Patterns and correlates of physical activity in adolescents in Dhaka city, Bangladesh.

OBJECTIVES Despite the widely acknowledged public health importance of physical activity (PA), few studies have examined levels of PA in Bangladesh. The purpose of this study was to investigate the patterns and correlates of PA in adolescents in Bangladesh. STUDY DESIGN Cross-sectional survey. METHODS A total of 798 students, aged 13-17 years; 48% girls, from eight purposively selected secondary schools in Dhaka city, Bangladesh completed a self-administered questionnaire including the 3-Day PA Recall. Parents completed a separate questionnaire to provide household/family-level data. Multilevel generalized linear modelling was used to identify the correlates of PA for boys and girls. RESULTS Two-thirds (66%) of the adolescents met the recommendations of 60 min/day of moderate to vigorous PA (MVPA) daily, with more boys than girls (76% and 55%, respectively). The most common activities reported were walking for travel (42%), cricket (33%) and household chores (30%). Multivariable modelling showed that girls' PA was positively associated with mother's education level, walking to school, involvement in school sports and having home sports equipment. Boys' PA was positively associated with mother's employment, having home sports equipment, having a playground at school and walking to school. CONCLUSIONS One third of adolescents in Bangladesh were insufficiently active with girls less active than boys. Walking to school and access to sports facilities including playgrounds and home equipment may be important to promote activity among Bangladeshi adolescents, with special attention to the girls.

[1]  E. Rocha.  Physical Inactivity: Preventable Risk Factor of Cardiovascular Disease , 2015 .

[2]  M. Dibley,et al.  Factors associated with physical inactivity in adolescents in Ho Chi Minh City, Vietnam. , 2009, Medicine and science in sports and exercise.

[3]  M. Petticrew,et al.  What Are the Health Benefits of Active Travel? A Systematic Review of Trials and Cohort Studies , 2013, PloS one.

[4]  J. Begum,et al.  Dietary intake, physical activities and nutritional status of adolescent girls in an urban population of Bangladesh , 2010 .

[5]  Penny Gordon-Larsen,et al.  Associations among active transportation, physical activity, and weight status in young adults. , 2005, Obesity research.

[6]  S. Reijneveld,et al.  Socio-economic status and physical activity among adolescents: the mediating role of self-esteem. , 2011, Public health.

[7]  B E Ainsworth,et al.  Compendium of physical activities: an update of activity codes and MET intensities. , 2000, Medicine and science in sports and exercise.

[8]  S. Muthayya,et al.  Nutritional status of affluent Indian school children: what and how much do we know? , 2007, Indian pediatrics.

[9]  I. Janssen,et al.  Systematic review of the health benefits of physical activity and fitness in school-aged children and youth , 2010, The international journal of behavioral nutrition and physical activity.

[10]  Jason D. Carter,et al.  The Relationship of Perceived Benefits and Barriers to Reported Exercise Behaviors in College Undergraduates , 2002, Family & community health.

[11]  S. Trost,et al.  Validity and Reliability of the 3-Day Physical Activity Recall in Singaporean Adolescents , 2005, Research quarterly for exercise and sport.

[12]  K. Patrick,et al.  Exercise aids, neighborhood safety, and physical activity in adolescents and parents. , 2008, Medicine and science in sports and exercise.

[13]  S. Trost,et al.  Physical Activity Patterns of Singaporean Adolescents , 2006 .

[14]  R. Malina,et al.  Correlates of physical activity and inactivity in urban Mexican youth , 2011, American journal of human biology : the official journal of the Human Biology Council.

[15]  Andrew P. Jones,et al.  Environmental determinants of active travel in youth: A review and framework for future research , 2008, The international journal of behavioral nutrition and physical activity.

[16]  B. Ainsworth,et al.  Active Commuting to School , 2001, Sports medicine.

[17]  M. Sjöström,et al.  Clustering of multiple lifestyle behaviors and health-related fitness in European adolescents. , 2013, Journal of nutrition education and behavior.

[18]  A. Alwan.  Global status report on noncommunicable diseases 2010. , 2011 .

[19]  Ryan E. Rhodes,et al.  Parental Correlates of Physical Activity in Children and Early Adolescents , 2006, Sports medicine.

[20]  Karin Pfeiffer,et al.  Travel by walking before and after school and physical activity among adolescent girls. , 2007, Archives of pediatrics & adolescent medicine.

[21]  M. Dibley,et al.  Factors associated with adolescents' physical inactivity in Xi'an City, China. , 2006, Medicine and science in sports and exercise.

[22]  Hidde P van der Ploeg,et al.  Longitudinal sedentary behavior changes in adolescents in Ho Chi Minh City. , 2013, American journal of preventive medicine.

[23]  I. Baldi,et al.  Physical Activity Patterns Among School Children in India , 2014, The Indian Journal of Pediatrics.

[24]  S. Trost,et al.  Determinants of Physical Activity in Singaporean Adolescents , 2010, International journal of behavioral medicine.

[25]  Ulf Ekelund,et al.  Guide to the assessment of physical activity: Clinical and research applications: a scientific statement from the American Heart Association. , 2013, Circulation.

[26]  Daily physical activity behavior patterns of Hispanic adolescents in Puerto Rico. , 2014, Journal of physical activity & health.

[27]  Mukhlesur Rahman,et al.  Erratum to: Clustering of non-communicable diseases risk factors in Bangladeshi adults: an analysis of STEPS survey 2013 , 2015, BMC Public Health.

[28]  Carrie D. Patnode,et al.  Adolescent physical activity and screen time: associations with the physical home environment , 2010, The international journal of behavioral nutrition and physical activity.

[29]  Yan-jun Ren,et al.  Family influences on physical activity and sedentary behaviours in Chinese junior high school students: a cross-sectional study , 2015, BMC Public Health.

[30]  Shuqiao Yao,et al.  Associations between physical inactivity and sedentary behaviors among adolescents in 10 cities in China , 2014, BMC Public Health.

[31]  H. Syväoja,et al.  Physical activity, sedentary behavior, and academic performance in Finnish children. , 2013, Medicine and science in sports and exercise.

[32]  U. Ekelund,et al.  Global physical activity levels: surveillance progress, pitfalls, and prospects , 2012, The Lancet.

[33]  S. Griffin,et al.  Association between diet and physical activity and sedentary behaviours in 9–10-year-old British White children , 2013, Public health.

[34]  Nancy D. Brener,et al.  Youth risk behavior surveillance--United States, 2013. , 2014, MMWR supplements.

[35]  Katherine M Flegal,et al.  Changes in terminology for childhood overweight and obesity. , 2010, National health statistics reports.

[36]  Timothy J. Robinson,et al.  Multilevel Analysis: Techniques and Applications , 2002 .

[37]  J. Mota,et al.  Perceived neighbourhood environmental characteristics and physical activity according to socioeconomic status in adolescent girls , 2011, Annals of human biology.

[38]  S. Nedjat,et al.  Correlates of physical activity in adolescence: a study from a developing country , 2013, Global health action.

[39]  H. Al-Hazzaa,et al.  Physical activity, sedentary behaviours and dietary habits among Kuwaiti adolescents: gender differences , 2013, Public Health Nutrition.

[40]  A. Poudyal,et al.  Estimation of leisure time physical activity and sedentary behaviour among school adolescents in Nepal , 2014, BMC Public Health.