title: Physical inactivity among physiotherapy undergraduates: exploring the knowledge-practice gap.
abstract: BACKGROUND
  Physical inactivity is a common risk factor for several non-communicable diseases (NCDs). Increasing physical activity could reduce the burden of disease due to major NCDs and increase life expectancy. Undergraduate physiotherapy students represent a group of young-adults expected to have a good knowledge of physical activity. We evaluated physical activity levels of undergraduate physiotherapy students of University of Colombo, Sri Lanka and determined their motives and barriers for participation in physical activity.
  
  
  METHODS
  All physiotherapy undergraduates studying at the University of Colombo, Sri Lanka in 2013 were invited for the study. Phase one was a quantitative study to evaluate the physical activity levels and phase two was a qualitative study to identify motives and barriers for physical activity and sports in the same cohort. Physical activity levels (phase 1) were assessed using the interviewer administered International Physical Activity Questionnaire (long-version). The qualitative study (phase 2) was conducted in the same population using Focus Group Discussions (n= 3) and individual In-depth Interviews (n= 5).
  
  
  RESULTS
  Sample size in phase 1 and phase 2 were 113 (response rate = 98%; [N-115]) and 87 (response rat = 97%; [N-90]) respectively. Mean age (±SD) of participants was 23.4 ± 1 years. The mean weekly total MET minutes (±SD) of the study population was 1791.25 ± 3097. According to the IPAQ categorical score a higher percentage of participants were 'inactive' (48.7%), while only 15.9% were in the 'Highly active' group. Lack of support and encouragement received during childhood to engage in sports activity seem to have played an important role in continuing their exercise behavior through to the adult life. Academic activities were given priority by both parents and teachers. The environment and support from teachers, family and friends were important to initiate and adhere to sports and physical activity.
  
  
  CONCLUSIONS
  A higher percentage of participants were 'inactive', in spite of belonging to a group which is presumed to be knowledgeable regarding the benefits of physical activity. A significant negative attitude towards physical activity was observed in this cohort of young-adults. This seems to stem from earlier in life, due to lack of support and motivation for physical exercise and sports, received during primary and secondary schooling. This negative attitude has become a significant 'internal' barrier, which has not been changed in spite of their education.
authors.affiliation: Department of Allied Health Sciences, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka ; School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Brisbane, Australia.
authors.forename: Chathuranga
authors.initials: C
authors.lastname: Ranasinghe
authors.affiliation: Ministry of Health and Nutrition, Colombo, Sri Lanka.
authors.forename: Chathurani
authors.initials: C
authors.lastname: Sigera
authors.affiliation: Department of Pharmacology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
authors.forename: Priyanga
authors.identifier: 0000-0002-1522-9276
authors.initials: P
authors.lastname: Ranasinghe
authors.affiliation: Department of Physiology, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka.
authors.forename: Ranil
authors.initials: R
authors.lastname: Jayawardena
authors.affiliation: Ministry of Health and Nutrition, Colombo, Sri Lanka.
authors.forename: Ayodya C R
authors.initials: AC
authors.lastname: Ranasinghe
authors.affiliation: School of Health Sciences, University of Tasmania, Launceston, TAS Australia.
authors.forename: Andrew P
authors.initials: AP
authors.lastname: Hills
authors.affiliation: School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Brisbane, Australia.
authors.forename: Neil
authors.initials: N
authors.lastname: King
keywords: Knowledge-practice gap; Physical activity; Physiotherapy undergraduates; Sri Lanka