“Are Thai children and youth sufficiently active? prevalence and correlates of physical activity from a nationally representative cross-sectional study”

Abstract Background Children and youth gain multiple health benefits from regular participation in physical activity (PA). However, in Thailand there is limited national data on children and youth’s PA behaviors and recent reports suggest that Thai children and youth have low levels of PA. Furthermo...

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Main Authors: Areekul Amornsriwatanakul, Leanne Lester, Fiona C. Bull, Michael Rosenberg
Format: Article
Language:English
Published: BMC 2017-05-01
Series:International Journal of Behavioral Nutrition and Physical Activity
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12966-017-0529-4
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author Areekul Amornsriwatanakul
Leanne Lester
Fiona C. Bull
Michael Rosenberg
author_facet Areekul Amornsriwatanakul
Leanne Lester
Fiona C. Bull
Michael Rosenberg
author_sort Areekul Amornsriwatanakul
collection DOAJ
description Abstract Background Children and youth gain multiple health benefits from regular participation in physical activity (PA). However, in Thailand there is limited national data on children and youth’s PA behaviors and recent reports suggest that Thai children and youth have low levels of PA. Furthermore, there is almost no data on the factors associated with inactivity to support the development of a Thai National PA Plan. The purpose of this paper is to investigate Thai children and youth’s participation in PA and its correlates across sociodemographic characteristics and different PA domains. Methods This study applied a cross-sectional study design with a multi-stage stratified cluster sampling. A national representative sample of 13,255 children and youth aged 6-17 years were used for data analysis. A previously validated questionnaire was used to assess PA prevalence. Logistic regression was conducted to examine the relationships of socio-demographic factors, and participation in different PA domains with overall PA. Results Only 23.4% of Thai children and youth met recommended levels of PA and there were large gender and regional differences. PA levels generally declined with age, although the level observed in the 10-13 year group was slightly higher than other year groups. A majority of children and youth engaged in a large number of different activities across PA domains. Sex, age, BMI, geographical regions, organized sports, participation in sport and recreational activities were significant predictors of meeting the global PA guidelines, whereas participation in physical education, active transport, and the number of screen time activities had no association. Girls were less likely to achieve sufficient PA levels (OR = 0.49, 95%CI; 0.45-0.54, p < 0.001), as were obese children (OR = 0.78, 95%CI; 0.64-0.94, p = 0.01), children living in the West (OR = 0.47, 95%CI; 0.38-0.59, p < 0.001), and those who did no participation in organized sports and sport/exercise activities, or minimal participation (1-2 activities) in recreational activities (OR = 0.79, 95%CI; 0.68-0.90, p < 0.001). Conclusions The prevalence estimate of meeting the recommended guideline of sufficient PA in Thai children and youth is low, despite the high levels of engagement in a large number of PA. The results indicate that policy and interventions aimed at increasing PA are needed with special attention required to address specific groups less likely to meet the PA guideline. Strategies to promote a large volume of participation in all possible types of PA as part of Thai children and youth’s daily life should be considered.
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spelling doaj.art-d277a4f954e14806b67d4df5933199472022-12-22T03:17:17ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682017-05-011411910.1186/s12966-017-0529-4“Are Thai children and youth sufficiently active? prevalence and correlates of physical activity from a nationally representative cross-sectional study”Areekul Amornsriwatanakul0Leanne Lester1Fiona C. Bull2Michael Rosenberg3School of Earth and Environment and School of Sport Science, Exercise and Health, University of Western AustraliaSchool of Sport Science, Exercise and Health, University of Western AustraliaCentre for Built Environment and Health, School of Earth and Environment, University of Western AustraliaSchool of Sport Science, Exercise and Health, University of Western AustraliaAbstract Background Children and youth gain multiple health benefits from regular participation in physical activity (PA). However, in Thailand there is limited national data on children and youth’s PA behaviors and recent reports suggest that Thai children and youth have low levels of PA. Furthermore, there is almost no data on the factors associated with inactivity to support the development of a Thai National PA Plan. The purpose of this paper is to investigate Thai children and youth’s participation in PA and its correlates across sociodemographic characteristics and different PA domains. Methods This study applied a cross-sectional study design with a multi-stage stratified cluster sampling. A national representative sample of 13,255 children and youth aged 6-17 years were used for data analysis. A previously validated questionnaire was used to assess PA prevalence. Logistic regression was conducted to examine the relationships of socio-demographic factors, and participation in different PA domains with overall PA. Results Only 23.4% of Thai children and youth met recommended levels of PA and there were large gender and regional differences. PA levels generally declined with age, although the level observed in the 10-13 year group was slightly higher than other year groups. A majority of children and youth engaged in a large number of different activities across PA domains. Sex, age, BMI, geographical regions, organized sports, participation in sport and recreational activities were significant predictors of meeting the global PA guidelines, whereas participation in physical education, active transport, and the number of screen time activities had no association. Girls were less likely to achieve sufficient PA levels (OR = 0.49, 95%CI; 0.45-0.54, p < 0.001), as were obese children (OR = 0.78, 95%CI; 0.64-0.94, p = 0.01), children living in the West (OR = 0.47, 95%CI; 0.38-0.59, p < 0.001), and those who did no participation in organized sports and sport/exercise activities, or minimal participation (1-2 activities) in recreational activities (OR = 0.79, 95%CI; 0.68-0.90, p < 0.001). Conclusions The prevalence estimate of meeting the recommended guideline of sufficient PA in Thai children and youth is low, despite the high levels of engagement in a large number of PA. The results indicate that policy and interventions aimed at increasing PA are needed with special attention required to address specific groups less likely to meet the PA guideline. Strategies to promote a large volume of participation in all possible types of PA as part of Thai children and youth’s daily life should be considered.http://link.springer.com/article/10.1186/s12966-017-0529-4ChildrenYouthPhysical activitySport and exercisePrevalenceCorrelates
spellingShingle Areekul Amornsriwatanakul
Leanne Lester
Fiona C. Bull
Michael Rosenberg
“Are Thai children and youth sufficiently active? prevalence and correlates of physical activity from a nationally representative cross-sectional study”
International Journal of Behavioral Nutrition and Physical Activity
Children
Youth
Physical activity
Sport and exercise
Prevalence
Correlates
title “Are Thai children and youth sufficiently active? prevalence and correlates of physical activity from a nationally representative cross-sectional study”
title_full “Are Thai children and youth sufficiently active? prevalence and correlates of physical activity from a nationally representative cross-sectional study”
title_fullStr “Are Thai children and youth sufficiently active? prevalence and correlates of physical activity from a nationally representative cross-sectional study”
title_full_unstemmed “Are Thai children and youth sufficiently active? prevalence and correlates of physical activity from a nationally representative cross-sectional study”
title_short “Are Thai children and youth sufficiently active? prevalence and correlates of physical activity from a nationally representative cross-sectional study”
title_sort are thai children and youth sufficiently active prevalence and correlates of physical activity from a nationally representative cross sectional study
topic Children
Youth
Physical activity
Sport and exercise
Prevalence
Correlates
url http://link.springer.com/article/10.1186/s12966-017-0529-4
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AT fionacbull arethaichildrenandyouthsufficientlyactiveprevalenceandcorrelatesofphysicalactivityfromanationallyrepresentativecrosssectionalstudy
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