Evidence map›Paper›PMID 33180060›Full record

ArticleBMJ open sport & exercise medicine2020

Physical activity and sedentary time in a rural adult population in Malawi compared with an age-matched US urban population.

Michael Pratt, James F Sallis, Kelli L Cain, Terry L Conway, Amparo Palacios-Lopez, Alberto Zezza, Chad Spoon, Carrie M Geremia, Isis Gaddis, Akuffo Amankwah and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open sport & exercise medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  4. 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
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Michael PrattInstitute for Public Health, University of California, San Diego, La Jolla, California, USA.ORCID 0000-0002-8939-7715
James F SallisFamily Medicine and Public Health, University of California San Diego, San Diego, California, USA.
Kelli L CainFamily Medicine and Public Health, University of California San Diego, San Diego, California, USA.
Terry L ConwayFamily Medicine and Public Health, University of California San Diego, San Diego, California, USA.
Amparo Palacios-LopezWorld Bank Group, Washington, District of Columbia, USA.
Alberto ZezzaWorld Bank Group, Washington, District of Columbia, USA.
Chad SpoonFamily Medicine and Public Health, University of California San Diego, San Diego, California, USA.
Carrie M GeremiaFamily Medicine and Public Health, University of California San Diego, San Diego, California, USA.
Isis GaddisWorld Bank Group, Washington, District of Columbia, USA.
Akuffo AmankwahWorld Bank Group, Washington, District of Columbia, USA.
Jed FriedmanWorld Bank Group, Washington, District of Columbia, USA.
Talip KilicWorld Bank Group, Washington, District of Columbia, USA.
University of California San Diego · USWorld Bank Group · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study was designed to assess patterns of objectively measured physical activity (PA) and sedentary behaviour in a sample of adults in a rural setting from a low-income Sub-Saharan African country (Malawi). The patterns of PA and sedentary behaviour in Malawi were compared with US data collected and analysed using the same methodology.

methodsThe Malawi PA data were collected as part of a survey experiment on the measurement of agricultural labor conducted under the World Bank Living Standards Measurement Study program. ActiGraph accelerometers (model GT3X) were worn on the right hip in a household-based sample of 414 working-age adults (15-85 years).

resultsMean total and 95% CIs for PA by category in min/day for Malawi adults were: sedentary 387.6 (377.4-397.8), low-light 222.1 (214.7-229.5), high-light 136.3 (132.7-139.9), moderate 71.6 (68.8-74.5), vigorous 1.1 (0.5-1.8) and moderate-to-vigorous physical activity (MVPA) 72.8 (69.7-75.9). Mean of PA and sedentary behavior (min/day) summed across age and sex groups are compared between Malawi and US samples: sedentary behaviour, 387.6 vs 525.8 (p<0.001); low-light, 222.1 vs 217.0 (p=ns); high-light, 136.3 vs 45.6 (p<0.001); moderate, 71.6 vs 28.0 (p<0.001); vigorous, 1.1 vs 2.5 (p<0.001); MVPA, 72.8 vs 30.5 (p<0.001). Compared with the USA, Malawi participants averaged consistently less sedentary time/day and more minutes/day in all intensity levels of PA, except for low-light and vigorous PA.

conclusionOverall, levels of MVPA and high-light activity in adults in Malawi were substantially higher and sedentary time was substantially lower than those observed in US samples using near identical data collection, scoring and analysis.

Indexed as

epidemiologyPhysical activitysedentary

Identifiers

PMID33180060
PMCPMC7640500
OpenAlexW3091838961

What OpenQuestion holds

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LicenceCC BY-NC
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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.