Background: Physical activity (PA) is defined as any bodily movement produced by the contraction of skeletal muscles that results in a substantial increase in caloric requirements over resting energy expenditure. According to the World Health Organization(WHO), physical inactivity is considered the fourth leading risk factor for global mortality. Physical inactivity is associated with excess weight and adverse health outcomes. In particular, office-based screening of activity levels and physical activity counseling coupled with regular follow-ups and community support and referrals for physical activity, have been proven effective in increasing physical activity levels. In addition, the cost of integrating physical activity counseling and referral schemes into primary health care teams has been found feasible and cost-effective Physical activity can be defined as any movement of the body that requires energy expenditure.