Cited by 1,275Physical Activity and HealthObesity, Physical Activity, DietRecreational Sport and Physical Activity

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Physical activity change during adolescence: a systematic review and a pooled analysis

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Dumith, S. C., Gigante, D. P., Domingues, M. R., Kohl, H. W.·2011·International Journal of Epidemiology

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Abstract

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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Meta-analysis of Observational Studies in Epidemiology<SUBTITLE>A Proposal for Reporting</SUBTITLE>
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Healthy Body, Healthy Mind?
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Background
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Background
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Background
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Background
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Result
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Result
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Background
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“decline of physical activity levels during adolescence is a consistent finding in the literature [18].”
Result
Objectively determined physical activity levels of primary school children in south-west Germany
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Background
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“The decline in physical activity during adolescence is well documented.(47) Figure 3 Representation of the distribution of injured and uninjured lower extremities by frontal plane knee projection angle.”
Background
Effect of practice exergames on the mood states and self-esteem of elementary school boys and girls during physical education classes: A cluster-randomized controlled natural experiment
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“In part, this is due to limited time and opportunities for physical activity, ease of Internet access, and increased time spent using smartphones, in front of the television, or in sedentary video games, mainly manifesting in children and teenagers [4,5].”
Background
School polices, programmes and facilities, and objectively measured sedentary time, LPA and MVPA: associations in secondary school and over the transition from primary to secondary school
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“Data from several countries suggest that a substantial proportion of children are insufficiently active to achieve health benefit [2, 3], and that levels of physical activity decline throughout childhood and into adolescence [4, 5].”
Background
Changes in Physical Activity, Physical Fitness and Well-Being Following a School-Based Health Promotion Program in a Norwegian Region with a Poor Public Health Profile: A Non-Randomized Controlled Study in Early Adolescents
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“Because of the general decline in PA levels from child to adolescent, it is argued that interventions that attenuate PA decline could be considered effective [56].”
Background
Associations between self-rated health, mental health problems and physical inactivity among urban adolescents
Lachytova, M., Katreniaková, Z., Mikula, P., Jendrichovsky, M., & Nagyová, I. (2017) · European Journal of Public Health · doi:10.1093/eurpub/ckx051 · Cited by 57
Comparison of Physical Activity Levels in Youths before and during a Pandemic Lockdown
Bronikowska, M., Krzysztoszek, J., Łopatka, M., Ludwiczak, M., & Pluta, B. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18105139 · Cited by 57
“Moreover, MVPA in adolescents declines with age by a mean of 7% per one year [19,20].”
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Important park features for encouraging park visitation, physical activity and social interaction among adolescents: A conjoint analysis
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The Effectiveness of Interventions on Sustained Childhood Physical Activity: A Systematic Review and Meta-Analysis of Controlled Studies
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“In addition, evidence indicates that PA levels enter a broad decline in later childhood and adolescence [21], resulting in insufficient levels of PA during transition into adulthood [22,23].”
Background
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Multicontextual Correlates of Adolescent Leisure-Time Physical Activity
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“, proportion of variance explained by predictors adjusting for the number of predictors) were obtained from separate regression models including the demographic variables and (1) all 50 predictors; (2) five personal predictors; (3) seven family predictors; 4) five friend predictors; (5) 14 school predictors; or (6) 19…”
Method
Associations between objectively measured physical activity intensity in childhood and measures of subclinical cardiovascular disease in adolescence: prospective observations from the European Youth Heart Study
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“While the rate of decline is similar amongst sexes, the age at which these decreases are observed occurs earlier in girls [13, 14].”
Background
Investigating longitudinal context-specific physical activity patterns in transition from primary to secondary school using accelerometers, GPS, and GIS
Remmers, T., van Kann, D., Kremers, S., Ettema, D., de Vries, S. I., Vos, S. B., & Thijs, C. T. (2020) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-020-00962-3 · Cited by 55
Clustering of Multiple Lifestyle Behaviors and Health-related Fitness in European Adolescents
Cuenca‐García, M., Huybrechts, I., Ruiz, J. R., Ortega, F. B., Ottevaere, C., González‐Gross, M., Moreno, L. A., Vicente‐Rodríguez, G., Molnár, D., Polito, A., et al. (2013) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2013.02.006 · Cited by 61
“Younger adolescents were more active and followed thehealthiest diet,which was also observed in other studies among European adolescents.(12,42,43) Adolescence is a crucial period in life because adolescents begin to make decisions regarding lifestyle, whereas at younger ages they are more influenced by their parents'…”
Group-based physical activity trajectories in children transitioning from elementary to high school
Pate, R. R., Schenkelberg, M. A., Dowda, M. C., & McIver, K. L. (2019) · BMC Public Health · doi:10.1186/s12889-019-6630-7 · Cited by 54
Changes in Physical Activity, Sleep, Mental Health, and Social Media Use During COVID-19 Lockdown Among Adolescent Girls: A Mixed-Methods Study
O’Kane, S. M., Lahart, I. M., Gallagher, A. M., Carlin, A., Faulkner, M., Jago, R., & MURPHY, M. H. (2021) · Journal of Physical Activity and Health · doi:10.1123/jpah.2020-0649 · Cited by 54
Factorial validity and internal consistency of the motivational climate in physical education scale.
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Changes in Sedentary and Active Lifestyle, Diet Quality and Body Composition Nine Months after an Education Program in Polish Students Aged 11–12 Years: Report from the ABC of Healthy Eating Study
Wądołowska, L., Hamułka, J., Kowalkowska, J., Ulewicz, N., Hoffmann, M., Górnicka, M., Bronkowska, M., Leszczyńska, T., Glibowski, P., & Korzeniowska-Ginter, R. (2019) · Nutrients · doi:10.3390/nu11020331 · Cited by 64
“In a pooled analysis consisting of 26 longitudinal studies, it was found that PA decreases by 7% per year during adolescence [41].”
Background
Social Antecedents and Consequences of Gender-Sport Stereotypes During Adolescence
Boiché, J., Plaza, M., Chalabaëv, A., Guillet‐Descas, E., & Sarrazin, P. G. (2013) · Psychology of Women Quarterly · doi:10.1177/0361684313505844 · Cited by 53
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“The rationale for including these variables as covariates was that we aimed at disentangling the role played by age-related changes in PA level (Dumith et al., 2012), affective and social processing (Crone & Dahl, 2012; Steinberg, 2005) that characterize adolescence from the relationship of interest linking fitness an…”
Background
Places where preschoolers are (in)active: an observational study on Latino preschoolers and their parents using objective measures
Cerin, E., Baranowski, T., Barnett, A. H., Butte, N. F., Hughes, S. O., Lee, R. E., Mendoza, J. A., Thompson, D. I., & O’Connor, T. M. (2016) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-016-0355-0 · Cited by 53
The Feasibility of a Novel School Peer-Led Mentoring Model to Improve the Physical Activity Levels and Sedentary Time of Adolescent Girls: The Girls Peer Activity (G-PACT) Project
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“Adolescents are particularly at risk of physical inactivity [4].”
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Co-existence of physical activity and sedentary behavior among children and adolescents in Shanghai, China: do gender and age matter?
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Levels and correlates of 24-hour movement behaviors among South Koreans: Results from the Korea National Health and Nutrition Examination Surveys, 2014 and 2015
Lee, E., Carson, V., Jeon, J. Y., Spence, J. C., & Tremblay, M. S. (2018) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2018.11.007 · Cited by 53
Association Between Sport Participation, Body Composition, Physical Fitness, and Social Correlates Among Adolescents: The PAHL Study
Korcz, A., & Monyeki, M. A. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15122793 · Cited by 53
“Concerns exist about children and adolescents who do not meet the PA guideline of 60 min (1 h) or more of PA daily [5,6].”
Background
Feasibility study and pilot cluster-randomised controlled trial of the GoActive intervention aiming to promote physical activity among adolescents: outcomes and lessons learnt
Corder, K. L., Brown, H. E., Schiff, A., & van Sluijs, E. M. F. (2016) · BMJ Open · doi:10.1136/bmjopen-2016-012335 · Cited by 52
Cross‐sectional and prospective associations of meeting 24‐h movement guidelines with overweight and obesity in preschool children
Berglind, D., Ljung, R., Tynelius, P., & Brooke, H. L. (2018) · Pediatric Obesity · doi:10.1111/ijpo.12265 · Cited by 53
“This discrepancy is somewhat surprising, because PA typically declines during childhood and adolescence (27).”
Background
Development and validation of the neighborhood environment walkability scale for youth across six continents
Cerin, E., Conway, T. L., Barnett, A. H., Smith, M., Veitch, J., Cain, K. L., Salonna, F., Reis, R. S., Molina‐García, J., Hinckson, E. A., et al. (2019) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-019-0890-6 · Cited by 52
Do adolescents' experiences of the barriers to and facilitators of physical activity differ by socioeconomic position? A systematic review of qualitative evidence
Alliott, O., Ryan, M., Fairbrother, H., & van Sluijs, E. M. F. (2021) · Obesity Reviews · doi:10.1111/obr.13374 · Cited by 55
“Furthermore, the majority of included studies used area-level indicators of SEP (neighborhood or school level) as a proxy for individual-level SEP.”
BackgroundInfluential
Physical Activity in the COVID-19 Era and Its Impact on Adolescents’ Well-Being
Bozzola, E., Barni, S., Ficari, A., & Villani, A. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20043275 · Cited by 59
“In particular, adolescence is a vulnerable period for regular PA as evidence suggests that the peak of PA levels occurs at the age of 13 and then declines by 7% per year thereafter [9].”
Background
What do adolescents want in order to become more active?
Corder, K. L., Atkin, A. J., Ekelund, U., & van Sluijs, E. M. F. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-718 · Cited by 51
Comparison of Objectively Measured Physical Activity Levels of Rural, Suburban, and Urban Youth
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Clustered randomised controlled trial of two education interventions designed to increase physical activity and well-being of secondary school students: the MOVE Project
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“Approximately 1 in 10 of school-aged children at any one time have mental health problems.(16) 20 21 Furthermore, it is clear that there has been a considerable increase in the diagnosis and treatment of child and adolescent psychiatric disorders over the past 20 years.”
Background
Longitudinal analysis of physical activity, sedentary behaviour and anthropometric measures from ages 6 to 11 years
Schwarzfischer, P., Gruszfeld, D., Socha, P., Luque, V., Closa‐Monasterolo, R., Rousseaux, D., Moretti, M., Mariani, B., Verduci, E., Koletzko, B. V., et al. (2018) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-018-0756-3 · Cited by 54
“Accounting for possible age effects is of unique importance, since the period between childhood and adolescence is characterized by various changes in PA and SB [41].”
Background
Cardiorespiratory fitness, muscular fitness and mental health in older adolescents: A multi-level cross-sectional analysis
Janssen, A. F. W., Leahy, A. A., Diallo, T., Smith, J. J., Kennedy, S. G., Eather, N., Mavilidi, M. F., Wagemakers, A., Babic, M., & Lubans, D. R. (2020) · Preventive Medicine · doi:10.1016/j.ypmed.2020.105985 · Cited by 51
The Impact of Physical Activity and Inactivity on Cardiovascular Risk across Women’s Lifespan: An Updated Review
Bucciarelli, V., Mattioli, A. V., Sciomer, S., Moscucci, F., Renda, G., & Gallina, S. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12134347 · Cited by 61
Predictors of change differ for moderate and vigorous intensity physical activity and for weekdays and weekends: a longitudinal analysis
Corder, K. L., Craggs, C., Jones, A., Ekelund, U., Griffin, S. J., & van Sluijs, E. M. F. (2013) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-10-69 · Cited by 50
A Longitudinal Evaluation of Physical Activity in Brazilian Adolescents: Tracking, Change and Predictors
Dumith, S. C., Gigante, D. P., Domingues, M. R., Hallal, P. C., Menezes, A. M. B., & Kohl, H. W. (2012) · Pediatric Exercise Science · doi:10.1123/pes.24.1.58 · Cited by 50
Self-citation
The effect of physical education goal orientations and enjoyment in adolescent physical activity: A parallel process latent growth analysis.
Yli-Piipari, S. R., Barkoukis, V., Jaakkola, T. T., & Liukkonen, J. (2012) · Sport Exercise and Performance Psychology · doi:10.1037/a0029806 · Cited by 50
Giving children a voice
Pawlowski, C. S., Schipperijn, J., Tjørnhøj‐Thomsen, T., & Troelsen, J. (2016) · European Physical Education Review · doi:10.1177/1356336x16664748 · Cited by 51
“The target group consisted of middle tier pupils (grade 4–6; 10–13 years old) in order to get a better understanding of PA behaviour among an age group known to significantly decrease their PA (Dumith et al., 2011; Nader et al., 2008).”
Background
In Search of Consistent Predictors of Children’s Physical Activity
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Are one-year changes in adherence to the 24-hour movement guidelines associated with depressive symptoms among youth?
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Process Evaluation of a School-Based High-Intensity Interval Training Program for Older Adolescents: The Burn 2 Learn Cluster Randomised Controlled Trial
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The role of physical activity, body mass index and maturity status in body-related perceptions and self-esteem of adolescents
Altıntaş, A., Aşçı, F. H., İŞLER, A. K., Karahan, B. G., Kelecek, S., Özkan, A., Yılmaz, A., & Kara, F. M. (2013) · Annals of Human Biology · doi:10.3109/03014460.2013.857721 · Cited by 49
The association between motivation in school physical education and self-reported physical activity during Finnish junior high school
Jaakkola, T. T., Washington, T. L., & Yli-Piipari, S. R. (2012) · European Physical Education Review · doi:10.1177/1356336x12465514 · Cited by 59
“However, it has been well documented that engagement in PA decreases during adolescence (Currie et al., 2008; Dumith et al., 2011; Duncan et al., 2007).”
Background

Authors: Dumith, S. C., Gigante, D. P., Domingues, M. R., & Kohl, H. W.
Affiliations: Universidade Federal de Pelotas (BR)
Corresponding author: Dumith, S. C.
ORCID: Dumith, S. C.
Gigante, D. P.
Domingues, M. R.
Kohl, H. W.
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
DOI: 10.1093/ije/dyq272
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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Physical activity change during adolescence: a systematic review and a pooled analysis

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