Background: The 2016 Malaysia Active Healthy Kids Report Card aims to collect, assess, and grade current and comprehensive
data on physical activity (PA) and associated factors in Malaysian children and adolescents aged 5 to 17 years. Methods:
This report card was developed following the Active Healthy Kids Canada Report Card protocol. The Research Working Group
identified the core matrices, assessed the key data sources, and evaluated the evidence gathered for grade assignments. A grade
was assigned to each indicator by comparing the best available evidence against relevant benchmark using a standardized grading
scheme. Results: Overall Physical Activity, Active Transportation, and Sedentary Behavior were assigned the D grade. The
lowest grade of F was assigned to Diet, while School and Government Strategies and Investments were graded higher with a B.
Five indicators were assigned INC (incomplete) due to a lack of representative data. Conclusions: The report card demonstrates
that Malaysian children and adolescents are engaging in low levels of PA and active commuting, high levels of screen time, and
have extremely low compliance with dietary recommendations. More efforts are needed to address the root causes of physical
inactivity while increasing the opportunities for children and adolescents to be more physically active.