the participants 643(54.0%). Only 38.8% of participants met the physical activity recommendations. Age 18-29 years (AOR=3.6;95% CI (2.4-5.4)), 30-44 years (AOR=2.8; 95% CI (1.9-4.0)), male sex (AOR=4.2; 95% CI (3.1-5.6)), lower educational status (AOR=1.83; 95%CI (1.35-2.5)), community participation (AOR=2.3;95% CI (1.6-3.4)),physical exercise of family members (AOR=2.4; 95%CI (1.8-3.3)) and physical exercise of friends (AOR=1.9; 95% CI (1.4-2.5)) were significantly associated with meeting the recommendations. The proportion of adults who met the recommendations in the study area is low. Socio-demographic, family, and social characteristics were associated with meeting the recommendations. Community participation and family-based physical activity have to be advocated to avert the consequences of physical inactivity.

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