title: Leisure Time Physical Inactivity and Sedentary Behaviour and Lifestyle Correlates among Students Aged 13-15 in the Association of Southeast Asian Nations (ASEAN) Member States, 2007-2013.
abstract: The aim of this study was to examine the relationship between self-reported leisure time physical inactivity frequency and sedentary behaviour and lifestyle correlates among school children in the Association of Southeast Asian Nations (ASEAN) region. The analysis included 30,284 school children aged 13-15 years from seven ASEAN countries that participated in the Global School-based Student Health Survey (GSHS) between 2007 and 2013. The measure asked about overall physical activity, walking or biking to school, and on time spent sitting. Overall, the prevalence of physical inactivity was 80.4%, ranging from 74.8% in Myanmar to 90.7% in Cambodia and sedentary behaviour 33.0%, ranging from 10.5% in Cambodia and Myanmar to 42.7% in Malaysia. In multivariate logistic regression, not walking or biking to school, not attending physical education classes, inadequate vegetable consumption and lack of protective factors (peer and parental or guardian support) were associated with physical inactivity, and older age (14 and 15 years old), coming from an upper middle income country, being overweight or obese, attending physical education classes, alcohol use, loneliness, peer support and lack of parental or guardian supervision were associated with sedentary behaviour. In boys, lower socioeconomic status (in the form of having experienced hunger) and coming from a low income or lower middle income country were additionally associated with physical inactivity, and in girls, higher socioeconomic status, not walking or biking to school and being bullied were additionally associated with sedentary behaviour. In conclusion, a very high prevalence of leisure physical inactivity and sedentary behaviour among school going adolescents in ASEAN was found and several factors identified that may inform physical activity promotion programmes in school-going adolescents in ASEAN.
authors.affiliation: ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamothon, Nkohn Pathom 73170, Thailand. karl.pel@mahidol.ac.th.|Department of Research &amp; Innovation, University of Limpopo, Turfloop Campus, Sovenga 0727, South Africa. karl.pel@mahidol.ac.th.|HIV/AIDS/STIs and TB (HAST), Human Sciences Research Council, Pretoria 0001, South Africa. karl.pel@mahidol.ac.th.
authors.forename: Karl
authors.initials: K
authors.lastname: Peltzer
authors.affiliation: ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamothon, Nkohn Pathom 73170, Thailand. supaprom@yahoo.com.|Department of Research &amp; Innovation, University of Limpopo, Turfloop Campus, Sovenga 0727, South Africa. supaprom@yahoo.com.
authors.forename: Supa
authors.initials: S
authors.lastname: Pengpid
mesh_terms: D000293:Adolescent; D001210:Asia, Southeastern; D044466:Asian People; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006306:Health Surveys; D006801:Humans; D007899:Leisure Activities; D008019:Life Style / Q000208:ethnology*; D016015:Logistic Models; D008297:Male; D009043:Motor Activity; D057185:Sedentary Behavior / Q000208:ethnology*; D057566:Self Report; D012959:Socioeconomic Factors
keywords: ASEAN; health risk behaviour; mental health; overweight; physical inactivity; prevalence; protective factors; sedentary behaviour