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Physical Activity Trajectories among Persons of Turkish Descent Living in Germany—A Cohort Study

Author

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  • Lilian Krist

    (Institute for Social Medicine, Epidemiology and Health Economics, Charité–Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, 10117 Berlin, Germany)

  • Christina Dornquast

    (German Center for Neurodegenerative Diseases (DZNE), 17489 Greifswald, Germany)

  • Thomas Reinhold

    (Institute for Social Medicine, Epidemiology and Health Economics, Charité–Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, 10117 Berlin, Germany)

  • Heiko Becher

    (Institute for Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

  • Katja Icke

    (Institute for Social Medicine, Epidemiology and Health Economics, Charité–Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, 10117 Berlin, Germany)

  • Ina Danquah

    (Institute for Social Medicine, Epidemiology and Health Economics, Charité–Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, 10117 Berlin, Germany
    Institute of Global Health (HIGH), Heidelberg University Hospital, 69120 Heidelberg, Germany)

  • Stefan N. Willich

    (Institute for Social Medicine, Epidemiology and Health Economics, Charité–Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, 10117 Berlin, Germany)

  • Thomas Keil

    (Institute for Social Medicine, Epidemiology and Health Economics, Charité–Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, 10117 Berlin, Germany
    Institute for Clinical Epidemiology and Biometry, University of Würzburg, 97070 Würzburg, Germany
    State Institute of Health, Bavarian Health and Food Safety Authority, 97688 Bad Kissingen, Germany)

Abstract

Physical activity (PA) behavior is increasingly described as trajectories taking changes over a longer period into account. Little is known, however, about predictors of those trajectories among migrant populations. Therefore, the aim of the present cohort study was to describe changes of PA over six years and to explore migration-related and other predictors for different PA trajectories in adults of Turkish descent living in Berlin. At baseline (2011/2012) and after six years, sociodemographics, health behavior, and medical information were assessed. Four PA trajectories were defined using data of weekly PA from baseline and follow-up: “inactive”, “decreasing”, “increasing”, and “stable active”. Multivariable regression analyses were performed in order to determine predictors for the “stable active” trajectory, and results were presented as adjusted odds ratios (aOR) with 95% confidence intervals (95%CI). In this analysis, 197 people (60.9% women, mean age ± standard deviation 49.9 ± 12.8 years) were included. A total of 77.7% were first-generation migrants, and 50.5% had Turkish citizenship. The four PA trajectories differed regarding citizenship, preferred questionnaire language, and marital status. “Stable active” trajectory membership was predicted by educational level (high vs. low: aOR 4.20, 95%CI [1.10; 16.00]), citizenship (German or dual vs. Turkish only: 3.60 [1.20; 10.86]), preferred questionnaire language (German vs. Turkish: 3.35 [1.05; 10.66]), and BMI (overweight vs. normal weight: 0.28 [0.08; 0.99]). In our study, migration-related factors only partially predicted trajectory membership, however, persons with citizenship of their country of origin and/or with poor language skills should be particularly considered when planning PA prevention programs.

Suggested Citation

  • Lilian Krist & Christina Dornquast & Thomas Reinhold & Heiko Becher & Katja Icke & Ina Danquah & Stefan N. Willich & Thomas Keil, 2020. "Physical Activity Trajectories among Persons of Turkish Descent Living in Germany—A Cohort Study," IJERPH, MDPI, vol. 17(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6349-:d:406677
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    References listed on IDEAS

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    1. Chiara Lorini & Saverio Caini & Francesca Ierardi & Letizia Bachini & Fabrizio Gemmi & Guglielmo Bonaccorsi, 2020. "Health Literacy as a Shared Capacity: Does the Health Literacy of a Country Influence the Health Disparities among Immigrants?," IJERPH, MDPI, vol. 17(4), pages 1-20, February.
    2. Kasper Salin & Anna Kankaanpää & Mirja Hirvensalo & Irinja Lounassalo & Xiaolin Yang & Costan G. Magnussen & Nina Hutri-Kähönen & Suvi Rovio & Jorma Viikari & Olli T. Raitakari & Tuija H. Tammelin, 2019. "Smoking and Physical Activity Trajectories from Childhood to Midlife," IJERPH, MDPI, vol. 16(6), pages 1-14, March.
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    Cited by:

    1. Lilian Krist & Christina Dornquast & Thomas Reinhold & Katja Icke & Ina Danquah & Stefan N. Willich & Heiko Becher & Thomas Keil, 2021. "Predictors of Changes in Physical Activity and Sedentary Behavior during the COVID-19 Pandemic in a Turkish Migrant Cohort in Germany," IJERPH, MDPI, vol. 18(18), pages 1-13, September.

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