Overweight and obese populations in Asia are high and increasing rapidly. Physical activity prevalence studies have found low physical activity rates among Asian school-age children and adolescents. The purpose of this review is to establish a baseline for physical activity rates in Asian school-age children and adolescents and serve as a platform for additional research. Thirty articles published between 2000 and 2011 on physical activity prevalence of school-age children and adolescents were included in the review. Fourteen studies were conducted in East Asia, 10 in Southeast Asia, 2 in South Asia, and 2 in West Asia. Studies used subjective methods (questionnaires or diaries) and objective methods (accelerometers or heart rate monitors). Although nearly all studies found low physical activity levels, it was not possible to provide an accurate picture due to an absence of standardized, reliable, and economically viable measurement tools.
World Health Organization. Nutrition in Adolescence: Issues and Challenges for the Health Sector. Geneva, Switzerland: World Health Organization; 2005.
2.
FinkelsteinEAKhavjouOAThompsonH. Obesity and severe obesity forecasts through 2030. Am J Prev Med. 2012;42:563-570.
3.
PrenticeAM. The emerging epidemic of obesity in developing countries. Int J Epidemiol. 2006;35:93-99.
4.
LowSChinMCDeurenberg-YapM. Review on epidemic of obesity. Ann Acad Med Singapore. 2009;38:57-65.
5.
World Health Organization. Global Health Risks: Mortality and Burden of Disease Attributable to Selected major Risks. Geneva, Switzerland: World Health Organization; 2009.
6.
PopkinBMDoakCM. The obesity epidemic is a worldwide phenomenon. Nutr Rev. 1998;56:106-114.
7.
World Health Organization, Public Health Agency of Canada. Preventing Chronic Diseases: A Vital Investment. Geneva, Switzerland: World Health Organization; 2005.
8.
WangYLobsteinT. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes. 2006;1:11-25.
9.
Asia Pacific Cohort Studies Collaboration. The burden of overweight and obesity in the Asia-Pacific region. Obes Rev. 2007;8:191-196.
10.
NguyenTHTangHKKellyPvan der PloegHPDibleyMJ. Association between physical activity and metabolic syndrome: a cross sectional survey in adolescents in Ho Chi Minh City, Vietnam. BMC Public Health. 2010;10:141-149.
11.
ZalilahMSKhorGLMirnaliniKNorimahAKAngM. Dietary intake, physical activity and energy expenditure of Malaysian adolescents. Singapore Med J. 2006;47:491-498.
12.
Tudor-LockeCAinsworthBM. Physical activity and inactivity in Chinese school-aged youth: the China Health and Nutrition Survey. Int J Obes. 2003;27:1093-1099.
13.
MahfouzAAShatoorASKhanMYDafallaAAMostafaOAHassaneinA. Nutrition, physical activity, and gender risks for adolescent obesity in Southwestern Saudi Arabia. Saudi J Gastroenterol. 2011;17:318-322.
14.
LaitinenJPowerCJärvelinM. Family social class, maternal body mass index, childhood body mass index, and age at menarche as predictors of adult obesity. Am J Clin Nutr. 2001;74:287-294.
15.
HarperMG. Childhood obesity: strategies for prevention. Fam Community Health. 2006;29:288-298.
16.
OgdenLLYanowskiSZCarollMDFlegalM. The epidemiology of obesity. Gastroenterology. 2007;132:2087-2102.
17.
WabitschM. Overweight and obesity in European children: definition and diagnostic procedures, risk factors and consequence for later health outcome. Eur J Pediatr. 2000;159:8-13.
18.
CruzMLGoranMI. The metabolic syndrome in children and adolescents. Curr Diab Rep. 2004;4:53-62.
19.
WangGDietzWH. Economic burden of obesity in youth age 6 to 17: 1979-1999. Pedriatrics. 2002;109:81-91.
20.
McGuiganMRTatascioreMNewtonRPettigrewS. Eight weeks of resistance training can significantly alter body composition in children who are overweight or obese. J Strength Cond Res. 2009;23:80-85.
21.
HongXLiJXuF. Physical activity inversely associated with the presence of depression among urban adolescents in regional China. BMC Public Health. 2009;9:148.
22.
JanssenILeBlancAG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7:40.
23.
ChenLJHaaseAMFoxKR. Physical activity among adolescents in Taiwan. Asia Pac J Clin Nutr. 2007;16:354-361.
24.
SallisJSProchaskaJJTaylorWC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32:963-975.
25.
Van Der HorstKPawMJTwiskJWVan MechelenW. A brief review on correlates of physical activity and sedentariness in youth. Med Sci Sports Exerc. 2007;39:1241-1250.
26.
CorderKBrageSWrightA. Physical activity energy expenditure of adolescents in India. Obesity (Silver Spring). 2010;18:2212-2219.
27.
KaluskiDNMezengiaGDShimonyTGoldsmithRBerryEM. Prevalence and determinants of physical activity and lifestyle in relation to obesity among schoolchildren in Israel. Public Health Nutr. 2008;12:774-782.
28.
WangCKJChiaYHMQuekJJLiuWC. Patterns of physical activity, sedentary behaviours and psychological determinants of physical activity among Singaporean school children. Int J Sport Exerc Psychol. 2006;4:227-249.
29.
WangCKJBiddleSJHLiuWCLimBSC. A latent profile analysis of sedentary and physical activity patterns. J Public Health. 2012;20:367-373.
30.
WangCKJKohKTBiddleSJHChiaWChyeS. Physical activity patterns and psychological correlates of physical activity among Singaporean primary, secondary, and junior college students. ICHPER-SD J Res. 2011;6(2):3-9.
31.
FlorentinoRFVillaviejaGMLanaRD. Dietary and physical activity pattern of 8- to 10-year-old urban schoolchildren in Manila, Philippines. Food Nutr Bull. 2002;23:267-273.
32.
LachatCKVerstraetenRKhanh leNB. Validity of two physical activity questionnaires (IPAQ and PAQA) for Vietnamese adolescents in rural and urban areas. Int J Behav Nutr Phys Act. 2008;5:37.
33.
KhooSAl-ShamliAK. Leisure-time physical activity and physical fitness of male adolescents in Oman. Asia Pac J Public Health. 2012;24:128-135.
34.
HenryCJLightowlerHJAl-HouraniHM. Physical activity and levels of inactivity in adolescent females ages 11-16 years in the United Arab Emirates. Am J Hum Biol. 2004;16:346-353.
35.
YamauchiTKimSNLuZ. Age and gender differences in the physical activity pattern of urban schoolchildren in Korea and China. J Physiol Anthropol. 2007;26:101-107.
36.
MakKKDayJR. Secular trends of sports participation, sedentary activity and physical self-perception in Hong Kong adolescents, 1995-2000. Acta Paediatr. 2010;99:1731-1734.
37.
World Health Organization. Global Recommendations on Physical Activity for Health. Geneva, Switzerland: World Health Organization; 2010.
38.
US Department of Health and Human Services, US Department of Agriculture. Dietary Guidelines for Americans, 2005. 6th ed.Washington, DC: Government Printing Office; 2005.
39.
US Department of Health and Human Services. Healthy People 2010. Physical Activity and Fitness. Washington, DC: Government Printing Office; 2000.
40.
StrongWBMalinaRMBlimkieCJ. Evidence based physical activity for school-age youth. J Pediatr. 2005;146:732-737.
41.
KowalskiKCrockerPREDonenRE. The Physical Activity Questionnaire for Older Children (PAQ-C) and Adolescents (PAQ-A) Manual. Saskatoon, Saskatchewan, Canada: College of Kinesiology, University of Saskatchewan; 2004.
42.
ChiaM. Physical inactivity among children and adolescents in Singapore: a paradoxical issue. Acta Kinesiol. 2008;2:7-15.
43.
Tudor-LockeCAinsworthBEAdairLSDuSPopkinBM. Physical activity in Filipino youth: The Cebu Longitudinal Health and Nutrition Survey. Int J Obes. 2003;27:181-190.
44.
ChoMH. The strength of motivation and physical activity level during leisure time among youth in South Korea. Youth Soc. 2004;35:480-494.
45.
ChouYCPeiJS. Risk factors of adolescent obesity in Taiwan and its association with physical activity, blood pressure and waist circumference. Asian J Sports Med. 2010;1:214-222.
46.
Gonzalez-SuarezCBGrimmer-SomersK. Physical activity pattern of prepubescent Filipino school children during school days. J Sch Health. 2009;79:304-311.
47.
LiMDibleyMJSibbrittDWZhouXYanH. Physical activity and sedentary behaviour in adolescents in Xi’an City, China. J Adolesc Health. 2007;44:99-101.
48.
LiouYMChiangLC. Levels of physical activity among school-age children in Taiwan: a comparison with international recommendations. J Nurs Res. 2004;12:307-316.
49.
ShiZLienNKumarBNHolmboe-OttesenG. Physical activity and associated socio-demographic factors among school adolescents in Jiangsu Province, China. Prev Med. 2006;43:218-221.
50.
ChanEWAuEYChanBHKwanMKYiuPYYeungEW. Relations among physical activity, physical fitness, and self-perceived fitness in Hong Kong adolescents. Percept Mot Skills. 2005;96:787-797.
51.
WickramasingheVPLamabadusuriyaSPAtapattuNSathyadasGKuruparananthanSKarunarathneP. Dietary and physical activity pattern of school children in an urban area of Sri Lanka. Sri Lanka J Child Health. 2005;34:44-49.
52.
HuangYCMalinaRM. Physical activity and health related physical fitness in Taiwanese adolescents. J Physiol Anthopol Appl Human Sci. 2002;21:11-19.
53.
EkelundUAmanJYngveARenmanCWesterterpKSjöströmM. Physical activity but not energy expenditure is reduced in obese adolescents: a case-control study. Am J Clin Nutr. 2002;76:935-941.
54.
HuangYCMalinaRM. Physical activity and correlates of estimated energy expenditure in Taiwanese adolescents 12-14 years of age. Am J Hum Biol. 1996;8:225-236.
55.
YuCCWChanSChengFSungRYTHauK-T. Are physical activity and academic performance compatible? Academic achievement conduct, physical activity and self esteem of Hong Kong Chinese primary school children. Educ Stud. 2006;32:331-341.
56.
RowlandsAVEstonRGLouieLIngledewDKTongKKFuFH. Physical activity levels of Hong Kong Chinese children: relationship with body fat. Pediatr Exerc Sci. 2002;14:286-296.
57.
FreedsonPSMelansonESirardJ. Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc. 1998;30:777-781.
58.
Tudor-LockeCPangraziRPCorbinCB. BMI-referenced standards for recommended pedometer-determined steps/day in children. Prev Med. 2004;38:857-864.
59.
GorelyTMarshallSJBiddleSJHCameronN. The prevalence of leisure time sedentary behaviour and physical activity in adolescent girls: an ecological momentary assessment approach. Int J Pediatr Obes. 2007;4:289-298.
60.
LoucaidesCAJagoRTheophanousM. Physical activity and sedentary behaviours in Greek-Cypriot children and adolescents: a cross-sectional study. Int J Behav Nutr Phys Act. 2011;8:90-101.
61.
BoothA. Education and economic development in Asia: myths and realities. ASEAN Econ Bull. 1999;16:290-306.
62.
World Health Organization. Interventions on Diet and Physical Activity: What Works: Summary Report. Geneva, Switzerland: World Health Organization; 2009.
63.
MacnivenRBaumanAAbouzeidM. A review of population-based prevention studies of physical activity in adults in the Asia-Pacific region. BMC Public Health. 2012;12:41-51.
64.
SallisJFProchaskaJJTaylorWC. A review of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32:963-975.
65.
BiddleSJHAtkinAJCavillNFosterC. Correlates of physical activity in youth: systematic review of quantitative systematic reviews. Int J Sports Exerc Psychol. 2011;4:25-49.
66.
TelamaRYangXViikariJVälimäkiIWanneORaitakariO. Physical activity from childhood to adulthood: a 21-year tracking study. Am J Prev Med. 2005;28:267-273.
67.
EisenmannJCKatzmarzykPTTremblayMS. Leisure-time physical activity levels among Canadian adolescents, 1981-1998. J Phys Act Health. 2004;1:154-162.
68.
Gordon-LarsonPNelsonMCPopkinBM. Longitudinal physical activity and sedentary behaviour trends: adolescents to adulthood. Am J Prev Med. 2004;27:277-283.
69.
NelsonMCNeumark-StzainerDHannanPJSirardJRStoryM. Longitudinal and secular trends in physical activity and sedentary behaviour during adolescence. Pediatrics. 2006;118:1627-1632.
70.
ArmstrongNWelsmanJR. The physical activity patterns of European youth with reference to methods of assessment. Sports Med. 2006;36:1067-1086.
71.
PrinceSAAdamoKBHamelMHardtJConnor-GorberSTremblayM. A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008;5:56-79.
