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

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: &ldquo
inactive&rdquo
&ldquo
decreasing&rdquo
increasing&rdquo
and &ldquo
stable active&rdquo
Multivariable regression analyses were performed in order to determine predictors for the &ldquo
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 &plusmn
standard deviation 49.9 &plusmn
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. &ldquo
Stable active&rdquo
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.