Narayan Subedi, Ph.D. Candidate
Narayan Subedi is currently a final year Doctoral Student at the School of Exercise and Nutrition Sciences at Deakin University, Australia. He is an Assistant Professor at the Central Department of Public Health at the Institute of Medicine, Tribhuvan University, Nepal, since 2015. He completed his undergraduate and post-graduate degree in Public Health from the same institute, currently working. His research interests are in the fields of physical activity and nutrition, implementation science and telehealth. Mr Subedi also led the country team for Global Matrix 3.0.
Susan Paudel, Ph.D. Candidate
Susan Paudel is currently a PhD student at Monash University, and her PhD project is related to physical activity and chronic diseases among Nepalese adults. Susan has been researching physical activity and sedentary behaviour among different sub-groups in Nepal for the last eight years. She has an undergraduate and postgraduate degree in public health from the Institute of Medicine, Tribhuvan University, Nepal, and a master’s degree in health promotion from Curtin University, Australia. She is the country contact for Nepal – The Global Observatory for Physical Activity (GoPA) and was also involved in developing Nepal’s report card on physical activity for children and youth under Global matrix 3.0.
Narayan Subedi, Ph.D. Candidate
Narayan Subedi is currently doing his PhD at School of Exercise and Nutrition Sciences at Deakin University, Australia. He is an Assistant Professor of Public Health at Maharajgunj Medical Campus, Tribhuvan University, Nepal. His research interest areas include physical activity and nutrition, implementation science and telehealth.
"This is the first time Nepal participated in Active Healthy Kids Global Alliance Global Matrix 3.0 development process and it has been a wonderful experience working in collaboration. We believe, this initiative is crucial for understanding the activity levels of our kids, identify the research gaps and work together to get the kids more active." - Narayan Subedi, Ph.D. Candidate
Nepal’s 2018 Report Card on Physical Activity for Children and Youth
Narayan Subedi1,2,3, Susan Paudel3, Sudip Nepal4, Ashmita Karki4, Mahendra Magar5, Suresh Mehata6
1Department of Community Medicine and Public Health, Maharajgunj Medical Campus, Tribhuvan University, Nepal
2Nepal Public Health Foundation
3Nepal Development Society
4Maharajgunj Medical Campus, Tribhuvan University
5Center for Community Development Nepal
6Ipas Nepal
Presenting author: Narayan Subedi subedi.narayan@gmail.com
Introduction
Consolidated evidence on the prevalence of physical activity of children and youth across different domains is not available in Nepal. This report card has attempted to summarize the available physical activity data of children and youth, and identify the data and research gaps.
Methods
A team was formed to review and synthesize available physical activity data of children and youth in Nepal. Different databases (Medline, EMBASE, PsycINFO, and CENTRAL) were systematically searched for papers published between 2000 and February 2018. Manual search of grey literature was also done. Out of 857 identified records, only 6 had relevant physical activity data related to the indicators among 5-17 years old. Grading was done based on Global Matrix 3.0 grading scheme.
Results
Overall physical activity of children and youth received ‘D+’ grade in Nepal but some papers with different indicator reported that Nepalese children are quite active. However, a large nationally representative sample is needed to validate this. Use of active transportation and support of family and peers were graded as ‘A-’ and ‘A’ respectively. Data was unavailable to appropriately grade five of ten indicators while all the studies used questionnaire to assess PA.
Table 1: PA indicators and grades
Indicator | Grade |
Overall Physical Activity | D+ |
Organized Sport Participation | INC |
Active Play | INC |
Active Transportation | A- |
Sedentary Behaviours | B+ |
Physical Fitness | INC |
Family and Peers | A |
School | INC |
Community and Environment | C- |
Government | INC |
Conclusions/recommendations
Overall physical activity level of Nepalese children was found to be low however, considering the small sample size and the study being limited to a small geographic area, it might not give a generalized scenario of the context. Lack of data on five out of ten indicators clearly highlights the research gap and the need for comprehensive studies.