The Descriptive Pattern of Physical Activity in Saudi Arabia: Analysis Of
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International Health 2021; 13: 232–239 doi:10.1093/inthealth/ihaa027 Advance Access publication 8 June 2020 The descriptive pattern of physical activity in Saudi Arabia: analysis of national survey data Bader A. Alqahtania,∗, Aqeel M. Alenazia, Ahmed S. Alhowimela and Ragab K. Elnaggar a,b ORIGINAL ARTICLE aDepartment of Health and Rehabilitation Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia; bDepartment of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt ∗Corresponding author: Tel: +966580422762; Fax: 0115882000; E-mail: [email protected] Received 9 March 2020; revised 19 April 2020; editorial decision 26 April 2020; accepted 19 May 2020 Background: Over recent decades, there has been a dramatic transformation in mechanization reaching all aspects of people’s lives in Saudi Arabia. In the light of this, there was a significant change in physical behavior in the community. The aim of the current study was to investigate the national and regional distribution of physical activity practice among adults aged ≥15 y across Saudi Arabia. Methods: Data from the Bulletin of Household Sports Practice National Survey were used to determine the physical activity practice distribution. A total of 26 000 families from 13 administrative regions across Saudi Arabia were surveyed. Results: The proportion of the total Saudi population who were practitioners of physical activity (i.e. ≥150 min per week) among Saudi adults aged ≥15 y was 17.40%, while the proportion of non-practitioners was 82.60%. Conclusion: This study found a low level of physical activity among Saudi adults who meet physical activity guidelines. These findings suggest that interventions and promotional programs should be developed to increase physical activity among the Saudi population. Keywords: physical activity, Saudi Arabia, sedentary behavior, sport. Introduction 27.5% of the global population are insufficiently physically active. Regionally, the average prevalence rate among countries of the The term ‘physical activity’ refers to any bodily movements pro- Gulf Cooperation Council is 46.24%. Statistics from other coun- duced by skeletal muscles that require energy expenditure higher tries showed that 40% of the population in the USA, 35.9% in 1 than the basal level. Increasing evidence in the literature has in- the UK and 29.4% in Europe are physically inactive. The WHO re- dicated the importance of regular engagement in physical ac- port added that the physical activity level declines with increasing 2,3 tivity to an individual’s health and well-being. Also, several age and that females have lower rates of physical activity than governmental reports and consensus statements have further males.10 emphasized the essential role of physical activity at both indi- Until recently, the physical demands of daily living activities 4–6 vidual and community levels. Physical inactivity and seden- might have been enough to maintain a reasonable level of phys- tary behavior, on the other hand, have been identified among ical fitness in Saudi Arabia. But, over the past few decades, there the major detrimental factors for a number of chronic non- has been a rapid development in living standards and an increase communicable diseases such as diabetes mellitus, obesity, car- in the use of largely automatic equipment, which has reached all diovascular disorders, certain types of cancer, osteoporosis and aspects of the population in Saudi Arabia. With regard to this dra- 7,8 mental impairments. Furthermore, a lack of physical activity matic transformation in lifestyles, there was a significant change 9 has been linked to premature mortality. Consequently, surveil- in physical behavior in the community, and that shift towards lance of physical activity practice in countries has increasingly be- sedentary lifestyles and low levels of physical activity increased come a public health priority. the burden on society by reducing individual productivity and in- Low physical activity is a global phenomenon. The WHO re- creasing the cost of healthcare.11 ported reduced physical activity levels and showed that about © The Author(s) 2020. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact [email protected] 232 International Health Previous studies of physical activity in Saudi Arabia indicated the households in the enumeration areas that were chosen in that people are not physically active enough to achieve health the first step through using the regular random sample. Twenty benefits from physical activity.12,13 In an observational study in- households were chosen from each area, which resulted in a total cluding a proportionate sample of 2176 Saudi adults, Amin et al. of 26 000 households across Saudi Arabia, as shown in Figure 1. demonstrated that 80% of the population did not achieve an ade- Trained field researchers from the General Authority for Statis- quate level of physical activity with beneficial health effects. They tics (GSTAT) interviewed each head of household and recorded also reported an association of chronic disease with physical in- all data in an electronic form using an iPad device. activity.14 A population-based study by Al-Nozha et al. assessed The term physical activity was defined in this study as any vol- the physical activity profile among Saudi adults and showed that untary body movement produced by skeletal muscles resulting the prevalence of inactivity was very high, accounting for 96.1% in an increase in breathing rate and heart rate, for example, run- of the Saudi population.12 A brief review by Al-Hazzaa suggested ning, brisk walking, cycling, swimming and traditional sports such that the prevalence of physical inactivity reached as high as 43.3– as football, handball and basketball. The survey was prepared and 99.5% among Saudi children and adults, and that the proportion designed by professionals and experts in the field of physical ac- of Saudis who are at risk due to physical inactivity was higher tivity. In developing the survey, international standards and con- for coronary heart disease than for any other factor.13 Al-Nuaim cepts were taken into consideration. The form consists of six sec- et al. assessed the prevalence rate of physical activity in rela- tions that addresses matters (in Arabic) such as if the individual tion to obesity among Saudi adolescents. The study revealed a currently practices a sports activity at least once a week, the du- significant correlation between physical activity level and body ration of an individual’s sporting activity per week (in min), the mass index, and overweight and obese subjects showed a signif- place where the individual engages in sporting activity, the num- icantly lower level of physical activity compared with those whose ber of times an individual practices their sport each week, if an in- weight was normal.15 dividual has ever been involved in a sports activity, the reason(s) Although the results of these studies cannot be disregarded, for an individual’s discontinuation of sporting activity (if applica- they were limited to samples from certain geographical areas in ble) and the reason(s) why an individual does not engage in phys- Saudi Arabia. This sheds light on the importance of this study, ical activity (if applicable). All of the analyses were conducted us- which focuses on studying the situation at a regional level to pro- ing Microsoft Excel 2016 (Microsoft Corp., Redmond, WA, USA). vide more comprehensive results. Additionally, most of the afore- mentioned studies included specific age groups and gender but none of them paid attention to the educational status of partici- Results pants. Thus, there is still a need for more studies to provide physi- cal activity data representing the Saudi population by age, gender A total of 26 000 families from 13 administrative regions across and educational status. Saudi Arabia were surveyed. The proportion of total Saudi adult Despite the health benefits of physical activity having been males aged ≥15 y who were practitioners of physical activity well established, the level of physical activity did not increase (i.e. ≥150 min per week) was 17.40%, while the proportion of among the Saudi population.12,14,15 Increasing physical activity non-practitioners was 82.60%. Of the total number of Saudi requires a whole-of-society and culturally relevant approach and males, the percentage who practiced a physical activity was therefore demands a collective effort across different sectors and 28.30% whereas the percentage who did not was 71.70%. Of the disciplines. total number of Saudi females, the percentage who practiced a The main purpose of the present study was to estimate the na- physical activity was 8.90% whereas the percentage who did not tional and regional prevalence rates of physical activity in Saudi was 91.10%. With regard to non-Saudis, the overall percentage Arabia. This study sought to provide an overview of the preva- who practiced a physical activity was 13.88% whereas the per- lence rate of physical activity, which will help to guide plans to- centage who did not was 86.12%. Of these, 16.12% of non-Saudi