Environmental Influence on the Physical Activity and Obesity Rates of the Hungarian Adult Females: A Systematic Review

Lina Takruri; Farah Abu Khadra; Toth Akos Levente; Miklos Banhidi

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Environmental Influence on the Physical Activity and Obesity Rates of the Hungarian Adult Females: A Systematic Review

Year 2024, Volume: 1 Issue: 1, 27 - 53, 22.12.2024

Lina Takruri , Farah Abu Khadra Toth Akos Levente Miklos Banhidi

Abstract

Introduction: physical inactivity is insidiously taking over people’s lives. As it interplays with improper dietary habits, obesity rates can have growing incidence. Those outcomes and health practices are influenced by the environment that adult females live at, since they are required to perform main social roles they carry during adulthood. This content analysis aims to analyse how the environment in Hungary influences their lifestyle patterns, health practices and outcomes.
Methods and Objectives: the objective of this study is to analyse how social environment affect physical activity and domains of the Hungarian female adults and as a result the obesity rates among them. following the Social Determinants of Health model, a literature analysis from statistical reports and research articles was carried out in April 2024 to collect results and data related to the five determinants of health. Besides, physical activity, eating patterns, and obesity rates were collected from databases to correlate the SDOH with obesity.
Results: Hungarian adult females tend to have sufficient PA level. However, obesity rates among them are considered high compared with European countries, this is due to PA domains that they tend to practice which are mainly not related to LTPA. Additionally, dietary patterns and caloric intakes were among the highest in European countries. Socio-economic status showed negative impact on their lifestyle patterns, while built environment had a positive impact.
Conclusion: Interventions to enhance LTPA are needed, since it has better influence on their health outcomes and practices than other PA domains. The utilization of built environment can help to create outdoor activities with low fees to encourage Hungarian female adults to practice LTPA. Also, there should be focus on nutrition and PA guidelines in public and in working environment.

Keywords

Social environment, physical activity, obesity, Hungary, female adults

References

1. Moschonis, G., & Trakman, G. L. (2023). Overweight and obesity: The interplay of eating habits and physical activity. Nutrients, 15(13). https://doi.org/10.3390/nu15132896
2. NHS. (2019). Statistics on obesity, physical activity and diet, England, 2019. NHS Digital. https://digital.nhs.uk/data-and-information/publications/statistical/statistics-on-obesity-physical-activity-and-diet/statistics-on-obesity-physical-activity-and-diet-england-2019
3. Chooi, Y. C., Ding, C., & Magkos, F. (2019). The epidemiology of obesity. Metabolism: Clinical and Experimental, 92. https://doi.org/10.1016/j.metabol.2018.09.005
4. Zavala, G. A., Ainscough, T. S., & Jimenez-Moreno, A. C. (2022). Barriers to a healthy diet and physical activity in Mexican adults: Results from the Mexican Health and Nutrition Survey. Nutrition Bulletin, 47(3). https://doi.org/10.1111/nbu.12568
5. Maltagliati, S., Saoudi, I., Sarrazin, P., Cullati, S., Sieber, S., Chalabaev, A., & Cheval, B. (2022). Women carry the weight of deprivation on physical inactivity: Moderated mediation analyses in a European sample of adults over 50 years of age. SSM - Population Health, 20. https://doi.org/10.1016/j.ssmph.2022.101272
6. Kostiainen, E., Martelin, T., Kestilä, L., Martikainen, P., & Koskinen, S. (2009). Employee, partner, and mother: Woman’s three roles and their implications for health. Journal of Family Issues, 30, 1122–1150. https://doi.org/10.1177/0192513X08329597
7. Rattay, P., Müters, S., Borgmann, L.-S., von der Lippe, E., Poethko-Müller, C., & Lampert, T. (2019). Partnership, parenthood, employment and self-rated health in Germany and the EU: Results from the European Health Interview Survey (EHIS) 2. Journal of Health Monitoring, 4. https://doi.org/10.25646/6224
8. Bell, S., & Lee, C. (2005). Emerging adulthood and patterns of physical activity among young Australian women. International Journal of Behavioral Medicine, 12(4), 227–235. https://doi.org/10.1207/s15327558ijbm1204_3
9. Blair, S. N., Cheng, Y., & Holder, J. S. (2001). Is physical activity or physical fitness more important in defining health benefits? Medicine & Science in Sports & Exercise, 33(6).
10. Sassen, B., Cornelissen, V. A., Kiers, H., Wittink, H., Kok, G., & Vanhees, L. (2009). Physical fitness matters more than physical activity in controlling cardiovascular disease risk factors. European Journal of Cardiovascular Prevention and Rehabilitation, 16(6), 677–683. https://doi.org/10.1097/HJR.0b013e3283312e94
11. Andersen, L. B., Schnohr, P., Schroll, M., & Hein, H. O. (2000). All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work. Archives of Internal Medicine, 160(11), 1621–1628. https://doi.org/10.1001/archinte.160.11.1621
12. Bácsné Bába, É., Ráthonyi, G., Müller, A., Ráthonyi-Odor, K., Balogh, P., Ádány, R., & Bács, Z. (2020). Physical activity of the population of the most obese country in Europe, Hungary. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.00203
13. Warburton, D. E. R., Nicol, C. W., & Bredin, S. S. D. (2006). Health benefits of physical activity: The evidence. CMAJ, 174(6), 801–809. https://doi.org/10.1503/cmaj.051351
14. Hu, F. B., Willett, W. C., Li, T., Stampfer, M. J., Colditz, G. A., & Manson, J. E. (2004). Adiposity as compared with physical activity in predicting mortality among women. The New England Journal of Medicine.
15. Peng, B., Ng, J. Y. Y., & Ha, A. S. (2023). Barriers and facilitators to physical activity for young adult women: A systematic review and thematic synthesis of qualitative literature. International Journal of Behavioral Nutrition and Physical Activity, 20(1), 23. https://doi.org/10.1186/s12966-023-01411-7
16. Hacker, K., & Houry, D. (2022). Social needs and social determinants: The role of the Centers for Disease Control and Prevention and public health. Public Health Reports, 137(6), 1049–1052. https://doi.org/10.1177/00333549221120244
17. Koca, C., Henderson, K. A., Asci, F. H., & Bulgu, N. (2009). Constraints to leisure-time physical activity and negotiation strategies in Turkish women. Journal of Leisure Research, 41(2).
18. WHO. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Commission on Social Determinants of Health Final Report.
19. Coackly, J. (2015). Sports in society: Issues and controversies. McGraw Hill Education, 170–210.
20. KSH.hu. (2023). Hungary: Land area and population statistics. Hungarian Central Statistical Office.
21. Fodor, P., & Pók, A. (2020). A thousand years on the frontier. The Hungarian Historical Review, 9(1), 113–139. https://www.jstor.org/stable/26984104
22. KSH. (2011). Ethnic composition of Hungary: Data from the 2011 census. Hungarian Central Statistical Office.
23. HVG Hungary. (2018). Home: That’s how many Roma live in Hungary. hvg.hu. https://hvg.hu/itthon/20180222_Ennyi_roma_el_Magyarorszagon
24. Dudas, G. (2006). Index - Economy - Roma trapped in poverty. Index.hu. https://index.hu/gazdasag/magyar/roma060508
25. Macrotrends. (2024). Hungary rural population 1960-2024. MacroTrends. https://www.macrotrends.net/global-metrics/countries/HUN/hungary/rural-population
26. Kovács, T. (2001). Rural development in Hungary. Centre for Regional Studies of Hungarian Academy of Sciences.
27. Britannica. (2024). Hungary - Plains, mountains, villages. Britannica. https://www.britannica.com/place/Hungary/Settlement-patterns
28. Department of State, U. (2022). Hungary 2022 international religious freedom report. U.S. Department of State.
29. Park, C. L. (2007). Religiousness/spirituality and health: A meaning systems perspective. Journal of Behavioral Medicine, 30(4), 319–328. https://doi.org/10.1007/S10865-007-9111-X
30. Wnuk, M. (2023). The indirect relationship between spiritual experiences and subjective wellbeing through hope: A sample of Chilean students. Journal of Religion and Health, 62(2), 964–983. https://doi.org/10.1007/s10943-021-01459-4
31. Janky, B. (2015). Social cohesion and trust in local communities in Hungary. Hungarian Studies, 29(1–2), 49–63. https://go.gale.com/ps/i.do?p=AONE&sw=w&issn=02366568&v=2.1&it=r&id=GALE%7CA457254553&sid=googleScholar&linkaccess=fulltext
32. Office of Disease Prevention and Health Promotion. (2024). Social and community context - Healthy People 2030. health.gov. https://health.gov/healthypeople/objectives-and-data/browse-objectives/social-and-community-context
33. Lelkes, O. (2004). Social cohesion in Hungary: Theoretical foundations and facts. pm.gov.hu.
34. McMaughan, D. J., Oloruntoba, O., & Smith, M. L. (2020). Socioeconomic status and access to healthcare: Interrelated drivers for healthy aging. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.00231
35. Huang, J., Birkenmaier, J., & Kim, Y. (2014). Job loss and unmet health care needs in the economic recession: Different associations by family income. American Journal of Public Health, 104(11), 178–183. https://doi.org/10.2105/AJPH
36. The National Institute of Occupational Health and Safety. (2021). NIOSH study examines relationship between employment status, healthcare access, and health outcomes.
37. White, R. L., Bennie, J., Abbott, G., & Teychenne, M. (2020). Work-related physical activity and psychological distress among women in different occupations: A cross-sectional study. BMC Public Health, 20(1), 1007. https://doi.org/10.1186/s12889-020-09112-7
38. Barnes, M. G., Smith, T. G., & Yoder, J. K. (2013). Effects of household composition and income security on body weight in working-age men. Obesity, 21(9). https://doi.org/10.1002/oby.20302
39. Björntorp, P. (2001). Do stress reactions cause abdominal obesity and comorbidities? Obesity Reviews, 2(2), 73–86. https://doi.org/10.1046/j.1467-789x.2001.00027.x
40. Kim, T. J., & Von Dem Knesebeck, O. (2018). Income and obesity: What is the direction of the relationship? A systematic review and meta-analysis. BMJ Open, 8(1). https://doi.org/10.1136/bmjopen-2017-019862
41. Public Health Scotland. (2021). Income - Income inequality - Fundamental causes - Health inequalities. Public Health Scotland. https://www.healthscotland.scot/health-inequalities/fundamental-causes/income-inequality/income
42. European Commission. (2021a). State of health in the EU: The country health profile series.
43. World Economic Outlook Database. (2024). Report for selected countries and subjects. International Monetary Fund. https://www.imf.org/en/Publications/WEO
44. World Bank Data. (2024). Gini index. World Bank. https://data.worldbank.org/indicator/SI.POV.GINI
45. European Commission. (2024). Employment rates in Hungary compared to the EU average.
46. OECD. (2023a). Employment rate.
47. KSH.HU. (2024b). Budgetary expenditures on sport.
48. Laurene. (2016). Defining and measuring access to healthcare: The patients’ perspective. Eurofound.
49. Lee, I. C., Chang, C. S., & Du, P. L. (2017). Do healthier lifestyles lead to less utilization of healthcare resources? BMC Health Services Research, 17(1). https://doi.org/10.1186/s12913-017-2185-4
50. Van Baal, P., Meltzer, D., & Brouwer, W. (2016). Future costs, fixed healthcare budgets, and the decision rules of cost-effectiveness analysis. Health Economics, 25(2), 237–248. https://doi.org/10.1002/hec.3138
51. KSH.HU. (2024d). Number and rate of deaths, infant mortality, life expectancy at birth, deaths by main causes of death.
52. Institute of Medicine (US). (2002). Care without coverage: Too little, too late.
53. Ortuzar, I., Renart, G., & Xabadia, A. (2021). Effects of public healthcare budget cuts on life satisfaction in Spain. Social Indicators Research, 156(1), 311–337. https://doi.org/10.1007/s11205-021-02624-8
54. KSH.HU. (2024c). Health insurance financing of curative-preventive care.
55. Eurostat. (2021). Healthcare expenditure statistics by function, provider, and financing scheme.
56. KSH.HU. (2024a). Active physicians by county and region, 31 December.
57. Eurostat. (2023). Physicians and physiotherapists in the EU: How many?
58. American Psychological Association. (2023). Socioeconomic status. APA.
59. Raghupathi, V., & Raghupathi, W. (2020). The influence of education on health: An empirical assessment of OECD countries for the period 1995–2015. Archives of Public Health, 78(1). https://doi.org/10.1186/s13690-020-00402-5
60. Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., … Pate, M. (2018). High-quality health systems in the sustainable development goals era: Time for a revolution. The Lancet Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/S2214-109X(18)30386-3
61. Crimmins, E. M., & Saito, Y. (2001). Trends in healthy life expectancy in the United States, 1970–1990: Gender, racial, and educational differences. Social Science & Medicine, 52(11), 1629–1641. https://doi.org/10.1016/S0277-9536(00)00273-2
62. Ross, C. E., & Mirowsky, J. (2010). Gender and the health benefits of education. The Sociological Quarterly, 51(1), 1–19. https://doi.org/10.1111/j.1533-8525.2009.01164.x
63. Montez, J. K., & Zajacova, A. (2013). Trends in mortality risk by education level and cause of death among US white women from 1986 to 2006. American Journal of Public Health, 103(3), 473–479. https://doi.org/10.2105/AJPH.2012.301128
64. Azizi Fard, N., De Francisci Morales, G., Mejova, Y., & Schifanella, R. (2021). On the interplay between educational attainment and nutrition: A spatially-aware perspective. EPJ Data Science, 10(1). https://doi.org/10.1140/epjds/s13688-021-00273-y
65. Worsley, A., Blaschea, R., Ball, K., & Crawford, D. (2004). The relationship between education and food consumption in the 1995 Australian National Nutrition Survey. Public Health Nutrition, 7(5), 649–663. https://doi.org/10.1079/phn2003577
66. Giskes, K., Avendaño, M., Brug, J., & Kunst, A. E. (2010). A systematic review of studies on socioeconomic inequalities in dietary intakes associated with weight gain and overweight/obesity conducted among European adults. Obesity Reviews, 11(6), 413–429. https://doi.org/10.1111/j.1467-789X.2009.00658.x
67. Kamphuis, C. B. M., Oude Groeniger, J., & Van Lenthe, F. J. (2018). Does cultural capital contribute to educational inequalities in food consumption in the Netherlands? A cross-sectional analysis of the GLOBE-2011 survey. International Journal for Equity in Health, 17(1). https://doi.org/10.1186/s12939-018-0884-z
68. Moreira, P. A., & Padra, P. D. (2004). Educational and economic determinants of food intake in Portuguese adults: A cross-sectional survey. BMC Public Health, 4. https://doi.org/10.1186/1471-2458-4-58
69. Kari, J. T., Viinikainen, J., Böckerman, P., Tammelin, T. H., Pitkänen, N., Lehtimäki, T., Pahkala, K., Hirvensalo, M., Raitakari, O. T., & Pehkonen, J. (2020). Education leads to a more physically active lifestyle: Evidence based on Mendelian randomization. Scandinavian Journal of Medicine & Science in Sports, 30(7), 1194–1204. https://doi.org/10.1111/sms.13653
70. Kindig, D. A., Panzer, A. M., & Nielsen-Bohlman, L. (Eds.). (2004). Health literacy: A prescription to end confusion. https://doi.org/10.17226/10883
71. Bayati, T., Dehghan, A., Bonyadi, F., & Bazrafkan, L. (2018). Investigating the effect of education on health literacy and its relation to health-promoting behaviors in health centers. Journal of Education and Health Promotion, 7(1), 127. https://doi.org/10.4103/jehp.jehp_65_18
72. Karasneh, R., Al-Azzam, S., Alzoubi, K., Rababah, L., & Muflih, S. (2020). Health literacy and related health behavior: A community-based cross-sectional study from a developing country. Journal of Pharmaceutical Health Services Research, 11. https://doi.org/10.1111/jphs.12370
73. OECD. (2018). Hungary highlights. OECD.
74. GlobalData. (2021). Literacy rate in Hungary (2010–2021). GlobalData.
75. GlobalEconomy. (2021). Hungary: Female literacy rate, ages 15–24. GlobalEconomy.
76. OECDlibrary. (2022). Education at a glance 2022: OECD indicators. OECD.
77. OECD. (2023b). Overview of the education system (EAG 2023). OECD.
78. Ács, P., Veress, R., Rocha, P., Dóczi, T., Raposa, B. L., Baumann, P., Ostojic, S., Pérmusz, V., & Makai, A. (2021). Criterion validity and reliability of the International Physical Activity Questionnaire – Hungarian short form against the RM42 accelerometer. BMC Public Health, 21. https://doi.org/10.1186/s12889-021-10372-0
79. Foster, S., Hooper, P., Burton, N. W., Brown, W. J., Giles-Corti, B., Rachele, J. N., & Turrell, G. (2019). Safe habitats: Does the association between neighborhood crime and walking differ by neighborhood disadvantage? Environment and Behavior, 53(1), 3–39. https://doi.org/10.1177/0013916519853300
80. Smith, M., Hosking, J., Woodward, A., Witten, K., MacMillan, A., Field, A., Baas, P., & Mackie, H. (2017). Systematic literature review of built environment effects on physical activity and active transport: An update and new findings on health equity. The International Journal of Behavioral Nutrition and Physical Activity, 14(1), 158. https://doi.org/10.1186/s12966-017-0613-9
81. Molina-García, J., Queralt, A., Adams, M. A., Conway, T. L., & Sallis, J. F. (2017). Neighborhood built environment and socioeconomic status in relation to multiple health outcomes in adolescents. Preventive Medicine, 105, 88–94. https://doi.org/10.1016/j.ypmed.2017.08.026
82. Compernolle, S., De Cocker, K., Roda, C., Oppert, J. M., Mackenbach, J. D., Lakerveld, J., Glonti, K., Bardos, H., Rutter, H., Cardon, G., & De Bourdeaudhuij, I. (2016). Physical environmental correlates of domain-specific sedentary behaviors across five European regions (the SPOTLIGHT Project). PLOS ONE, 11(10). https://doi.org/10.1371/journal.pone.0164812
83. McCormack, G., Giles-Corti, B., Lange, A., Smith, T., Martin, K., & Pikora, T. J. (2004). An update of recent evidence of the relationship between objective and self-report measures of the physical environment and physical activity behaviors. Journal of Science and Medicine in Sport, 7(1), 81–92. https://doi.org/10.1016/S1440-2440(04)80282-2
84. McCormack, G. R., Frehlich, L., Blackstaffe, A., Turin, T. C., & Doyle-Baker, P. K. (2020). Active and fit communities: Associations between neighborhood walkability and health-related fitness in adults. International Journal of Environmental Research and Public Health, 17(4). https://doi.org/10.3390/ijerph17041131
85. Rees-Punia, E., Hathaway, E. D., & Gay, J. L. (2018). Crime, perceived safety, and physical activity: A meta-analysis. Preventive Medicine, 111, 307–313. https://doi.org/10.1016/j.ypmed.2017.11.017
86. Roman, C. G., & Chalfin, A. (2008). Fear of walking outdoors: A multilevel ecologic analysis of crime and disorder. American Journal of Preventive Medicine, 34(4), 306–312. https://doi.org/10.1016/j.amepre.2008.01.017
87. Wang, H., Dai, X., Wu, J., Wu, X., & Nie, X. (2019). Influence of urban green open space on residents’ physical activity in China. BMC Public Health, 19(1), 1093. https://doi.org/10.1186/s12889-019-7416-7
88. Foster, S., & Giles-Corti, B. (2008). The built environment, neighborhood crime, and constrained physical activity: An exploration of inconsistent findings. Preventive Medicine, 47(3), 241–251. https://doi.org/10.1016/j.ypmed.2008.03.017
89. Piro, F. N. (2006). Physical activity among elderly people in a city population: The influence of neighborhood-level violence and self-perceived safety. Journal of Epidemiology & Community Health, 60(7), 626–632. https://doi.org/10.1136/jech.2005.042697
90. Shenassa, E. D., Liebhaber, A., & Ezeamama, A. (2006). Perceived safety of area of residence and exercise: A Pan-European study. American Journal of Epidemiology, 163(11), 1012–1017. https://doi.org/10.1093/aje/kwj142
91. Aofk.hu. (2021). Development of active tourism projects.
92. Government of Hungary. (2015). Törvény a gépjárműadóról [Law LXXXII of 1991 on car tax]. Budapest: Government of Hungary.
93. Diaspora Hungary. (2021). Public transport in Hungary.
94. Global Nutrition Report. (2022). Country Nutrition Profiles.
95. WHO. (2009). Hungary Physical Activity Factsheet.
96. Kadamb Overseas. (2024). Outdoor rankings by Hungarian cities. Medium.com.
97. WHO. (2022). Physical activity.
98. Blair, S. N., Kohl, H. W., Gordon, N. F., & Paffenbarger, R. S. (1992). How much physical activity is good for health? Annual Review of Public Health, 13(1), 99–126. https://doi.org/10.1146/annurev.pu.13.050192.000531
99. Strath, S., Kaminsky, L., Ainsworth, B., Ekelund, U., Freedson, P., Gary, R., Richardson, C., Smith, D., & Swartz, A. (2013). Guide to the assessment of physical activity: Clinical and research applications. Circulation, 128. https://doi.org/10.1161/01.cir.0000435708.67487.da
100. Bauman, A. E., Reis, R. S., Sallis, J. F., Wells, J. C., Loos, R. J. F., Martin, B. W., Alkandari, J. R., Andersen, L. B., Blair, S. N., Brownson, R. C., Bull, F. C., Craig, C. L., Ekelund, U., Goenka, S., Guthold, R., Hallal, P. C., Haskell, W. L., Heath, G. W., Inoue, S., … Sarmiento, O. L. (2012). Correlates of physical activity: Why are some people physically active and others not? The Lancet, 380(9838), 258–271. https://doi.org/10.1016/S0140-6736(12)60735-1
101. Da Silva, I. C. M., Hino, A. A., Lopes, A., Ekelund, U., Brage, S., Gonçalves, H., Menezes, A. B., Reis, R. S., & Hallal, P. C. (2017). Built environment and physical activity: Domain- and activity-specific associations among Brazilian adolescents. BMC Public Health, 17(1). https://doi.org/10.1186/s12889-017-4538-7
102. Centers for Disease Control and Prevention (CDC). (1996). Compliance with physical activity recommendations by walking for exercise. CDC.
103. Murtagh, E. M., Murphy, M. H., & Boone-Heinonen, J. (2010). Walking: The first steps in cardiovascular disease prevention. Current Opinion in Cardiology, 25(5), 490–496. https://doi.org/10.1097/HCO.0b013e32833ce972
104. Pedišić, Z., Greblo, Z., Phongsavan, P., Milton, K., & Bauman, A. E. (2015). Are total, intensity-, and domain-specific physical activity levels associated with life satisfaction among university students? PLOS ONE, 10(2). https://doi.org/10.1371/journal.pone.0118137
105. Wanner, M., Martin, B. W., Autenrieth, C. S., Schaffner, E., Meier, F., Brombach, C., Stolz, D., Bauman, A., Rochat, T., Schindler, C., Kriemler, S., & Probst-Hensch, N. (2016). Associations between domains of physical activity, sitting time, and different measures of overweight and obesity. Preventive Medicine Reports, 3, 177–184. https://doi.org/10.1016/j.pmedr.2016.01.007
106. Kull, M., Matsi, J., & Raudsepp, L. (2010). Relationship between various physical activity domains and self-perceived health and obesity in women. Women & Health, 50(7), 639–651. https://doi.org/10.1080/03630242.2010.520255
107. Cillekens, B., Lang, M., van Mechelen, W., Verhagen, E., Huysmans, M. A., Holtermann, A., van der Beek, A. J., & Coenen, P. (2020). How does occupational physical activity influence health? An umbrella review of 23 health outcomes across 158 observational studies. British Journal of Sports Medicine, 54(24), 1474–1481. https://doi.org/10.1136/bjsports-2020-102587
108. Coenen, P., Huysmans, M. A., Holtermann, A., Krause, N., van Mechelen, W., Straker, L. M., & van der Beek, A. J. (2018). Do highly physically active workers die early? A systematic review with meta-analysis of data from 193,696 participants. British Journal of Sports Medicine, 52(20), 1320–1326. https://doi.org/10.1136/bjsports-2017-098540
109. Krause, N., Brand, R. J., Kaplan, G. A., Kauhanen, J., Malla, S., Tuomainen, T.-P., & Salonen, J. T. (2007). Occupational physical activity, energy expenditure, and 11-year progression of carotid atherosclerosis. Scandinavian Journal of Work, Environment & Health, 33(6), 405–424. https://doi.org/10.5271/sjweh.1171
110. Bassett, D. R., Pucher, J., Buehler, R., Thompson, D. L., & Crouter, S. E. (2008). Walking, cycling, and obesity rates in Europe, North America, and Australia. Journal of Physical Activity and Health, 5(6), 795–814. https://doi.org/10.1123/jpah.5.6.795
111. Pucher, J., Buehler, R., Bassett, D. R., & Dannenberg, A. L. (2010). Walking and cycling to health: A comparative analysis of city, state, and international data. American Journal of Public Health, 100(10), 1986–1992. https://doi.org/10.2105/AJPH.2009.189324
112. Murphy, M. H., Donnelly, P., Breslin, G., Shibli, S., & Nevill, A. M. (2013). Does doing housework keep you healthy? The contribution of domestic physical activity to meeting current recommendations for health. BMC Public Health, 13(1). https://doi.org/10.1186/1471-2458-13-966
113. Lawlor, D. A., Taylor, M., Bedford, C., & Ebrahim, S. (2002). Is housework good for health? Levels of physical activity and factors associated with activity in elderly women. Results from the British Women’s Heart and Health Study. Journal of Epidemiology & Community Health, 56(6), 473–478. https://doi.org/10.1136/jech.56.6.473
114. WHO. (2021). Hungary Physical Activity Factsheet 2021.
115. European Commission. (2022). Sport and physical activity: Special Eurobarometer 525.
116. Eurobarometer. (2017). Special Eurobarometer 472: Sport and physical activity.
117. European Commission. (2021b). State of health in the EU: The country health profile series.
118. Daar, A. S., Singer, P. A., Persad, D. L., Pramming, S. K., Matthews, D. R., & Beaglehole, R., et al. (2007). Grand challenges in chronic non-communicable diseases.
119. Ezzati, M., & WHO. (2004). Comparative quantification of health risks: Global and regional burden of disease attributable to selected major risk factors. World Health Organization.
120. Cade, J. E., & Margetts, B. M. (1991). Relationship between diet and smoking: Is the diet of smokers different? Journal of Epidemiology and Community Health, 45(4), 270. https://doi.org/10.1136/jech.45.4.270
121. Hebert, J. R., & Kabat, G. C. (1990). Differences in dietary intake associated with smoking status. European Journal of Clinical Nutrition, 44(3), 185–193.
122. Heydari, G., Heidari, F., Yousefifard, M., & Hosseini, M. (2014). Smoking and diet in healthy adults: A cross-sectional study in Tehran, Iran, 2010. Iranian Journal of Public Health, 43(4), 485.
123. WHO. (2010). World health statistics: Smoking prevalence.
124. Warren, C., Jones, N., Eriksen, M., & Asma, S. (2006). Patterns of global tobacco use in young people and implications for future chronic disease burden in adults. The Lancet, 367(9512), 749–753. https://doi.org/10.1016/S0140-6736(06)68192-0
125. WHO. (2018). Gender-responsive tobacco control: Evidence and options for policies and programmes.
126. Amos, A., Greaves, L., Nichter, M., & Bloch, M. (2012). Women and tobacco: A call for including gender in tobacco control research, policy, and practice. Tobacco Control, 21(2), 236–243. https://doi.org/10.1136/tobaccocontrol-2011-050280
127. Perkins, K. A. (2001). Smoking cessation in women. CNS Drugs, 15(5), 391–411. https://doi.org/10.2165/00023210-200115050-00005
128. Patel, K., Hargreaves, M. K., Liu, J., Schlundt, D., Sanderson, M., Matthews, C. E., Dewey, C. M., Kenerson, D., Buchowski, M. S., & Blot, W. J. (2011). Relationship between smoking and obesity among women. International Journal of Health Behavior, 35(5).
129. Dallosso, H. M., & James, W. P. (1984). The role of smoking in the regulation of energy balance. International Journal of Obesity, 8(4), 365–375.
130. Larkin, F. A., Basiotis, P., Riddick, H. A., Sykes, K. E., & Pao, E. M. (1990). Dietary patterns of women smokers and non-smokers. Journal of the American Dietetic Association, 90(2), 230–237. https://doi.org/10.1016/S0002-8223(21)01499-1
131. Fawehinmi, T. O., Ilomäki, J., Voutilainen, S., & Kauhanen, J. (2012). Alcohol consumption and dietary patterns: The FinDrink study. PLOS ONE, 7(6). https://doi.org/10.1371/journal.pone.0038607
132. AlKalbani, S. R., & Murrin, C. (2023). The association between alcohol intake and obesity in a sample of the Irish adult population: A cross-sectional study. BMC Public Health, 23(1). https://doi.org/10.1186/s12889-023-16946-4
133. McCarty, C. A., Kosterman, R., Mason, W. A., McCauley, E., Hawkins, J. D., Herrenkohl, T. I., & Lengua, L. J. (2009). Longitudinal associations among depression, obesity, and alcohol use disorders in young adulthood. General Hospital Psychiatry, 31(5), 442–450. https://doi.org/10.1016/j.genhosppsych.2009.05.013
134. KSH.hu. (2020b). Distribution of population by smoking habits [%].
135. OECD. (2021a). Health at a Glance 2021.
136. Cselkó, Z., Kovács, G., & Horváth, I. (2018). The smoking situation in Hungary. Tobacco Induced Diseases, 16(1). https://doi.org/10.18332/tid/84120
137. OECD. (2021b). Preventing harmful alcohol use. OECD Health Policy Studies.
138. FAO. (2023). UN Food and Agriculture Organization (FAO) – Processed by Our World in Data.
139. Martos, É., Kovács, V. A., Bakacs, M., Kaposvári, C., & Lugasi, A. (2012). Országos Táplálkozás- és Tápláltsági Állapot Vizsgálat - OTÁP2009. Orvosi Hetilap, 153(26), 1023–1030. https://doi.org/10.1556/OH.2012.29375
140. Sarkadi Nagy, E., Bakacs, M., Illés, É., Zentai, A., Lugasi, A., & Martos, É. (2012). Hungarian diet and nutritional status survey – The OTAP2009 study. II. Energy and macronutrient intake of the Hungarian population. Orvosi Hetilap, 153(27), 1057–1067. https://doi.org/10.1556/OH.2012.29376
141. WHO. (2023). Obesity and overweight.
142. Diamantis, D. V., Karatzi, K., Kantaras, P., Liatis, S., Iotova, V., Bazdraska, Y., Tankova, T., Cardon, G., Wikström, K., Rurik, I., Antal, E., Ayala-Marín, A. M., Legarre, N. G., Makrilakis, K., & Manios, Y. (2022). Prevalence and socioeconomic correlates of adult obesity in Europe: The Feel4Diabetes study. International Journal of Environmental Research and Public Health, 19(19). https://doi.org/10.3390/ijerph191912572
143. KSH.hu. (2020a). Distribution of population by nutrition based on body mass index (BMI) [%].
144. Eurostat. (2022). Body mass index (BMI) by sex, age, and educational attainment level.

Macar Yetişkin Kadınların Fiziksel Aktivite ve Obezite Oranları Üzerinde Çevresel Etki: Sistematik Derleme

Year 2024, Volume: 1 Issue: 1, 27 - 53, 22.12.2024

Lina Takruri , Farah Abu Khadra Toth Akos Levente Miklos Banhidi

Abstract

Fiziksel hareketsizlik sinsice insanların hayatını ele geçirmekte, buna yanlış beslenme alışkanlıkları da eşlik ettiğinde obezite oranları giderek artabilmektedir. Bu sonuçlar ve sağlık uygulamaları, yetişkinlik döneminde taşıdıkları temel sosyal rolleri yerine getirmeleri gerektiğinden, yetişkin kadınların yaşadıkları çevreden etkilenmektedir. Bu sistematik derleme, Macaristan'daki çevrenin yaşam tarzı kalıplarını, sağlık uygulamalarını ve sonuçlarını nasıl etkilediğini analiz etmeyi amaçlamaktadır.
Sağlığın Sosyal Belirleyicileri modelini izleyerek, sosyal ve yapılı çevrenin Macar kadın yetişkinlerin fiziksel aktivite düzeylerini ve yaşam tarzı kalıplarını ve bunlar arasındaki obezite oranlarını nasıl etkilediğini analiz etmeyi amaçladık. Nisan 2024'teki istatistiksel raporlardan ve araştırma makalelerinden beş belirleyici ile ilgili literatürü topladık ve analiz ettik, istatistiksel veri tabanlarından ulusal ve uluslararası raporlara ek olarak toplam 81 araştırma makalesi incelendi.
Macar yetişkin kadınlar yeterli PA düzeyine sahip olma eğilimindedir. Ancak, bu kadınlar arasında obezite oranlarının yüksek olduğu düşünülmektedir ve bu durum, çoğunlukla Serbest Zaman Fiziksel Aktivitesi ile ilgili olmayan PA alanlarını uygulama eğiliminde olmalarından kaynaklanmaktadır. Ek olarak, beslenme şekilleri ve kalori alımları tatmin edici olmayan sonuçlar göstermiştir. Sosyo-ekonomik durum yaşam tarzı kalıpları üzerinde olumsuz bir etki gösterirken, yapılı çevre olumlu bir etkiye sahiptir.
LTPA'nın sağlık sonuçları ve uygulamaları üzerinde diğer PA alanlarına göre daha iyi bir etkiye sahip olması nedeniyle LTPA'yı geliştirecek müdahalelere ihtiyaç duyulmaktadır. Yapılı çevrenin kullanımı, Macar kadın yetişkinleri LTPA uygulamaya teşvik etmek için düşük ücretli açık hava etkinliklerinin oluşturulmasına yardımcı olabilir. Ayrıca, kamuda ve çalışma ortamında beslenme ve PA kılavuzlarına odaklanılmalıdır.

Keywords

Fiziksel Aktivite, Kadın Yetişkinler, Macaristan, Sosyal Çevre

References

1. Moschonis, G., & Trakman, G. L. (2023). Overweight and obesity: The interplay of eating habits and physical activity. Nutrients, 15(13). https://doi.org/10.3390/nu15132896
2. NHS. (2019). Statistics on obesity, physical activity and diet, England, 2019. NHS Digital. https://digital.nhs.uk/data-and-information/publications/statistical/statistics-on-obesity-physical-activity-and-diet/statistics-on-obesity-physical-activity-and-diet-england-2019
3. Chooi, Y. C., Ding, C., & Magkos, F. (2019). The epidemiology of obesity. Metabolism: Clinical and Experimental, 92. https://doi.org/10.1016/j.metabol.2018.09.005
4. Zavala, G. A., Ainscough, T. S., & Jimenez-Moreno, A. C. (2022). Barriers to a healthy diet and physical activity in Mexican adults: Results from the Mexican Health and Nutrition Survey. Nutrition Bulletin, 47(3). https://doi.org/10.1111/nbu.12568
5. Maltagliati, S., Saoudi, I., Sarrazin, P., Cullati, S., Sieber, S., Chalabaev, A., & Cheval, B. (2022). Women carry the weight of deprivation on physical inactivity: Moderated mediation analyses in a European sample of adults over 50 years of age. SSM - Population Health, 20. https://doi.org/10.1016/j.ssmph.2022.101272
6. Kostiainen, E., Martelin, T., Kestilä, L., Martikainen, P., & Koskinen, S. (2009). Employee, partner, and mother: Woman’s three roles and their implications for health. Journal of Family Issues, 30, 1122–1150. https://doi.org/10.1177/0192513X08329597
7. Rattay, P., Müters, S., Borgmann, L.-S., von der Lippe, E., Poethko-Müller, C., & Lampert, T. (2019). Partnership, parenthood, employment and self-rated health in Germany and the EU: Results from the European Health Interview Survey (EHIS) 2. Journal of Health Monitoring, 4. https://doi.org/10.25646/6224
8. Bell, S., & Lee, C. (2005). Emerging adulthood and patterns of physical activity among young Australian women. International Journal of Behavioral Medicine, 12(4), 227–235. https://doi.org/10.1207/s15327558ijbm1204_3
9. Blair, S. N., Cheng, Y., & Holder, J. S. (2001). Is physical activity or physical fitness more important in defining health benefits? Medicine & Science in Sports & Exercise, 33(6).
10. Sassen, B., Cornelissen, V. A., Kiers, H., Wittink, H., Kok, G., & Vanhees, L. (2009). Physical fitness matters more than physical activity in controlling cardiovascular disease risk factors. European Journal of Cardiovascular Prevention and Rehabilitation, 16(6), 677–683. https://doi.org/10.1097/HJR.0b013e3283312e94
11. Andersen, L. B., Schnohr, P., Schroll, M., & Hein, H. O. (2000). All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work. Archives of Internal Medicine, 160(11), 1621–1628. https://doi.org/10.1001/archinte.160.11.1621
12. Bácsné Bába, É., Ráthonyi, G., Müller, A., Ráthonyi-Odor, K., Balogh, P., Ádány, R., & Bács, Z. (2020). Physical activity of the population of the most obese country in Europe, Hungary. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.00203
13. Warburton, D. E. R., Nicol, C. W., & Bredin, S. S. D. (2006). Health benefits of physical activity: The evidence. CMAJ, 174(6), 801–809. https://doi.org/10.1503/cmaj.051351
14. Hu, F. B., Willett, W. C., Li, T., Stampfer, M. J., Colditz, G. A., & Manson, J. E. (2004). Adiposity as compared with physical activity in predicting mortality among women. The New England Journal of Medicine.
15. Peng, B., Ng, J. Y. Y., & Ha, A. S. (2023). Barriers and facilitators to physical activity for young adult women: A systematic review and thematic synthesis of qualitative literature. International Journal of Behavioral Nutrition and Physical Activity, 20(1), 23. https://doi.org/10.1186/s12966-023-01411-7
16. Hacker, K., & Houry, D. (2022). Social needs and social determinants: The role of the Centers for Disease Control and Prevention and public health. Public Health Reports, 137(6), 1049–1052. https://doi.org/10.1177/00333549221120244
17. Koca, C., Henderson, K. A., Asci, F. H., & Bulgu, N. (2009). Constraints to leisure-time physical activity and negotiation strategies in Turkish women. Journal of Leisure Research, 41(2).
18. WHO. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Commission on Social Determinants of Health Final Report.
19. Coackly, J. (2015). Sports in society: Issues and controversies. McGraw Hill Education, 170–210.
20. KSH.hu. (2023). Hungary: Land area and population statistics. Hungarian Central Statistical Office.
21. Fodor, P., & Pók, A. (2020). A thousand years on the frontier. The Hungarian Historical Review, 9(1), 113–139. https://www.jstor.org/stable/26984104
22. KSH. (2011). Ethnic composition of Hungary: Data from the 2011 census. Hungarian Central Statistical Office.
23. HVG Hungary. (2018). Home: That’s how many Roma live in Hungary. hvg.hu. https://hvg.hu/itthon/20180222_Ennyi_roma_el_Magyarorszagon
24. Dudas, G. (2006). Index - Economy - Roma trapped in poverty. Index.hu. https://index.hu/gazdasag/magyar/roma060508
25. Macrotrends. (2024). Hungary rural population 1960-2024. MacroTrends. https://www.macrotrends.net/global-metrics/countries/HUN/hungary/rural-population
26. Kovács, T. (2001). Rural development in Hungary. Centre for Regional Studies of Hungarian Academy of Sciences.
27. Britannica. (2024). Hungary - Plains, mountains, villages. Britannica. https://www.britannica.com/place/Hungary/Settlement-patterns
28. Department of State, U. (2022). Hungary 2022 international religious freedom report. U.S. Department of State.
29. Park, C. L. (2007). Religiousness/spirituality and health: A meaning systems perspective. Journal of Behavioral Medicine, 30(4), 319–328. https://doi.org/10.1007/S10865-007-9111-X
30. Wnuk, M. (2023). The indirect relationship between spiritual experiences and subjective wellbeing through hope: A sample of Chilean students. Journal of Religion and Health, 62(2), 964–983. https://doi.org/10.1007/s10943-021-01459-4
31. Janky, B. (2015). Social cohesion and trust in local communities in Hungary. Hungarian Studies, 29(1–2), 49–63. https://go.gale.com/ps/i.do?p=AONE&sw=w&issn=02366568&v=2.1&it=r&id=GALE%7CA457254553&sid=googleScholar&linkaccess=fulltext
32. Office of Disease Prevention and Health Promotion. (2024). Social and community context - Healthy People 2030. health.gov. https://health.gov/healthypeople/objectives-and-data/browse-objectives/social-and-community-context
33. Lelkes, O. (2004). Social cohesion in Hungary: Theoretical foundations and facts. pm.gov.hu.
34. McMaughan, D. J., Oloruntoba, O., & Smith, M. L. (2020). Socioeconomic status and access to healthcare: Interrelated drivers for healthy aging. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.00231
35. Huang, J., Birkenmaier, J., & Kim, Y. (2014). Job loss and unmet health care needs in the economic recession: Different associations by family income. American Journal of Public Health, 104(11), 178–183. https://doi.org/10.2105/AJPH
36. The National Institute of Occupational Health and Safety. (2021). NIOSH study examines relationship between employment status, healthcare access, and health outcomes.
37. White, R. L., Bennie, J., Abbott, G., & Teychenne, M. (2020). Work-related physical activity and psychological distress among women in different occupations: A cross-sectional study. BMC Public Health, 20(1), 1007. https://doi.org/10.1186/s12889-020-09112-7
38. Barnes, M. G., Smith, T. G., & Yoder, J. K. (2013). Effects of household composition and income security on body weight in working-age men. Obesity, 21(9). https://doi.org/10.1002/oby.20302
39. Björntorp, P. (2001). Do stress reactions cause abdominal obesity and comorbidities? Obesity Reviews, 2(2), 73–86. https://doi.org/10.1046/j.1467-789x.2001.00027.x
40. Kim, T. J., & Von Dem Knesebeck, O. (2018). Income and obesity: What is the direction of the relationship? A systematic review and meta-analysis. BMJ Open, 8(1). https://doi.org/10.1136/bmjopen-2017-019862
41. Public Health Scotland. (2021). Income - Income inequality - Fundamental causes - Health inequalities. Public Health Scotland. https://www.healthscotland.scot/health-inequalities/fundamental-causes/income-inequality/income
42. European Commission. (2021a). State of health in the EU: The country health profile series.
43. World Economic Outlook Database. (2024). Report for selected countries and subjects. International Monetary Fund. https://www.imf.org/en/Publications/WEO
44. World Bank Data. (2024). Gini index. World Bank. https://data.worldbank.org/indicator/SI.POV.GINI
45. European Commission. (2024). Employment rates in Hungary compared to the EU average.
46. OECD. (2023a). Employment rate.
47. KSH.HU. (2024b). Budgetary expenditures on sport.
48. Laurene. (2016). Defining and measuring access to healthcare: The patients’ perspective. Eurofound.
49. Lee, I. C., Chang, C. S., & Du, P. L. (2017). Do healthier lifestyles lead to less utilization of healthcare resources? BMC Health Services Research, 17(1). https://doi.org/10.1186/s12913-017-2185-4
50. Van Baal, P., Meltzer, D., & Brouwer, W. (2016). Future costs, fixed healthcare budgets, and the decision rules of cost-effectiveness analysis. Health Economics, 25(2), 237–248. https://doi.org/10.1002/hec.3138
51. KSH.HU. (2024d). Number and rate of deaths, infant mortality, life expectancy at birth, deaths by main causes of death.
52. Institute of Medicine (US). (2002). Care without coverage: Too little, too late.
53. Ortuzar, I., Renart, G., & Xabadia, A. (2021). Effects of public healthcare budget cuts on life satisfaction in Spain. Social Indicators Research, 156(1), 311–337. https://doi.org/10.1007/s11205-021-02624-8
54. KSH.HU. (2024c). Health insurance financing of curative-preventive care.
55. Eurostat. (2021). Healthcare expenditure statistics by function, provider, and financing scheme.
56. KSH.HU. (2024a). Active physicians by county and region, 31 December.
57. Eurostat. (2023). Physicians and physiotherapists in the EU: How many?
58. American Psychological Association. (2023). Socioeconomic status. APA.
59. Raghupathi, V., & Raghupathi, W. (2020). The influence of education on health: An empirical assessment of OECD countries for the period 1995–2015. Archives of Public Health, 78(1). https://doi.org/10.1186/s13690-020-00402-5
60. Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., Elorrio, E. G., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., … Pate, M. (2018). High-quality health systems in the sustainable development goals era: Time for a revolution. The Lancet Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/S2214-109X(18)30386-3
61. Crimmins, E. M., & Saito, Y. (2001). Trends in healthy life expectancy in the United States, 1970–1990: Gender, racial, and educational differences. Social Science & Medicine, 52(11), 1629–1641. https://doi.org/10.1016/S0277-9536(00)00273-2
62. Ross, C. E., & Mirowsky, J. (2010). Gender and the health benefits of education. The Sociological Quarterly, 51(1), 1–19. https://doi.org/10.1111/j.1533-8525.2009.01164.x
63. Montez, J. K., & Zajacova, A. (2013). Trends in mortality risk by education level and cause of death among US white women from 1986 to 2006. American Journal of Public Health, 103(3), 473–479. https://doi.org/10.2105/AJPH.2012.301128
64. Azizi Fard, N., De Francisci Morales, G., Mejova, Y., & Schifanella, R. (2021). On the interplay between educational attainment and nutrition: A spatially-aware perspective. EPJ Data Science, 10(1). https://doi.org/10.1140/epjds/s13688-021-00273-y
65. Worsley, A., Blaschea, R., Ball, K., & Crawford, D. (2004). The relationship between education and food consumption in the 1995 Australian National Nutrition Survey. Public Health Nutrition, 7(5), 649–663. https://doi.org/10.1079/phn2003577
66. Giskes, K., Avendaño, M., Brug, J., & Kunst, A. E. (2010). A systematic review of studies on socioeconomic inequalities in dietary intakes associated with weight gain and overweight/obesity conducted among European adults. Obesity Reviews, 11(6), 413–429. https://doi.org/10.1111/j.1467-789X.2009.00658.x
67. Kamphuis, C. B. M., Oude Groeniger, J., & Van Lenthe, F. J. (2018). Does cultural capital contribute to educational inequalities in food consumption in the Netherlands? A cross-sectional analysis of the GLOBE-2011 survey. International Journal for Equity in Health, 17(1). https://doi.org/10.1186/s12939-018-0884-z
68. Moreira, P. A., & Padra, P. D. (2004). Educational and economic determinants of food intake in Portuguese adults: A cross-sectional survey. BMC Public Health, 4. https://doi.org/10.1186/1471-2458-4-58
69. Kari, J. T., Viinikainen, J., Böckerman, P., Tammelin, T. H., Pitkänen, N., Lehtimäki, T., Pahkala, K., Hirvensalo, M., Raitakari, O. T., & Pehkonen, J. (2020). Education leads to a more physically active lifestyle: Evidence based on Mendelian randomization. Scandinavian Journal of Medicine & Science in Sports, 30(7), 1194–1204. https://doi.org/10.1111/sms.13653
70. Kindig, D. A., Panzer, A. M., & Nielsen-Bohlman, L. (Eds.). (2004). Health literacy: A prescription to end confusion. https://doi.org/10.17226/10883
71. Bayati, T., Dehghan, A., Bonyadi, F., & Bazrafkan, L. (2018). Investigating the effect of education on health literacy and its relation to health-promoting behaviors in health centers. Journal of Education and Health Promotion, 7(1), 127. https://doi.org/10.4103/jehp.jehp_65_18
72. Karasneh, R., Al-Azzam, S., Alzoubi, K., Rababah, L., & Muflih, S. (2020). Health literacy and related health behavior: A community-based cross-sectional study from a developing country. Journal of Pharmaceutical Health Services Research, 11. https://doi.org/10.1111/jphs.12370
73. OECD. (2018). Hungary highlights. OECD.
74. GlobalData. (2021). Literacy rate in Hungary (2010–2021). GlobalData.
75. GlobalEconomy. (2021). Hungary: Female literacy rate, ages 15–24. GlobalEconomy.
76. OECDlibrary. (2022). Education at a glance 2022: OECD indicators. OECD.
77. OECD. (2023b). Overview of the education system (EAG 2023). OECD.
78. Ács, P., Veress, R., Rocha, P., Dóczi, T., Raposa, B. L., Baumann, P., Ostojic, S., Pérmusz, V., & Makai, A. (2021). Criterion validity and reliability of the International Physical Activity Questionnaire – Hungarian short form against the RM42 accelerometer. BMC Public Health, 21. https://doi.org/10.1186/s12889-021-10372-0
79. Foster, S., Hooper, P., Burton, N. W., Brown, W. J., Giles-Corti, B., Rachele, J. N., & Turrell, G. (2019). Safe habitats: Does the association between neighborhood crime and walking differ by neighborhood disadvantage? Environment and Behavior, 53(1), 3–39. https://doi.org/10.1177/0013916519853300
80. Smith, M., Hosking, J., Woodward, A., Witten, K., MacMillan, A., Field, A., Baas, P., & Mackie, H. (2017). Systematic literature review of built environment effects on physical activity and active transport: An update and new findings on health equity. The International Journal of Behavioral Nutrition and Physical Activity, 14(1), 158. https://doi.org/10.1186/s12966-017-0613-9
81. Molina-García, J., Queralt, A., Adams, M. A., Conway, T. L., & Sallis, J. F. (2017). Neighborhood built environment and socioeconomic status in relation to multiple health outcomes in adolescents. Preventive Medicine, 105, 88–94. https://doi.org/10.1016/j.ypmed.2017.08.026
82. Compernolle, S., De Cocker, K., Roda, C., Oppert, J. M., Mackenbach, J. D., Lakerveld, J., Glonti, K., Bardos, H., Rutter, H., Cardon, G., & De Bourdeaudhuij, I. (2016). Physical environmental correlates of domain-specific sedentary behaviors across five European regions (the SPOTLIGHT Project). PLOS ONE, 11(10). https://doi.org/10.1371/journal.pone.0164812
83. McCormack, G., Giles-Corti, B., Lange, A., Smith, T., Martin, K., & Pikora, T. J. (2004). An update of recent evidence of the relationship between objective and self-report measures of the physical environment and physical activity behaviors. Journal of Science and Medicine in Sport, 7(1), 81–92. https://doi.org/10.1016/S1440-2440(04)80282-2
84. McCormack, G. R., Frehlich, L., Blackstaffe, A., Turin, T. C., & Doyle-Baker, P. K. (2020). Active and fit communities: Associations between neighborhood walkability and health-related fitness in adults. International Journal of Environmental Research and Public Health, 17(4). https://doi.org/10.3390/ijerph17041131
85. Rees-Punia, E., Hathaway, E. D., & Gay, J. L. (2018). Crime, perceived safety, and physical activity: A meta-analysis. Preventive Medicine, 111, 307–313. https://doi.org/10.1016/j.ypmed.2017.11.017
86. Roman, C. G., & Chalfin, A. (2008). Fear of walking outdoors: A multilevel ecologic analysis of crime and disorder. American Journal of Preventive Medicine, 34(4), 306–312. https://doi.org/10.1016/j.amepre.2008.01.017
87. Wang, H., Dai, X., Wu, J., Wu, X., & Nie, X. (2019). Influence of urban green open space on residents’ physical activity in China. BMC Public Health, 19(1), 1093. https://doi.org/10.1186/s12889-019-7416-7
88. Foster, S., & Giles-Corti, B. (2008). The built environment, neighborhood crime, and constrained physical activity: An exploration of inconsistent findings. Preventive Medicine, 47(3), 241–251. https://doi.org/10.1016/j.ypmed.2008.03.017
89. Piro, F. N. (2006). Physical activity among elderly people in a city population: The influence of neighborhood-level violence and self-perceived safety. Journal of Epidemiology & Community Health, 60(7), 626–632. https://doi.org/10.1136/jech.2005.042697
90. Shenassa, E. D., Liebhaber, A., & Ezeamama, A. (2006). Perceived safety of area of residence and exercise: A Pan-European study. American Journal of Epidemiology, 163(11), 1012–1017. https://doi.org/10.1093/aje/kwj142
91. Aofk.hu. (2021). Development of active tourism projects.
92. Government of Hungary. (2015). Törvény a gépjárműadóról [Law LXXXII of 1991 on car tax]. Budapest: Government of Hungary.
93. Diaspora Hungary. (2021). Public transport in Hungary.
94. Global Nutrition Report. (2022). Country Nutrition Profiles.
95. WHO. (2009). Hungary Physical Activity Factsheet.
96. Kadamb Overseas. (2024). Outdoor rankings by Hungarian cities. Medium.com.
97. WHO. (2022). Physical activity.
98. Blair, S. N., Kohl, H. W., Gordon, N. F., & Paffenbarger, R. S. (1992). How much physical activity is good for health? Annual Review of Public Health, 13(1), 99–126. https://doi.org/10.1146/annurev.pu.13.050192.000531
99. Strath, S., Kaminsky, L., Ainsworth, B., Ekelund, U., Freedson, P., Gary, R., Richardson, C., Smith, D., & Swartz, A. (2013). Guide to the assessment of physical activity: Clinical and research applications. Circulation, 128. https://doi.org/10.1161/01.cir.0000435708.67487.da
100. Bauman, A. E., Reis, R. S., Sallis, J. F., Wells, J. C., Loos, R. J. F., Martin, B. W., Alkandari, J. R., Andersen, L. B., Blair, S. N., Brownson, R. C., Bull, F. C., Craig, C. L., Ekelund, U., Goenka, S., Guthold, R., Hallal, P. C., Haskell, W. L., Heath, G. W., Inoue, S., … Sarmiento, O. L. (2012). Correlates of physical activity: Why are some people physically active and others not? The Lancet, 380(9838), 258–271. https://doi.org/10.1016/S0140-6736(12)60735-1
101. Da Silva, I. C. M., Hino, A. A., Lopes, A., Ekelund, U., Brage, S., Gonçalves, H., Menezes, A. B., Reis, R. S., & Hallal, P. C. (2017). Built environment and physical activity: Domain- and activity-specific associations among Brazilian adolescents. BMC Public Health, 17(1). https://doi.org/10.1186/s12889-017-4538-7
102. Centers for Disease Control and Prevention (CDC). (1996). Compliance with physical activity recommendations by walking for exercise. CDC.
103. Murtagh, E. M., Murphy, M. H., & Boone-Heinonen, J. (2010). Walking: The first steps in cardiovascular disease prevention. Current Opinion in Cardiology, 25(5), 490–496. https://doi.org/10.1097/HCO.0b013e32833ce972
104. Pedišić, Z., Greblo, Z., Phongsavan, P., Milton, K., & Bauman, A. E. (2015). Are total, intensity-, and domain-specific physical activity levels associated with life satisfaction among university students? PLOS ONE, 10(2). https://doi.org/10.1371/journal.pone.0118137
105. Wanner, M., Martin, B. W., Autenrieth, C. S., Schaffner, E., Meier, F., Brombach, C., Stolz, D., Bauman, A., Rochat, T., Schindler, C., Kriemler, S., & Probst-Hensch, N. (2016). Associations between domains of physical activity, sitting time, and different measures of overweight and obesity. Preventive Medicine Reports, 3, 177–184. https://doi.org/10.1016/j.pmedr.2016.01.007
106. Kull, M., Matsi, J., & Raudsepp, L. (2010). Relationship between various physical activity domains and self-perceived health and obesity in women. Women & Health, 50(7), 639–651. https://doi.org/10.1080/03630242.2010.520255
107. Cillekens, B., Lang, M., van Mechelen, W., Verhagen, E., Huysmans, M. A., Holtermann, A., van der Beek, A. J., & Coenen, P. (2020). How does occupational physical activity influence health? An umbrella review of 23 health outcomes across 158 observational studies. British Journal of Sports Medicine, 54(24), 1474–1481. https://doi.org/10.1136/bjsports-2020-102587
108. Coenen, P., Huysmans, M. A., Holtermann, A., Krause, N., van Mechelen, W., Straker, L. M., & van der Beek, A. J. (2018). Do highly physically active workers die early? A systematic review with meta-analysis of data from 193,696 participants. British Journal of Sports Medicine, 52(20), 1320–1326. https://doi.org/10.1136/bjsports-2017-098540
109. Krause, N., Brand, R. J., Kaplan, G. A., Kauhanen, J., Malla, S., Tuomainen, T.-P., & Salonen, J. T. (2007). Occupational physical activity, energy expenditure, and 11-year progression of carotid atherosclerosis. Scandinavian Journal of Work, Environment & Health, 33(6), 405–424. https://doi.org/10.5271/sjweh.1171
110. Bassett, D. R., Pucher, J., Buehler, R., Thompson, D. L., & Crouter, S. E. (2008). Walking, cycling, and obesity rates in Europe, North America, and Australia. Journal of Physical Activity and Health, 5(6), 795–814. https://doi.org/10.1123/jpah.5.6.795
111. Pucher, J., Buehler, R., Bassett, D. R., & Dannenberg, A. L. (2010). Walking and cycling to health: A comparative analysis of city, state, and international data. American Journal of Public Health, 100(10), 1986–1992. https://doi.org/10.2105/AJPH.2009.189324
112. Murphy, M. H., Donnelly, P., Breslin, G., Shibli, S., & Nevill, A. M. (2013). Does doing housework keep you healthy? The contribution of domestic physical activity to meeting current recommendations for health. BMC Public Health, 13(1). https://doi.org/10.1186/1471-2458-13-966
113. Lawlor, D. A., Taylor, M., Bedford, C., & Ebrahim, S. (2002). Is housework good for health? Levels of physical activity and factors associated with activity in elderly women. Results from the British Women’s Heart and Health Study. Journal of Epidemiology & Community Health, 56(6), 473–478. https://doi.org/10.1136/jech.56.6.473
114. WHO. (2021). Hungary Physical Activity Factsheet 2021.
115. European Commission. (2022). Sport and physical activity: Special Eurobarometer 525.
116. Eurobarometer. (2017). Special Eurobarometer 472: Sport and physical activity.
117. European Commission. (2021b). State of health in the EU: The country health profile series.
118. Daar, A. S., Singer, P. A., Persad, D. L., Pramming, S. K., Matthews, D. R., & Beaglehole, R., et al. (2007). Grand challenges in chronic non-communicable diseases.
119. Ezzati, M., & WHO. (2004). Comparative quantification of health risks: Global and regional burden of disease attributable to selected major risk factors. World Health Organization.
120. Cade, J. E., & Margetts, B. M. (1991). Relationship between diet and smoking: Is the diet of smokers different? Journal of Epidemiology and Community Health, 45(4), 270. https://doi.org/10.1136/jech.45.4.270
121. Hebert, J. R., & Kabat, G. C. (1990). Differences in dietary intake associated with smoking status. European Journal of Clinical Nutrition, 44(3), 185–193.
122. Heydari, G., Heidari, F., Yousefifard, M., & Hosseini, M. (2014). Smoking and diet in healthy adults: A cross-sectional study in Tehran, Iran, 2010. Iranian Journal of Public Health, 43(4), 485.
123. WHO. (2010). World health statistics: Smoking prevalence.
124. Warren, C., Jones, N., Eriksen, M., & Asma, S. (2006). Patterns of global tobacco use in young people and implications for future chronic disease burden in adults. The Lancet, 367(9512), 749–753. https://doi.org/10.1016/S0140-6736(06)68192-0
125. WHO. (2018). Gender-responsive tobacco control: Evidence and options for policies and programmes.
126. Amos, A., Greaves, L., Nichter, M., & Bloch, M. (2012). Women and tobacco: A call for including gender in tobacco control research, policy, and practice. Tobacco Control, 21(2), 236–243. https://doi.org/10.1136/tobaccocontrol-2011-050280
127. Perkins, K. A. (2001). Smoking cessation in women. CNS Drugs, 15(5), 391–411. https://doi.org/10.2165/00023210-200115050-00005
128. Patel, K., Hargreaves, M. K., Liu, J., Schlundt, D., Sanderson, M., Matthews, C. E., Dewey, C. M., Kenerson, D., Buchowski, M. S., & Blot, W. J. (2011). Relationship between smoking and obesity among women. International Journal of Health Behavior, 35(5).
129. Dallosso, H. M., & James, W. P. (1984). The role of smoking in the regulation of energy balance. International Journal of Obesity, 8(4), 365–375.
130. Larkin, F. A., Basiotis, P., Riddick, H. A., Sykes, K. E., & Pao, E. M. (1990). Dietary patterns of women smokers and non-smokers. Journal of the American Dietetic Association, 90(2), 230–237. https://doi.org/10.1016/S0002-8223(21)01499-1
131. Fawehinmi, T. O., Ilomäki, J., Voutilainen, S., & Kauhanen, J. (2012). Alcohol consumption and dietary patterns: The FinDrink study. PLOS ONE, 7(6). https://doi.org/10.1371/journal.pone.0038607
132. AlKalbani, S. R., & Murrin, C. (2023). The association between alcohol intake and obesity in a sample of the Irish adult population: A cross-sectional study. BMC Public Health, 23(1). https://doi.org/10.1186/s12889-023-16946-4
133. McCarty, C. A., Kosterman, R., Mason, W. A., McCauley, E., Hawkins, J. D., Herrenkohl, T. I., & Lengua, L. J. (2009). Longitudinal associations among depression, obesity, and alcohol use disorders in young adulthood. General Hospital Psychiatry, 31(5), 442–450. https://doi.org/10.1016/j.genhosppsych.2009.05.013
134. KSH.hu. (2020b). Distribution of population by smoking habits [%].
135. OECD. (2021a). Health at a Glance 2021.
136. Cselkó, Z., Kovács, G., & Horváth, I. (2018). The smoking situation in Hungary. Tobacco Induced Diseases, 16(1). https://doi.org/10.18332/tid/84120
137. OECD. (2021b). Preventing harmful alcohol use. OECD Health Policy Studies.
138. FAO. (2023). UN Food and Agriculture Organization (FAO) – Processed by Our World in Data.
139. Martos, É., Kovács, V. A., Bakacs, M., Kaposvári, C., & Lugasi, A. (2012). Országos Táplálkozás- és Tápláltsági Állapot Vizsgálat - OTÁP2009. Orvosi Hetilap, 153(26), 1023–1030. https://doi.org/10.1556/OH.2012.29375
140. Sarkadi Nagy, E., Bakacs, M., Illés, É., Zentai, A., Lugasi, A., & Martos, É. (2012). Hungarian diet and nutritional status survey – The OTAP2009 study. II. Energy and macronutrient intake of the Hungarian population. Orvosi Hetilap, 153(27), 1057–1067. https://doi.org/10.1556/OH.2012.29376
141. WHO. (2023). Obesity and overweight.
142. Diamantis, D. V., Karatzi, K., Kantaras, P., Liatis, S., Iotova, V., Bazdraska, Y., Tankova, T., Cardon, G., Wikström, K., Rurik, I., Antal, E., Ayala-Marín, A. M., Legarre, N. G., Makrilakis, K., & Manios, Y. (2022). Prevalence and socioeconomic correlates of adult obesity in Europe: The Feel4Diabetes study. International Journal of Environmental Research and Public Health, 19(19). https://doi.org/10.3390/ijerph191912572
143. KSH.hu. (2020a). Distribution of population by nutrition based on body mass index (BMI) [%].
144. Eurostat. (2022). Body mass index (BMI) by sex, age, and educational attainment level.

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Details

Primary Language	English
Subjects	Physical Activity and Health
Journal Section	Research Article
Authors	Lina Takruri 0009-0007-1674-1857 Farah Abu Khadra This is me Toth Akos Levente This is me Miklos Banhidi This is me
Early Pub Date	December 20, 2024
Publication Date	December 22, 2024
Submission Date	October 22, 2024
Acceptance Date	December 5, 2024
Published in Issue	Year 2024 Volume: 1 Issue: 1

Cite

ISNAD	Takruri, Lina et al. “Environmental Influence on the Physical Activity and Obesity Rates of the Hungarian Adult Females: A Systematic Review”. Hitit Movement Science Journal 1/1 (December 2024), 27-53.

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