The Association Between Physical Inactivity and Obesity Prevalence Across Countries
Keywords:
Physical Inactivity, Obesity Prevalence, Ecological Analysis, Global Health, Urban Infrastructure.Abstract
This cross sectional ecological investigation quantifies the relationship between population level physical inactivity and adult obesity prevalence across 142 sovereign nations using standardized surveillance metrics from international platforms. Employing multivariable linear regression and spatial econometric specifications, the analysis accounts for national economic development, urban population density, and demographic age structures. Findings demonstrate a robust positive correlation between physical inactivity and country level obesity rates, wherein each ten percent increment in national physical inactivity corresponds to a three point two percentage point increase in obesity prevalence. Spatial autoregressive parameters confirm significant geographic clustering, while macro level infrastructure indicators underscore urban walkability and active transit networks as primary upstream determinants of physical movement. The interaction of physical inactivity with nutritional transitions and screen engagement further accelerates adiposity trajectories across pediatric and adult cohorts. These empirical observations emphasize that population movement deficits are fundamentally driven by structural environmental configurations rather than isolated lifestyle choices. Reversing the global non communicable disease burden requires coordinated multi sectoral policy frameworks that integrate active urban design, accessible recreational infrastructure, and standardized epidemiological surveillance across international health jurisdictions.
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Akter, T., Zeba, Z., Hosen, I., Al-Mamun, F., & Mamun, M. A. (2022). Impact of the COVID-19 pandemic on BMI: Its changes in relation to socio-demographic and physical activity patterns based on a short period. PloS one, 17(3), e0266024.
Alfaris, N., Alqahtani, A. M., Alamuddin, N., & Rigas, G. (2023). Global impact of obesity. Gastroenterology Clinics, 52(2), 277-293.
Al-Jawaldeh, A., & Abbass, M. M. (2022). Unhealthy dietary habits and obesity: the major risk factors beyond non-communicable diseases in the eastern mediterranean region. Frontiers in nutrition, 9, 817808.
Alsulami, S., Baig, M., Ahmad, T., Althagafi, N., Hazzazi, E., Alsayed, R., ... & Almohammadi, T. (2023). Obesity prevalence, physical activity, and dietary practices among adults in Saudi Arabia. Frontiers in Public Health, 11, 1124051.
Balboa-Castillo, T., Muñoz, S., Serón, P., Andrade-Mayorga, O., Lavados-Romo, P., & Aguilar-Farias, N. (2023). Validity and reliability of the international physical activity questionnaire short form in Chilean adults. PloS one, 18(10), e0291604.
Coenen, P., Huysmans, M. A., Holtermann, A., Troiano, R. P., Mork, P. J., Krokstad, S., ... & Van Der Beek, A. J. (2024). Associations of occupational and leisure-time physical activity with all-cause mortality: an individual participant data meta-analysis. British Journal of Sports Medicine, 58(24), 1527-1538.
del Pozo Cruz, B., Ahmadi, M., Inan‐Eroglu, E., Huang, B. H., & Stamatakis, E. (2022). Prospective Associations of Accelerometer‐Assessed Physical Activity with Mortality and Incidence of Cardiovascular Disease among Adults with Hypertension: the UK Biobank Study. Journal of the American Heart Association, 11(6), e023290.
Garcia-Hermoso, A., López-Gil, J. F., Ramírez-Vélez, R., Alonso-Martínez, A. M., Izquierdo, M., & Ezzatvar, Y. (2023). Adherence to aerobic and muscle-strengthening activities guidelines: a systematic review and meta-analysis of 3.3 million participants across 32 countries. British journal of sports medicine, 57(4), 225-229.
Gudelj Rakić, J., Hamrik, Z., Dzielska, A., Felder-Puig, R., Oja, L., Bakalár, P., ... & Ng, K. (2024). A focus on adolescent physical activity, eating behaviours, weight status and body image in Europe, central Asia and Canada: Health Behaviour in School-aged Children international report from the 2021/2022 survey. Volume 4. World Health Organization.
Gülü, M., Yagin, F. H., Gocer, I., Yapici, H., Ayyildiz, E., Clemente, F. M., ... & Nobari, H. (2023). Exploring obesity, physical activity, and digital game addiction levels among adolescents: A study on machine learning-based prediction of digital game addiction. Frontiers in Psychology, 14, 1097145.
Hassapidou, M., Vlassopoulos, A., Kalliostra, M., Govers, E., Mulrooney, H., Ells, L., ... & Brown, T. (2023). European association for the study of obesity position statement on medical nutrition therapy for the management of overweight and obesity in adults developed in collaboration with the European federation of the associations of dietitians. Obesity facts, 16(1), 11-28.
Hayman, M., Brown, W. J., Brinson, A., Budzynski-Seymour, E., Bruce, T., & Evenson, K. R. (2023). Public health guidelines for physical activity during pregnancy from around the world: a scoping review. British Journal of Sports Medicine, 57(14), 940-947.
Hu, H., Song, J., MacGregor, G. A., & He, F. J. (2023). Consumption of soft drinks and overweight and obesity among adolescents in 107 countries and regions. JAMA Network Open, 6(7), e2325158.
Katzmarzyk, P. T., Friedenreich, C., Shiroma, E. J., & Lee, I. M. (2022). Physical inactivity and non-communicable disease burden in low-income, middle-income and high-income countries. British journal of sports medicine, 56(2), 101-106.
Ke, Y., Shi, L., Peng, L., Chen, S., Hong, J., & Liu, Y. (2022). Associations between socioeconomic status and physical activity: A cross-sectional analysis of Chinese children and adolescents. Frontiers in Psychology, 13, 904506.
Mamdouh, H., Hussain, H. Y., Ibrahim, G. M., Alawadi, F., Hassanein, M., Zarooni, A. A., ... & Alnakhi, W. K. (2023). Prevalence and associated risk factors of overweight and obesity among adult population in Dubai: A population-based cross-sectional survey in Dubai, the United Arab Emirates. BMJ open, 13(1), e062053.
Moitra, S., Carsin, A. E., Abramson, M. J., Accordini, S., Amaral, A. F., Anto, J., ... & Garcia-Aymerich, J. (2023). Long-term effect of asthma on the development of obesity among adults: an international cohort study, ECRHS. Thorax, 78(2), 128-135.
Nagata, J. M., Smith, N., Alsamman, S., Lee, C. M., Dooley, E. E., Kiss, O., ... & Gabriel, K. P. (2023). Association of physical activity and screen time with body mass index among US adolescents. JAMA Network Open, 6(2), e2255466.
Pengpid, S., & Peltzer, K. (2022). Prevalence and associated factors of physical inactivity among middle-aged and older adults in India: results of a national cross-sectional community survey. BMJ open, 12(8), e058156.
Perry, A. S., Dooley, E. E., Master, H., Spartano, N. L., Brittain, E. L., & Pettee Gabriel, K. (2023). Physical activity over the lifecourse and cardiovascular disease. Circulation research, 132(12), 1725-1740.
Salvo, D., Jáuregui, A., Adlakha, D., Sarmiento, O. L., & Reis, R. S. (2023). When moving is the only option: the role of necessity versus choice for understanding and promoting physical activity in low-and middle-income countries. Annual review of public health, 44(1), 151-169.
Sanchez-Lastra, M. A., Ding, D., Del Pozo Cruz, B., Dalene, K. E., Ayán, C., Ekelund, U., & Tarp, J. (2024). Joint associations of device-measured physical activity and abdominal obesity with incident cardiovascular disease: a prospective cohort study. British Journal of Sports Medicine, 58(4), 196-203.
Shao, T., & Zhou, X. (2023). Correlates of physical activity habits in adolescents: A systematic review. Frontiers in physiology, 14, 1131195.
Tarp, J., Fagerland, M. W., Dalene, K. E., Johannessen, J. S., Hansen, B. H., Jefferis, B. J., ... & Ekelund, U. (2022). Device-measured physical activity, adiposity and mortality: a harmonised meta-analysis of eight prospective cohort studies. British journal of sports medicine, 56(13), 725-732.
Tiwari, J., Halder, P., Sharma, D., Saini, U. C., Rajagopal, V., & Kiran, T. (2024). Prevalence and association of musculoskeletal disorders with various risk factors among older Indian adults: insights from a nationally representative survey. PLoS One, 19(10), e0299415.
Wang, Z., Jiang, B., Wang, X., Li, Z., Wang, D., Xue, H., & Wang, D. (2023). Relationship between physical activity and individual mental health after traumatic events: a systematic review. European journal of psychotraumatology, 14(2), 2205667.
Watson, A., Haraldsdottir, K., Biese, K., Schwarz, A., Hetzel, S., Reardon, C., ... & McGuine, T. (2023). Impact of COVID-19 on the physical activity, quality of life and mental health of adolescent athletes: a 2-year evaluation of over 17 000 athletes. British journal of sports medicine, 57(6), 359-363.
World Bank. (n.d.). DataBank. https://databank.worldbank.org/
World Bank. (n.d.). World Bank Open Data. https://data.worldbank.org/
World Bank. (n.d.). World Development Indicators. https://databank.worldbank.org/source/world-development-indicators
World Health Organization. (2024). WHO STEPwise approach to NCD risk factor surveillance (STEPS) manual. https://www.who.int/teams/noncommunicable-diseases/surveillance/systems-tools/steps/manuals
World Health Organization. (n.d.). STEPwise approach to NCD risk factor surveillance (STEPS). https://www.who.int/teams/noncommunicable-diseases/surveillance/systems-tools/steps
Xu, Y. Y., Xie, J., Yin, H., Yang, F. F., Ma, C. M., Yang, B. Y., ... & Li, S. L. (2022). The Global Burden of Disease attributable to low physical activity and its trends from 1990 to 2019: An analysis of the Global Burden of Disease study. Frontiers in public health, 10, 1018866.
Zhang, X., Liu, J., Ni, Y., Yi, C., Fang, Y., Ning, Q., ... & Li, Z. (2024). Global prevalence of overweight and obesity in children and adolescents: a systematic review and meta-analysis. JAMA pediatrics, 178(8), 800-813.
Zhong, J., Liu, W., Niu, B., Lin, X., & Deng, Y. (2022). Role of built environments on physical activity and health promotion: a review and policy insights. Frontiers in public health, 10, 950348.
