Correlates of compliance with recommended levels of physical activity in children
Open accessAbstract
The purpose of this study was to describe children's daily compliance with moderate-to-vigorous physical activity (MVPA) recommendations across a week in different parts of the world, and to identify individual- and school-level correlates that may explain differences in daily MVPA compliance. The sample included 6553 children aged 9-11 years from 12 countries, and multilevel statistical analyses were used, including both child- and school-level variables. Most children did not comply with the MVPA guidelines on a daily basis: Chinese children complied the least, whereas Finnish, Australian, Colombian, UK, and Kenyan children complied the most. Boys (rate ratio [RR] = 1.47) and children with higher unhealthy diet scores (RR = 1.08) complied more, but overweight/obese children (RR = 0.81), earlier maturing children (RR = 0.93), and those who spent more time in screen activities (RR = 0.98) and sleeping (RR = 0.96) had the lowest compliance. At the school level, children with access to playground or sport equipment (RR = 0.88, for both) tended to comply less, whereas those with access to a gymnasium outside the school hours complied more with the MVPA guidelines (RR = 1.14). Significant between-country differences in children's daily MVPA compliance were observed, reflecting not only site characteristics, but also the importance of individual traits and local school contexts.
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Less than 5% of 9- to 11-year-olds across 12 countries met physical activity guidelines.
“a recent review found that less than 5% of 9- to 11-year-olds across 12 countries met the guidelines,3”
From A mixed-studies systematic review and meta-analysis of school-based interventions to promote physical activity and/or reduce sedentary time in children (2020) · cites this paper as [3]
The majority of children do not meet physical activity guidelines.
“it is widely reported that the majority of children do not meet these guidelines.”
From A mixed-studies systematic review and meta-analysis of school-based interventions to promote physical activity and/or reduce sedentary time in children (2020) · cites this paper as [3]
A recent multilevel, worldwide review highlighted local school contexts as important correlates to physical activity in children.
“a recent multilevel, worldwide review highlighted local school contexts as important correlates to PA in children.3”
From A mixed-studies systematic review and meta-analysis of school-based interventions to promote physical activity and/or reduce sedentary time in children (2020) · cites this paper as [3]
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- Authors
- Gomes, T. N., Katzmarzyk, P. T., Hedeker, D., Fogelholm, M., Standage, M., Onywera, V., Lambert, E. V., Tremblay, M. S., Chaput, J.-P., Tudor-Locke, C., Sarmiento, O., Matsudo, V., Kurpad, A., Kuriyan, R., Zhao, P., Hu, G., Olds, T., Maher, C., & Maia, J.
- Affiliations
- Universidade do Porto (PT)
- Pennington Biomedical Research Center (US)
- University of Chicago (US)
- University of Helsinki (FI)
- University of Bath (GB)
- Kenyatta University (KE)
- University of Cape Town (ZA)
- Children's Hospital of Eastern Ontario (CA)
- University of Massachusetts Amherst (US)
- Universidad de Los Andes (CO)
- Centro de Estudos do Laboratório de Aptidão Física de São Caetano do Sul (BR)
- St. John's Research Institute (IN)
- Tianjin Women's and Children's Health Center (CN)
- University of South Australia (AU)
- Corresponding author
- Maia, José
- ORCID
- Venue
- Scientific Reports
- Published
- 2017-11-28
- Volume
- 7
- Issue
- 1
- Pages
- 16507-16507
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC5705644
- OpenAlex
- W2770560531
- Cited by
- 55
- References
- 39
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 9 · 2023: 6 · 2022: 11 · 2021: 6 · 2020: 12 · 2019: 4 · 2018: 3
- FWCI
- 3.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UniSA Research Outputs Repository (University of South Australia) (submittedVersion, other-oa)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, cc-by)
- Työväentutkimus Vuosikirja (submittedVersion)
- Greater South Information System
- Funders
- Coca-Cola Foundation
- Wake Forest University
- Helsingin Yliopisto
- University of Bath
- University of South Australia
- Universidade do Porto
- University of Cape Town
- National Institute of General Medical Sciences (U54GM104940)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK092949)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Life-span and Life-course Studies › Sports and Physical Education Studies
- Keywords
- moderate-to-vigorous physical activity, physical activity guidelines compliance, children, school-based physical activity, screen time, sleep duration, overweight and obesity, sexual maturation, unhealthy diet, sex differences
- MeSH terms
- Body Weights and Measures, Child, Child Behavior, Child Development, Cooperative Behavior, Female, Health Planning Guidelines, Humans, Male, Sleep, Biomarkers, Exercise, Sedentary Behavior, Public Health Surveillance
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