Association between health behaviours and cardiometabolic dysregulation: a population-based survey among healthy adults in Hong Kong

ObjectiveTo explore the association between cardiometabolic dysregulation, an integral component of allostatic load, and health risk behaviours (HRBs) of the Hong Kong healthy adult population.DesignSecondary analysis of cross-sectional anonymous data.SettingData on sociodemographics, self-reported health status, HRBs and biomarkers were extracted from the Hong Kong Population Health Survey 2014/2015.ParticipantsOne thousand five hundred and fifty-one participants aged 18–64 years without self-reported diagnoses of hypertension, diabetes mellitus, hyperlipidaemia, cardiovascular disease, cognitive impairment or cancer.Primary outcome measuresCardiometabolic dysregulation index (CMDI), ranging from 0 to 6, was calculated by counting the number of biomarkers including systolic blood pressure, diastolic blood pressure, waist to hip ratio, glycated haemoglobin, total cholesterol to high-density lipoprotein cholesterol ratio, and triglycerides that were above the respective normal level suggested by international guidelines and literature. HRBs including smoking, dietary habits and sleeping hours were collected by self-report questionnaire. Alcohol consumption was assessed by the 10-item Alcohol Use Disorders Identification Test, while physical activity level was measured using the Global Physical Activity Questionnaire. A composite HRB score, ranging from 0 to 5, was calculated as the cumulative number of HRBs. The effect of HRB on CMDI was evaluated by negative binomial regression with adjustment for socioeconomic status, health awareness and comorbidities of the participants.ResultsThe mean CMDI of the studied population was 1.6; 29.5% had a CMDI of 0, whereas 1.5% had a CMDI of 6. Significant difference was observed in mean CMDI between gender and different age groups. Sleeping less than 6 hours (incidence rate ratio (IRR)=1.26, p<0.001), smoking (IRR=1.15, p=0.027), insufficient physical activity (IRR=1.12, p=0.007) and higher composite HRB score (IRR=1.12, 95% CI 1.06 to 1.18) were significantly associated with higher CMDI.ConclusionSmoking, physical inactivity and inadequate sleep—an essential yet often overlooked health behaviour—were associated with higher CMDI in the Hong Kong healthy adult population.

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Prevalence, awareness , treatment and control of high blood pressure in the elderly according to the ethnic group. Colombian survey

Colombia Medica ◽

10.25100/cm.v50i2.4124 ◽

2019 ◽

pp. 115-127 ◽

Cited By ~ 1

Author(s):

Lena Barrera ◽

Fernando Gómez ◽

Delia Ortega ◽

Jairo Corhuelo ◽

Fabián Méndez

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

High Blood Pressure ◽

Skin Color ◽

Adult Population ◽

The Elderly ◽

Self Report ◽

Dark Skin ◽

And Control ◽

Light Medium

Introduction: High blood pressure (HBP) is the main cardiovascular risk factor, it is more prevalent in the older adult population, and the prevalence can vary between ethnic groups. Objective: To estimate the prevalence of HBP, knowledge, treatment and control in population aged ≥60 years, resident in Colombia, according to their ethnic condition. Methods: Population sample selected by multistage sampling. Ethnicity was defined based on skin color. HBP was defined as systolic blood pressure ≥140, and/or diastolic blood pressure ≥90 mm Hg, and/or the participants’ self-report. Controlled HBP at a blood pressure value <140/90, knowledge and treatment were identified by self-report. Results: 23,694 adults aged ≥ 60 years were included, of which 54.5%, 34.5% and 10.9% were respectively identified as having light, medium or dark skin color; 54.5% were women, and 78.1% resided in urban areas. The standardized prevalence of HBP, by age, was 57.7% (95% CI: 55.2 - 60.2); 51.4% (95% CI: 47.3-55. 5), in men; and 62.9% (60.9- 64.9), in women. The standardized prevalence for light, medium and dark skin in men was 53.2% (95% CI: 48.7-57.7), 49.6% (44.5-54.7), and 49.4% (95% CI: 41.0-57.8) respectively; and in women was 62.5% (95% CI: 60.5-64 , 5), 61.7% (95% CI: 57.8- 65.6), and 69.9% (95% CI: 63.6-76.2) respectively. 98% of the population received treatment, and 93.9% were aware of HBP diagnosis. 42.5% of men and 55.5% of women with HBP were under control. Only 21.8% performed regular physical activity. Conclusion: Half of the adult population aged over 60 years suffers from HBP; the prevalence is higher in women particularly in dark-skinned women. It is necessary to develop policies to increase physical activity in the elderly.

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The Effect of Pre-Quarantine Physical Activity on Anxiety and Depressive Symptoms during the COVID-19 Lockdown in the Kingdom of Saudi Arabia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18157771 ◽

2021 ◽

Vol 18 (15) ◽

pp. 7771

Author(s):

Abdulazeem S. Alotaibi ◽

Boukhemis Boukelia

Keyword(s):

Mental Health ◽

Physical Activity ◽

Saudi Arabia ◽

Depressive Symptoms ◽

Well Being ◽

Activity Level ◽

Self Report ◽

Sample Population ◽

Kingdom Of Saudi Arabia ◽

Significant Difference

The outbreak of COVID-19 and the changes to normal societal function and in particular quarantine has increased mental distress in many nations. A survey of 22,112 COVID-19-negative quarantined participants in the Kingdom of Saudi Arabia (age: 18–40 years, 42.6%; 40–60 years, 53.3%; over 60 years, 4.1%; mass, 78.9 ± 14.8 kg; stature, 167 ± 8.7 cm) were assessed for depressive symptoms using the online Beck Depression Inventory self-report questionnaire. The relationship between pre-quarantine physical activity and mental health and wellbeing during lockdown has been investigated. A significant difference in body mass index (BMI) between active and inactive participants (p = 0.03) was observed; with females also recording a 3% higher BMI than males. All participants showed a decrease in mental health compared to pre-quarantine. However, pre-quarantine inactivity was found to result in a greater negative impact on mental health and well-being than those active pre-quarantine (p < 0.01). The sedentary population had a 4-fold greater incidence of mild-depression than the active population. This suggests that activity level plays an important role in shielding people from anxiety and stress, whilst it builds mental strength in individuals that can be called upon in trying and difficult situations. Nevertheless, pre-quarantine activity levels did not lead to any significant change in levels of extreme depression in the sample population.

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Relationships among Physical Activity, Health-Related Quality of Life, and Weight Stigma in Children in Hong Kong

American Journal of Health Behavior ◽

10.5993/ajhb.45.5.3 ◽

2021 ◽

Vol 45 (5) ◽

pp. 828-842

Author(s):

Ruckwongpatr Kamolthip ◽

Xavier C. C. Fung ◽

Chung-Ying Lin ◽

Janet D. Latner ◽

Kerry S. O'Brien

Keyword(s):

Physical Activity ◽

Hong Kong ◽

Primary Schools ◽

Cross Sectional Study ◽

Weight Stigma ◽

Activity Level ◽

Mediating Effect ◽

Cross Sectional ◽

Significant Difference ◽

The Relationship

Objectives: Our objective in this study was to establish the relationships among active and inactive physical activity, HRQoL, and weight stigma in children. Additionally, we investigated weight stigma as a mediator of the relationship between physical activity and HRQoL.Methods: This cross-sectional study was conducted in Hong Kong (June 2017-July 2018). Participants were 437 children in elementary school (2 primary schools and 2 non-governmental organizations) and their parents (dyads). Participants completed questionnaires containing items assessing demographic characteristics, physical activity level, and several HRQoL measures.Results: We found a statistically significant difference between a higher physically activity group (exercise > 2 hours/week) in all measures of HRQoL. Weight stigma had a significant mediating effect on the relationship between physical activity and child-rated HRQoL (Coefficient = -0.37; SE=0.05; t = 8.21; p < .001), parent-rated HRQoL (Coefficient = -0.16; SE = 0.04; t = 4.21; p < .001), and child-rated weight-related QoL (Coefficient = -0.56; SE = 0.04; t = 14.92; p < .001). Conclusions: Physical activity was associated with better HRQoL and lower weight stigma. Weight stigma appears to affect how physical activity is related to better HRQoL, but the association is somewhat weak.

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Physical Activity Level and Motor Aptitude: Motor Domains and Identification Capacity of Brazilian Insufficiently Active Older Adults

Current Aging Science ◽

10.2174/1874609813666200928141220 ◽

2020 ◽

Vol 13 ◽

Author(s):

Lucia Maria Andreis ◽

Fernando de Aguiar Lemos ◽

Lorenna Walesca de Lima Silva ◽

Cassiana Luiza Pistorello Garcia ◽

Gabrielli Veras ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Physical Activity Level ◽

Area Under The Curve ◽

The Elderly ◽

Activity Level ◽

General Motor ◽

Body Scheme ◽

Significant Difference ◽

Global Coordination

Background: A decrease in the physical activity level in old age is common, which results in an increase in the number of falls and chronic conditions. Associated with that occurs the decline in motor skills as a result of the deficit in the interaction of cognitive and motor processes. Physical activity level can be associated differently with each motor domains. Objective: We analyzed the relationship between physical activity level and motor aptitude, and to identify which motor domains were most sensitive to detect insufficiently active level in older adults. Methods: Participated in the study 385 elderly people of both sexes. For the evaluation of the subjects were adopted the International Questionnaire on Physical Activity and the Motor Scale for Older Adults. Results: The majority of the elderly were active. In the comparison of motor aptitude between active and insufficiently active (IAC) elders a significant difference was found in the Global Coordination, Balance, Body Scheme and General Motor Aptitude. From the analysis of the area under the curve (AUC), we verified that these domains also were the ones that presented adequate diagnostic accuracy to identify IAC elderly. Besides that active elderly have presented the General Motor Aptitude classified within normality while the IAC below the normal. Conclusion: Our data suggest that IAC older adults present lower motor aptitude than the active elderly, especially in the domains of Global Coordination, Balance, Body Scheme and General Motor Aptitude, and that these domains were sensitive to indicate IAC older adults.

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Quality of Life, Physical Activity Level and Psychological Profile of Nigerians with Serious Mental Illness and Healthy Psychotropic Naive Subjects (Preprint)

10.2196/preprints.24709 ◽

2020 ◽

Author(s):

Christian Arinze Okonkwo ◽

Peter Olarenwaju Ibikunle ◽

Izuchukwu Nwafor ◽

Andrew Orovwigho

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Mental Illness ◽

Serious Mental Illness ◽

Activity Level ◽

Psychological Profile ◽

Cross Sectional Survey ◽

Significant Difference ◽

Apparently Healthy

BACKGROUND Quality of life (QoL), physical activity (PA) level and psychological profile (PF) of patients with serious mental illness have been neglected during patient’s management OBJECTIVE The purpose of this study was to determine the effect of selected psychotropic drugs on the QoL, PA level and PF of patients with serious mental illness METHODS A cross sectional survey involving one hundred and twenty-four subject [62 Serious Mental Illness (SMI) and 62 apparently healthy subjects as control] using purposive and consecutive sampling respectively .Questionnaires for each of the constructs were administered to the participants for data collation. Analysis of the data was done using non parametric inferential statistics of Mann-Whitney U independent test and Spearman’s rho correlation with alpha level set as 0.05. RESULTS Significant difference was recorded in the QoL (p<0.05) of patient with SMI and apparently healthy psychotropic naive participants. There was a significant correlation between the QoL (p<0.05) and PF of participants with SMI. Participants with SMI had significantly lower QoL than apparently healthy psychotropic naive subject. QoL of the healthy psychotropic naive group was better than those of the participants with SMI. Female participants with SMI had higher PA than their male counterparts CONCLUSIONS Psychological profiles of male participants with SMI were lower than male healthy psychotropic naive participants. Clinicians should take precaution to monitor the QoL, PA level and PF because the constructs are relevant in evaluation of treatment outcome.

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Effect of mindfulness on physical activity in primary healthcare patients: a randomised controlled trial pilot study

Pilot and Feasibility Studies ◽

10.1186/s40814-021-00810-6 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Peter Nymberg ◽

Susanna Calling ◽

Emelie Stenman ◽

Karolina Palmér ◽

Eva Ekvall Hansson ◽

...

Keyword(s):

Physical Activity ◽

Study Design ◽

Controlled Trial ◽

Dropout Rate ◽

Activity Monitor ◽

Activity Level ◽

Self Report ◽

Ethical Review ◽

Mixed Effect ◽

Registration Number

Abstract Increased physical activity can have health benefits among inactive individuals. In Sweden, the healthcare system uses physical activity on prescription (PAP) to motivate patients to increase their physical activity level. Mindfulness may further heighten the internal motivation to engage in physical activity. However, previous research has not demonstrated clear evidence of such an association. Aim Examine the feasibility of the study design as a preparation for a full-scale study, and examine the differences, between three interventions, in change over time in physical activity levels and in related variables. Method Comparison between three different interventions in an ordinary primary health care setting: PAP, mindfulness, and a combination of PAP and mindfulness. Physical activity was measured with self-report and ACTi Graph GT1X activity monitor. Statistical analysis was performed with a mixed-effect model to account for repeated observations and estimate differences both within groups and between groups at 3- and 6-months follow-up. Results Between September 2016 and December 2018, a total of 88 participants were randomised into three groups. The total dropout rate was 20.4%, the attendance rate to the mindfulness courses (52% > 6 times) and the web-based mindfulness training (8% > 800 min) was low according to the stated feasibility criteria. Eleven participants were excluded from analysis due to low activity monitor wear time. Neither the activity monitor data nor self-reported physical activity showed any significant differences between the groups. Conclusion The study design needs adjustment for the mindfulness intervention design before a fully scaled study can be conducted. A combination of PAP and mindfulness may increase physical activity and self-rated health more than PAP or mindfulness alone. Trial registration ClinicalTrials.gov, registration number NCT02869854. Regional Ethical Review Board in Lund registration number 2016/404.

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Abstract 13170: Endothelial Function is Impaired in Relation to Alcohol Consumption in Men in a Large General Population

Circulation ◽

10.1161/circ.132.suppl_3.13170 ◽

2015 ◽

Vol 132 (suppl_3) ◽

Author(s):

Nozomu Oda ◽

Yukihito Higashi ◽

Masato Kajikawa ◽

Tatsuya Maruhashi ◽

Akimichi Iwamoto ◽

...

Keyword(s):

Blood Pressure ◽

Alcohol Consumption ◽

General Population ◽

Endothelial Function ◽

Vascular Function ◽

Density Lipoprotein ◽

Self Report ◽

Lipoprotein Cholesterol ◽

Adjusted Risk ◽

Significant Difference

Introduction: Endothelial function is impaired in heavy or binge drinking. Heavy drinking should be a predictor of endothelial dysfunction. However, there is little information on the effects of dose-dependent alcohol consumption on endothelial function. Therefore, we evaluated the relationship between alcohol consumption and endothelial function in a large general population. Methods and Results: We measured flow-mediated vasodilation (FMD) in 2734 men who provided self-report about habitual alcohol intake. The subjects were divided into five groups by alcohol consumption: none (0 g/week), light (0 g/week< to ≤140 g/week), moderate (140 g/week< to ≤280 g/week), heavy (280 g/week< to ≤420 g/week), and excessive (420 g/week<). Age, systolic blood pressure, diastolic blood pressure, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, gamma glutamyl transpeptidase, uric acid, plasma glucose, hemoglobin A1c, and current smoking were significantly correlated with alcohol consumption. FMD showed a gradual decrease according to increased alcohol consumption (none, 6.6±3.4%; light, 6.2±3.0%; moderate, 6.0±3.0%; heavy, 5.5±2.9%; excessive, 5.3±3.0%; P<0.01). There was a significant difference in FMD between the non-drinker group and the light drinker group (P=0.018). After adjusted risk factors, we showed the significantly smaller FMD in the 4 drinker groups than in the non-drinker group: light drinker group (OR, 1.38; 95% CI, 1.10 to 1.75), moderate drinker group (OR, 1.36; 95% CI, 1.01 to 1.82), heavy drinker group (OR, 2.05; 95% CI, 1.46 to 2.87), excessive drinker group (OR, 2.04; 95% CI, 1.43 to 2.89). Conclusions: These findings suggest that even light alcohol consumption impair the endothelial function. Alcohol drinking may be harmful for vascular function.

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Maternal Prepregnancy Overweight and Offspring Fatness and Blood Pressure: Role of Physical Activity

Pediatric Exercise Science ◽

10.1123/pes.22.3.369 ◽

2010 ◽

Vol 22 (3) ◽

pp. 369-378 ◽

Cited By ~ 6

Author(s):

Joey C. Eisenman ◽

Mark A. Sarzynski ◽

Jerod Tucker ◽

Kate A. Heelan

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Vigorous Physical Activity ◽

Self Report ◽

Body Fatness ◽

X Ray ◽

Prepregnancy Bmi ◽

Maternal Overweight ◽

The Relationship

The purpose of this study was to examine if offspring physical activity may affect the relationship between maternal overweight and offspring fatness and blood pressure (BP). Subjects included 144 maternal-child pairs (n = 74 boys and 70 girls, mean age = 7.3 yrs). Maternal prepregnancy BMI was determined by self-report. Offspring characteristics included resting systolic and diastolic BP, body fatness by dual energy x-ray absorbtiometry, and moderate-to-vigorous physical activity (MVPA) using the Actigraph accelerometer. Children whose mothers were overweight or obese prepregnancy (Prepreg OW) were significantly larger and fatter than children from mothers with a normal prepregnancy BMI (Prepreg NORM). Prepreg OW children also had higher mean arterial pressure than Prepreg NORM children. BP values were not different across maternal Prepreg BMI/MVPA groups. Percent fat was significantly different across Prepreg BMI/MVPA groups. Prepreg OW children that did not meet the daily recommended value of MVPA were the fattest. Prepreg OW children that attained 360 min of MVPA/day had a mean percent body fat that was similar to Prepreg NORM children of either MVPA group.

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Level aktifitas fisik dan faktor risiko penyakit kardiovaskuler pada karyawan kantor di universitas

Jurnal Keolahragaan ◽

10.21831/jk.v8i2.32541 ◽

2020 ◽

Vol 8 (2) ◽

Author(s):

Febriani Fajar Ekawati ◽

Tri Winarti Rahayu ◽

Hendrig Joko Prasetyo

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Blood Pressure ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Pearson Correlation ◽

Activity Level ◽

Noncommunicable Diseases ◽

Cross Sectional ◽

University Employees

Noncommunicable Diseases (NCDs) merupakan salah satu penyebab kematian utama di dunia. Kurangnya aktivitas fisik dapat meningkatkan risiko penyakit ini. Meskipun telah banyak penelitian yang menyelidiki tentang hubungan aktivitas fisik dan faktor risiko penyakit kardiovaskuler, hanya terdapat beberapa penelitian di Indonesia yang menelaah tentang peran aktivitas fisik dalam perkembangan penyakit kardiovaskuler. Penelitian ini bertujuan untuk mendeskripsikan tentang tingkat aktivitas fisik dan menyelidiki hubungannya dengan faktor risiko penyakit kardiovaskuler pada karyawan kantor di lingkungan Universitas Sebelas Maret (UNS). Penelitian ini menggunakan desain penelitian potong lintang, dengan jumlah sampel sebanyak 44 orang. Data level aktivitas fisik diperoleh dari International Physical Activity Questionnaire (IPAQ). Sedangkan faktor-faktor risiko penyakit kardiovaskuler (gula darah, kolesterol, tekanan darah, lingkar pinggang, dan IMT) diukur dengan menggunakan alat ukur yang sesuai. Hasil penelitian menunjukkan bahwa level aktivitas fisik karyawan berkategori Rendah sebesar 6.82%, Sedang sebesar 72.73%, dan Tinggi sebesar 20.45%. Berdasarkan uji Pearson Correlation, tekanan darah baik sistolik dan diastolik mempunyai hubungan yang signifikan dengan level aktivitas fisik. Tidak ada hubungan yang signifikan antara level aktivitas fisik dengan faktor risiko lainnya dalam penelitian ini. Secara umum penelitian ini menunjukkan bahwa level aktivitas fisik karyawan di lingkungan UNS adalah berkategori sedang, dan tekanan darah mempunyai hubungan yang signifikan dengan aktivitas fisik. Physical activity level and cardiovascular risk factors among university employees AbstractNoncommunicable Diseases (NCDs) are one of the leading deaths in the world. Insufficiency of physical activity (PA) escalate the risk of NCDs. Although the reports of the studies investigating the relationship between PA and cardiovascular risk factors are abundance, only a few studies in Indonesia examined the role of PA in the development of cardiovascular diseases. The aim of this study was to describe the level of PA and investigate the relationships between PA and cardiovascular risk factors among UNS employees. This was a cross sectional study with a sample of 44 university employees. PA level was assessed using IPAQ. Meanwhile cardiovascular risk factors such as plasma glucose, cholesterol, blood pressure, waist circumference, and BMI were measured using an appropriate tool for each measure. The results revealed that participants with low level of PA (6.82%), moderate category (72.73%), and high category (20.45%). Pearson Correlation analysis showed blood pressure both systolic and diastolic had a significant association with PA level. There was no a significant association between PA level and others cardiovascular risk factors in this research. Generally, this study exhibited the level of PA among UNS employees in the moderate category, and blood pressure had a significant association with PA.

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Level of physical activity in undergraduate students in Peshawar, Pakistan

Asian Journal of Health Sciences ◽

10.15419/ajhs.v7i1.481 ◽

2021 ◽

Vol 7 (1) ◽

pp. ID20

Author(s):

Shahid Alam ◽

Sardar Bakht Khan ◽

Qamar Wahid Khattak ◽

Syed Zain Ul Abidin ◽

Salman Farooqi ◽

...

Keyword(s):

Physical Activity ◽

Undergraduate Students ◽

Physical Inactivity ◽

Short Form ◽

Demographic Data ◽

Activity Level ◽

P Value ◽

Moderate Physical Activity ◽

Significant Difference ◽

The University

Background: Physical activity is one of the leading health indicators, considered an essential factor in the population's health and quality of life promotion. Physical inactivity is the fourth leading risk factor for global mortality. Physical inactivity has been linked with chronic disease and obesity in most populations. This study aims to compare the prevalence of physical activity and overweight/obesity among students of the university. Methods: A cross-sectional survey was conducted from March to September 2019 on undergraduate students from different departments of Peshawar University. A sample of 377 (male n = 243, female n = 134) was taken through convenience sampling. Those individuals who were physically disabled and not willing to participate were excluded from the study. Those meeting the inclusion criteria were given the International Physical Activity Questionnaire (IPAQ short form). Demographic data included age, weight, and height was self-stated by the participants. The levels of physical activity in each of three domains (leisure, transport, and domestic) were calculated and presented as metabolic equivalent (M.E.T.) hour per week in the form of means, percentage, and frequency in different physical activity domains. Results: The overall sample showed that 13.70% of participants were inactive, 27.76% showed a low level of physical activity, 41.29% showed moderate physical activity level, and 17.24% showed a high level of physical activity. A total of 90.98% of participants were involved in leisure physical activities, 93.10% presented transport-related physical activity, and 74.80% were involved in domestic-related physical activity. Average time spent during sitting was found to be 53.32 hrs/week and 7.61 hrs/ day, with females being more involved in sitting activities as compared to males. A significant difference was found between B.M.I. and sitting domain (p-value 0.002) with a Pearson value of -0.12 showing a negative correlation. Conclusion: The B.M.I. and Physical Activity are found negatively associated with each other. Male students were more physically active than females as females spend their majority of time sitting. It is concluded that students are moderately active, while a minimal percent of students are highly active. There were a few numbers of respondents too who were physically inactive, which shows that there is still unawareness of physical activity on the university level.

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