The epidemiology of muscle-strengthening exercise in Europe: A 28-country comparison including 280,605 adults

Muscle-strengthening exercise (use of weight machines, free weights, push-ups, sit-ups), has multiple independent health benefits, and is a component of the Global physical activity guidelines. However, there is currently a lack of multi-country muscle-strengthening exercise prevalence studies. This...

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Veröffentlicht in:PloS one 2020-11, Vol.15 (11), p.e0242220-e0242220
Hauptverfasser: Bennie, Jason A, De Cocker, Katrien, Smith, Jordan J, Wiesner, Glen H
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De Cocker, Katrien
Smith, Jordan J
Wiesner, Glen H
description Muscle-strengthening exercise (use of weight machines, free weights, push-ups, sit-ups), has multiple independent health benefits, and is a component of the Global physical activity guidelines. However, there is currently a lack of multi-country muscle-strengthening exercise prevalence studies. This study describes the prevalence and correlates of muscle-strengthening exercise across multiple European countries. Data were drawn from the European Health Interview Survey Wave 2 (2013-14), which included nationally representative samples (n = 3,774-24,016) from 28 European countries. Muscle-strengthening exercise was assessed using the European Health Interview Survey Physical Activity Questionnaire. Population-weighted proportions were calculated for (1) "insufficient" (0-1 days/week) or (2) "sufficient" muscle-strengthening exercise (≥2 days/week). Prevalence ratios were calculated using multivariate Poisson regression for those reporting sufficient muscle-strengthening by country and by sociodemographic/lifestyle characteristics (sex, age, education, income, self-rated health etc.). Data were available for 280,605 European adults aged ≥18 years. Overall, 17.3% (95% CI = 17.1%-17.5%) reported sufficient muscle-strengthening exercise (≥2 days/week). Muscle-strengthening exercise was geographically patterned with the lowest prevalence reported in South-eastern European countries (Romania, Malta and Cyprus: range: 0.7%-7.4%), and the highest prevalence in the Nordic countries (Iceland, Sweden, and Denmark: range: 34.1%-51.6%). Older age, insufficient aerobic activity, poorer self-rated health, lower income/education, being female, and being overweight/obese were significantly associated with lower likelihood of reporting sufficient muscle-strengthening exercise, independently of other characteristics. Most European adults do not report sufficient muscle-strengthening exercise, and prevalence estimates varied considerably across countries. Low participation in muscle-strengthening exercise is widespread across Europe, and warrants public health attention.
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However, there is currently a lack of multi-country muscle-strengthening exercise prevalence studies. This study describes the prevalence and correlates of muscle-strengthening exercise across multiple European countries. Data were drawn from the European Health Interview Survey Wave 2 (2013-14), which included nationally representative samples (n = 3,774-24,016) from 28 European countries. Muscle-strengthening exercise was assessed using the European Health Interview Survey Physical Activity Questionnaire. Population-weighted proportions were calculated for (1) "insufficient" (0-1 days/week) or (2) "sufficient" muscle-strengthening exercise (≥2 days/week). Prevalence ratios were calculated using multivariate Poisson regression for those reporting sufficient muscle-strengthening by country and by sociodemographic/lifestyle characteristics (sex, age, education, income, self-rated health etc.). Data were available for 280,605 European adults aged ≥18 years. Overall, 17.3% (95% CI = 17.1%-17.5%) reported sufficient muscle-strengthening exercise (≥2 days/week). Muscle-strengthening exercise was geographically patterned with the lowest prevalence reported in South-eastern European countries (Romania, Malta and Cyprus: range: 0.7%-7.4%), and the highest prevalence in the Nordic countries (Iceland, Sweden, and Denmark: range: 34.1%-51.6%). Older age, insufficient aerobic activity, poorer self-rated health, lower income/education, being female, and being overweight/obese were significantly associated with lower likelihood of reporting sufficient muscle-strengthening exercise, independently of other characteristics. Most European adults do not report sufficient muscle-strengthening exercise, and prevalence estimates varied considerably across countries. Low participation in muscle-strengthening exercise is widespread across Europe, and warrants public health attention.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33237930</pmid><doi>10.1371/journal.pone.0242220</doi><tpages>e0242220</tpages><orcidid>https://orcid.org/0000-0002-8668-8998</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Adults
Aged
Biology and Life Sciences
Body Mass Index
Body weight
Cardiovascular disease
Chronic diseases
Chronic illnesses
Correlation analysis
Data collection
Demographic aspects
Diabetes
Disease prevention
Education
Epidemiology
Europe - epidemiology
Exercise
Female
Health aspects
Health behavior
Health Status
Health Surveys
Humans
Income
Life Style
Lifestyles
Male
Mathematical analysis
Medicine and Health Sciences
Middle Aged
Mortality
Muscle strength
Muscle Strength - physiology
Muscles
Overweight
People and Places
Physical activity
Physical fitness
Physical training
Polls & surveys
Prevalence
Prevention
Public health
Public participation
Questionnaires
Resistance Training - statistics & numerical data
Sociodemographics
Socioeconomic Factors
Strength training
Strengthening
Strengthening exercises
Young Adult
title The epidemiology of muscle-strengthening exercise in Europe: A 28-country comparison including 280,605 adults
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