Introduction: Physical inactivity is the fourth leading risk factor for mortality globally. The
Southern Pacific region is worst struck by the associated obesity epidemic and in Tonga 92.1
% of the adults are overweight or obese. The sedentary lifestyle is established in adolescence
and is considered a combination of globalization and sociocultural factors- which especially
disfavors women to conduct physical activity.
Aims: The aim of this study was to investigate the knowledge, attitudes and behaviors of
physical activity among adolescents in Tonga to identify possible barriers and facilitators.
Methods: The study was set in the town of Neiafu, in the Vava’u island group of Tonga. Data
was mostly collected from students, aged ~ 15 years, and their teachers. A Rapid Assessment
methodology was used and collection methods mainly consisted of Semi-Structured
Interviews (n = 19) and Focus Group Discussions (n = 6, participants n = 46).
Results and discussion: Team sports are the most popular among the students: for girls
netball and soccer, for boys rugby and soccer. The Tonga Health Promotion Foundation was
well-known among both students and teachers. Barriers were by students mostly identified at
an environmental level. Teachers mostly identified barriers on a more general SocialEcological
level. Facilitators were mostly identified on an individual level. The suggestions
proposed were mostly on a more general community and societal level. This is an explorative
study and conclusions are also limited by the small sample size.
Conclusion: Physical activity among adolescents is influenced by many factors on different
levels. The lack of opportunity for continuous physical activity is evident and sociocultural
factors are especially important to address the issue.