Sedentary lifestyle of rural and urban people of Kaduna state: the need for exercise Dr. sheu, Raheem Adaramaja Department of Physical and Health Education, Faculty of Education, University of Ilorin, Nigeria Phone Number: +234/8035778798; e-mail: drraheemsheu@yahoo.co.uk & Ibraheem, Tajudeem Olanrawaju Department of Physical and Health Education, Faculty of Education, University of Ilorin , Nigeria Phone Number: +234/8033380286;e-mail: infoiot@yahoo.com Abstract The study examined the difference in the sedentary lifestyle of rural urban people of Kaduna state. It also investigated the series of health problems suffered by the people of Kaduna state as a result of their sedentary lifestyle. Descriptive research design was adopted for the study. The study consisted of all individual from age 18 years and above living both in rural and urban areas of Kaduna state as at the time of this study. A total of 1,350 respondents were randomly selected through a multistage cluster random sampling techniques from the three (3) senatorial district of the state. A structured questionnaire developed and pilot test was used to collect relevant information form the respondents. The data emanated from the study were analyzed using appropriate descriptive and inferential statistics of student t-test and chi-square analysis. The results revealed that urban people of Kaduna state engage in sedentary lifestyle more than their rural counterparts . it also revealed that health problem suffered by the people of kaduda state are significantly related to their sedentary lifestyle. The authors recommended that among others that optimal affluence lifestyle should be discouraged through public health education in order to reduce health problems like obesity, hypertension,, stroke and other cardiovascular diseases among the urban residents of Kaduna state. Introduction Lifestyle is generally considered a personal issue. However, lifestyle are social practices or was of living adopted by individual s which reflect personal or group and social economic identifies. Although lifestyle reflects individual identities, they are primarily a refection of the norms and values to which individuals belong. Lifestyle is the sum of total of one’s ways of life. Thus, the lifestyle of any society is reflected in their modes of dressing, dietary habits, culture, religion , language and participation in physical activities. Moyoclinic (1999) was of the opinion that the individual lifestyle or health habits and behaviours constitute what he does and what he fails to do, ranging from smoking, over reading, inactivity, alcoholism, drug abuse and participation of unprotected sexual relationship. The Word Health Organization (WHO,1993) reported that there is a strong negative relationship between peoples morality rates and lifestyle practices. It further highlighted conditions that promote unhealthy lifestyles practices by individual such as lack of adequate health knowledge, acquisition of misinformation about health matters and development of hazardous lifestyles. One of such hazardous lifestyle is physical inactivity or sedentary lifestyle. Among the modifiable risk factors in the development of sedentary lifestyle, residence seems a major determinant of unhealthy lifestyle, since urban residence have a 1.5 to 4 fold prevalence of lifestyle factors like smoking , heavy use of alcohol, sedentary lifestyle , drug abuse and misuse and unsafe sexual practice compare to their rural counterparts (levitt, et al, 1998). Urban lifestyle in Africa and particularly in Nigeria is characterized by changing in dietary habits involving an increase in consumption of refined sugars and saturated fat, and a reduction in fiber intake (sharama et at 1996; Mennen, et al 2000). Majority depend on imported and refined food nutrients with little nutritional value which may have adverse effects on their well being. In addition, there is reduction in physical activity with urban lifestyle. The technological and communication advancement do not help matters in this regard. The use of automobiles telephone facilities, mobile phone, air-conditioners and house hold technological gadgets has substantially increase the sedentary lifestyle of the urban resident. Rural populations rely upon foot walk as a means of transportation and often have intense agricultural and manual activities as their main occupations (Alemu and Lindjorn, 1995). Rural people therefore have a high physical activities related energy expenditure compare to their urban counterpart (Singh, et al 1989; Hein, et al 1991). Thus explaining the higher rates of obesity, hypertension, overweight, stroke and other cardiovascular diseases in the cities. Rashid, et al(2000) reported that obesity and cardiovascular diseases are at least 7 times higher in urban areas compared to rural areas. A regular level of physical activity has great potential in improving health and well being. Health gains form physical activity include enhance mood and selfesteem, improved physical appearance and a substantial reduction of several cancers, premature morality, obesity, high blood pressure, cardiovascular diseases, non-insulin dependents diabetes and osteoporosis. Physical activity or sedentary lifestyle help to develop one or all of the above mentioned diseases. David (200) reported a high risk of non-fatal cardiac diseases for women in the sedentary control group in comparison with active group.. he added that , 30 minutes of moderate activities each day can improve health and reduce the risk of developing certain condition s of diseases. According to him. These 30 minutes can be accumulated in the shorter bouts of 10 minutes of walks. Moderate activity is good and energetic, but should be at a level at which conversation can be maintained.. Physical activity or exercise aids cardiovascular and respiratory functions, slows the loss of muscular strength , increase bone mass, aids digestion, and bowels functions, promotes sound sleep and prevents depression. The amount of physical activity needed to maintain a healthy weight, lose weight an promotes good health, including cancer risk, I is recommended by the united department state of health and human service (1996) and David (2002) to be 30 minutes of moderate physical activity on most days of week. The level of activity might include walking, jogging, running, gardening and swimming. The prevalence of obesity continuous to increase in Nigeria, particularly I Kaduna state, the provincial headquarters of former northern region. The factors that appear to be most responsible are sedentary behavior patterns and excessive fat in the diet. There is a scarcity of national and international epidemiology studies assessing the prevalence of sedentary lifestyle in the area (sheu, 2005). Sedentary lifestyle is referred to as those individuals who did not practice any addition spent long time sitting down (no participation in activities and long time sitting down-NP +LSD). However, attempts to encourage individuals to adopt active lifestyle and to maintain low fat have not been very successful in producing significant and long lasting weight loss resulting from sedentary lifestyle. The perception that physical activity is not needed or that perception that physical activity is no needed or that one’s daily occupation provide, enough, follows ,,the wrong assumption that sedentary lifestyle behaviors reduce cardiovascular fitness leading to reduce felling of energy, making exercise loss likely. Purpose of study The aim of the study was to examine the sedentary lifestyle of rural and urban people of Kaduna state. The study also examine the need for improved physical activity or ex or exercise in other to reduce health problems associated with sedentary lifestyle among the studied population. Research Questions - Is there difference in the sedentary lifestyle of rural and urban people of Kaduna state? - Is there difference in importance of physical activity or exercise in the reduction of health problems associated with sedentary lifestyle among rural and urban people of Kaduna state? Hypotheses 1. There is no significant difference in sedentary lifestyle or rura and urban people of Kaduna state. 2. There is no significant difference in the importance of physical activity or exercise in the reduction of health problems associated with sedentary lifestyle among rural and urban people of Kaduna state. Methodology Descriptive research design was adopted for this study and the population consisted of all individuals from age 18 years and above living in both rural and urban areas of Kaduna state. A total of 1350 despondence was randomly selected through a multistage cluster random sampling techniques from towns and villages that made the three senatorial districts of Kaduna state. i.e. 450 respondents from the rural area were used for the study. A structured research instrument (sedentary lifestyle questionnaire SLQ) developed and pilot tested to collect relevance information was used for the study. The instrument was administered on the respondents by the researchers with the help of four (4)research assistants who are fluent in the various local languages (Hausa, Fulani, Nupe, Garge, Yoruba and Igbo) in kwara state. The the data emanated from the study were analyzed using appropriate descriptive and differences in the sedentary lifestyle of rural and urban people of Kaduna state; and chi-square to find out whether the health problems suffered by the people of Kaduna state are significantly related to their sedentary lifestyle. Table 1: Means Standard Deviation, Standard Error and t-value of differences between the sedentary lifestyle of rural and urban people of Kaduna state. Type of No of dwelling cases Mean Rural 8.8222 450 Standard Standard Degree Calculated Critical Deviation error of t-value value freedom 2.739 0.129 1340 3.47 1.96 Urban Total 900 1350 8.82821 2.672 0.89 A careful examination of table 1 showed that the calculated t-value of 3..47 is greater than the critical value of 1.96 at 0.05 alpha level of significance. Therefore , the null hypothesis that says that rural and urban people of Kaduna state are not significantly different in their sedentary lifestyle or physical inactivity is rejected. This means that significance differences exist in the sedentary lifestyle of rural and urban people of Kaduna state. The table further shows that the mean of urban people (N=900,MEAN 8.2821, sd-2.672) are less than the mean of rural people (N=450, Mean=8.8222 and SD = 2.739), confirmed that urban people engage more in sedentary lifestyle than their rural counterparts Hypothesis 2: there is no significant difference in the importance of physical activity or exercise in the reduction of health problems associated with sedentary lifestyle. Table 2: Chi—square showing the relationship between health problems and sedentary lifestyle or ;physical inactivity of the people of Kaduna state. Question Yes % 1. Do you participate in 1160 85.9 physical exercise No 156 % No % Response 11.6 34 2.5 Total 1350 X2 2. Do you experience any of these difficulties due to physical activities? a. High blood pressure b. Cardiovascular disease c. Obesity and over weight d. Diabetes and cancer related diseases. e. Depression anxiety and uneasiness f. All of the above g. Others h. No response Total 256 52 220 79 249 44 31 419 1350 Table 2 showed that the calculated x2 value of 57.64 is greater than the critical value of 23.68 at 0.05 alpha level; of significance. Therefore, the null hypothesis that says that health problems suffered by the people of Kaduna state are not significantly related to their physical inactivity or sedentary lifestyle is rejected. This implies that health problems suffered by the people of Kaduna state are significantly related to their sedentary lifestyle of physical activity. Summary of findings 1. Urban people of Kaduna state engage more in sedentary lifestyle than their rural count7erparts 2. Health problems suffered by the people of Kaduna state are significantly related to their sedentary lifestyle of physical activity. Discussion The finding that significant difference exists between rural and urban people in their sedentary lifestyle is no unexpected as Adesina (1990) and Mensik, et al (1997) postulated that environment is considered a crucial factor in the health and well being of the individual, he was of the opinion that physical and social environment play a decisive role in the individuals choice of lifestyle factor. Thus ,individuals in the urban area are likely to drink more alcohol, smoke more cigarettes and engage in more sedentary lifestyle in other to deal with stress occasioned by both physical and social environment. WHO (1993) also reported an associated between lifestyle and environmental problems occasioned by unhealthy lifestyle like physical activity, alcoholism , unprotected and indiscriminate sexual practices in the environment, with more than 70% recorded in cities in Great Britain, Portugal, Sweden, USA, Kenya, South Africa and Nigeria. Corroborating the relationship between one’s place of abode and sedentary lifestyle Alemu and Lindtjorn, (1995) reported that rural population rely upon foot walk as a means of transportation and often have intense agricultural actives, and manual work as their main occupation , while there is reduction in physical activities with urban lifestyle. Technological and communication advancement does not help matter s among the residence in the urban area of Kaduna state. The use of automobiles, telephone facilities. Mobile phone, air conditioners, (in the car, and at home), household technological gadgets has substantially increase the sedentary lifestyle or urban residents in the state. The result has also revealed that health problems suffered by the people of the state are significantly related to their lifestyle or physical activity. The finding is n agreement wit the report of Ogunbiyi (2002) and Sheu (2005) both found a significant relationship between disease conditions suffered and the lifestyles of rural and urban women in the state. On the relationship between health problems and sedentary lifestyle or physical activity, Dishman and Sheu (1994) submitted that sedentary lifestyle contributes significantly to the occurrence of obesity, cancer, high blood pressure, osteoporosis, diabetes and premature mortality. Table 2 of this study revealed that respondents in Kaduna state agreed that lack of physical activity or sedentary lifestyle is responsible for cases of high blood pressure (95), cardiovascular diseases (3.9%) diabetes and cancer related diseases (5.9%); depression , anxiety and uneasiness’ (18.4%);, and overweight (16.3%) Conclusion Lifestyle is the sum of one’s way of life. It is a reflection of what he does and what he fails to do which may include smoking, overrating , inactivity, alcoholism, drug abuse and sexual practice. This study focused on the sedentary lifestyle of rural and urban people of Kaduna state and the need for exercise. It therefore concluded that the use of mobile phones, automobile s, air-conditioners and household technological gadgets in the urban areas has substantially increased the sedentary lifestyle in the area, especially in the urban area. Their counterparts in the rural areas on the other hand depend largely on foot walk and bicycling as their major means of transportation. They also engage in agricultural activities and manual works as their main occupation thus provide substantial opportunities for the rural people to engage in physical activity and reduces the incidence of obesity, hypertension, overweight, stroke and cardiovascular disease that are common among sedentary individuals in urban areas. It could also be concluded from the study that health problems as enumerated above suffered by the people of Kaduna state are significantly related by the people of Kaduna state are significantly related to their sedentary lifestyle or physical inactivity. Recommendation Based on the findings of the study, the following recommendations are made: 1. Public health education should be interested to improve people’s awareness of the consequences of unhealthy lifestyle i.e. sedentary lifestyle, with the sole aim of encouraging them to participate in physical activity that will improve health status. 2. Optimal affluence lifestyle should be discourage through public health education in other to reduce health problems like obesity, hypertension, and cardiovascular diseases common among urban residents of Kaduna state. 3. 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