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Physical activity change during adolescence: a systematic review and a pooled analysis
Open accessAbstract
BACKGROUND: It is presumed that physical activity (PA) level declines during the lifespan, particularly in adolescence. However, currently, there is no study that quantifies these changes and pools results for a common interpretation. Therefore, the purpose was to systematically review the international literature regarding PA change during adolescence, and to quantify that change according to a series of study variables, exploring gender-and-age differences. METHODS: An electronic search was conducted in the Medline/PubMed and Web of Science databases. Longitudinal studies with, at least, two PA measures throughout adolescence (10-19 years old) or the first PA measure during childhood and the second one during adolescence were selected. From each article, study project name, country, year of the first data collection, sample size, baseline age, follow-up duration, characteristics of the instrument (type, recall time, PA intensity and PA domain), unit of PA measure and report of statistical significance were collected. RESULTS: Overall, 26 studies matched the inclusion criteria. Most were carried out in the USA, assessed PA by questionnaire, and found a decline in PA levels during the adolescence. On average, the mean percentage PA change per year, across all studies, was -7.0 (95% confidence interval: -8.8 to -5.2), ranging from -18.8 to 7.8. The decline was significant according to most sub-groups of variables analysed. Although earlier studies revealed a higher PA decline in boys, the decline has been greater in girls in more recent studies (commenced after 1997). Moreover, although the decline among girls was higher in younger ages at baseline (9-12 years), it was higher in older ages (13-16 years) among boys. CONCLUSIONS: The decline of PA during adolescence is a consistent finding in the literature. Differences between boys and girls were observed and should be explored in future studies. Interventions that attempt to attenuate the PA decline, even without an increase in PA levels, could be considered as effective.
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“the sample size was similar to or larger than most previous studies with two measures of physical activity.9 14”
From Timing of the decline in physical activity in childhood and adolescence: gateshead millennium cohort study (2018) · cites this paper as [9]
In the citing paper
“Dumith et al 9 published the most recent systematic review of changes in physical activity during adolescence, with 26 eligible longitudinal studies. Of these eligible studies only 2/26 included objective measures of the intensity of physical activity (accelerometry), most (16/26) were from the USA, and the representativeness of the samples in the eligible studies was usually unclear.9”
From Timing of the decline in physical activity in childhood and adolescence: gateshead millennium cohort study (2018) · cites this paper as [9]
In the citing paper
“A systematic review and pooled analysis [10] concluded that physical activity declined by approximately 7 % per year after the age of ten.”
From Objectively measured physical activity and sedentary time in youth: the International Children's Accelerometry Database (ICAD) (2015) · cites this paper as [10]
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Babický, L., Nováková, T., Vávra, J., & Satrapová, L. (2020) · AUC KINANTHROPOLOGICA · doi:10.14712/23366052.2020.10 · Cited by 2
“Globally, several longitudinal, cross-sectional, and other studies recognize that there is a significant decrease in activity during adolescence (Collings et al., 2015; Dumith et al., 2011; Martins et al., 2015; Murray, Calderwood, O’Connor, & Mutrie, 2016; Reilly, 2016).”
BackgroundAspects regarding extracurricular sport activities in schools from Bihor County, Romania
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“[5] Dumith SC, Gigante DP, Domingues MR, Kohl HW.”
BackgroundSehn, A. P., Tornquist, D., Tornquist, L., Brazo‐Sayavera, J., & Reuter, C. P. (2021) · Environmental Health and Preventive Medicine · doi:10.1186/s12199-021-01012-5 · Cited by 2
“Evidence of a decline in PA levels among young people warns of the importance of interventions in the area [28].”
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“In addition, a significant decline in PA typically occurs around 15–16 years of age [3], and females are more likely to experience the PA decline earlier than males [4].”
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“consistent finding in 26 studies assessed PA with questionnaire (Dumith, 2011).”
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Houle, L.-M., Gilbert, J., Paiement, K., Ayotte, A., & Mathieu, M.-E. (2020) · medRxiv · doi:10.1101/2020.04.25.20079780 · Cited by 2
“Considering that MVPA generally decreases during adolescence (Dumith et al., 2011), programs that help keep adolescent girls active could be considered as successful programs (Stone, McKenzie, Welk, & Booth, 1998).”
BackgroundAgbaje, O. S., Umoke, P. C. I., Attama, C. C., Ugwueze, F. C., Agu, B. N., Ozoemena, E. L., Kato, G. U., & Obute, A. J. (2019) · doi:10.21203/rs.2.18568/v1 · Cited by 2
“Adolescence has also been associated with declining PA levels [9, 10].”
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Before-school physical activity patterns among adolescents using accelerometer and GPS data
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How can sport promote adolescent mental health? A qualitative study from the rural plains of Nepal
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“[31,32] However, some other studies have indicated that aerobic capacity was not tightly linked to the performance in CF training.”
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“A sedentary lifestyle not only poses immediate disease risks to adolescents but also leads to long-term health complications that extend into adulthood (Dumith et al., 2011).”
Lifestyle medicine pillars for women's heart health
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Physical activity, sedentary behavior, and BMI in schoolchildren: age and gender differences
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“This pattern aligns with previous research indicating that adolescent girls are generally less active than boys, likely due to body image concerns, academic pressure, and lower exercise self-efficacy ( Dumith et al., 2011 ; Rosselli et al., 2020 ).”
Metadata
- Authors
- Dumith, S. C., Gigante, D. P., Domingues, M. R., & Kohl, H. W.
- Affiliations
- Universidade Federal de Pelotas (BR)
- Corresponding author
- Dumith, S. C.
- Venue
- International Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-01-18
- Volume
- 40
- Issue
- 3
- Pages
- 685-698
- ISSN
- 0300-5771 (ISSN-L)
- 1464-3685
- OpenAlex
- W2130834134
- Cited by
- 1,275
- References
- 56
- Citations by year
- 2026: 50 · 2025: 62 · 2024: 67 · 2023: 62 · 2022: 82 · 2021: 134 · 2020: 178 · 2019: 120 · 2018: 101 · 2017: 102 · 2016: 95 · 2015: 91 · 2014: 49 · 2013: 45 · 2012: 30
- FWCI
- 4.45
- Type
- journal article
- Language
- en
- Open access
- green
- repositorio.furg.br
- Licence
- other-oa
- Locations
- International Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Americanae (AECID Library) (publishedVersion, other-oa)
- HighWire Press Open Archive (submittedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › 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 › Recreational Sport and Physical Activity
- Keywords
- physical activity, adolescence, physical activity decline, gender differences, age differences, transition to adolescence, pooled analysis, physical activity measurement
- MeSH terms
- Adolescent, Age Factors, Brazil, Child, Female, Humans, Longitudinal Studies, Male, Motor Activity, Physical Education and Training, Risk Factors, Sex Factors, Sports, Exercise, Needs Assessment
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