Environment factors associated with adolescents' body mass index, physical activity and physical fitness in Kuching South City, Sarawak: a cross-sectional study.

This study examined the relationship between perceived built environment attributes and physical activity, physical fitness and body weight among adolescents aged 14-16 years in Sarawak. This was a cross-sectional study, using multi-stage sampling. A set of questionnaires consisting of socio-demographic information, a self-administered physical activity checklist and a Neighborhood Environment Walkability Scale-Youth (NEWS-Y) was used. Body mass index (BMI) was measured and physical fitness was tested using a maximal multistage 20 m shuttle run test. Data analysis was done using SPSS version 17.0. A total of 316 respondents participated. The mean BMI for boys was almost equal to the mean BMI for girls. Only 7.9% of the sampled population was found to be overweight or obese. The overall mean duration spent per day on physical activity was 128.4 min (SD 118.43), with mean of 56.1 min (SD 73.94) after school time. Girls reported to spend longer each day taking physical activity before and during school. Boys were found to have significantly higher VO2max of 27.79±5.91 mL/kg/min as compared to girls (t=11.22, p<0.000). Based on comparison with other countries, the NEWS-Y scores indicated a mixture of low and high walkability neighborhoods. Respondents who had lower BMIs reported living in lower residential density areas and less risk of crime, and respondents who had better physical fitness reported less suitable infrastructure for walking. Promotion of exercise at all levels should be continuously encouraged as it would lead to improvement in the well-being of an individual.