Report Card Grades

Overall Physical Activity: D+

Organized Sport and Physical Activity: INC

Active Play: INC

Active Transportation: A-

Sedentary Behavior: B+

Physical Fitness: INC

Family and Peers: A

School: INC

Community and Environment: C-

Government: INC

Top Three Priorities

  1. Need of quality evidence on physical activity of children and youth (We need  national surveys with adequate samples of children and youth to represent the socio-economic and geographical diversity of the country).
  2. Investment in physical activity research and promotion (Physical activity of children and youth should be a priority issue among different sectors).
  3. Information dissemination and advocacy for promotion of all domains of physical activity.

Report Card Leader

Narayan Subedi, Ph.D. CandidateNarayan 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.

Testimonial

"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

Conference Abstract: Movement to Move

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

IndicatorGrade
Overall Physical ActivityD+
Organized Sport ParticipationINC
Active PlayINC
Active TransportationA-
Sedentary BehavioursB+
Physical FitnessINC
Family and PeersA
SchoolINC
Community and EnvironmentC-
GovernmentINC

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.