Evidence map›Paper›PMID 33239355›Full record

ArticleBritish journal of sports medicine2020

Levels of domain-specific physical activity at work, in the household, for travel and for leisure among 327 789 adults from 104 countries.

Tessa Strain, Katrien Wijndaele, Leandro Garcia, Melanie Cowan, Regina Guthold, Soren Brage, Fiona C Bull

Open access · hybridAbstract readComparative StudyMulticenter Study
In one paragraph

Article in British journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 6 pooled it
11.3field-weighted citation impact, top 1% 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

64 citing papers in PubMed, 6 syntheses or guidelines pooled it, 152 citations in OpenAlex.

  1. Pooled it
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  8. Audit of the Tasmanian Transport-Related Physical Activity Policy Environment-Lessons for Comprehensive Policy Making.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
    Article
  9. Article
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  11. The physical activity health paradox: what is it, why might it happen, and where to go from here?The international journal of behavioral nutrition and physical activity · 2026
    Review
  12. Association of subjective and objective physical activity with home hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
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4 more citing papers are in PubMed but not listed here.

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

7 authors at 3 institutions in 4 countries.

Tessa StrainMRC Epidemiology Unit, University of Cambridge, Cambridge, UK tessa.strain@mrc-epid.cam.ac.uk.ORCID http://orcid.org/0000-0002-7086-1047
Katrien WijndaeleMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0003-2199-7981
Leandro GarciaMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-5947-2617
Melanie CowanDepartment of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland.
Regina GutholdMaternal, Newborn, Child, and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland.ORCID http://orcid.org/0000-0003-3073-6468
Soren BrageMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-1265-7355
Fiona C BullDepartment of Health Promotion, Division of Universal Health Coverage and Healthier Populations, World Health Organization, Geneva, Switzerland.ORCID http://orcid.org/0000-0001-8035-4973
University of Cambridge · GBWorld Health Organization - Pakistan · PKQueen's University Belfast · GB

Funding

Medical Research Council MC_UU_00006/4Medical Research Council MC_UU_12015/3Medical Research Council MR/P024408/1
6 · The paper itself

Abstract

objectiveTo compare the country-level absolute and relative contributions of physical activity at work and in the household, for travel, and during leisure-time to total moderate-to-vigorous physical activity (MVPA).

methodsWe used data collected between 2002 and 2019 from 327 789 participants across 104 countries and territories (n=24 low, n=34 lower-middle, n=30 upper-middle, n=16 high-income) from all six World Health Organization (WHO) regions. We calculated mean min/week of work/household, travel and leisure MVPA and compared their relative contributions to total MVPA using Global Physical Activity Questionnaire data. We compared patterns by country, sex and age group (25-44 and 45-64 years).

resultsMean MVPA in work/household, travel and leisure domains across the 104 countries was 950 (IQR 618-1198), 327 (190-405) and 104 (51-131) min/week, respectively. Corresponding relative contributions to total MVPA were 52% (IQR 44%-63%), 36% (25%-45%) and 12% (4%-15%), respectively. Work/household was the highest contributor in 80 countries; travel in 23; leisure in just one. In both absolute and relative terms, low-income countries tended to show higher work/household (1233 min/week, 57%) and lower leisure MVPA levels (72 min/week, 4%). Travel MVPA duration was higher in low-income countries but there was no obvious pattern in the relative contributions. Women tended to have relatively less work/household and more travel MVPA; age groups were generally similar.

conclusionIn the largest domain-specific physical activity study to date, we found considerable country-level variation in how MVPA is accumulated. Such information is essential to inform national and global policy and future investments to provide opportunities to be active, accounting for country context.

Indexed as

Activities of Daily LivingExerciseLeisure ActivitiesAdultAge FactorsFemaleHumansMaleMiddle AgedSex FactorsSurveys and QuestionnairesTime FactorsTravelWorkepidemiologyphysical activitysurveillance

Identifiers

PMID33239355
PMCPMC7719912
OpenAlexW3106977333

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.