PURPOSE This study aimed to analyze physical activity (sedentary, light, moderate to vigorous physical activity [MVPA]) characteristics of middle school students based on region (urban and rural) and sex. METHODS Data were collected from 216 students across 6 middle schools located in medium-sized urban (3 schools) and rural areas (3 schools), and the relevant physical activity was measured using a three-dimensional accelerometer (GT3X model). The collected data were inputted into the SPSS 20.0, and descriptive analysis and two-way ANOVA based on region and gender were performed (<.05). RESULTS The descriptive statistical analysis resulted in the following achievement rate of the physical activity standard (MVPA 60 minutes/day): 9.4%. The two-way ANOVA showed that the main effect according to gender was found in sedentary activity (F=5.258), light activity (F=6.790), and MVPA (F=32.274); furthermore, the main effect according to region was found in light activity (F=10.888) and MVPA (F=7.876). Interaction effect according to region and gender was found at all intensities, and the gap between rural and urban in male students was larger compared to that of female students. CONCLUSIONS After COVID-19, the level of physical activity among adolescents has worsened; this study found the problem of "decrease in physical activity; increase in sedentary activity" to be more serious among male students in urban areas.
