The progress of urbanization in Malaysia is a positive sign for the country to cope with the current technology, but these circumstances lead to an increase in the cost of living. The urgency of life might force the low-income people to focus more on earning money and neglect physical activity. The relation between household income and physical activity are less concern among researchers. Thus, the purpose of this study is to expand the association of the income level of families on the health of children, especially their physical activity, cardiorespiratory-endurance and body mass index (BMI). A total of 141 children aged 10 to 12 years old were recruited in this study. The height and weight of the participants were recorded, and they were asked to perform a 1600 meters run for cardiorespiratory endurance test and fill up children’s leisure activities study survey (CLASS). A correlation spearman was employed in this study. The results show a significant but low positive correlation in physical activity (rs = 0.24, p < 0.05) and body mass index (rs = 0.19, p < 0.05) toward socioeconomic status of family among children while, cardiorespiratory endurance shows significant but low negative correlation (rs = -0.23, p < 0.05). From the result, it is indicating that household income influences the children’s health literacy. Usually, the children tend to counterfeit their parent’s lifestyle. In this case, primary school children are lacking health literacy and the importance of involving physical activity. There are immense benefits of performing regular physical activity such as improving cardio-endurance performance and could avoid non-communicable disease. This research can help everyone have a basic understanding of the association of household income and children's health literacy which may impact the future society.
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