Skip to main content
Top
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Physical inactivity prevalence and trends among Mexican adults: results from the National Health and Nutrition Survey (ENSANUT) 2006 and 2012

Authors: Catalina Medina, Ian Janssen, Ismael Campos, Simón Barquera

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

Lifestyles such as unhealthy diets and the lack of physical activity have been contributed to the increased prevalence of obesity. In 2012, the world health organization published the first global recommendation for physical activity and health. People who do not meet at least 150 minutes of moderate-to-vigorous physical activity are considered to be physically inactive. The prevalence of physical inactivity worldwide is 31%, however there is insufficient data from prevalence and trends of physical inactivity in Mexican population. The purposes of this study are to describe the physical inactivity prevalence and recent trends in Mexican adults and to examine the association between physical inactivity with biologic and sociodemographic characteristics.

Methods

Representative samples of 17,183 and 10,729 adults (aged 20 to 69 years) who participated in the National Health and Nutrition Survey (ENSANUT) in 2006 and 2012, respectively. Moderate-to-vigorous physical activity (MVPA) was assessed using the short form version of the International Physical Activity Questionnaire (IPAQ), which was administered in face-to-face interviews. Self-reported IPAQ MVPA levels were adjusted using an equation derived from a previous validation study. Participants were considered inactive if they engaged in <150-minutes/week of moderate physical activity or <75 minutes/week of vigorous physical activity according to WHO classification criteria.

Results

The prevalence of physical inactivity was significantly higher in 2012 (19.4%, 95% CI: 18.1, 20.7) than in 2006 (13.4%, 95% CI: 12.5, 14.5). Adults in the obese category, 60–69 age group, and those in the highest socioeconomic status tertile were more likely to be physically inactive.

Conclusions

The proportion of the Mexican adult population who do not meet the minimum WHO physical activity criteria has increased by 6% points between 2006 and 2012. Given the increasing prevalence of obesity, the aging of the population, and the shift in socioeconomic status in Mexico, physical inactivity could continue to increase in the coming years unless effective public health interventions are implemented.
Appendix
Available only for authorised users
Literature
1.
go back to reference Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U: Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012, 380 (9838): 247-257. 10.1016/S0140-6736(12)60646-1.CrossRefPubMed Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U: Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012, 380 (9838): 247-257. 10.1016/S0140-6736(12)60646-1.CrossRefPubMed
2.
go back to reference Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT: Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012, 380 (9838): 219-229. 10.1016/S0140-6736(12)61031-9.CrossRefPubMedPubMedCentral Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT: Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012, 380 (9838): 219-229. 10.1016/S0140-6736(12)61031-9.CrossRefPubMedPubMedCentral
3.
go back to reference Stevens G, Días R, Thomas K, Rivera J, Carvallo N, Barquera S, Hill K, Ezzati M: Characterizing the Epidemiological transition in Mexico: National and Subnational burden of disease, injuries, and risk factors. Plos Medicine. 2005, 5 (6): 0900-0910. Stevens G, Días R, Thomas K, Rivera J, Carvallo N, Barquera S, Hill K, Ezzati M: Characterizing the Epidemiological transition in Mexico: National and Subnational burden of disease, injuries, and risk factors. Plos Medicine. 2005, 5 (6): 0900-0910.
6.
go back to reference Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, et al: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003, 35 (8): 1381-1395. 10.1249/01.MSS.0000078924.61453.FB.CrossRefPubMed Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, et al: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003, 35 (8): 1381-1395. 10.1249/01.MSS.0000078924.61453.FB.CrossRefPubMed
7.
go back to reference Romero-Martínez M, Shamah-Levy T, Franco-Nuñez A, Villalpando S, Cuevas-Nasu L, Gutiérrez JP: Encuesta Nacional de Salud y Nutrición 2012: diseño y cobertura. Salud Publica Mex. 2013, 55 (supl 2): S332-S340.PubMed Romero-Martínez M, Shamah-Levy T, Franco-Nuñez A, Villalpando S, Cuevas-Nasu L, Gutiérrez JP: Encuesta Nacional de Salud y Nutrición 2012: diseño y cobertura. Salud Publica Mex. 2013, 55 (supl 2): S332-S340.PubMed
8.
go back to reference Gutiérrez JP, Rivera-Domarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, Romero-Martínez M, Hernández-Ávila M, Romero M y cols. Metodología: Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. 2012, Cuernavaca, México: Instituto Nacional de Salud Pública (MX), 19-27. Gutiérrez JP, Rivera-Domarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, Romero-Martínez M, Hernández-Ávila M, Romero M y cols. Metodología: Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. 2012, Cuernavaca, México: Instituto Nacional de Salud Pública (MX), 19-27.
9.
go back to reference Olaiz-Fernández G, Rivera-Domarco J, Shamah-Levy T, Rojas R, Villalpando-Hernández S, Hernández-Ávila M, Palma O y col. Metodología. En, et al: Encuesta Nacional de Salud y Nutrición 2006. 2006, Cuernavaca, México: Instituto Nacional de Salud Pública, 19-33. Olaiz-Fernández G, Rivera-Domarco J, Shamah-Levy T, Rojas R, Villalpando-Hernández S, Hernández-Ávila M, Palma O y col. Metodología. En, et al: Encuesta Nacional de Salud y Nutrición 2006. 2006, Cuernavaca, México: Instituto Nacional de Salud Pública, 19-33.
10.
go back to reference Pereira MA, FitzerGerald SJ, Gregg EW, Joswiak ML, Ryan WJ, Suminski RR, Utter AC, Zmuda JM: A collection of Physical Activity Questionnaires for health-related research. Med Sci Sports Exerc. 1997, 29 (6 Suppl): S1-205.PubMed Pereira MA, FitzerGerald SJ, Gregg EW, Joswiak ML, Ryan WJ, Suminski RR, Utter AC, Zmuda JM: A collection of Physical Activity Questionnaires for health-related research. Med Sci Sports Exerc. 1997, 29 (6 Suppl): S1-205.PubMed
11.
go back to reference Medina C, Barquera S, Janssen I: Validity and reliability of the International Physical Activity Questionnaire among adults in Mexico. Rev Panam Salud Publica. 2013, 34 (1): 21-28.PubMed Medina C, Barquera S, Janssen I: Validity and reliability of the International Physical Activity Questionnaire among adults in Mexico. Rev Panam Salud Publica. 2013, 34 (1): 21-28.PubMed
13.
go back to reference Rzewnicki R, Vanden Auweele Y, De Bourdeaudhuij I: Addressing overreporting on the International Physical Activity Questionnaire (IPAQ) telephone survey with a population sample. Public Health Nutr. 2003, 6 (3): 299-305.CrossRefPubMed Rzewnicki R, Vanden Auweele Y, De Bourdeaudhuij I: Addressing overreporting on the International Physical Activity Questionnaire (IPAQ) telephone survey with a population sample. Public Health Nutr. 2003, 6 (3): 299-305.CrossRefPubMed
14.
15.
go back to reference Westerterp KR: Assessment of physical activity: a critical appraisal. Eur J Appl Physiol. 2009, 105 (6): 823-828. 10.1007/s00421-009-1000-2.CrossRefPubMed Westerterp KR: Assessment of physical activity: a critical appraisal. Eur J Appl Physiol. 2009, 105 (6): 823-828. 10.1007/s00421-009-1000-2.CrossRefPubMed
16.
go back to reference Rennie KL, Wareham NJ: The validation of physical activity instruments for measuring energy expenditure: problems and pitfalls. Public Health Nutr. 1998, 1 (4): 265-271.CrossRefPubMed Rennie KL, Wareham NJ: The validation of physical activity instruments for measuring energy expenditure: problems and pitfalls. Public Health Nutr. 1998, 1 (4): 265-271.CrossRefPubMed
17.
go back to reference van Poppel MN, Chinapaw MJ, Mokkink LB, van Mechelen W, Terwee CB: Physical activity questionnaires for adults: a systematic review of measurement properties. Sports Med. 2010, 40 (7): 565-600. 10.2165/11531930-000000000-00000.CrossRefPubMed van Poppel MN, Chinapaw MJ, Mokkink LB, van Mechelen W, Terwee CB: Physical activity questionnaires for adults: a systematic review of measurement properties. Sports Med. 2010, 40 (7): 565-600. 10.2165/11531930-000000000-00000.CrossRefPubMed
18.
go back to reference Resano E, Méndez I, Shamah T, Rivera J, Sepúlveda J: Methods of the National Nutrition Survey. Salud Publica Mex. 2003, 45 (suppl 4): S558-S564.CrossRef Resano E, Méndez I, Shamah T, Rivera J, Sepúlveda J: Methods of the National Nutrition Survey. Salud Publica Mex. 2003, 45 (suppl 4): S558-S564.CrossRef
19.
go back to reference World Health Organization: Obesity: Preventing and Managing the Global Epidemic. WHO Obesity Techical Report Series 894. 2000, Geneva, Switzerland: World Health Organization World Health Organization: Obesity: Preventing and Managing the Global Epidemic. WHO Obesity Techical Report Series 894. 2000, Geneva, Switzerland: World Health Organization
20.
go back to reference Gomez LM, Hernandez-Prado B, Morales Mdel C, Shamah-Levy T: Physical activity and overweight/obesity in adult Mexican population: the Mexican National Health and Nutrition Survey 2006. Salud Publica Mex. 2009, 51 (Suppl 4): S621-629.CrossRefPubMed Gomez LM, Hernandez-Prado B, Morales Mdel C, Shamah-Levy T: Physical activity and overweight/obesity in adult Mexican population: the Mexican National Health and Nutrition Survey 2006. Salud Publica Mex. 2009, 51 (Suppl 4): S621-629.CrossRefPubMed
21.
go back to reference Hallal PC, Victora CG, Wells JC, Lima RC: Physical inactivity: prevalence and associated variables in Brazilian adults. Med Sci Sports Exerc. 2003, 35 (11): 1894-1900. 10.1249/01.MSS.0000093615.33774.0E.CrossRefPubMed Hallal PC, Victora CG, Wells JC, Lima RC: Physical inactivity: prevalence and associated variables in Brazilian adults. Med Sci Sports Exerc. 2003, 35 (11): 1894-1900. 10.1249/01.MSS.0000093615.33774.0E.CrossRefPubMed
22.
go back to reference Reis HF, Ladeia AM, Passos EC, Santos FG, Wasconcellos LT, Correia LC, Menezes MS, Santos RD, Bomfim VG, Rocha Mde S: Prevalence and variables associated with physical inactivity in individuals with high and low socioeconomic status. Arq Bras Cardiol. 2009, 92 (3): 193-198. 197–202CrossRefPubMed Reis HF, Ladeia AM, Passos EC, Santos FG, Wasconcellos LT, Correia LC, Menezes MS, Santos RD, Bomfim VG, Rocha Mde S: Prevalence and variables associated with physical inactivity in individuals with high and low socioeconomic status. Arq Bras Cardiol. 2009, 92 (3): 193-198. 197–202CrossRefPubMed
23.
go back to reference Hernnández B, de Hanae J, Barquera S, Monterrubio E, Rivera J, Shamah T: Factors associated with physical activity among Mexican women of childbearing age. Rev Panam Salud Publica. 2003, 14 (4): 235-245. 10.1590/S1020-49892003000900004.CrossRef Hernnández B, de Hanae J, Barquera S, Monterrubio E, Rivera J, Shamah T: Factors associated with physical activity among Mexican women of childbearing age. Rev Panam Salud Publica. 2003, 14 (4): 235-245. 10.1590/S1020-49892003000900004.CrossRef
24.
go back to reference Resolution WHA57.17: Fifty-seventh World Health Assembly. Global strategy on diet, physical activity and health. 2004, Geneva: WHO Resolution WHA57.17: Fifty-seventh World Health Assembly. Global strategy on diet, physical activity and health. 2004, Geneva: WHO
25.
go back to reference Kohl HW, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, Kahlmeier S: The pandemic of physical inactivity: global action for public health. Lancet. 2012, 380 (9838): 294-305. 10.1016/S0140-6736(12)60898-8.CrossRefPubMed Kohl HW, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, Kahlmeier S: The pandemic of physical inactivity: global action for public health. Lancet. 2012, 380 (9838): 294-305. 10.1016/S0140-6736(12)60898-8.CrossRefPubMed
26.
go back to reference Lee PH, Macfarlane DJ, Lam TH, Stewart SM: Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011, 8: 115-10.1186/1479-5868-8-115.CrossRefPubMedPubMedCentral Lee PH, Macfarlane DJ, Lam TH, Stewart SM: Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011, 8: 115-10.1186/1479-5868-8-115.CrossRefPubMedPubMedCentral
27.
go back to reference Kim Y, Park I, Kang M: Convergent validity of the international physical activity questionnaire (IPAQ): meta-analysis. Public Health Nutr. 2013, 16 (3): 440-452. 10.1017/S1368980012002996.CrossRefPubMed Kim Y, Park I, Kang M: Convergent validity of the international physical activity questionnaire (IPAQ): meta-analysis. Public Health Nutr. 2013, 16 (3): 440-452. 10.1017/S1368980012002996.CrossRefPubMed
28.
go back to reference Corder K, Brage S, Ekelund U: Accelerometers and pedometers: methodology and clinical application. Curr Opin Clin Nutr Metab Care. 2007, 10 (5): 597-603. 10.1097/MCO.0b013e328285d883.CrossRefPubMed Corder K, Brage S, Ekelund U: Accelerometers and pedometers: methodology and clinical application. Curr Opin Clin Nutr Metab Care. 2007, 10 (5): 597-603. 10.1097/MCO.0b013e328285d883.CrossRefPubMed
29.
go back to reference Brown W, Bauman A, Trost S, Mummery K: Comparison of surveys used to measure physical activity. Aust N Z J Public Health. 2004, 28: 128-134.CrossRefPubMed Brown W, Bauman A, Trost S, Mummery K: Comparison of surveys used to measure physical activity. Aust N Z J Public Health. 2004, 28: 128-134.CrossRefPubMed
30.
go back to reference Hallal P, Gomes C, Kingdon J, Costa R, Neiva J: Comparison of short and full-length international physical activity questionnaires. J Phys Act Health. 2004, 1: 227-234. Hallal P, Gomes C, Kingdon J, Costa R, Neiva J: Comparison of short and full-length international physical activity questionnaires. J Phys Act Health. 2004, 1: 227-234.
31.
go back to reference Hallal PC, Gomez LF, Parra DC, Lobelo F, Mosquera J, Florindo AA, Reis RS, Pratt M, Sarmiento OL: Lessons learned after 10 years of IPAQ use in Brazil and Colombia. J Phys Act Health. 2010, 7 (Suppl 2): S259-264.PubMed Hallal PC, Gomez LF, Parra DC, Lobelo F, Mosquera J, Florindo AA, Reis RS, Pratt M, Sarmiento OL: Lessons learned after 10 years of IPAQ use in Brazil and Colombia. J Phys Act Health. 2010, 7 (Suppl 2): S259-264.PubMed
Metadata
Title
Physical inactivity prevalence and trends among Mexican adults: results from the National Health and Nutrition Survey (ENSANUT) 2006 and 2012
Authors
Catalina Medina
Ian Janssen
Ismael Campos
Simón Barquera
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-1063

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue