Background One in every ten deaths globally is accounted for by physical inactivity-related risks. Adolescents constitute 18% of the world’s total population and are at risk of becoming physically inactive in the future. Thus, this study aims to find the level of physical activity (PA) among late adolescents and factors that motivate and prevent them from being active. Methodology Four hundred and fifty adolescents in the age group of 18–19 years were included in the study. Standardized self-administered questionnaires such as the Global Physical Activity Questionnaire and the Behavioral Regulation in Exercise Questionnaire were used to assess the level of PA and level of motivation, respectively. In addition, barriers to participating in PA were also elicited. Results This study found that about one third of the subjects (32.4%) were physically inactive. The motivation levels were more pooled towards the self-determined motives and girls are more motivated towards PA than boys. However, PA among males is significantly higher than females. Healthy practices in families was also found to have significant association with increased PA. The major barriers found were the excessive use of electronic gadgets and lethargy. Conclusion One third of the adolescents in this study were physically inactive and several barriers that prevent them from taking up PA were elicited. Therefore, efforts should be taken to emphasize the importance of physical activity among individuals, family members and the peers at institutional level and community level so as to lay foundations for healthy lifestyles in the future. Basic prevention in the emergence of risk factors for non-communicable diseases (NCDs) like PA is vital to curb the growing burden of chronic diseases in our country.

A 32-year-old man, a known case of bronchial asthma was presented to our emergency department with chief complaint of sudden onset pain in the left lower chest wall after strong paroxysmal coughing due to aggravation of bronchial asthma symptoms. Chest pain was localised and aggravated with respiration without any radiation. There was no history of fever, abdominal pain, nausea and vomiting, diaphoresis or orthopnoea. History of any thoracic trauma, cardiac disease or osteoporosis due to chronic renal disease or any metabolic disease was not present. He was on intermittent oral and inhalational corticosteroid therapy, because of the uncontrolled bronchial asthma for last five years. On physical evaluation, he was tachypnoeic and vital was normal. He had tenderness over his left lower chest wall. Diffuse rhonchi were heard over both lung fields on auscultation. Cough is generally self-limited and uncomplicated, but can be associated with complications, particularly when it is paroxysmal and violent. Rib fracture is among the uncommon complications of cough. In this article, we report a case of 32year-old male who presented with complaints of acute chest pain after paroxysmal coughing and was diagnosed with cough fracture of the ninth rib on subsequent workup. Rib fracture in otherwise healthy young individual after coughing is not common. The purpose of this case report is to call attention on rib fracture as infrequent and often an unrecognised cause of sudden chest pain, so that it should be considered as differential diagnosis of acute chest pain after common causes. Coughing is a crucial defense mechanism in respiratory system and is usually uncomplicated, but sometimes can be with complications, especially when chronic. One of these complications is rib fracture. 1 In this case report, we present a case of cough fracture in young patient.

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