International Journal of Epidemiology 2003;32:138-146
© International Epidemiological Association 2003
Distribution and determinants of sedentary lifestyles in the European Union
1 Department of Epidemiology and Public Health, University of Navarra, Pamplona, Spain.
2 Institute of European Food Studies, Trinity College, Dublin, Ireland.
3 Department of Physiology and Nutrition, University of Navarra, Pamplona, Spain.
Correspondence: Prof. Miguel Angel Martínez-González, Unidad de Epidemiología y Salud Pública, Facultad de Medicina, Universidad de Navarra, Irunlarrea s/n, 31008 Pamplona, Spain. E-mail: mamartinez{at}unav.es
Background Many studies have shown the health burden of a sedentary lifestyle. The main goal of this study was to determine the prevalence of sedentary lifestyles in the 15 Member States of the European Union (EU) and to identify the main correlates of a sedentary lifestyle.
Methods Nationally representative samples (n 
1000 subjects in each country; >15 years) completed a questionnaire concerning attitudes to physical activity, body weight, and health; in total 15 239 subjects. Sedentary people were defined in two ways: (1) those expending less than 10% of their leisure time expenditure in activities involving 
4 metabolic equivalents (MET). (2) Those who did not practice any leisure-time physical activity and who also were above the median in the number of hours spent sitting down during leisure time. Logistic regression models were fitted to analyse the association between sedentary lifestyles and gender, age, body mass index (BMI), educational level, weight change in the last 6 months, and marital and smoking status.
Results Percentages of sedentary lifestyles across European countries ranged between 43.3% (Sweden) and 87.8% (Portugal) according to the first definition. According to both definitions, a lower prevalence of sedentary lifestyle was found in Northern countries (especially Scandinavian countries) as compared with Mediterranean countries, whereas the prevalence was higher among older, obese, less educated, widowed/divorced individuals, and current smokers. Similar relative differences between countries and socio-demographic groups were found independently of the method used to define a sedentary lifestyle.
Conclusion Prevalence of sedentary lifestyle in the EU is high, especially among inhabitants of some Mediterranean countries, obese subjects, less-educated people, and current smokers. This high prevalence involves important public health burdens and preventive strategies are urgently needed.
Keywords Physical activity, sedentary lifestyle, body mass index, Europe
Accepted 3 October 2002
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