Determinants of Physical Activity Among Southeast Asian Adults: A Systematic Review

Abstract

Regular physical activity provides a lot of benefit to maintain good health and reduce the risk of non-communicable diseases. Recently Southeast Asia faces an epidemic of chronic non-communicable disease that responsible for 60% of deaths in the region. Physical inactivity has been reported as one of the causes related to non-communicable disease in adults. Research about determinants become as the first attempt to design intervention on physical activity. The attention to this topic has been widely spread in western countries, but not yet in Southeast Asia. This study aimed to gather knowledge about physical activity determinants and correlations from studies held among adults in Southeast Asia. Thus, it would provide an understanding about factors that related to Southeast Asian adult physical activity behavior and a guideline to extend study why
were some people active but some other not. This study used a systematic review by using PRISMA 2009. Online database (Pubmed and Google Scholar) was used to find a relevant article contain determinant, correlate, or factors affecting physical activity among adults in Southeast Asia countries. The result from 8 studies in Southeast Asia countries showed some determinants of physical activity such as socio-demographic factors, psychological factors (perceived benefits, self-efficacy, self-regulation) and health status. It showed that physical activity was associated with age, education, marital status, income, job characteristic and living in urban or rural. The perceived benefit, greater self-efficacy, and self-regulation obtained participation in physical activity. Moreover, diagnosis with hypercholesterolemia was also associated with physical activity. Understanding determinants factors could be a contribution for public health to design programs and policy that increase physical activity participation among Southeast Asians adults.



Keywords: physical activity, determinants, adults, Southeast Asia

References
[1] Biddle BS, Mutrie N. Psychology of Physical Activity: Determinants, well-being and interventions 2nd edition [Internet]. 2nd ed. Routledge. London: Routledge; 2008. Available from: http://www.routledge. com/books/details/9780415518185/


[2] Knowlden A. Measurement of Physical Activity for Health Promotion and Education Research. Arch Exerc Heal Dis [Internet]. 2015;5(1/2):338–45. Available from: http://search.ebscohost.com/login. aspx?direct=true&db=sph&AN=117245499&site=ehost-live


[3] WHO. WHO | Physical activity [Internet]. Who. World Health Organization; 2015 [cited 2017 Apr 23]. Available from: http://www.who.int/dietphysicalactivity/pa/en/


[4] WHO. Global Recommendations on Physical Activity for Health [Internet]. Geneva: World Health Organization; 2010 [cited 2017 Aug 11]. Available from: http://apps.who.int/iris/bitstream/10665/44399/ 1/9789241599979_eng.pdf


[5] Delhi N. WHO Global Strategy on Diet, Physical Activity and Health: South-East Asia Regional Consultation Meeting Report. World Heal Organ [Internet]. 2003 [cited 2017 Aug 11];10–2. Available from: http://www.who.int/dietphysicalactivity/media/en/gscon_cs_report_searo.pdf?ua=1


[6] WHO | Prevalence of Insufficient Physical Activity. WHO [Internet]. World Health Organization; 2015 [cited 2017 May 29]; Available from: http://www.who.int/gho/ncd/risk_factors/physical_activity_text/en/


[7] Macera CA, Hootman JM, Sniezek JE. Major Public Health Benefits of Physical Activity. Arthritis Rheum [Internet]. 2003;49(1):122–8. Available from: http://doi.wiley.com/10.1002/art.10907


[8] Lee I-M, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Effect of Physical Inactivity on Major Non-Communicable Diseases Worldwide: An Analysis of Burden of Disease and Life Expectancy. Lancet [Internet]. 2012 Jul [cited 2017 Mar 22];380(9838):219–29. Available from: http://linkinghub.elsevier.com/ retrieve/pii/S0140673612610319


[9] Cheah YK, Poh BK. The Determinants of Participation in Physical Activity in Malaysia. Osong Public Heal Res Perspect [Internet]. 2014 [cited 2017 Apr 14];5:20–7. Available from: https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC4064643/pdf/main.pdf


[10] Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U. Global Physical Activity Levels: Surveillance Progress, Pitfalls, and Prospects. Lancet [Internet]. 2012 Jul [cited 2017 Mar 22];380(9838):247–57. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0140673612606461


[11] Dans A, Ng N, Varghese C, Tai ES, Firestone R, Bonita R. The Rise of Chronic Non-Communicable Diseases in Southeast Asia: Time for Action. Lancet [Internet]. 2011 Feb [cited 2017 Mar 22];377(9766):680– 9. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0140673610615061


[12] Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of Adults €TM Participation in Physical Activity: Review And Update. Med Sci Sport Exerc [Internet]. 2003 [cited 2017 Apr 25];34(12). Available from: https://www.researchgate.net/profile/Stewart_Trost/publication/ 11001088_Correlates_of_adults%27_participation_in_physical_activity_Review_and_update/links/ 57031b3808aea09bb1a3089f/Correlates-of-adults-participation-in-physical-activity-Review-andupdate.p


[13] Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJ, Martin BW. Correlates of Physical Activity: Why are Some People Physically Active and Others Not? Lancet [Internet]. 2012 [cited 2017 Mar 22];380. Available from: http://ac.els-cdn.com/S0140673612607351/1-s2. 0-S0140673612607351-main.pdf?_tid=d99b7e3c-0ed3-11e7-b58e-00000aab0f02&acdnat= 1490169051_163f8e45f3d56b4b8dae28e00497d20e


[14] Teh CH, Lim KK, Chan YY, Lim KH, Azahadi O, Akmar AHH, et al. The Prevalence of Physical Activity and Its Associated Factors among Malaysian Adults: Findings from the National Health and Morbidity Survey 2011. Public Health [Internet]. Elsevier Ltd; 2012;128(5):416–23. Available from: http://dx.doi.org/ 10.1016/j.puhe.2013.10.008


[15] Win AM, Lim W, Yen K, Hx T, Boon R, Lim T, et al. Patterns of Physical Activity and Sedentary Behavior in A Representative Sample of A Multi-Ethnic South-East Asian Population: A Cross-Sectional Study. BMC Public Health [Internet]. 2015 [cited 2017 Aug 4];15. Available from: https://bmcpublichealth. biomedcentral.com/track/pdf/10.1186/s12889-015-1668-7?site=bmcpublichealth.biomedcentral.com


[16] Agustiani Mahardikawati V, Roosita K. Aktivitas Fisik, Asupan Energi dan Status Gizi Wanita Pemetik Teh di PTPN VIII Bandung, Jawa Barat. J Gizi dan Pangan [Internet]. 2008 [cited 2017 Apr 4];3(2):79–85. Available from: http://repository.ipb.ac.id/bitstream/handle/ 123456789/52963/aktivitasfisik,asupanenergidanstatusgiziwanitapemetikteh.pdf;jsessionid= 394E0F4207B138BD32F7C8C7F0469ECE?sequence=1


[17] Cheah YK, Azahadi M, Phang SN, Hazilah N. Factors Affecting Participation Decision and Amount of Physical Activity among Urban Dwellers in Malaysia. 2017 [cited 2017 Mar 31];8:4–9. Available from: www.elsevier


[18] Trinh OTH, Nguyen ND, Dibley MJ, Phongsavan P, Bauman AE. The Prevalence and Correlates of Physical Inactivity among Adults in Ho Chi Minh City. BMC Public Health [Internet]. BioMed Central; 2008 Jun 9 [cited 2017 Apr 4];8:204. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18541020


[19] Bui T Van, Blizzard CL, Luong KN, Truong NL Van. Physical Activity in Vietnam: Estimates and Measurement Issues. J Plos One [Internet]. 2015; Available from: http://dx.doi.org/10.1371/journal.pone. 0140941


[20] Wulandari K. Determinan Social Cognitive terhadap Aktivitas Fisik Pasien Diabetes Melitus Tipe 2 di Persatuan Diabetes Indonesia (PERSADIA) Rumah Sakit Umum Daerah Kota Yogyakarta [Internet]. Universitas Gajah Mada Yogyakarta Indonesia; 2016. Available from: http://etd.repository.ugm.ac.id/index. php mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=103141&obyek_id=4


[21] Bauman AE, Sallis JF, Dzewaltowski DA, Owen N. Toward a Better Understanding of The Influences on Physical Activity: The Role of Determinants, Correlates, Causal Variables, Mediators, Moderators, and Confounders. Am J Prev Med [Internet]. 2002 [cited 2017 Apr 21];23(2):5–14. Available from: http: //www.sciencedirect.com/science/article/pii/S0749379702004695


[22] Moray FA. Faktor-Faktor Yang Berhubungan dengan Aktivitas Fisik pada Pegawai PT. Bank Negara Indonesia (BNI) Cabang Manado Tahun 2015. Pharmacon [Internet]. 2016 Feb 9 [cited 2017 Apr 4];5(1). Available from: https://ejournal.unsrat.ac.id/index.php/pharmacon/article/view/11318/10907