The leisure time and physical activity have an impact on physical and mental health and human well-being. The purpose of the present study was to examine the influence of leisure time on health status among Iranian high students. A Cross – Sectional Study was carried out among high school students in Ilam, Western of Iran during academic years 2014-2015. Sampling was performed using a multi-stage sampling method. Data were collected by demographic; the General Health Questionnaire-28 (GHQ) and Inventory Leisure Time Activities. SPSS software Package 16 was used to analyze the data of this project. A total 370 student was studied. Subjects consisted of 170 (45.9%) males and 200 (54.1%) females. The Mean ± SD overall score of general health was higher among female than male (P < 0.05). Among of health dimension, severe depressive symptoms had the highest prevalence (26%). While sever social dysfunction (15.4%) had the lowest prevalence of severe symptoms. However, there was not significant differences between total leisure time and gender, but also, the Mean ± SD overall score of active leisure time was higher among male than female (P = 0.00). Our finding indicated that the general health is lower in Iranian female students than male students. Also the mean overall score of active leisure time was higher among male than female.