Nearly one-third (31 percent) of adults worldwide, approximately 1.8 billion people, did not meet the recommended levels of physical activity in 2022, the World Health Organization (WHO) said in its report on Wednesday.

According to WHO, if the trend continues, levels of inactivity are projected to further rise to 35 percent by 2030, and the world is currently off track from meeting the global target to reduce physical inactivity by 2030.

The global health agency recommends that adults have 150 minutes of moderate-intensity, or 75 minutes of vigorous-intensity physical activity, or equivalent, per week. Physical inactivity puts adults at greater risk of cardiovascular diseases such as heart attacks and strokes, type 2 diabetes, dementia and cancers such as breast and colon.

The study was conducted by researchers from WHO together with academic colleagues and published in The Lancet Global Health journal.

“These new findings highlight a lost opportunity to reduce cancer, heart disease and improve mental well-being through increased physical activity,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “We must renew our commitments to increasing levels of physical activity and prioritize bold action, including strengthened policies and increased funding, to reverse this worrying trend.”

The highest rates of physical inactivity were observed in the high-income Asia Pacific region (48%) and South Asia (45%), with levels of inactivity in other regions ranging from 28% in high-income Western countries to 14% in Oceania.

India also reported a worrisome trend. half the adult Indian population does not meet the guidelines on sufficient physical activity. More women (57 per cent) than men (42 per cent men) are physically inactive. It is noteworthy that the prevalence of insufficient physical activity among Indian adults has risen sharply from 22.3 per cent in 2000 to 49.4 per cent in 2022. This means, around 60 per cent of the population would be unfit by 2030 and at risk of disease from not doing enough physical activity.

The WHO estimates indicate that India has the 12th highest prevalence of insufficient physical activity among 195 countries. The data is concerning as Indians are genetically more prone to developing non-communicable diseases like heart disease and diabetes at least a decade earlier than others.

Meanwhile, disparities remain between gender and age. Physical inactivity is still more common among women globally compared with men, with inactivity rates of 34% compared to 29%, WHO found. In some countries, this difference is as much as 20 percentage points. Additionally, people over 60 are less active than other adults, underscoring the importance of promoting physical activity for older adults.

“Physical inactivity is a silent threat to global health, contributing significantly to the burden of chronic diseases,” said Dr Rüdiger Krech, Director of Health Promotion at WHO. “We need to find innovative ways to motivate people to be more active, considering factors like age, environment, and cultural background. By making physical activity accessible, affordable, and enjoyable for all, we can significantly reduce the risk of noncommunicable diseases and create a population that is healthier and more productive.”

Despite the worrying results, there are some signs of improvement in some countries. The study showed that almost half of the world’s countries have made some improvements over the past decade, and 22 countries were identified to be on track to reach the global target of reducing inactivity by 15% by 2030, if their trend continues at the same pace.

In light of these findings, WHO is calling on countries to strengthen their policy implementation to promote and enable physical activity through grassroots and community sport and active recreation and transport (walking, cycling and use of public transport), among other measures.

“Promoting physical activity goes beyond promoting individual lifestyle choice – it will require a whole-of-society approach and creating environments that make it easier and safer for everyone to be more active in ways they enjoy to reap the many health benefits of regular physical activity,” said Dr Fiona Bull, Head of the WHO Unit for Physical Activity.