Abstract

This study aims to describe the level and trends of physical activity (PA) in Thai children and young people and examine PA changes during transitional periods. Employing nine rounds of Thailand’s Surveillance on Physical Activity (SPA) 2012–2020, this study pooled three sets of data and included children and young people aged 6–17 years in the analysis: 1595 in SPA2012–2016, 1287 in SPA2017–2019, and 853 persons in SPA2020. Face-to-face interviews were conducted in five regions, 13 provinces, and 36 villages in SPA2012–2019, whereas an online survey was administered in all provinces in SPA2020. The prevalence of sufficient moderate-to-vigorous PA (MVPA) among Thais aged 6–17 years ranged from 19.0 percent to 27.6 percent, with a significant drop during the period of COVID-19 spread in 2020. The average daily MVPA ranged from 46 to 57 min and dropped to 36 min during the pandemic. Boys were consistently more active than girls in all nine rounds of the SPA, and girls had more difficulty in maintaining or improving their PA level. A significant increase in the proportion of Thai children and young people with sufficient MVPA was observed during their transition from late primary to early secondary school grades.

Highlights

  • The benefits of regular physical activity (PA) for children’s health range from shortterm fitness to long-term potential for reducing the incidence of chronic diseases that manifest in adulthood

  • The analysis found that sex, educational level, and residential area were significantly associated with change in average daily moderate-tovigorous physical activity (MVPA) of children and young people, and that each variable can independently predict change in average daily MVPA when the other variables are held constant

  • Only one in four Thai children and young people met the WHO-recommended level of 60 min daily MVPA over the period of study

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Summary

Introduction

The benefits of regular physical activity (PA) for children’s health range from shortterm fitness to long-term potential for reducing the incidence of chronic diseases that manifest in adulthood. Despite the global effort to improve the health of young people, 80 percent of children and young people worldwide remain physically inactive or do not meet the recommended level of PA daily [13,14]. Households [18,19,20,21], girls [18,22], those with low parental/peer support [15,23,24,25], and those residing in an unsupportive/unsafe neighborhood [19,26] are less likely to obtain sufficient MVPA. In the Thai context, the factors of age, sex, geographical location of residence/school, and parental/peer support determined the PA level of Thai children and young people [27,28,29]

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