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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Background
The Effect of Teacher Autonomy Support on Leisure-Time Physical Activity via Cognitive Appraisals and Achievement Emotions: A Mediation Analysis Based on the Control-Value Theory
Zimmermann, J., Tilga, H., Bachner, J., & Demetriou, Y. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18083987 · Cited by 48
“With regard to the age effect underlying the development of PA behavior in childhood and adolescence [5,60], enjoyment has been found to delay or even prevent the decline of motivation for PA [61].”
Background
Magnitude and determinants of change in objectively-measured physical activity, sedentary time and sleep duration from ages 15 to 17.5y in UK adolescents: the ROOTS study
Collings, P. J., Wijndaele, K., Corder, K. L., Westgate, K. L., Ridgway, C. L., Sharp, S. J., Dunn, V. J., Goodyer, I. M., Ekelund, U., & Brage, S. (2015) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-015-0222-4 · Cited by 46
“However, it is problematic that most studies to date have measured these behaviours by self-report [1].”
Background
Impact of Coordinated-Bilateral Physical Activities on Attention and Concentration in School-Aged Children
Harris, H. B., Cortina, K. S., Templin, T. J., Colabianchi, N., & Chen, W. (2018) · BioMed Research International · doi:10.1155/2018/2539748 · Cited by 54
Motivation and Physical Activity: Differences Between High School and University Students in Spain
Sevil‐Serrano, J., Miguel, P. A. S., González, J. J. P., Práxedes, A., & Sánchez‐Oliva, D. (2018) · Perceptual and Motor Skills · doi:10.1177/0031512518788743 · Cited by 48
Do country-level environmental factors explain cross-national variation in adolescent physical activity? A multilevel study in 29 European countries
Weinberg, D., Stevens, G. W. J. M., Bucksch, J., Inchley, J., & de Looze, M. E. (2019) · BMC Public Health · doi:10.1186/s12889-019-6908-9 · Cited by 41
Adolescents’ Physical Activity in Education Systems Varying in the Number of Weekly Physical Education Lessons
Groffik, D., Mitáš, J., Jakubec, L., Svozil, Z., & Frömel, K. (2020) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2019.1688754 · Cited by 41
“…schools have the strongest influence on most young people; thus, schools play a substantial role in controlling the worldwide prevalence of physical inactivity and promotion of physical activity (PA) in adolescents (Dumith, Gigante, Domingues, & Kohl, 2011; Hills, Dengel, & Lubans, 2015).”
Background
Youth physical activity self‐efficacy: a concept analysis
Voskuil, V. R., & Robbins, L. B. (2015) · Journal of Advanced Nursing · doi:10.1111/jan.12658 · Cited by 56
Interplay between hormones and exercise on hippocampal plasticity across the lifespan
Bettio, L. E. B., Thacker, J. S., Rodgers, S. P., Brocardo, P. S., Christie, B. R., & Gil-Mohapel, J. (2020) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/j.bbadis.2020.165821 · Cited by 40
Sleep Is Inversely Associated With Sedentary Time Among Youth With Obesity
Schroeder, K., Kubik, M. Y., Sirard, J., Lee, J., & Fulkerson, J. A. (2020) · American Journal of Health Behavior · doi:10.5993/ajhb.44.6.2 · Cited by 25
Correlates of physical activity habits in adolescents: A systematic review
Shao, T., & Zhou, X. (2023) · Frontiers in Physiology · doi:10.3389/fphys.2023.1131195 · Cited by 52
“Alarmingly, adherence to physical activity among adolescents tended to decline with age (Dumith et al., 2011), and several adolescents gradually discontinued physical activities.”
Background
Physical Activity Maintenance in the Transition to Adolescence: A Longitudinal Study of the Roles of Sport and Lifestyle Activities in British Youth
Brooke, H. L., Corder, K. L., Griffin, S. J., & van Sluijs, E. M. F. (2014) · PLoS ONE · doi:10.1371/journal.pone.0089028 · Cited by 40
“Variety has a greater annual decline than other dimensions of physical activity [4] suggesting importance; however, further research is required to confirm this observation.”
Background
Parent’s Physical Activity Associated With Preschooler Activity in Underserved Populations
Barkin, S. L., Lamichhane, A. P., Banda, J. A., JaKa, M. M., Buchowski, M. S., Evenson, K. R., Bangdiwala, S. I., PRATT, C. A., French, S. A., & Stevens, J. (2017) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2016.11.017 · Cited by 40
The Association Among Social Support, Self-Efficacy, Use of Mobile Apps, and Physical Activity: Structural Equation Models With Mediating Effects
Wang, T., Ren, M., Shen, Y., Zhu, X., Zhang, X., Gao, M., Chen, X., Zhao, A., Shi, Y., Wei-zhong, C., et al. (2019) · JMIR mhealth and uhealth · doi:10.2196/12606 · Cited by 41
“Furthermore, physical activity tends to decline with age throughout adolescence [8,9] and tracks into adulthood [10].”
Background
Impact of a physical education-based behavioural skill training program on cognitive antecedents and exercise and sport behaviour among adolescents: a cluster-randomized controlled trial
Coimbra, M., Cody, R., Kreppke, J.-N., & Gerber, M. (2020) · Physical Education and Sport Pedagogy · doi:10.1080/17408989.2020.1799966 · Cited by 54
Examining the Growth Trajectories of Physical Education Students’ Motivation, Enjoyment, and Physical Activity: A Person-Oriented Approach
Yli-Piipari, S. R., Wang, J., Jaakkola, T. T., & Liukkonen, J. (2012) · Journal of Applied Sport Psychology · doi:10.1080/10413200.2012.677096 · Cited by 39
Impact of regular physical activity on blood glucose control and cardiovascular risk factors in adolescents with type 2 diabetes mellitus - a multicenter study of 578 patients from 225 centres
Herbst, A., Kapellen, T. M., Schober, E., Graf, C., Meissner, T., Holl, R. W., & DPV-Science-Initiative, F. T. (2014) · Pediatric Diabetes · doi:10.1111/pedi.12144 · Cited by 42
School related factors and 1yr change in physical activity amongst 9–11 year old English schoolchildren
Mantjes, J. A., Jones, A., Corder, K. L., Jones, N. R., Harrison, F., Griffin, S. J., & van Sluijs, E. M. F. (2012) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-9-153 · Cited by 39
Effect of the SPARK Program on Physical Activity, Cardiorespiratory Endurance, and Motivation in Middle-School Students
Fu, Y., Gao, Z., Hannon, J. C., Burns, R. D., & Brusseau, T. A. (2015) · Journal of Physical Activity and Health · doi:10.1123/jpah.2015-0351 · Cited by 39
Increasing Students’ Activity in Physical Education: Results of the Self-determined Exercise and Learning For FITness Trial
Ha, A. S. C., Lonsdale, C., Lubans, D. R., & Ng, J. Y. Y. (2019) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002172 · Cited by 44
“In terms ofMVPA in PE, similar trends were observed in previous studies (34,37,38).”
Result
Effect of commercial wearables and digital behaviour change resources on the physical activity of adolescents attending schools in socio-economically disadvantaged areas: the RAW-PA cluster-randomised controlled trial
Ridgers, N. D., Timperio, A. F., Ball, K., Lai, S. K., Brown, H. L., Macfarlane, S., & Salmon, J. (2021) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-021-01110-1 · Cited by 42
“Steep declines in physical activity have been shown to occur during adolescence [4], with greater decreases observed among those living in socioeconomically disadvantaged areas [5].”
Background
Physical Activity, Fitness, and Executive Functions in Youth: Effects, Moderators, and Mechanisms
Lubans, D. R., Leahy, A. A., Mavilidi, M. F., & Valkenborghs, S. R. (2021) · Current topics in behavioral neurosciences · doi:10.1007/7854_2021_271 · Cited by 50
Comparison of Physical Activity Between Children With and Without Autism Spectrum Disorder: A Systematic Review and Meta-Analysis
Rech, J. P., Irwin, J. M., Rosen, A. B., Baldwin, J. L., & Schenkelberg, M. A. (2022) · Adapted Physical Activity Quarterly · doi:10.1123/apaq.2021-0152 · Cited by 40
Determinants of Outdoor Time in Children and Youth: A Systematic Review of Longitudinal and Intervention Studies
Larouche, R., Kleinfeld, M., Charles-Rodriguez, U., Hatten, C., Hecker, V., Scott, D. R. M., Brown, L. M., Onyeso, O. K., Sadia, F., & Shimamura, H. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20021328 · Cited by 38
“In the broader literature on correlates of PA, boys are usually more active than girls [8,22], with longitudinal studies suggesting that the age-related decline in PA tends to begin earlier in girls [89].”
Background
Motivation for physical activity in children: A moving matter in need for study
Pannekoek, L., Piek, J. P., & Hagger, M. S. (2013) · Human Movement Science · doi:10.1016/j.humov.2013.08.004 · Cited by 46
Determinants of Diet and Physical Activity in Malaysian Adolescents: A Systematic Review
Mohammadi, S., Jalaludin, M. Y., Su, T. T., Dahlui, M., Mohamed, M. N. A., & Majid, H. A. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16040603 · Cited by 38
“This is in line with findings reported in Malaysian adolescents [26].”
Result
Factors Predicting Physical Activity and Sports Participation in Adolescence
Rullestad, A., Meland, E., & Mildestvedt, T. (2021) · Journal of Environmental and Public Health · doi:10.1155/2021/9105953 · Cited by 38
“Cross-sectional studies restrict the evidence to associated factors rather than to predictors (determinants) of PA [15].”
Background
Effects of Epstein's TARGET on adolescents' intentions to be physically active and leisure-time physical activity
Cecchini, J. A., Fernandez-Rio, J., & Mendez-Gimenez, A. (2014) · Health Education Research · doi:10.1093/her/cyu007 · Cited by 37
“However, researchhasshowedthatitslevelsdecreasesignificantly during adolescence [2].”
Examining a conceptual model of parental nurturance, parenting practices and physical activity among 5–6 year olds
Sebire, S. J., Jago, R., Wood, L., Thompson, J. L., Zahra, J., & Lawlor, D. A. (2015) · Social Science & Medicine · doi:10.1016/j.socscimed.2015.11.022 · Cited by 37
Determinants of uptake and maintenance of active commuting to school
Murtagh, E., Dempster, M., & MURPHY, M. H. (2016) · Health & Place · doi:10.1016/j.healthplace.2016.04.009 · Cited by 37
“The transition from primary to post-primary school is associated with a decrease in physical activity levels (Dumith et al., 2011) although little is known about how active transport to school contributes to the changes in physical activity noted during this transition.”
Background
Determinants of organised sports participation patterns during the transition from childhood to adolescence in Germany: results of a nationwide cohort study
Manz, K., Krug, S., Schienkiewitz, A., & Finger, J. D. (2016) · BMC Public Health · doi:10.1186/s12889-016-3615-7 · Cited by 37
“It is well documented, however, that OS participation declines during adolescence [7–9].”
Background
Academic Stress and Physical Activity in Adolescents
Frömel, K., Šafář, M., Jakubec, L., Groffik, D., & Žatka, R. (2020) · BioMed Research International · doi:10.1155/2020/4696592 · Cited by 54
“In the context of insufficient and declining levels of physical activity among adolescents [1, 2] and inadequate physical fitness [3, 4], the high cognitive and emotional load of adolescents in schools is negatively associated with their mental health (MH) [5].”
Background
Physical education environment and student physical activity levels in low-income communities
Kwon, S., Welch, S. B., & Mason, M. (2020) · BMC Public Health · doi:10.1186/s12889-020-8278-8 · Cited by 39
Developmental trajectories of physical activity during elementary school physical education
Cheval, B., Courvoisier, D. S., & Chanal, J. P. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2016.02.043 · Cited by 36
“In addition, girls show larger declines than boys in PA during early adolescence (Dumith et al., 2011).”
Childhood Sports Participation and Adolescent Sport Profile
Gallant, F., O’Loughlin, J. L., Brunet, J., Sabiston, C. M., & Bélanger, M. F. (2017) · PEDIATRICS · doi:10.1542/peds.2017-1449 · Cited by 36
‘Strong girls’ in physical education: opportunities for social justice education
Cameron, N., & Humbert, M. L. (2019) · Sport Education and Society · doi:10.1080/13573322.2019.1582478 · Cited by 36
School-based physical activity intervention for older adolescents: rationale and study protocol for the Burn 2 Learn cluster randomised controlled trial
Leahy, A. A., Eather, N., Smith, J. J., Hillman, C. H., Morgan, P. J., Nilsson, M., Lonsdale, C., Plotnikoff, R. C., Noetel, M., Holliday, E. G., et al. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-026029 · Cited by 39
A process evaluation of the PLAN-A intervention (Peer-Led physical Activity iNtervention for Adolescent girls)
Sebire, S. J., Banfield, K., Jago, R., Edwards, M. J., Campbell, R. M., Kipping, R., Blair, P. S., Kadir, B., Garfield, K., Matthews, J. A., et al. (2019) · BMC Public Health · doi:10.1186/s12889-019-7545-z · Cited by 43
Cardiorespiratory and muscular fitness associations with older adolescent cognitive control
Shigeta, T. T., Leahy, A. A., Smith, J. J., Eather, N., Lubans, D. R., & Hillman, C. H. (2020) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2020.05.004 · Cited by 39
Are one-year changes in adherence to the 24-hour movement guidelines associated with flourishing among Canadian youth?
Faulkner, G., Weatherson, K. A., Patte, K., Qian, W., & Leatherdale, S. (2020) · Preventive Medicine · doi:10.1016/j.ypmed.2020.106179 · Cited by 34
Relationship Between the Practice of Physical Activity and Physical Fitness in Physical Education Students: The Integrated Regulation As a Mediating Variable
Gea-García, G. M., González-Gálvez, N., Espeso-García, A., Marcos-Pardo, P. J., González-Férnandez, F. T., & Martínez-Aranda, L. M. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.01910 · Cited by 36
Patterns of age-related change in physical activity during the transition from elementary to high school
Pate, R. R., Saunders, R. P., Ross, S. E. T., & Dowda, M. C. (2022) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2022.101712 · Cited by 36
Is wearing a pedometer associated with higher physical activity among adolescents?
Ho, V., Simmons, R. K., Ridgway, C. L., van Sluijs, E. M. F., Bamber, D. J., Goodyer, I. M., Dunn, V. J., Ekelund, U., & Corder, K. L. (2013) · Preventive Medicine · doi:10.1016/j.ypmed.2013.01.015 · Cited by 36
“Rapid decreases in PA occur during adolescence (Dumith et al., 2011) and track into adulthood (Telama et al., 2005).”
Background
Do Irish Adolescents Have Adequate Functional Movement Skill and Confidence?
O’Brien, W., Duncan, M. J., Farmer, O., & Lester, D. (2017) · Journal of Motor Learning and Development · doi:10.1123/jmld.2016-0067 · Cited by 36
The changing relationship between rainfall and children's physical activity in spring and summer: a longitudinal study
Harrison, F., van Sluijs, E. M., Corder, K., Ekelund, U., & Jones, A. (2015) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-015-0202-8 · Cited by 35
“[23], only one investigated the impact of season and weather [3], and even that did not consider their impact on change in physical activity.”
Background
The tracking of active travel and its relationship with body composition in UK adolescents
Falconer, C., Leary, S. D., Page, A. S., & Cooper, A. R. (2015) · Journal of Transport & Health · doi:10.1016/j.jth.2015.09.005 · Cited by 35
“…since overall daily MVPA was lower for the girls, active travel made a greater contribution to MVPA in girls than in boys, and the contribution of active travel to daily MVPA may increase through adolescence as MVPA declines and gender differences in MVPA become more apparent (Dumith et al., 2011).”
BackgroundInfluential

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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