Systematic Review of Physical Activity, Sedentary Behaviour and Sleep Among Adults Living with Chronic Respiratory Disease in Low- and Middle-Income Countries

Akila R Jayamaha; Amy V Jones; Winceslaus Katagira; Bhushan Girase; Zainab K Yusuf; Ilaria Pina; Laura J Wilde; Azamat Akylbekov; Pip Divall; Sally J Singh; Mark W Orme

doi:10.2147/COPD.S345034

Systematic Review of Physical Activity, Sedentary Behaviour and Sleep Among Adults Living with Chronic Respiratory Disease in Low- and Middle-Income Countries

Int J Chron Obstruct Pulmon Dis. 2022 Apr 18:17:821-854. doi: 10.2147/COPD.S345034. eCollection 2022.

Authors

Akila R Jayamaha^{1

2}, Amy V Jones^{1

3}, Winceslaus Katagira⁴, Bhushan Girase⁵, Zainab K Yusuf^{1

3}, Ilaria Pina^{1

3}, Laura J Wilde^{1

3}, Azamat Akylbekov⁶, Pip Divall⁷, Sally J Singh^{1

3}, Mark W Orme^{1

3}

Affiliations

¹ Department of Respiratory Sciences, University of Leicester, Leicester, UK.
² Department of Health Sciences, KIU, Battaramulla, Sri Lanka.
³ Centre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical Research Centre-Respiratory, Leicester, UK.
⁴ Makerere University Lung Institute, Makerere University College of Health Sciences, Mulago Hospital, Kampala, Uganda.
⁵ Family Health, PATH, Delhi, India.
⁶ National Centre for Cardiology and Internal Medicine, Bishkek, Kyrgyzstan.
⁷ University Hospitals of Leicester NHS Trust, Leicester, UK.

Abstract

Abstract: Physical activity (PA), sedentary behaviour (SB) and sleep are important lifestyle behaviours associated with chronic respiratory disease (CRD) morbidity and mortality. These behaviours need to be understood in low- and middle-income countries (LMIC) to develop appropriate interventions.

Purpose: Where and how have free-living PA, SB and sleep data been collected for adults living with CRD in LMIC? What are the free-living PA, SB and sleep levels of adults living with CRD?

Patients and methods: The literature on free-living PA, SB and sleep of people living with CRD in LMIC was systematically reviewed in five relevant scientific databases. The review included empirical studies conducted in LMIC, reported in any language. Reviewers screened the articles and extracted data on prevalence, levels and measurement approach of PA, SB and sleep using a standardised form. Quality of reporting was assessed using bespoke criteria.

Results: Of 89 articles, most were conducted in Brazil (n=43). PA was the commonest behaviour measured (n=66). Questionnaires (n=52) were more commonly used to measure physical behaviours than device-based (n=37) methods. International Physical Activity Questionnaire was the commonest for measuring PA/SB (n=11). For sleep, most studies used Pittsburgh Sleep Quality Index (n=18). The most common ways of reporting were steps per day (n=21), energy expenditure (n=21), sedentary time (n=16), standing time (n=13), sitting time (n=11), lying time (n=10) and overall sleep quality (n=32). Studies revealed low PA levels [steps per day (range 2669-7490steps/day)], sedentary lifestyles [sitting time (range 283-418min/day); standing time (range 139-270min/day); lying time (range 76-119min/day)] and poor sleep quality (range 33-100%) among adults with CRD in LMIC.

Conclusion: Data support low PA levels, sedentary lifestyles and poor sleep among people in LMIC living with CRDs. More studies are needed in more diverse populations and would benefit from a harmonised approach to data collection for international comparisons.

Keywords: chronic respiratory disease; low- and middle-income countries; physical activity; sedentary behaviour; sleep.

Publication types

Review
Systematic Review

MeSH terms

Adult
Developing Countries
Exercise
Humans
Pulmonary Disease, Chronic Obstructive*
Sedentary Behavior
Sleep
Sleep Initiation and Maintenance Disorders*

Grants and funding

This research was funded by the National Institute for Health Research (NIHR) (17/63/20) using UK aid from the UK Government to support global health research. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR or the UK Department of Health and Social Care.