ArticleNature2017
Large-scale physical activity data reveal worldwide activity inequality.
Article in Nature, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 432 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
432 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- An individual participant data meta-analysis of how physical activity relates to affective well-being in daily life.Nature human behaviour · 2026Pooled it
- Socioeconomic inequalities in exposure to neighbourhood environments for physical activity: a systematic review.The international journal of behavioral nutrition and physical activity · 2026Pooled it
- Effect of In-Person Delivered Behavioural Interventions in People with Multimorbidity: Systematic Review and Meta-analysis.International journal of behavioral medicine · 2023Pooled it
- Objectively measuring the association between the built environment and physical activity: a systematic review and reporting framework.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Weight-bearing physical activity in people with diabetes-related foot disease: A systematic review.Diabetes/metabolism research and reviews · 2022Pooled it
- How different are objective operationalizations of walkability for older adults compared to the general population? A systematic review.BMC geriatrics · 2022Pooled it
- Validity of Estimating the Maximal Oxygen Consumption by Consumer Wearables: A Systematic Review with Meta-analysis and Expert Statement of the INTERLIVE Network.Sports medicine (Auckland, N.Z.) · 2022Pooled it
- Effect of Gamification Plus Automated Coaching to Increase Physical Activity Among Patients With Peripheral Artery Disease: The GAMEPAD Randomized Controlled Trial.Journal of the American Heart Association · 2025Trial
- Inequality in Children's Physical Activity Across Time-Segmented Youth Sport Practice.Research quarterly for exercise and sport · 2025Trial
- An Evaluation of the Effect of App-Based Exercise Prescription Using Reinforcement Learning on Satisfaction and Exercise Intensity: Randomized Crossover Trial.JMIR mHealth and uHealth · 2024Trial
- Feasibility and preliminary effects of the Fit2ThriveMB pilot physical activity promotion intervention on physical activity and patient reported outcomes in individuals with metastatic breast cancer.Breast cancer research and treatment · 2024Trial
- Efficacy of an mHealth Behavior Change Intervention for Promoting Physical Activity in the Workplace: Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Using photovoice to explore young women's experiences of behaviour change techniques in physical activity mobile apps.The international journal of behavioral nutrition and physical activity · 2023Trial
- Effects of Wearable Fitness Trackers and Activity Adequacy Mindsets on Affect, Behavior, and Health: Longitudinal Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Non-linear association between mHealth-measured daily steps and subsequent healthcare expenditures among long-term app users in Osaka, Japan.SSM - population health · 2026Article
- Associations between physical activity levels and socioeconomic and occupational factors among a large workforce population: insights from an employee health cohort study.BMC public health · 2026Article
- Patterns of Engagement With an AI Conversational Agent for Mental Health and Associations With Anxiety and Depression: Cross-Sectional Study.JMIR mental health · 2026Observational
- Optimizing Goal Difficulty in a Digital Weight Loss Intervention: The Ignite Pilot Randomized Trial.Obesity science & practice · 2026Article
- Sitting still while the world gets sicker: Rethinking physical inactivity as a public health emergency.BMC global and public health · 2026Review
- Cross-level regional and socioeconomic inequalities in step counts: a descriptive epidemiological investigation of 1.5 million Japanese smartphone users.The Lancet regional health. Western Pacific · 2026Article
372 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
To be able to curb the global pandemic of physical inactivity and the associated 5.3 million deaths per year, we need to understand the basic principles that govern physical activity. However, there is a lack of large-scale measurements of physical activity patterns across free-living populations worldwide. Here we leverage the wide usage of smartphones with built-in accelerometry to measure physical activity at the global scale. We study a dataset consisting of 68 million days of physical activity for 717,527 people, giving us a window into activity in 111 countries across the globe. We find inequality in how activity is distributed within countries and that this inequality is a better predictor of obesity prevalence in the population than average activity volume. Reduced activity in females contributes to a large portion of the observed activity inequality. Aspects of the built environment, such as the walkability of a city, are associated with a smaller gender gap in activity and lower activity inequality. In more walkable cities, activity is greater throughout the day and throughout the week, across age, gender, and body mass index (BMI) groups, with the greatest increases in activity found for females. Our findings have implications for global public health policy and urban planning and highlight the role of activity inequality and the built environment in improving physical activity and health.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.