Evidence map›Paper›PMID 36609613›Full record

ArticleScientific reports2023

Urbanization and physical activity in the global Prospective Urban and Rural Epidemiology study.

Kwadwo Boakye, Marit Bovbjerg, John Schuna, Adam Branscum, Ravi Prasad Varma, Rosnah Ismail, Olga Barbarash, Juan Dominguez, Yuksel Altuntas, Ranjit Mohan Anjana and 21 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
28.8field-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

51 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Global research on 24-hour movement behaviours guidelines in children and adolescents: a systematic review.The international journal of behavioral nutrition and physical activity · 2025
    Pooled it
  3. Defaults at Work: A Field Experiment on the Effect of Nudges on Stand-Up Working.International journal of environmental research and public health · 2025
    Trial
  4. The Nexus of Sports-Based Development and Education of Mental Health and Physical Fitness.International journal of environmental research and public health · 2023
    Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Clinical and Metabolic Characteristics of Spontaneous Remission in Type 2 Diabetes: A Real-World Study from South India.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Mental health and substance use problems among adolescents in Lesotho: Prevalence, access to care, and association with lifestyle factors.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2025
    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

31 authors at 20 institutions in 20 countries.

Kwadwo BoakyeDepartment of Public Health and Health Services Administration, California State University, Chico, CA, USA.
Marit BovbjergCollege of Public Health and Human Sciences, Oregon State University, 2520 SW Campus Way, Corvallis, OR, 97331, USA.
John SchunaCollege of Public Health and Human Sciences, Oregon State University, 2520 SW Campus Way, Corvallis, OR, 97331, USA.
Adam BranscumCollege of Public Health and Human Sciences, Oregon State University, 2520 SW Campus Way, Corvallis, OR, 97331, USA.
Ravi Prasad VarmaAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
Rosnah IsmailDepartment of Community Health, Faculty of Medicine, University Kebangsaan Malaysia, Medical Center, Kuala Lumpur, Malaysia.
Olga BarbarashFederal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russian Federation.
Juan DominguezEstudios Clínicos Latino América, 160, Rosario, Argentina.
Yuksel AltuntasDepartment of Endocrinology and Metabolism, University of Health Sciences, Sisli Hamidiye Etfal Teaching and Research Hospital, Istanbul, Turkey.
Ranjit Mohan AnjanaMadras Diabetes Research Foundation, Chennai, India.
Rita YusufSchool of Life Sciences, Independent University, Dhaka, Bangladesh.
Roya KelishadiIsfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Patricio Lopez-JaramilloMasira Research Institute, Medical School, Universidad de Santander (UDES), Bucaramanga, Colombia.
Romaina IqbalDepartment of Community Health Sciences and Medicine, Aga Khan University, Stadium Road, Karachi, Pakistan.
Pamela SerónFaculty of Medicine, Universidad de La Frontera, Claro Solar 115, Temuco, Chile.
Annika RosengrenSahlgrenska University Hospital, Göteborg, Sweden.
Paul PoirierInstitut Universitaire de Cardiologie et de Pneumologie de Quebec, Québec, Canada.
P V M LakshmiDepartment of Community Medicine & School of Public Health, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Rasha KhatibAdvocate Aurora Research Institute, Advocate Aurora Health, Downers Grove, IL, USA.
Katarzyna ZatonskaDepartment of Social Medicine, Wroclaw Medical University, Wroclaw, Poland.
Bo HuFuwai Hospital, Chinese Academy of Medical Sciences, National Center for Cardiovascular Diseases, Beijing, China.
Lu YinFuwai Hospital, Chinese Academy of Medical Sciences, National Center for Cardiovascular Diseases, Beijing, China.
Chuangshi WangFuwai Hospital, Chinese Academy of Medical Sciences, National Center for Cardiovascular Diseases, Beijing, China.
Karen YeatesDepartment of Medicine, Queen's University, Kingston, ON, Canada.
Jephat ChifambaPhysiology Department, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Khalid F AlhabibDepartment of Cardiac Sciences, King Fahad Cardiac Center, College of Medicine, King Saud Medical City, King Saud University, Riyadh, Saudi Arabia.
Álvaro AvezumInternational Research Center, Hospital Alemão Oswaldo Cruz, Avenida Paulista, São Paulo, Brazil.
Antonio DansDepartment of Medicine, University of the Philippines, Manila, Philippines.
Scott A LearFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Salim YusufPopulation Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, ON, Canada.
Perry HystadCollege of Public Health and Human Sciences, Oregon State University, 2520 SW Campus Way, Corvallis, OR, 97331, USA. perry.hystad@oregonstate.edu.
Oregon State University · USChinese Academy of Medical Sciences & Peking Union Medical College · CNAga Khan University · PKBirzeit University · PSCalifornia State University, Chico · USEstudios Clínicos Latinoamérica · ARHamilton Health Sciences · CAHealth Action by People · INHospital Alemão Oswaldo Cruz · BRIndependent University · BDInstitut Universitaire de Cardiologie et de Pneumologie de Québec · CAIsfahan University of Medical Sciences · IRKemerovo State University · RUKing Saud Medical City · SAMadras Diabetes Research Foundation · INPost Graduate Institute of Medical Education and Research · INQueen's University · CASimon Fraser University · CAŞişli Etfal Eğitim ve Araştırma Hastanesi · TRUniversidad de La Frontera · CL

Funding

PURE-AIR: A Global Assessment of Air Pollution and Cardiopulmonary DiseaseDP5OD019850 · OD · OREGON STATE UNIVERSITY · PI HYSTAD, PERRY W · 2014 to 2018
$1.7M
NIH HHS DP5 OD019850
6 · The paper itself

Abstract

Urbanization may influence physical activity (PA) levels, although little evidence is available for low- and middle- income countries where urbanization is occurring fastest. We evaluated associations between urbanization and total PA, as well as work-, leisure-, home-, and transport-specific PA, for 138,206 adults living in 698 communities across 22 countries within the Prospective Urban and Rural Epidemiology (PURE) study. The 1-week long-form International PA Questionnaire was administered at baseline (2003-2015). We used satellite-derived population density and impervious surface area estimates to quantify baseline urbanization levels for study communities, as well as change measures for 5- and 10-years prior to PA surveys. We used generalized linear mixed effects models to examine associations between urbanization measures and PA levels, controlling for individual, household and community factors. Higher community baseline levels of population density (- 12.4% per IQR, 95% CI - 16.0, - 8.7) and impervious surface area (- 29.2% per IQR, 95% CI - 37.5, - 19.7), as well as the rate of change in 5-year population density (- 17.2% per IQR, 95% CI - 25.7, - 7.7), were associated with lower total PA levels. Important differences in the associations between urbanization and PA were observed between PA domains, country-income levels, urban/rural status, and sex. These findings provide new information on the complex associations between urbanization and PA.

Indexed as

ExerciseUrbanizationAdultHumansProspective StudiesRural PopulationUrban Population

Identifiers

PMID36609613
PMCPMC9822998
OpenAlexW4313640300

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.