Insufficient physical activity increases the risk of non-communicable diseases, poor physical and cognitive function, weight gain, and mental ill-health. Global prevalence of adult insufficient physical activity was last published for 2016, with limited trend data. We aimed to estimate the prevalence of insufficient physical activity for 197 countries and territories, from 2000 to 2022. We collated physical activity reported by adults (aged ≥18 years) in population-based surveys. Insufficient physical activity was defined as not doing 150 minutes of moderate-intensity activity, 75 minutes of vigorous-intensity activity, or an equivalent combination per week. We used a Bayesian hierarchical model to compute estimates of insufficient physical activity by country or territory, year, age, and sex. We assessed whether countries or territories, regions, and the world would meet the global target of a 15% relative reduction of the prevalence of insufficient physical activity by 2030 if 2010–22 trends continue. We included 507 surveys across 163 countries and territories. The global age-standardised prevalence of insufficient physical activity was 31·3% (95% uncertainty interval 28·6–34·0) in 2022, an increase from 23·4% (21·1–26·0) in 2000 and 26·4% (24·8–27·9) in 2010. Prevalence was increasing in 103 (52%) of 197 countries and territories and six (67%) of nine regions, and was declining in the remainder. Prevalence was 5 percentage points higher among female (33·8% [29·9–37·7]) than male (28·7% [25·0–32·6]) individuals. Insufficient physical activity increased in people aged 60 years and older in all regions and both sexes, but age patterns differed for those younger than 60 years. If 2010–22 trends continue, the global target of a 15% relative reduction between 2010 and 2030 will not be met (posterior probability <0·01); however, two regions, Oceania and sub-Saharan Africa, were on track with considerable uncertainty (posterior probabilities 0·70–0·74). Concerted multi-sectoral efforts to reduce insufficient physical activity levels are needed to meet the 2030 target. Physical activity promotion should not exacerbate sex, age, or geographical inequalities. Ministry of Public Health, Qatar, and World Health Organization. For the Spanish and Portuguese translations of the abstract see Supplementary Materials section.

中文翻译：

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2000 年至 2022 年成人身体活动不足的国家、区域和全球趋势：对 5·700 万参与者的 507 项人口调查的汇总分析


体力活动不足会增加患非传染性疾病、身体和认知功能不佳、体重增加和精神疾病的风险。全球成人身体活动不足的患病率上次发布于 2016 年，趋势数据有限。我们的目的是估计 2000 年至 2022 年 197 个国家和地区体力活动不足的普遍情况。我们整理了基于人口的调查中成年人（年龄≥18 岁）报告的体力活动情况。体力活动不足的定义是每周未进行 150 分钟中等强度活动、75 分钟高强度活动或同等组合。我们使用贝叶斯分层模型来计算按国家或地区、年份、年龄和性别划分的体力活动不足的估计值。我们评估了如果 2010-22 年的趋势继续下去，各国或地区、地区和世界是否能够实现到 2030 年身体活动不足发生率相对减少 15% 的全球目标。我们纳入了 163 个国家和地区的 507 项调查。到 2022 年，全球年龄标准化体力活动不足患病率为 31·3%（95% 不确定性区间 28·6–34·0），较 2000 年的 23·4%（21·1–26·0）有所增加。 2010 年为 26·4% (24·8–27·9)。197 个国家和地区中的 103 个国家和地区 (52%) 以及 9 个地区中的 6 个国家和地区 (67%) 患病率呈上升趋势，其余地区则呈下降趋势。女性（33·8% [29·9–37·7]）的患病率比男性（28·7% [25·0–32·6]）高5个百分点。在所有地区和性别中，60 岁及以上人群的体力活动不足现象均有所增加，但 60 岁以下人群的年龄模式有所不同。 如果2010-22年的趋势继续下去，2010年至2030年相对减少15%的全球目标将无法实现（后验概率<0·01）；然而，大洋洲和撒哈拉以南非洲这两个地区正在步入正轨，但存在相当大的不确定性（后验概率为 0·70–0·74）。为了实现 2030 年目标，需要多部门共同努力，减少体力活动水平不足的情况。促进身体活动不应加剧性别、年龄或地域不平等。卡塔尔公共卫生部和世界卫生组织。有关摘要的西班牙语和葡萄牙语翻译，请参阅补充材料部分。