Korean J Sports Med.  2022 Mar;40(1):22-29. 10.5763/kjsm.2022.40.1.22.

Current Status of Physical Activity According to the Socioeconomic Status of Korean Adults: Based on the Korea National Health and Nutrition Examination Survey 2014‒2018

Affiliations
  • 1Department of Physical Education, College of Education, Seoul National University, Seoul, Korea
  • 2Institute of Sport Science, Seoul National University, Seoul, Korea

Abstract

Purpose
The purpose was to estimate the socioeconomic status and physical activity level of Korean adults.
Methods
A total of 27,358 subjects aged over 19 years were included from the 2014‒2018 Korea National Health and Nutrition Examination Survey. The socioeconomic status, the main independent inheritance in this study, was used as the household income (first quartile=highest income) and education level (elementary, middle school, high school, and college graduates) variables as the quartile categorical variable values. We perform a regression analysis for sample survey data using the SURVEYREG procedure.
Results
In physical activity, If the household income level in men and the education level in women increased, weekly moderate to vigorous physical activity was likely to be increased significantly (p for trend < 0.0001). In terms of domains of physical activity, if the level of household income and education level increased, the amount of physical activity at leisure time was likely to be increased in both men and women. On the contrary, the amount of physical activity spent on transportation was decreased. However, the relationship was not presented in the work-related moderate to vigorous physical activity (p for trend < 0.0001).
Conclusion
The socioeconomic status, that is, to climb higher household income levels and education levels, was positively associated with physical activity in a representative Korean population. To reduce the health care costs of chronic diseases caused by lack of physical activity, the countries and communities provide opportunities for more physical activity to people.

Keyword

Socioeconomic status; Physical activity; Household income; Education; KNHANES; Health

Figure

  • Fig. 1 Flow diagram of participants excluded. KNHANES: Korea National Health and Nutrition Examination Survey, GPAQ: Global Physical Activity Questionnaire.


Cited by  1 articles

한국인 성인에서 주말전사 신체활동패턴과 심혈관대사 위험요인들과의 연관성
Chulmin Gahm, Sangshin Park, Byongho Tchoe, Setor K. Kunutsor, Sae Young Jae
Korean J Sports Med. 2022;40(4):234-241.    doi: 10.5763/kjsm.2022.40.4.234.


Reference

1. Arem H, Moore SC, Patel A, et al. 2015; Leisure time physical activity and mortality: a detailed pooled analysis of the dose-response relationship. JAMA Intern Med. 175:959–67. DOI: 10.1001/jamainternmed.2015.0533. PMID: 25844730. PMCID: PMC4451435.
2. Schuch FB, Vancampfort D, Richards J, Rosenbaum S, Ward PB, Stubbs B. 2016; Exercise as a treatment for depression: a meta-analysis adjusting for publication bias. J Psychiatr Res. 77:42–51. DOI: 10.1016/j.jpsychires.2016.02.023. PMID: 26978184.
Article
3. Mammen G, Faulkner G. 2013; Physical activity and the prevention of depression: a systematic review of prospective studies. Am J Prev Med. 45:649–57. DOI: 10.1016/j.amepre.2013.08.001. PMID: 24139780.
4. Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants. Lancet Glob Health. 2018; 6:e1077–86. DOI: 10.1016/S2214-109X(18)30357-7. PMID: 30193830.
Article
5. World Health Organization (WHO). 2010. Global recommendations on physical activity for health. WHO;Geneva: Available from: https://www.who.int/dietphysicalactivity/global-PA-recs-2010.pdf. cited 2021 Jul 3.
6. World Health Organization (WHO). 2014. Global status report on noncommunicable diseases. WHO;Geneva: Available from: https://www.who.int/publications/i/item/9789241564854. cited 2021 Jul 3.
7. Sallis JF, Bull F, Guthold R, et al. 2016; Progress in physical activity over the Olympic quadrennium. Lancet. 388:1325–36. DOI: 10.1016/S0140-6736(16)30581-5. PMID: 27475270.
Article
8. Kinge JM, Modalsli JH, Øverland S, et al. 2019; Association of household income with life expectancy and cause-specific mortality in Norway, 2005-2015. JAMA. 321:1916–25. DOI: 10.1001/jama.2019.4329. PMID: 31083722. PMCID: PMC6515574.
Article
9. Reimers CD, Knapp G, Reimers AK. 2012; Does physical activity increase life expectancy? A review of the literature. J Aging Res. 2012:243958. DOI: 10.1155/2012/243958. PMID: 22811911. PMCID: PMC3395188.
Article
10. Samitz G, Egger M, Zwahlen M. 2011; Domains of physical activity and all-cause mortality: systematic review and dose-response meta-analysis of cohort studies. Int J Epidemiol. 40:1382–400. DOI: 10.1093/ije/dyr112. PMID: 22039197.
Article
11. Byberg L, Melhus H, Gedeborg R, et al. 2009; Total mortality after changes in leisure time physical activity in 50 year old men: 35 year follow-up of population based cohort. Br J Sports Med. 43:482. DOI: 10.1136/bmj.b688. PMCID: PMC2654773. PMID: 19581403.
Article
12. Wen CP, Wai JP, Tsai MK, et al. 2011; Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet. 378:1244–53. DOI: 10.1016/S0140-6736(11)60749-6. PMID: 21846575.
Article
13. Ford ES, Zhao G, Tsai J, Li C. 2011; Low-risk lifestyle behaviors and all-cause mortality: findings from the National Health and Nutrition Examination Survey III Mortality Study. Am J Public Health. 101:1922–9. DOI: 10.2105/AJPH.2011.300167. PMID: 21852630. PMCID: PMC3222361.
Article
14. Gerovasili V, Agaku IT, Vardavas CI, Filippidis FT. 2015; Levels of physical activity among adults 18-64 years old in 28 European countries. Prev Med. 81:87–91. DOI: 10.1016/j.ypmed.2015.08.005. PMID: 26299619.
Article
15. Demarest S, Van Oyen H, Roskam AJ, et al. 2014; Educational inequalities in leisure-time physical activity in 15 European countries. Eur J Public Health. 24:199–204. DOI: 10.1093/eurpub/ckt061. PMID: 23748597.
Article
16. Beenackers MA, Kamphuis CB, Giskes K, et al. 2012; Socioeconomic inequalities in occupational, leisure-time, and transport related physical activity among European adults: a systematic review. Int J Behav Nutr Phys Act. 9:116. DOI: 10.1186/1479-5868-9-116. PMID: 22992350. PMCID: PMC3491027.
Article
17. Department of Chronic Diseases and Health Promotion, Surveillance and Population-Based Prevention. World Health Orga-nization (WHO). 2010. Global Physical Activity Questionnaire (GPAQ) analysis guide [Internet]. WHO;Geneva: Available from: https://www.who.int/ncds/surveillance/steps/GPAQ%20Instrument%20and%20Analysis%20Guide%20v2.pdf. cited 2021 Jul 3.
18. World Health Organization (WHO). 2018. Global Health Observatory data. Prevalence of insufficient physical activity [Internet]. WHO;Geneva: Available from: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/prevalence-of-insufficient-physical-activity-among-adults-aged-18-years-(age-standardized-estimate)-(-). cited 2021 Jul 3.
19. IPAQ Group. 2002. International Physical Activity Questionnaire (IPAQ) [Internet]. IPAQ Group;Available from: https://sites.google.com/site/theipaq/. cited 2021 Jul 3.
20. Holtermann A, Schnohr P, Nordestgaard BG, Marott JL. 2021; The physical activity paradox in cardiovascular disease and all-cause mortality: the contemporary Copenhagen General Population Study with 104 046 adults. Eur Heart J. 42:1499–511. DOI: 10.1093/eurheartj/ehab087. PMID: 33831954. PMCID: PMC8046503.
21. Holtermann A, Krause N, van der Beek AJ, Straker L. 2018; The physical activity paradox: six reasons why occupational physical activity (OPA) does not confer the cardiovascular health benefits that leisure time physical activity does. Br J Sports Med. 52:149–50. DOI: 10.1136/bjsports-2017-097965. PMID: 28798040.
Article
22. Lee J, Kim HR, Jang TW, Lee DW, Lee YM, Kang MY. 2021; Occupational physical activity, not leisure-time physical activity, is associated with increased high-sensitivity C reactive protein levels. Occup Environ Med. 78:86–91. DOI: 10.1136/oemed-2020-106753. PMID: 32912859.
Article
23. Coenen P, Huysmans MA, Holtermann A, et al. 2018; Do highly physically active workers die early? A systematic review with meta-analysis of data from 193 696 participants. Br J Sports Med. 52:1320–6. DOI: 10.1136/bjsports-2017-098540. PMID: 29760168.
Article
24. Cillekens B, Lang M, van Mechelen W, et al. 2020; How does occupational physical activity influence health? An umbrella review of 23 health outcomes across 158 observational studies. Br J Sports Med. 54:1474–81. DOI: 10.1136/bjsports-2020-102587. PMID: 33239353.
Article
25. Braveman P. 2006; Health disparities and health equity: concepts and measurement. Annu Rev Public Health. 27:167–94. DOI: 10.1146/annurev.publhealth.27.021405.102103. PMID: 16533114.
Article
26. Laaksonen M, Prättälä R, Helasoja V, Uutela A, Lahelma E. 2003; Income and health behaviours. Evidence from monitoring surveys among Finnish adults. J Epidemiol Community Health. 57:711–7. DOI: 10.1136/jech.57.9.711. PMID: 12933778. PMCID: PMC1732587.
Article
27. Wardle J, Steptoe A. 2003; Socioeconomic differences in attitudes and beliefs about healthy lifestyles. J Epidemiol Community Health. 57:440–3. DOI: 10.1136/jech.57.6.440. PMID: 12775791. PMCID: PMC1732468.
Article
28. Lee HH, Pérez AE, Operario D. 2019; Age moderates the effect of socioeconomic status on physical activity level among south Korean adults: cross-sectional analysis of nationally representative sample. BMC Public Health. 19:1332. DOI: 10.1186/s12889-019-7610-7. PMID: 31640629. PMCID: PMC6805456.
Article
29. Sung H, Lim J, Mun J, Kim Y. 2020; Objective versus self- reported physical activity and cardiovascular disease risk factors. Korean J Sports Med. 38:28–36. DOI: 10.5763/kjsm.2020.38.1.28.
Article
30. Tucker JM, Welk GJ, Beyler NK, Kim Y. 2016; Associations between physical activity and metabolic syndrome: comparison between self-report and accelerometry. Am J Health Promot. 30:155–62. DOI: 10.4278/ajhp.121127-QUAN-576. PMID: 25806568.
Article
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