ArticleAdvances in global health2025
Prevalence and determinants of physical activity behavior in a peri-urban population in Nepal: A secondary analysis of the Dhulikhel Heart Study.
Article in Advances in global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Physical inactivity is a well-known modifiable risk factor for the prevention and treatment of leading noncommunicable diseases. Secondary data analysis was performed using cross-sectional self-reported 2014 and 2023 data from the Dhulikhel Heart Study which assesses cardiovascular disease risk factors and outcomes in a peri-urban population of Nepal. Physical activity questions in the Dhulikhel Heart Study were assessed using the Global Physical Activity Questionnaire. Our analysis found that 82% of the study sample met the World Health Organization requirements for adequate physical activity and the average daily sedentary behavior was 34 min/day. However, there were high self-reported occupational physical activity and low leisure time physical activity rates among all demographic groups. However, there were high self-reported occupational physical activity and low leisure time physical activity rates among all demographic groups. The multivariable analysis found that age (OR = 1.26, 95% CI = 1.13-1.41), unemployment (OR = 2.22, 95% CI = 1.55-3.16), anxiety (OR = 3.33, 95% CI = 1.24-4.26), depression (OR = 1.71, 95% CI = 1.09-2.63), and comorbidity (OR = 2.62, 95% CI = 1.55-3.29) were all significantly associated with lower physical activity. Lack of formal education (OR = 0.51, 95% CI = 0.30-0.87), alcohol consumption (OR = 0.56, 95% CI = 0.33-0.97), central obesity (OR = 0.58, 95% CI = 0.36-0.92), and moderate and high perceived stress (OR = 0.19, 95% CI = 0.12-0.29) were significantly associated with medium and high physical activity. Therefore, the total self-reported physical activity in our study population is high, but still lower than findings from the national representative 2019 WHO STEPwise approach to surveillance Survey. Low leisure time physical activity is also a concern in our population, a finding consistent with other studies in South Asia. Future studies should examine factors related to leisure time physical activity and the effect of physical activity interventions on overall health in peri-urban populations in Nepal.
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