Physical Inactivity and Sedentary Behaviour among Panamanian Adults: Results from the National Health Survey of Panama (ENSPA) 2019
Abstract
:1. Introduction
2. Materials and Methods
2.1. Settings
2.2. Sociodemographic Characteristics and Variables
2.3. Health and Lifestyle Factors
2.4. Anthropometric Measurements
2.5. Physical Inactivity (PI)
2.6. Sedentary Behaviour (SB)
2.7. Statistical Analysis
3. Results
3.1. Characteristics of Participants
3.2. Regression Analysis
4. Discussion
4.1. Main Findings
4.2. Limitations of the Study
4.3. Strength of the Study
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Sociodemographic Characteristics | All | Men | Women | p-Value | |||
---|---|---|---|---|---|---|---|
N | Weighted Prevalence % (95% CI) | N | Weighted Prevalence % (95% CI) | N | Weighted Prevalence % (95% CI) | ||
2,192,075 | 1,023,241 | 46.7 (45.1–48.3) | 1,168,833 | 53.3 (51.7–54.9) | |||
Age (years) | <0.001 | ||||||
18–29 | 579,891 | 26.5 (25.1–27.9) | 244,670 | 23.9 (21.5–26.5) | 335,221 | 28.7 (27.3–30.1) | |
30–39 | 447,146 | 20.4 (19.2–21.6) | 188,237 | 18.4 (16.4–20.5) | 258,909 | 22.1 (20.9–23.5) | |
40–49 | 437,647 | 19.9 (18.8–21.2) | 215,550 | 21.1 (19.0–23.3) | 222,097 | 19.0 (17.8–20.3) | |
50–59 | 385,816 | 17.6 (16.4–18.8) | 192,600 | 18.8 (16.8–21.1) | 193,216 | 16.5 (15.4–17.8) | |
60–69 | 341,575 | 15.6 (14.5–16.7) | 182,185 | 17.8 (15.9–19.9) | 159,391 | 13.6 (12.6–14.8) | |
Living area | |||||||
Urban | 1,400,736 | 63.9 (62.8–64.9) | 647,406 | 63.3 (61.4–65.1) | 753,330 | 64.4 (63.4–65.5) | 0.564 |
Rural | 661,303 | 30.2 (29.2–31.2) | 314,670 | 30.7 (29.0–32.5) | 346,633 | 29.7 (28.7–30.6) | |
Indigenous | 130,035 | 5.9 (5.6–6.3) | 61,165 | 6.0 (5.5–6.5) | 68,871 | 5.9 (5.6–6.2) | |
Highest education level achieved | |||||||
No formal schooling/special or primary schooling (0–6 years) | 551,766 | 25.3 (24.1–26.4) | 257,109 | 25.2 (23.3–27.3) | 294,657 | 25.3 (24.0–26.5) | 0.009 |
Secondary/short-cycle or other schooling (7–13 years) | 1,235,178 | 56.5 (55.1–58.0) | 595,419 | 58.5 (55.8–61.1) | 639,759 | 54.9 (53.3–56.4) | |
University (≥13 years) | 397,111 | 18.2 (17.0–19.4) | 165,607 | 16.3 (14.3–18.5) | 231,504 | 19.9 (18.6–21.2) | |
Ethnic group | |||||||
Afro-Panamanian | 336,101 | 15.3 (14.2–16.5) | 173,097 | 16.9 (14.9–19.1) | 163,004 | 14.0 (12.9–15.1) | 0.037 |
Multi-racial | 1,133,402 | 51.7 (50.2–53.3) | 528,794 | 51.7 (49.0–54.5) | 604,608 | 51.8 (50.2–53.3) | |
Indigenous | 257,752 | 11.8 (11.0–12.5) | 110,548 | 10.8 (9.7–12.1) | 147,204 | 12.6 (11.7–13.5) | |
Caucasian | 399,039 | 18.2 (17.0–19.5) | 183,821 | 18.0 (15.9–20.3) | 215,218 | 18.4 (17.1–19.7) | |
Asian and others | 64,417 | 2.9 (2.5–3.5) | 26,187 | 2.6 (1.8–3.5) | 38,231 | 3.3 (2.7–4.0) | |
BMI * | |||||||
Underweight | 44,309 | 2.3 (1.8–2.9) | 22,679 | 2.6 (1.7–3.9) | 21,630 | 2.1 (1.6–2.6) | <0.001 |
Normal | 473,461 | 24.4 (23.0–25.8) | 251,183 | 28.4 (25.9–30.9) | 222,278 | 21.1 (19.8–22.4) | |
Overweight | 688,819 | 35.5 (33.9–37.1) | 339,893 | 38.4 (35.5–41.4) | 348,926 | 33.1 (31.5–34.6) | |
Obesity | 734,249 | 37.8 (36.3–39.4) | 271,875 | 30.7 (27.9–33.6) | 462,375 | 43.8 (42.1–45.5) | |
Self-perception of health status | |||||||
Very good or good | 1,943,147 | 88.7 (87.7–89.6) | 929,379 | 90.9 (89.2–92.3) | 1,013,768 | 86.8 (85.7–87.8) | <0.001 |
Very bad or bad | 247,564 | 11.3 (10.4–12.3) | 93,067 | 9.1 (7.6–10.8) | 154,497 | 13.2 (12.2–14.3) | |
Ever tobacco consumption | |||||||
Yes | 195,012 | 8.9 (8.0–9.9) | 159,985 | 15.6 (13.9–17.6) | 35,028 | 3.0 (2.5–3.6) | <0.001 |
No | 1,994,862 | 91.1 (90.1–91.9) | 862,462 | 84.3 (82.4–86.1) | 1,132,400 | 97.0 (96.4–97.5 | |
Ever alcohol consumption | |||||||
Yes | 749,008 | 34.2 (32.7–35.6) | 484,229 | 47.3 (44.6–50.1) | 264,779 | 22.6 (21.4–24.0) | <0.001 |
No | 1,443,067 | 65.8 (64.3–67.3) | 539,013 | 52.7 (49.9–55.4) | 904,054 | 77.3 (76.0–78.6) |
Domain | Both N = 2,192,075 | Men N = 1,023,241 | Women N = 1,680,833 | p-Value |
---|---|---|---|---|
Weighted Prevalence % (95% CI) | Weighted Prevalence % (95% CI) | Weighted Prevalence % (95% CI) | ||
Transport | 48.7 (47.2–50.2) | 46.1 (43.3–48.9) | 51.0 (49.4–52.6) | 0.003 |
Work/household | 80.0 (78.8–81.2) | 71.3 (68.9–73.6) | 87.6 (86.6–88.6) | <0.001 |
Exercise and sports | 82.6 (81.4–83.8) | 75.7 (73.4–77.8) | 88.6 (87.5–89.6) | <0.001 |
In any domain | 40.2 (38.7–41.8) | 34.4 (31.6–37.2) | 45.4 (43.8–47.0) | <0.001 |
Intensity | ||||
No vigorous-intensity PA | 77.4 (76.1–78.7) | 64.2 (61.6–66.7) | 89.1 (88.1–90.0) | <0.001 |
Domain | EEE of PA (MET-Minutes/Week) | ||||||
---|---|---|---|---|---|---|---|
Both | Men | Women | p-Value | ||||
N | Median (IQR) | N | Median (IQR) | N | Median (IQR) | ||
Work/household | 438,079 | 3840 (960–11,520) | 293,487 | 6720 (1920–14,400) | 144,591 | 1440 (480–4320) | <0.001 |
Exercise and sports | 381,277 | 1920 (720–4320) | 248,437 | 2400 (960–5040) | 132,840 | 1200 (480–2880) | <0.001 |
Transport | 1,124,461 | 840 (360–1920) | 551,485 | 960 (420–3360) | 572,975 | 600 (280–1680) | <0.001 |
Overall | 1,309,991 | 1800 (600–6720) | 671,635 | 3720 (1120–11,060) | 638,356 | 960 (420–2880) | <0.001 |
Intensity | |||||||
Vigorous-intensity PA | 494,214 | 3360 (1440–9600) | 366,366 | 4800 (1440–11,520) | 127,848 | 1920 (720–4320) | <0.001 |
Variables | Sex | |||||||
---|---|---|---|---|---|---|---|---|
Men % (95% CI) | Women % (95% CI) | |||||||
N | Work/Household | Exercise and Sports | Transport | N | Work/Household | Exercise and Sports | Transport | |
671,635 | 31.4 (29.9–33.0) | 21.6 (20.3–22.9) | 47.0 (45.3–48.6) | 638,356 | 14.8 (14.0–15.5) | 12.9 (12.1–13.6) | 72.3 (71.4–73.3) | |
Age (years) | ||||||||
18–29 | 170,065 | 26.1 (23.3–29.0) | 36.0 (33.0–38.9) | 37.9 (34.9–40.8) | 183,373 | 13.7 (12.4–15.1) | 15.4 (13.9–16.8) | 70.9 (69.1–72.7) |
30–39 | 120,092 | 28.8 (25.4–32.2) | 25.3 (22.2–28.5) | 45.8 (42.2–49.5) | 149,169 | 17.4 (15.8–19.0) | 12.9 (11.5–14.3) | 69.7 (67.7–71.6) |
40–49 | 155,100 | 37.9 (34.4–41.5) | 15.1 (12.5–17.7) | 46.9 (43.3–50.5) | 120,033 | 14.5 (12.8–16.3) | 12.9 (11.3–14.5) | 72.5 (70.3–74.7) |
50–59 | 112,867 | 37.9 (33.9–41.9) | 15.2 (12.3–18.1) | 46.9 (42.9–50.9) | 106,258 | 13.3 (11.4–15.1) | 11.0 (9.2–12.9) | 75.7 (73.2–78.1) |
60–69 | 113,511 | 26.9 (23.3–30.4) | 11.2 (8.8–13.6) | 61.9 (58.0–65.8) | 79,523 | 14.6 (12.2–17.0) | 9.3 (7.3–11.3) | 76.1 (73.1–79.1) |
Living area | ||||||||
Urban | 389,194 | 24.8 (22.4–27.1) | 25.2 (22.9–27.5) | 50.0 (47.3–52.6) | 384,591 | 13.4 (12.3–14.6) | 14.3 (13.1–15.5) | 72.3 (70.8–73.9) |
Rural | 236,265 | 40.4 (38.0–42.8) | 16.4 (14.7–18.1) | 43.2 (40.9–45.5) | 213,126 | 15.3 (14.1–16.4) | 11.0 (10.1–12.0) | 73.6 (72.3–75.0) |
Indigenous | 46,176 | 41.9 (38.0–45.9) | 17.3 (14.3–20.3) | 40.8 (36.7–44.8) | 40,639 | 25.1 (22.5–27.7) | 9.1 (7.4–10.7) | 65.9 (62.9–68.8) |
Highest education level achieved | ||||||||
No formal schooling/special or primary schooling | 168,922 | 42.7 (40.0–45.5) | 12.0 (10.2–13.7) | 45.3 (42.6–48.0) | 162,622 | 16.6 (15.2–18.0) | 8.1 (7.1–9.1) | 75.3 (73.7–76.9) |
Secondary/short-cycle or other schooling | 382,214 | 30.8 (28.6–33.0) | 23.1 (21.2–25.1) | 46.0 (43.7–48.3) | 343,446 | 13.9 (12.8–15.0) | 13.6 (12.6–14.7) | 72.4 (71.0–73.8) |
University | 116,235 | 16.1 (12.9–19.4) | 30.9 (26.9–34.8) | 53.0 (48.7–57.3) | 130,633 | 14.1 (12.3–15.8) | 16.9 (15.0–18.8) | 69.0 (66.6–71.4) |
Ethnic group | ||||||||
Afro-Panamanian | 110,905 | 34.2 (30.1–38.5) | 20.6 (17.2–24.0) | 45.1 (40.9–49.3) | 89,928 | 12.2 (10.2–14.2) | 11.4 (9.5–13.4) | 76.3 (73.7–79.0) |
Mixed ethnicities | 355,021 | 31.0 (28.8–33.3). | 23.1 (21.1–25.1) | 45.8 (43.5–48.2) | 353,651 | 14.7 (13.6–15.7) | 13.8 (12.8–14.8) | 71.5 (70.2–72.9) |
Indigenous | 79,009 | 41.5 (38.1–44.8) | 14.8 (12.5–17.1) | 43.8 (40.4–47.1) | 81,282 | 20.7 (18.8–22.7) | 9.6 (8.2–11.0) | 69.6 (67.4–71.9) |
Caucasian | 111,346 | 22.6 (18.8–26.4) | 22.1 (18.3–25.9) | 55.2 (50.6–59.9) | 99,805 | 11.9 (10.1–13.8) | 14.0 (12.1–16.0) | 74.0 (71.5–76.6) |
Asian and others | 14,559 | 28.5 (18.7–38.2) | 25.9 (16.2–35.7) | 45.5 (34.5–56.6) | 13,122 | 16.6 (10.7–22.5) | 9.4 (4.7–14.0) | 74.0 (66.6–81.4) |
BMI | ||||||||
Underweight | 12,892 | 12.0 (3.8–20.1) | 41.6 (28.9–54.3) | 46.4 (33.3–59.5) | 10,832 | 13.6 (8.5–18.6) | 15.8 (10.3–21.2) | 70.7 (63.5–77.8) |
Normal | 180,503 | 33.2 (30.4–36.1) | 26.2 (23.7–28.7) | 40.5 (37.7–43.3) | 124,593 | 14.7 (13.1–16.4) | 15.2 (13.5–16.9) | 70.1 (67.9–72.3) |
Overweight | 221,770 | 36.3 (33.5–39.1) | 20.5 (18.2–22.7) | 43.2 (40.4–46.0) | 194,946 | 15.5 (14.1–16.9) | 12.6 (11.3–13.8) | 71.9 (70.2–73.7) |
Obesity | 172,488 | 28.0 (24.8–31.2) | 17.0 (14.4–19.6) | 54.9 (51.4–58.4) | 247,081 | 15.1 (13.9–16.4) | 13.1 (11.9–14.3) | 71.8 (70.1–73.4) |
Self-perception of health status | ||||||||
Very good or good | 616,405 | 30.9 (29.3–32.5) | 22.2 (20.8–23.6) | 46.9 (45.2–48.6) | 553,125 | 13.2 (12.4–14.7) | 13.0 (12.2–13.8) | 73.0 (72.0–74.1) |
Very bad or bad | 54,436 | 36.3 (30.6–42.0) | 15.1 (11.1–19.1) | 48.6 (42.8–54.4) | 84,662 | 19.6 (17.1–22.0) | 12.2 (10.1–14.3) | 68.3 (65.3–71.3) |
Ever tobacco consumption | ||||||||
Yes | 367,220 | 34.1 (32.1–36.2) | 22.5 (20.7–24.3) | 43.3 (41.3–45.4) | 176,451 | 15.6 (14.1–17.1) | 14.6 (13.2–16.0) | 69.8 (67.9–71.6) |
No | 304,415 | 28.2 (25.9–30.5) | 20.5 (18.4–22.5) | 51.3 (48.8–53.9) | 461,906 | 14.5 (13.6–15.3) | 12.2 (11.4–13.0) | 73.3 (72.2–74.5) |
Physical activity | ||||||||
Low | 99,048 | 4.5 (2.6–6.4) | 8.5 (5.7–11.2) | 87.0 (83.8–90.3) | 225,748 | 6.2 (5.3–7.2) | 4.7 (3.9–5.6) | 89.0 (87.8–90.3) |
Moderate | 178,143 | 17.7 (15.3–20.2) | 18.9 (16.4–21.3) | 63.4 (60.4–66.4) | 247,441 | 12.2 (11.1–13.3) | 13.8 (12.6–15.0) | 73.9 (72.4–75.4) |
High | 394,444 | 44.4 (42.3–46.5) | 26.1 (24.3–27.9) | 29.5 (27.7–31.2) | 165,467 | 30.3 (28.4–32.1) | 22.6 (20.9–24.3) | 47.2 (45.2–49.1) |
Variables | OR (95% CI) | |
---|---|---|
Crude | Adjusted (n = 1,932,405) | |
Sex | ||
Men | (Ref) | (Ref) |
Women | 2.33 (2.04–2.65) | 2.07 (1.77–2.42) |
Age (years) | 1.01 (1.00–1.01) | 1.00 (0.99–1.01) |
Living area | ||
Urban | (Ref) | (Ref) |
Rural | 0.67 (0.59–0.76) | 0.67 (0.58–0.78) |
Indigenous | 0.70 (0.59–0.83) | 0.63 (0.52–0.77) |
Highest education level achieved | ||
No formal schooling/special or primary schooling | 1.08 (0.91–1.29) | 1.21 (0.97–1.51) |
Secondary/short-cycle or other schooling | 1.08 (0.91–1.29) | 1.17 (0.97–1.42) |
University | (Ref) | (Ref) |
Body mass index (BMI) | 1.02 (1.01–1.03) | 1.01 (0.99–1.02) |
Self-perception of health status | ||
Very good or good | (Ref) | (Ref) |
Very bad or bad | 1.31 (1.08–1.58) | 1.22 (0.99–1.51) |
Ever-consumption of tobacco | ||
No | (Ref) | (Ref) |
Yes | 0.51 (0.40–0.65) | 0.83 (0.63–1.09) |
Ever-consumption of alcohol | ||
No | (Ref) | (Ref) |
Yes | 0.48 (0.42–0.55) | 0.59 (0.50–0.69) |
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Montenegro Mendoza, R.; Roa, R.; Fontes, F.; Moreno Velásquez, I.; Quintana, H. Physical Inactivity and Sedentary Behaviour among Panamanian Adults: Results from the National Health Survey of Panama (ENSPA) 2019. Int. J. Environ. Res. Public Health 2023, 20, 5554. https://doi.org/10.3390/ijerph20085554
Montenegro Mendoza R, Roa R, Fontes F, Moreno Velásquez I, Quintana H. Physical Inactivity and Sedentary Behaviour among Panamanian Adults: Results from the National Health Survey of Panama (ENSPA) 2019. International Journal of Environmental Research and Public Health. 2023; 20(8):5554. https://doi.org/10.3390/ijerph20085554
Chicago/Turabian StyleMontenegro Mendoza, Roger, Reina Roa, Flavia Fontes, Ilais Moreno Velásquez, and Hedley Quintana. 2023. "Physical Inactivity and Sedentary Behaviour among Panamanian Adults: Results from the National Health Survey of Panama (ENSPA) 2019" International Journal of Environmental Research and Public Health 20, no. 8: 5554. https://doi.org/10.3390/ijerph20085554