Viriya Chea1*, Sodara Chan2, Roumany Yenn1,2
1- Khmer-Soviet Friendship Hospital (KSFH)
2- School of Public Health, National Institute of Public Health
* Corresponding email, Chea Viriya: viriyachea20793@gmail.com
Chhe Visal1*, Chhea Chhorvan1, Leang Supheap1
1-School of Public Health, National Institute of Public Health, Phnom Penh, Cambodia
*Corresponding author, Chhe Visal, Email: visal21ais@gmail.com
Chamnab Ngor1*, Wuddhika Invong1, Davy Man2, Pitou Ly3, Monychot Chuon2, Naiheak Ban3, Kimlee Khieu1
1 School of Public Health at the National Institute of Public Health, Cambodia
2 University of Health Sciences, Phnom Penh, Cambodia
3 Royal University of Agriculture, Phnom Penh, Cambodia
Socheata Yos1, Sodara Chan1, SiekChhay Chap1,2
1- School of Public Health at NIPH
2-Sihanouk Hospital, Center of Hope
Corresponding author: Socheata Yos: Email: rasocheata@gmail.com
Sotheara Heng1*, Chhorvann Chhea1
1 School of Public Health at the National Institute of Public Health, Cambodia
* Corresponding author: Heng S: hengsotheara@niph.org.kh
Khun Veha1*, Khieu Kimlee1, Heng Sopheab1
1- School of Public Health, National Institute of Public Health, Phnom Penh, Cambodia
*Corresponding author
Khun Veha, Email: vehakhun168@gmail.com
Sokhem Sok 1, Darapheak Chau2, Bora Ngauv2,3
1- Choray Phnom Penh Hospital (CRPH)
2- School of Public Health at NIPH
3- National Center for HIV, Dermatology and STIs, Phnom Penh
Corresponding author:
Sokhem Sok: drsokhem@gmail.com
Chanthong Nget1, Sodara Chan1, Seak Chhay Chap1,2
1- School of Public Health at National Institute of Public Health, Cambodia
2- Sihanouk Hospital Center of Hope, Phnom Penh
Corresponding author: Chanthong Nget chanthong.nget@gmail.com
Sopheaktra Oung1,2, Sodara Chan1, BunkeaTol1,3
1- School of Public Health, NIPH
2- Diagnostic Microbiology Development Program (DMDP)
3- National Center for Parasitology, Entomology and Malaria Control (CNM)
Corresponding author: Sopheaktra Oung: sopheaktra017@gmail.com
Tonghuy Lean1, Por Ir2, Heng Sopheab3
Corresponding author: Tonghuy Lean: tonghuy123.lean@gmail.com
Kimhuy Lip1,2*, Heng Sopheab2, Kennarey Seang1, Chhorvann Chhea2
Corresponding author: Kimhuy Lip: lipkimhuy01@gmail.com
Manith Nong1,2, Roumany Yenn1,3, Supheap Leang1
1- School of Public Health, National Institute of Public Health
2- Preah Ang Duong Hospital, Phnom Penh
3- Khmer Soviet Friendship Hospital, Phnom Penh
Corresponding author: Nong Manith manith.nong@gmail.com
Chansovannara Soputhy1*, Bunkea Tol1, Sopheab Heng1
1 School of Public Health at the National Institute of Public Health, Phnom Penh, Cambodia
*Corresponding author: Chansovannara Soputhy, Email: soputhynara@gmail.com
Sokvy Ma1*, Socheata Phou1, Chamnab Ngor1, Heng Sopheab1
1 School of Public Health at the National Institute of Public Health, Phnom Penh, Cambodia
*Corresponding author: Sokvy Ma, Email: sokvyma14@gmail.com
Ratha Khuon1*, Bunkea Tol1,2, Yom An1
*Corresponding author: Ratha Khuon, Email: ratha.khuon@gmail.com
Sopheap Yon1*, Bunchhoeung Tek2, Savuth Thai2, Vithiea Ouk2, Sengdoeurn Yi3
1Applied Epidemiology Training Officer (AET), Battambang Administrative Provincial Health Department
2AET Supervisor, Communicable Disease Control Department (CDC), MoH
3 AET Manager, Cambodia Field Epidemiology Training Program (FETP), CDC MoH
Linda Lay1, Chhorvann Chhea1, Kanha Sar1
1- The School of Public Health, NIPH
* Corresponding author: Linda Lay: lay_linda@rocketmail.com
Solida Sakhan1, 2*, Chhorvann Chhea1, Sovatha Mam3
*Corresponding author, Email: solidasakhan@gmail.com
Sitha Prum1*, Bunkea Tol1,2, Heng Sopheab1
1- School of Public Health at the National Institute of Public Health
2- National Center for Parasitology, Entomology and Malaria Control (CNM), Cambodia
* Corresponding author: Sitha Prum, Email: sithaprum87@gmail.com
Veasna Phok1,2*, Pichenda Koeut1,2, Por Ir1
1- School of Public Health of the National Institute of Public Health
2- Payment Certification Agency (PCA), Cambodia
*Corresponding author: Veasna Phok, Email: veasnaphok@gmail.com
Sothearath Chiv1*, Chivorn Var1, Sodara Chan1
1-School of Public Health of the National Institute of Public Health
*Corresponding author: Sothearath Chiv, Email: rath.chiv@gmail.com
Student's Abstract
Piseth Im1*, Chhorvann Chhea1, Sodara Chan1
1- School of Public Health at NIPH
*Corresponding author, Email: pisethim27@gmail.com
Student's Abstract
Kanika Srun1,2*, Chhorvann Chhea1, Heng Sopheab1
1- School of Public Health at the National Institute of Public Health
2- Provincial Health Department of Kampong Cham
*Corresponding author: Kanika Srun, Email: kanikasrun1@gmail.com
Introduction
Globally, the reported levels of physical inactivity and sedentary behavior are still high among adolescents, giving rise to noncommunicable diseases such as cancers, obesity, and metabolic and psychosocial problems. To date, there is limited knowledge on factors associated with physical inactivity and sedentary behavior among adolescents in Cambodia. Therefore, this study aimed to identify factors associated with physical inactivity and sedentary behavior among adolescents aged 13-17 years old.
Methods
This study used secondary data from the Global School-based Student Health Survey conducted in Cambodia in 2013 using a two-stage cluster sample design to select participants on a national scale from both urban and rural areas. In this study, we restricted in-school-adolescents aged between 13 and 17 with a total of 2840 samples. Outcome variables were physical inactivity and sedentary behavior. Explanatory variables in the study consisted of age, sex, grade, hunger experience, fruit, vegetable, soft drinks, fast-food consumption, bullying experience, feeling lonely, having close friends, cigarette usage, and weight. Stata version 16.0 was used to analyze the data taken into account the sampling weight. Univariate and multivariate logistic regression analyses were performed to determine associations between explanatory variables and outcome variables separately, physical inactivity and sedentary behavior.
Results
Overall, 50.6% of the students were males, and 49.4% were females. A majority of students were in grade 7 (30.3%). Most students had a normal weight range, but only 14.2% were underweight, and 3.7% were overweight. Among all respondents, 90.2% were physically inactive, and 11.8% had sedentary behavior. In multivariate logistic regression, only inadequate vegetable consumption was independently associated with physical inactivity (AOR = 1.78, 95% CI: 1.24-2.56). Inadequate fruit consumption (AOR = 1.65, 95% CI: 1.15-2.38) and students who had not experienced bullying (AOR = 1.52, 95% CI: 1.06-2.18) were the main predictors of sedentary behavior.
Conclusion
Approximately one in ten Cambodian adolescents live a sedentary lifestyle, and most are physically inactive. The main predictor of physical inactivity was having inadequate vegetable consumption. The main predictors of sedentary behavior were inadequate fruit consumption and those who did not experience bullying. Although secondary data were used, the current study provides additional findings that could be helpful in guiding health promotion programs for adolescents in schools to increase their vegetable and fruit consumption in their daily diet and further decrease their sedentary lifestyle.
Key words: Physical inactivity, Sedentary behavior, Sedentary lifestyle, Adolescents aged 13-17