Dr. Indrani Padmalatha Godakanda

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THE PATTERN OF PHYSICAL ACTIVITY, AMONG SCHOOL CHILDREN AGED 14-15 YEARS IN THE KALUTARA DISTRICT

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“THE PATTERN OF PHYSICAL ACTIVITY, AMONG SCHOOL CHILDREN AGED 14-15 YEARS IN THE KALUTARA DISTRICT” I. P. GODAKANDA SRI LANKA

THE PATTERN OF PHYSICAL ACTIVITY, AMONG SCHOOL CHILDREN AGED 14-15 YEARS IN THE KALUTARA DISTRICT :

THE PATTERN OF PHYSICAL ACTIVITY, AMONG SCHOOL CHILDREN AGED 14-15 YEARS IN THE KALUTARA DISTRICT I. P. Godakanda Chrishantha Abeysena Ayesha Lokubalasooriya 2nd International Conference on Public Health – 2016

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Non communicable diseases (NCDs) are the world’s biggest killers causing 36 million deaths every year. Chronic NCDs accounted for 71% of all deaths in Sri Lanka (Sri Lanka NCD Policy, 2009) as well. Insufficient physical activity, considered as a major contributor and modifiable risk factor for NCDs INTRODUCTION

OBJECTIVE :

To describe the pattern of physical activity, among school children aged 14-15 years in Kalutata district OBJECTIVE

STUDY DESIGN AND SETTING :

STUDY DESIGN AND SETTING School based Descriptive Cross Sectional Study Conducted during the period of September to November 2013 in Kaluthara district. It has relatively mixed ethnic composition and comprises 87.1% Sinhalese, 1.2 % Sri Lankan Tamils, 2.7 % Indian Tamils and 8.8 % Sri Lankan Moor. DR.I.P.GODAKANDA ICOPH - 2016 5 8/10/2016

THE STUDY POPULATION:

THE STUDY POPULATION The study population was adolescents aged 14-15 years studying in Grade 9 and 10 in schools of Kaluthara district and residing for a minimum period of six months in the Kalutara District . 8/10/2016 DR.I.P.GODAKANDA ICOPH - 2016 6

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According to the functional classification of schools by the Ministry of Education, Type - 1 AB, 1C and Type 2 schools , performed multi stage stratified cluster sampling technique with probability proportionate to the school children Total sample of 1800 were selected forming 90 clusters with 20 participants in each cluster. The primary sampling unit was the class room. SAMPLING TECHNIQUE DR.I.P.GODAKANDA ICOPH - 2016 7 8/10/2016

STUDY INSTRUMENT:

STUDY INSTRUMENT Self administered questionnaire Physical Activity Questionnaire – Sinhala (PAQ-S) used for data collection. Ranasinha (2009), translated in to Sinhala from the Global School Health Survey (GSHS) -2005 and validated for Sri Lanka using pedometers (objective motion monitors) r = 0.41.

Categorization of Physical Activity level:

Sufficiently active = participation in moderate to vigorous physical activity (MVPA) for at least 60 minutes per day for 5 or more days per week ( > 5 d/week) Insufficiently active = participation in moderate to vigorous physical activity (MVPA) for at least 60 minutes per day for less than 5 days per week ( < 5 d/week) Categorization of Physical Activity level ( Ranasingha 2009, Youth Risk Behavior Surveillance System 2011) DR.I.P.GODAKANDA ICOPH - 2016 9 8/10/2016

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RESULTS DR.I.P.GODAKANDA ICOPH - 2016 10 8/10/2016

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Characteristics Number % Age       14 Years   1225 68.1 15 Years 573 31.9 Gender     Male 990 55.2 Female 805 44.8 Sector of the School Urban 597 33.2 Rural 1198 66.8 Total 1795 100.00 Table 1: Socio demographic characteristics of the study sample DR.I.P.GODAKANDA ICOPH - 2016 11 8/10/2016

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Table 2: Physical activity level of adolescent school children aged 14-15 years Level of physical activity No %   Sufficiently active 595 33.1 Insufficiently active 1200 66.9 Total 1795 100.0 DR.I.P.GODAKANDA ICOPH - 2016 12 8/10/2016

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Table 3: Chi-square test to assess Physical Activity pattern of adolescents by sex   Sex Total Chi-square and P value     Male No % Female No %   Physical activity level         Sufficiently active 349 (35.1) 246 (30.6) 595 (33.1) x 2 = 4.102 Insufficiently active 641 (64.9) 559 (69.4) 1200 (66.9) df = 1 Total 990 (100) 805 (100) 1795 (100) P = 0.05 DR.I.P.GODAKANDA ICOPH - 2016 13 8/10/2016

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Table 4: Chi-square test to assess the Physical Activity pattern according to nutritional status of adolescents   Normal weight Over weight Under weight Total   Physical activity level         Sufficiently active 412(35.1) 48 (26.7) 135 (30.2) 595 (33.1) Insufficiently active 763 (64.9) 128 (73.3) 309 (69.8) 1200 (66.9) Total 1175 (100) 176 (100) 444 (100) 1795 (100) x 2 = 7.05 , df = 2 , P = 0.02 DR.I.P.GODAKANDA ICOPH - 2016 14 8/10/2016

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Table: 5 Chi square test to assess the Physical Activity pattern by their sector     Sector Total Chi-square and P value       Urban No % rural No %       Physical activity level         Sufficiently active 216 (35.1) 379 (30.6) 595 (33.1) x 2 = 5.33 Insufficiently active 381 (64.9) 819 (69.4) 1200 (66.9) df = 1 Total 597 (100) 1198 (100) 1795 (100) P = 0.01 DR.I.P.GODAKANDA ICOPH - 2016 15 8/10/2016

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Only about one third of the adolescents were engaged in sufficient level of physical activity. Male and normal weight participants were more active with significant association. Urban school participants were more active than rural participants significantly . CONCLUSION DR.I.P.GODAKANDA ICOPH - 2016 16 8/10/2016

RECOMMENDATIONS:

RECOMMENDATIONS Research planners, policy makers and programme implementers with the partnership of both in the health sector and other sectors should develop guidelines and interventional programmes to improve PA among all the categories of people in Sri Lanka. It is recommended to develop policies and plan to implement health promotional activities, to make the friendlier environment towards “active living,” thus enhancing the health and well-being of the society DR.I.P.GODAKANDA ICOPH - 2016 17 8/10/2016

THANK YOU:

THANK YOU DR.I.P.GODAKANDA ICOPH - 2016 18 8/10/2016

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