Abstract

BackgroundLeisure-time physical activity is essential for healthy and physically active life; however, this domain of physical activity is less common in developing countries. Information on leisure time physical activity and sedentary behaviour among Nepalese population is not available. The study was carried out to assess leisure time physical activity and sedentary behaviour among high school adolescents and identify the associated factors in Nepal.MethodsA cross-sectional descriptive study was carried out in Banke district, Nepal in 2013 among higher secondary school students using self-administered questionnaire based on International Physical Activity Questionnaire. A sample of 405 students, 178 females and 227 males, of the age–group 15 to 20 years from seven schools were included in the study. Multivariate logistic regression analysis was carried out to identify factors associated with participation in leisure time physical activity and sedentary behaviour.ResultsEngagement of female in leisure time physical activity was lower but mean time spent on sitting per day was higher. Students who walked to school and have playground/parks near home, younger females (OR = 3.09, 95% CI: 1.18-8.08), females living in nuclear families (OR: 2.16, 95% CI: 1.01-4.62) and males who cycled to school (OR: 8.09, 95% CI: 2.35-27.80) and have provision of extra-curricular activities (OR: 2.49, 95% CI: 1.04-5.97) were more likely to be engaged in leisure time physical activity. On the other hand, students who did not have playground in school and lived in rural areas were more likely to sit for more than 6 hours a day. Likewise, male students of private school (OR: 6.41, 95% CI: 2.89-14.21), who used vehicle to reach school (OR: 5.90, 95% CI: 1.26-27.75) and have no provision of extra-curricular activities (OR: 2.98, 95% CI: 1.09-8.07) had longer sitting time.ConclusionDifference in leisure time physical activity and sedentary behaviour was found among male and female school adolescents. Interventions are needed not only to promote leisure time physical activity but also to reduce sedentary behaviour among this group.

Highlights

  • Leisure-time physical activity is essential for healthy and physically active life; this domain of physical activity is less common in developing countries

  • Significant difference was found between leisure-time physical activity (LTPA) and No LTPA groups among both sexes in mode of transport to school and presence of playground or parks near home while significant difference was observed in economic status among females only

  • Females living in nuclear families were twice likely to be involved in LTPA than those living in joint or extended families (OR: 2.16, 95% confidence interval (CI): 1.01-4.62)

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Summary

Introduction

Leisure-time physical activity is essential for healthy and physically active life; this domain of physical activity is less common in developing countries. The study was carried out to assess leisure time physical activity and sedentary behaviour among high school adolescents and identify the associated factors in Nepal. Time spent in sedentary activities like watching television, sitting either at school or home, reading, playing or working on computers is important as time spent in these activities limit the time available for physical activities [11]. These days, many young people are reluctant to do physical activities and instead choose sedentary activities for their leisure time [12]

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