Urbanization and Physical Activity in the Global Prospective Urban and Rural Epidemiology Study

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):

Share this content! On (X network) By

Urbanization and Physical Activity in the Global Prospective Urban and Rural Epidemiology Study Publisher Pubmed

Boakye K¹ ; Bovbjerg M² ; Branscum A² ; Varma RP^{3, 4} ; Ismail R⁵ ; Barbarash O⁶ ; Dominguez J^{7, 8} ; Altuntas Y⁹ ; Anjana RM¹⁰ ; Yusuf R¹¹ ; Kelishadi R¹² ; Lopezjaramillo P¹³ ; Iqbal R¹⁴ ; Seron P¹⁵ Show All Authors

Boakye K¹
Bovbjerg M²
Branscum A²
Varma RP^{3, 4}
Ismail R⁵
Barbarash O⁶
Dominguez J^{7, 8}
Altuntas Y⁹
Anjana RM¹⁰
Yusuf R¹¹
Kelishadi R¹²
Lopezjaramillo P¹³
Iqbal R¹⁴
Seron P¹⁵
Rosengren A^{16, 17}
Poirier P¹⁸
Lakshmi PVM¹⁹
Khatib R^{20, 21}
Zatonska K²²
Hu B²³
Yin L²³
Wang C²³
Yeates K²⁴
Chifamba J²⁵
Alhabib KF²⁶
Avezum A²⁷
Dans A²⁸
Lear SA²⁹
Yusuf S³⁰
Hystad P²

Show Affiliations

1. Department of Public Health and Health Services Administration, California State University, Chico, CA, United States
2. College of Public Health and Human Sciences, Oregon State University, 2520 SW Campus Way, Corvallis, 97331, OR, United States
3. Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
4. Health Action By People, Thiruvananthapuram, India
5. Department of Community Health, Faculty of Medicine, University Kebangsaan Malaysia, Medical Center, Kuala Lumpur, Malaysia
6. Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russian Federation
7. Estudios Clinicos Latino America, Rosario, 160, Argentina
8. Instituto Cardiovascular de Rosario, Orono 450, Rosario, Argentina
9. Department of Endocrinology and Metabolism, University of Health Sciences, Sisli Hamidiye Etfal Teaching and Research Hospital, Istanbul, Turkey
10. Madras Diabetes Research Foundation, Chennai, India
11. School of Life Sciences, Independent University, Dhaka, Bangladesh
12. Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
13. Masira Research Institute, Medical School, Universidad de Santander (UDES), Bucaramanga, Colombia
14. Department of Community Health Sciences and Medicine, Aga Khan University, Stadium Road, Karachi, Pakistan
15. Faculty of Medicine, Universidad de La Frontera, Claro Solar 115, Temuco, Chile
16. Sahlgrenska University Hospital, Goteborg, Sweden
17. Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Goteborg, Sweden
18. Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Quebec, Canada
19. Department of Community Medicine & School of Public Health, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
20. Advocate Aurora Research Institute, Advocate Aurora Health, Downers Grove, IL, United States
21. Institute of Community and Public Health, Birzeit University, Birzeit, Palestine
22. Department of Social Medicine, Wroclaw Medical University, Wroclaw, Poland
23. Fuwai Hospital, Chinese Academy of Medical Sciences, National Center for Cardiovascular Diseases, Beijing, China
24. Department of Medicine, Queen’s University, Kingston, ON, Canada
25. Physiology Department, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe
26. Department of Cardiac Sciences, King Fahad Cardiac Center, College of Medicine, King Saud Medical City, King Saud University, Riyadh, Saudi Arabia
27. International Research Center, Hospital Alemao Oswaldo Cruz, Avenida Paulista, Sao Paulo, Brazil
28. Department of Medicine, University of the Philippines, Manila, Philippines
29. Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
30. Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada

Source: Scientific Reports Published:2023

Abstract

Urbanization may influence physical activity (PA) levels, although little evidence is available for low- and middle- income countries where urbanization is occurring fastest. We evaluated associations between urbanization and total PA, as well as work-, leisure-, home-, and transport-specific PA, for 138,206 adults living in 698 communities across 22 countries within the Prospective Urban and Rural Epidemiology (PURE) study. The 1-week long-form International PA Questionnaire was administered at baseline (2003–2015). We used satellite-derived population density and impervious surface area estimates to quantify baseline urbanization levels for study communities, as well as change measures for 5- and 10-years prior to PA surveys. We used generalized linear mixed effects models to examine associations between urbanization measures and PA levels, controlling for individual, household and community factors. Higher community baseline levels of population density (− 12.4% per IQR, 95% CI − 16.0, − 8.7) and impervious surface area (− 29.2% per IQR, 95% CI − 37.5, − 19.7), as well as the rate of change in 5-year population density (− 17.2% per IQR, 95% CI − 25.7, − 7.7), were associated with lower total PA levels. Important differences in the associations between urbanization and PA were observed between PA domains, country-income levels, urban/rural status, and sex. These findings provide new information on the complex associations between urbanization and PA. © 2023, The Author(s).

Related Docs

View other Related Docs

1. Perceived Built Environment Characteristics Associated With Walking and Cycling Across 355 Communities in 21 Countries, Cities (2023)

2. Assessing the Built Environment Through Photographs and Its Association With Obesity in 21 Countries: The Pure Study, The Lancet Global Health (2024)

3. The Effect of Physical Activity on Mortality and Cardiovascular Disease in 130 000 People From 17 High-Income, Middle-Income, and Low-Income Countries: The Pure Study, The Lancet (2017)

4. Associations of Outdoor Fine Particulate Air Pollution and Cardiovascular Disease in 157 436 Individuals From 21 High-Income, Middle-Income, and Low-Income Countries (Pure): A Prospective Cohort Study, The Lancet Planetary Health (2020)

5. The Household Economic Burden of Non-Communicable Diseases in 18 Countries, BMJ Global Health (2020)

6. Tobacco Control Environment: Cross-Sectional Survey of Policy Implementation, Social Unacceptability, Knowledge of Tobacco Health Harms and Relationship to Quit Ratio in 17 Low-Income, Middle-Income and High-Income Countries, BMJ Open (2017)

7. Variations in Common Diseases, Hospital Admissions, and Deaths in Middle-Aged Adults in 21 Countries From Five Continents (Pure): A Prospective Cohort Study, The Lancet (2020)

8. Variations in Diabetes Prevalence in Low-, Middle-, and High-Income Countries: Results From the Prospective Urban and Rural Epidemiological Study, Diabetes Care (2016)

Experts (# of related papers)

View all Related Experts

Roya Kelishadi (18)

Noushin Mohammadifard (9)

Other Related Docs

9. The Association Between Ownership of Common Household Devices and Obesity and Diabetes in High, Middle and Low Income Countries, CMAJ. Canadian Medical Association Journal (2014)

10. Short-Term Results of Community-Based Interventions for Improving Physical Activity: Isfahan Healthy Heart Programme, Archives of Medical Science (2010)

11. Variations in Risks From Smoking Between High-Income, Middle-Income, and Low-Income Countries: An Analysis of Data From 179 000 Participants From 63 Countries, The Lancet Global Health (2022)

12. Association of Sitting Time With Mortality and Cardiovascular Events in High-Income, Middle-Income, and Low-Income Countries, JAMA Cardiology (2022)

13. Metabolic, Behavioural, and Psychosocial Risk Factors and Cardiovascular Disease in Women Compared With Men in 21 High-Income, Middle-Income, and Low-Income Countries: An Analysis of the Pure Study, The Lancet (2022)

14. Availability and Affordability of Blood Pressure-Lowering Medicines and the Effect on Blood Pressure Control in High-Income, Middle-Income, and Low-Income Countries: An Analysis of the Pure Study Data, The Lancet Public Health (2017)

15. Prognostic Value of Grip Strength: Findings From the Prospective Urban Rural Epidemiology (Pure) Study, The Lancet (2015)

16. Modifiable Risk Factors, Cardiovascular Disease, and Mortality in 155 722 Individuals From 21 High-Income, Middle-Income, and Low-Income Countries (Pure): A Prospective Cohort Study, The Lancet (2020)

17. Activity Limitations, Use of Assistive Devices, and Mortality and Clinical Events in 25 High-Income, Middle-Income, and Low-Income Countries: An Analysis of the Pure Study, The Lancet (2024)

18. Use of Cardiovascular Disease Secondary Prevention Medications in Four Middle East Countries in a Community Setting, Global Heart (2024)

19. Global Variations in the Prevalence, Treatment, and Impact of Atrial Fibrillation in a Multi-National Cohort of 153 152 Middle-Aged Individuals, Cardiovascular Research (2021)

20. Secondary Prevention Medications in 17 Countries Grouped by Income Level (Pure): A Prospective Cohort Study, Journal of the American College of Cardiology (2025)

21. Fruit, Vegetable, and Legume Intake, and Cardiovascular Disease and Deaths in 18 Countries (Pure): A Prospective Cohort Study, The Lancet (2017)

22. Cardiovascular Risk and Events in 17 Low-, Middle-, and High-Income Countries, New England Journal of Medicine (2014)

23. Assessing Global Risk Factors for Non-Fatal Injuries From Road Traffic Accidents and Falls in Adults Aged 35–70 Years in 17 Countries: A Cross-Sectional Analysis of the Prospective Urban Rural Epidemiological (Pure) Study, Injury Prevention (2016)

24. Prevalence of a Healthy Lifestyle Among Individuals With Cardiovascular Disease in High-, Middle- and Low-Income Countries: The Prospective Urban Rural Epidemiology (Pure) Study, JAMA (2013)

25. Contrasting Associations Between Diabetes and Cardiovascular Mortality Rates in Low-, Middle-, and High-Income Countries: Cohort Study Data From 143,567 Individuals in 21 Countries in the Pure Study, Diabetes Care (2020)

26. Availability and Affordability of Cardiovascular Disease Medicines and Their Effect on Use in High-Income, Middle-Income, and Low-Income Countries: An Analysis of the Pure Study Data, The Lancet (2016)

27. Associations of Cereal Grains Intake With Cardiovascular Disease and Mortality Across 21 Countries in Prospective Urban and Rural Epidemiology Study: Prospective Cohort Study, The BMJ (2021)

28. Availability and Affordability of Essential Medicines for Diabetes Across High-Income, Middle-Income, and Low-Income Countries: A Prospective Epidemiological Study, The Lancet Diabetes and Endocrinology (2018)

29. Socioeconomic Status and Risk of Cardiovascular Disease in 20 Low-Income, Middle-Income, and High-Income Countries: The Prospective Urban Rural Epidemiologic (Pure) Study, The Lancet Global Health (2019)

30. Association of Nut Intake With Risk Factors, Cardiovascular Disease, and Mortality in 16 Countries From 5 Continents: Analysis From the Prospective Urban and Rural Epidemiology (Pure) Study, American Journal of Clinical Nutrition (2020)

31. Availability, Affordability, and Consumption of Fruits and Vegetables in 18 Countries Across Income Levels: Findings From the Prospective Urban Rural Epidemiology (Pure) Study, The Lancet Global Health (2016)

32. Inequalities in the Use of Secondary Prevention of Cardiovascular Disease by Socioeconomic Status: Evidence From the Pure Observational Study, The Lancet Global Health (2018)

33. Wealth and Cardiovascular Health: A Cross-Sectional Study of Wealth-Related Inequalities in the Awareness, Treatment and Control of Hypertension in High-, Middle- and Low-Income Countries, International Journal for Equity in Health (2016)

34. Rising Rural Body-Mass Index Is the Main Driver of the Global Obesity Epidemic in Adults, Nature (2019)

35. Prevalence, Awareness, Treatment and Control of Hypertension in Four Middle East Countries, Journal of Hypertension (2017)

Style	Citing Format
MLA	Boakye K, et al.. "Urbanization and Physical Activity in the Global Prospective Urban and Rural Epidemiology Study." Scientific Reports, vol. 13, no. 1, 2023, pp. -.
APA	Boakye K, Bovbjerg M, Branscum A, Varma RP, Ismail R, Barbarash O, Dominguez J, Altuntas Y, Anjana RM, Yusuf R, Kelishadi R, Lopezjaramillo P, Iqbal R, Seron P, Rosengren A, Poirier P, Lakshmi PVM, Khatib R, Zatonska K, ... Hystad P (2023). Urbanization and Physical Activity in the Global Prospective Urban and Rural Epidemiology Study. Scientific Reports, 13(1), -.
Chicago	Boakye K, Bovbjerg M, Branscum A, Varma RP, Ismail R, Barbarash O, Dominguez J, et al.. "Urbanization and Physical Activity in the Global Prospective Urban and Rural Epidemiology Study." Scientific Reports 13, no. 1 (2023): -.
Harvard	Boakye K et al. (2023) 'Urbanization and Physical Activity in the Global Prospective Urban and Rural Epidemiology Study', Scientific Reports, 13(1), pp. -.
Vancouver	Boakye K, Bovbjerg M, Branscum A, Varma RP, Ismail R, Barbarash O, et al.. Urbanization and Physical Activity in the Global Prospective Urban and Rural Epidemiology Study. Scientific Reports. 2023;13(1):-.
BibTex	@article{ author = {Boakye K and Bovbjerg M and Branscum A and Varma RP and Ismail R and Barbarash O and Dominguez J and Altuntas Y and Anjana RM and Yusuf R and Kelishadi R and Lopezjaramillo P and Iqbal R and Seron P and Rosengren A and Poirier P and Lakshmi PVM and Khatib R and Zatonska K and Hu B and Yin L and Wang C and Yeates K and Chifamba J and Alhabib KF and Avezum A and Dans A and Lear SA and Yusuf S and Hystad P}, title = {Urbanization and Physical Activity in the Global Prospective Urban and Rural Epidemiology Study}, journal = {Scientific Reports}, volume = {13}, number = {1}, pages = {-}, year = {2023} }
RIS	TY - JOUR AU - Boakye K AU - Bovbjerg M AU - Branscum A AU - Varma RP AU - Ismail R AU - Barbarash O AU - Dominguez J AU - Altuntas Y AU - Anjana RM AU - Yusuf R AU - Kelishadi R AU - Lopezjaramillo P AU - Iqbal R AU - Seron P AU - Rosengren A AU - Poirier P AU - Lakshmi PVM AU - Khatib R AU - Zatonska K AU - Hu B AU - Yin L AU - Wang C AU - Yeates K AU - Chifamba J AU - Alhabib KF AU - Avezum A AU - Dans A AU - Lear SA AU - Yusuf S AU - Hystad P TI - Urbanization and Physical Activity in the Global Prospective Urban and Rural Epidemiology Study JO - Scientific Reports VL - 13 IS - 1 SP - EP - PY - 2023 ER -

Science Communicator Platform

Authors

Authors Affiliations

Abstract