How Healthy You Feel Depends on Where You Live
Would you guess that people in some developing nations report feeling healthier than people in some of the world's wealthiest countries?
Comparison of the relationship between key demographic features and physical activity levels across 22 countries
Across 22 countries, certain demographic groups consistently report higher levels of physical activity, including men, adults aged 60-69, those with higher education, and frequent attendees of religious services.
There are large differences in physical activity levels between countries, with people in the Philippines reporting the most active days and people in Egypt reporting the fewest.
Countries with greater inequality in physical activity participation also tend to have lower overall average activity levels.
This research is crucial because it proves that physical activity isn't just a personal choice—it's deeply connected to our social and economic reality. For policymakers and public health leaders, this is a wake-up call. A generic "exercise more" campaign won't work for everyone. The data shows that different groups face different barriers. For example, why are women less active than men globally? Why do immigrants report less activity than native-born citizens? And what can we learn from countries like the Philippines where activity is high, or from Egypt, where it is very low?
“Our opportunity to lead an active life is shaped by our social and economic reality, not just personal choice.”
By identifying these disparities, we can create smarter, more targeted solutions. This could mean developing culturally sensitive programs for immigrant communities, creating safe and accessible public spaces for exercise in low-income areas, or understanding how community organizations, including religious ones, can help promote health. Ultimately, this study provides a roadmap for reducing health inequality. It helps us move beyond one-size-fits-all advice and toward policies that give everyone, regardless of their background or where they live, a better opportunity to lead a healthy, active life.
“Our opportunity to lead an active life is shaped by our social and economic reality, not just personal choice.”
Ever wonder who in the world is getting the most exercise? Is it young people? People in wealthy countries?
“On average, people in their sixties report more days of physical activity than many younger age groups.”
Researchers decided to find out by asking over 200,000 people across 22 different countries a simple question: "How many days did you exercise for at least 30 minutes last week?" This massive investigation, part of the Global Flourishing Study, aimed to create a global map of physical activity and see how it connects to our lives—our age, gender, job, education, and even how often we attend religious services. The results were full of surprises and challenged common assumptions. While you might think 20-somethings are the most active, the study found that, on average, people in their 60s reported more days of physical activity than many younger age groups, before activity levels declined again after age 70.
Globally, some patterns were consistent: men tended to be more active than women, and people with more education exercised more often. Being self-employed or in a domestic partnership was also linked to higher activity levels. One of the most fascinating findings was the connection between community and exercise. People who attended religious services frequently were also more likely to be physically active, suggesting that social or spiritual engagement might go hand-in-hand with physical health. The differences between countries were staggering.
People in the Philippines reported being active almost four days a week on average, the highest in the study. In contrast, people in Egypt reported being active less than one day a week, the lowest. This highlights how much our environment and culture can shape our daily habits. This research gives us a clearer picture of who is moving and who is being left behind, showing that our health is about more than just personal choice.
On average, people in the Philippines reported being physically active 5.5 times more days per week than people in Egypt, highlighting vast international disparities.
Across the 22 countries studied, men reported being physically active on 22% more days per week than women.
Self-employed individuals reported being active 0.57 more days per week on average compared to homemakers, the least active employment group.
The level of inequality in physical activity was more than twice as high in Egypt, the most unequal country, as it was in the Philippines, the most equal country.
Lee, C. G., Kwon, E., Paltzer, J., Okafor, C. N., VanderWeele, T. J., Johnson, B. R., & Choi, J. H. (2025). Comparison of the relationship between key demographic features and physical activity levels across 22 countries. BMC Public Health, 25(1). https://doi.org/10.1186/s12889-025-23594-3
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