DISCUSSION

Two factors that were focused in this study are low

level of physical activity and high sedentary behaviour
which are the risk factors associated with overweight
and obesity in children.
Physical activity was studied using both pedometer
and questionnaire.
Children with high physical activity have lower BMI,
BAZ and % BF and WC.
However, pedometer step counts was inversely
associated with childrens BMI percentile (Laurson et
al., 2014).
 This study also concluded that screen time was
associated with BAZ but not with BMI and % BF.
Children who had higher screen time had higher WC.
Average screen time in children is 3.1 hours and
increase in screen time also contributes to a higher
risk of obesity.
This is due to the lowering of the total daily energy
expenditure and increase in energy intake.
Besides that, rural children had higher daily step
counts that urban children because of their higher
outdoor activities.
 Outdoor activities also reduced childrens screen time
which further leads to lowering the prevalence of
overweight and obesity.
This study also revealed that boys had higher
physical activity level and higher screen time as
compared to girls, consistent with a previous study
done by Jago et al.
Household income, parental education level and
energy intake were also taken as confounders to
model the relationship between physical activity and
obesity.