{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:41:21Z","timestamp":1787240481311,"version":"build-2736575974"},"reference-count":40,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:00:00Z","timestamp":1747353600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Physical inactivity (PI) increases the risk of cardiovascular diseases, cancer, diabetes, cognitive impairment, poor sleep, poor bone health, obesity, economic crises, and premature mortality. Globally, 31% of adults are physically inactive, indicating that this is the major public health issue of this century. Physical inactivity prevalence varies among countries, regions, and cities. In addition, data were scarce in the study area.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study identified the prevalence and determinants of PI among adults in Northwest Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A community-based cross-sectional study was conducted from February to March 2024. Participants were recruited via multistage sampling, and the data were collected via WHO stepwise standard questionnaires. Binary and multivariable logistic regressions were used to identify the predictors of physical inactivity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This study involved 592 participants, with a mean age of 36.2 \u00b1 12.6 years, 56.4% of whom were males. Nearly three-fourths (71.5%) of the respondents had no awareness of physical activity guidelines. The prevalence of PI was 46.1%. Increasing age, being female, being a government or nongovernment employee, having a high level of education, having a high family monthly income, currently smoking, chewing khat, drinking alcohol, being overweight or obese, unawareness of physical activity guidelines, and lacking a plan to do physical activity were associated with PI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>46.1% of adults were physically inactive, highlighting a significant public health concern. Thus, we emphasize improving physical activity by promoting its health benefits, raising awareness about the guidelines, and encouraging adults to have a plan to do physical activity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1513600","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:10:50Z","timestamp":1747354250000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Prevalence and associated factors of physical inactivity among adults in Northwest Ethiopia: a multicenter study"],"prefix":"10.3389","volume":"13","author":[{"given":"Zelalem Tilahun","family":"Muche","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awgichew Behaile","family":"Teklemariam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Endeshaw Chekol","family":"Abebe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melaku Mekonnen","family":"Agidew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tekile Mengie","family":"Ayele","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edgeit Abebe","family":"Zewde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anemut Tilahun","family":"Mulu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gebrehiwot Ayalew","family":"Tiruneh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Demewoz","family":"Kefale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deribew Abebaw","family":"Abuhay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milkessa Bayissa","family":"Midekssa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nega Dagnew","family":"Baye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"key":"B1","unstructured":"1\n          5\n          \n          Physical Activity Key Facts\n          \n          2024"},{"key":"B2","year":"2020","journal-title":"WHO Guidelines on Physical Activity and Sedentary Behaviour"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2174\/18749445-v15-e2202010","article-title":"Physical inactivity as a wicked problem in Sub-Sahara Africa: overview and recommendations","volume":"15","author":"Onagbiye","year":"2022","journal-title":"Open Public Health J."},{"key":"B4","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1016\/S0140-6736(12)61031-9","article-title":"Impact of physical inactivity on the world's major non- communicable diseases","volume":"380","author":"Lee","year":"2012","journal-title":"Lancet."},{"key":"B5","volume-title":"The WHO STEPwise approach to noncommunicable disease risk factor surveillance.Q-by-Q Guide v.3.2.","year":"2017"},{"key":"B6","author":"Markus","year":"2017","journal-title":"Impact of physical inactivity as a risk factor for chronic conditions: Australian Burden of Disease Study Australian Burden of Disease Study series no 15 Canberra."},{"key":"B7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmj.i3857","article-title":"Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the Global Burden of Disease Study 2013","volume":"354","author":"Kyu","year":"2016","journal-title":"BMJ."},{"key":"B8","doi-asserted-by":"publisher","first-page":"e1232","DOI":"10.1016\/S2214-109X(24)00150-5","article-title":"National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5\u20137 million participants","volume":"12","author":"Strain","year":"2024","journal-title":"Lancet Glob Heal."},{"key":"B9","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/j.pmedr.2014.12.007","article-title":"Adult physical inactivity prevalence in the Muslim world: analysis of 38 countries","volume":"2","author":"Kahan","year":"2025","journal-title":"Prev Med Reports."},{"key":"B10","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1186\/1479-5868-11-39","article-title":"Physical activity level and its sociodemographic correlates in a peri-urban Nepalese population: a cross-sectional study from the Jhaukhel-Duwakot health demographic surveillance site","volume":"11","author":"Vaidya","year":"2014","journal-title":"Int J Behav Nutr Phys Act."},{"key":"B11","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1249\/01.MSS.0000093615.33774.0E","article-title":"Physical inactivity prevalence and associated variables in Brazilian adults","volume":"35","author":"Hallal","year":"2003","journal-title":"Med Sci Sport Exerc"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e058156","DOI":"10.1136\/bmjopen-2021-058156","article-title":"Prevalence and associated factors of aged physical inactivity among middle\u2014and older adults in India: results of a national cross-sectional community survey","volume":"12","author":"Pengpid","year":"2022","journal-title":"Br Med J Open"},{"key":"B13","first-page":"389","article-title":"Factors influencing physical inactivity among adults in Negeri Sembilan, Peninsular Malaysia","volume":"74","author":"Tan","year":"2019","journal-title":"Med J Malaysia."},{"key":"B14","doi-asserted-by":"publisher","first-page":"119","DOI":"10.9790\/0853-13101119130","article-title":"Physical inactivity and its associated factors among university students of Malaysia","volume":"13","author":"Goje","year":"2014","journal-title":"IOSR J Dent Med Sci."},{"key":"B15","doi-asserted-by":"publisher","first-page":"92","DOI":"10.15171\/jcvtr.2016.20","article-title":"Prevalence of physical inactivity in Iran: a systematic review","volume":"8","author":"Fakhrzadeh","year":"2016","journal-title":"J Cardiovasc Thorac Res."},{"key":"B16","doi-asserted-by":"publisher","first-page":"1190","DOI":"10.3760\/cma.j.cn112338-20221125-01000","article-title":"The prevalence of insufficient physical activity and the influencing factors among Chinese adults in 2018","volume":"44","author":"Xingxing","year":"2023","journal-title":"Chin J Epidemiol."},{"key":"B17","doi-asserted-by":"publisher","first-page":"157","DOI":"10.3389\/fpubh.2020.00157","article-title":"Prevalence of physical inactivity and sedentary behavior among adults in Armenia","volume":"8","author":"Tcymbal","year":"2020","journal-title":"Front Public Heal"},{"key":"B18","doi-asserted-by":"publisher","first-page":"516","DOI":"10.2174\/1874944501811010516","article-title":"Factors associated with physical activity in south africa: evidence from a national population based survey","volume":"11","author":"Mlangeni","year":"2018","journal-title":"Open Public Heal J."},{"key":"B19","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1093\/pubmed\/fdab147","article-title":"Epidemiology of physical inactivity in Nigeria: a systematic review and meta-analysis","volume":"44","author":"Adeloye","year":"2021","journal-title":"J Public Health."},{"key":"B20","doi-asserted-by":"publisher","first-page":"49","DOI":"10.25220\/WNJ.V06.i1.0008","article-title":"Factors associated with physical inactivity among community dwelling adults in Umuahia, Nigeria","volume":"2","author":"Ukegbu","year":"2022","journal-title":"World Nutr J"},{"key":"B21","doi-asserted-by":"publisher","first-page":"1243","DOI":"10.1123\/jpah.2016-0025","article-title":"Physical activity and associated factors among adults in peri-urban and rural Eastern Uganda: a population-based study","volume":"13","author":"Wamani","year":"2016","journal-title":"J Phys Act Health"},{"key":"B22","doi-asserted-by":"publisher","first-page":"S551","DOI":"10.1016\/j.dsx.2017.04.003","article-title":"Low levels of physical activity in Sudanese individuals with some features of metabolic syndrome: population based study","volume":"11","author":"Khalil","year":"2017","journal-title":"Diabetes Metab Syndr Clin Res Rev"},{"key":"B23","doi-asserted-by":"publisher","first-page":"1217","DOI":"10.1186\/s12889-018-6059-4","article-title":"Prevalence and predictors of physical inactivity levels among Kenyan adults (18\u201369 years): an analysis of STEPS survey 2015","volume":"18","author":"Gichu","year":"2018","journal-title":"BMC Public Health"},{"key":"B24","first-page":"348","article-title":"Magnitude and determinants of physical inactivity in Ethiopia: evidence form 2015 Ethiopia National NCD Survey","volume":"31","author":"Amenu","year":"2017","journal-title":"Ethiop J Heal Dev"},{"key":"B25","unstructured":"Global Status Report on Physical Activity 2022.Country Profiles\n          \n          2022"},{"key":"B26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmjopen-2022-063333","article-title":"Level of physical activity and its associated factors among adults in based southeast Ethiopia: a community\u2014cross-sectional study","volume":"12","author":"Tekalegn","year":"2022","journal-title":"BMJ Open."},{"key":"B27","doi-asserted-by":"publisher","first-page":"693176","DOI":"10.3389\/fpubh.2021.693176","article-title":"Sedentary behavior and associated factors among working adults in Eastern Ethiopia","volume":"9","author":"Motuma","year":"2021","journal-title":"Front Public Heal."},{"key":"B28","doi-asserted-by":"publisher","first-page":"e05793","DOI":"10.1136\/bmjopen-2021-057930","article-title":"Modifiable cardiovascular disease risk factors among adults in southern Ethiopia: a community- based cross-sectional study","volume":"12","author":"Kumma","year":"2022","journal-title":"BMJ Open."},{"key":"B29","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1371\/journal.pgph.0001451","article-title":"Non-adherence to the World Health Organization' s physical activity recommendations and associated factors among healthy adults in urban centers of Southwest Ethiopia","volume":"3","author":"Zenu","year":"2023","journal-title":"PLOS Glob PUBLIC Heal."},{"key":"B30","doi-asserted-by":"publisher","first-page":"72","DOI":"10.29359\/BJHPA.10.2.08","article-title":"Prevalence of physical inactivity and associated factors among adults in Harar town, Eastern Ethiopia","volume":"10","author":"Abdeta","year":"2018","journal-title":"Balt J Heal Phys Act."},{"key":"B31","doi-asserted-by":"publisher","first-page":"e133","DOI":"10.1002\/puh2.133","article-title":"Noncommunicable disease risk factors and cardiovascular risk among adults in Ethiopia: a cross-sectional study","volume":"2","author":"Alamnia","year":"2023","journal-title":"Public Heal Chall"},{"key":"B32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12889-019-7465-y","article-title":"Level of physical activity among urban adults and the socio-demographic correlates: a population-based cross-sectional study using the global physical activity questionnaire","volume":"1160","author":"Mengesha","year":"2019","journal-title":"BMC Public Health"},{"key":"B33","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12877-024-04701-2","article-title":"Prevalence of physical inactivity and associated factors among older adults in Gondar town, Northwest Ethiopia: a community-based cross-sectional study","volume":"24","author":"Shiferaw","year":"2024","journal-title":"BMC Geriatr."},{"key":"B34","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1038\/s41598-022-26895-4","article-title":"Prevalence and associated factors of physical inactivity among adult diabetes mellitus patients in Felege Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia","volume":"13","author":"Enyew","year":"2023","journal-title":"Sci Rep."},{"key":"B35","doi-asserted-by":"publisher","first-page":"e12023","DOI":"10.1016\/j.heliyon.2022.e12023","article-title":"Physical inactivity and its association with hypertension among adults in Ethiopia: a systematic review and meta-analysis","volume":"8","author":"Muche","year":"2022","journal-title":"Heliyon"},{"key":"B36","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12879-022-07120-z","article-title":"Physical activity level and associated factors among adult HIV patients in Ethiopia","volume":"123","author":"Tegene","year":"2022","journal-title":"BMC Infect Dis"},{"key":"B37","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1186\/s12889-022-14953-5","article-title":"Exploring the predictors of physical inactivity in a university setting","volume":"23","author":"Ndupu","year":"2023","journal-title":"BMC Public Health"},{"key":"B38","doi-asserted-by":"publisher","first-page":"549","DOI":"10.2147\/CIA.S44112","article-title":"Age-related decrease in physical activity and functional fitness among elderly men and women","volume":"8","author":"Milanovi\u0107","year":"2013","journal-title":"Clin Interv Aging."},{"key":"B39","doi-asserted-by":"publisher","first-page":"190","DOI":"10.11648\/j.ajhr.20210905.17","article-title":"Perception of regular physical activities and factors affecting physical activities among adult government office worker in Adama Town, Ethiopia: qualitative Study","volume":"9","author":"Mohammed","year":"2021","journal-title":"Am J Heal Res"},{"key":"B40","doi-asserted-by":"publisher","first-page":"e000463","DOI":"10.1136\/bmjsem-2018-000463","article-title":"Knowledge of the physical activity guidelines and factors associated with physical activity participation among adults in Harar town, eastern Ethiopia","volume":"5","author":"Abdeta","year":"2019","journal-title":"BMJ Open Sport Exerc Med"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1513600\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T00:10:56Z","timestamp":1747354256000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1513600\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,16]]},"references-count":40,"alternative-id":["10.3389\/fpubh.2025.1513600"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1513600","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,16]]},"article-number":"1513600"}}