Evidence map›Paper›PMID 32373329›Full record

SynthesisJournal of global health2020

Are people in the bush really physically active? A systematic review and meta-analysis of physical activity and sedentary behaviour in rural Australians populations.

Carlos Ivan Mesa Castrillon, Paula R Beckenkamp, Manuela L Ferreira, Jose A Michell, Vania Alice de Aguiar Mendes, Georgina M Luscombe, Emmanuel Stamatakis, Paulo Henrique Ferreira

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Movement Behaviour and Health Outcomes in Rural Children: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
  2. Empowering Rural Communities to Measure Walkability: Co-Development of a Digital Tool.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  3. Correlates of physical activity among rural Australian cancer survivors: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  4. Article
  5. Article
  6. Low-to-Moderate Daytime Physical Activities Predicted Higher-Quality Sleep Among Habitually Active Agropastoralists.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Exercise Promotion in Rural Areas.Indian journal of endocrinology and metabolism
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Carlos Ivan Mesa CastrillonThe University of Sydney, Discipline of Physiotherapy, Faculty of Medicine and Health, Sydney, Australia.
Paula R BeckenkampThe University of Sydney, Discipline of Physiotherapy, Faculty of Medicine and Health, Sydney, Australia.
Manuela L FerreiraInstitute of Bone and Joint Research, The Kolling Institute, Northern Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Jose A MichellThe University of Sydney, Discipline of Physiotherapy, Faculty of Medicine and Health, Sydney, Australia.
Vania Alice de Aguiar MendesUniversity of Sao Paulo, Department of Neuroscience and Behavioral Sciences, Sao Paulo, Brazil.
Georgina M LuscombeThe University of Sydney, School of Rural Health, Faculty of Medicine and Health, Orange, Australia.
Emmanuel StamatakisThe University of Sydney, Charles Perkins Centre, Faculty of Medicine and Health, School of Health Sciences, Sydney, Australia.
Paulo Henrique FerreiraThe University of Sydney, Discipline of Physiotherapy, Faculty of Medicine and Health, Sydney, Australia.
University of Sydney · AUUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical inactivity is a major risk factor for non-communicable disease and premature mortality. People who live in rural settings are usually regarded as more physically active than those living in urban areas, however, direct comparisons between these populations are scarce. We aimed to summarise the prevalence of physical inactivity and sedentary behaviour in rural settings in Australia, compared to urban counterparts.

methodsWe searched six databases (AMED, Embase, Medline; CINAHL, SPORTDiscus; and RURAL) and identified 28 observational studies that investigated the levels of physical inactivity and/or sedentary behaviour in adults aged 18 years and over in rural Australia. Random effects meta-analysis was used to generate pooled prevalence estimates.

resultsPhysical inactivity was four percentage points (95% confidence interval (CI) = 0.4 to 8) higher in rural populations compared to urban populations. There was a one percentage point (95% CI = -3 to 5) prevalence difference of physical activity in the rural populations. Rural populations reported on average 7.8 hours of sedentary time per day (95% CI = 5 to 10) and the prevalence of high levels of sedentary behaviour (≥to 8 hours per day) was 7% (95% CI = -8 to -7) greater in urban areas compared to rural areas.

conclusionsPeople living in rural areas are just as physically inactive as people who live in urban areas. Our findings challenge the popular views that rural lifestyles result in people engaging more frequently in physical activity. Public health campaigns promoting physical activity in rural settings are just as necessary as in urban settings.

Indexed as

Health PromotionSedentary BehaviorAustraliaExerciseHumansLife StyleRisk FactorsRural Population

Identifiers

PMID32373329
PMCPMC7182355
OpenAlexW3019451773

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.