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 Actiheart in Adolescents: A Doubly Labelled Water Validation
Campbell, N., Harry Prapavessis, A., Gray, C. E., McGowan, E. L., Rush, E. C., & Maddison, R. (2012) · Pediatric Exercise Science · doi:10.1123/pes.24.4.589 · Cited by 28
Assessment of Eating Habits and Physical Activity among Spanish Adolescents. The "Cooking and Active Leisure" TAS Program
Roura, E., Milà, R., Pareja, S. L., & Caballero, A. A. (2016) · PLoS ONE · doi:10.1371/journal.pone.0159962 · Cited by 34
“On the other hand, a systematic review of the existing literature highlights that PA declines during adolescence, with females and males presenting different trends [42].”
Background
Associations between mother's and children's moderate-to-vigorous physical activity and sedentary time in the family context
Song, M., Dieckmann, N. F., Stoyles, S. A., Kim, Y., & Lumeng, J. C. (2017) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2017.10.012 · Cited by 28
“This suggests that parent-child interventions initiated when children are young could have a lasting effect of mitigating the known decline in MVPA and increase ST as children grow older (Dumith et al., 2011; Bradley et al., 2011; Gortmaker et al., 2012).”
Background
Physical Activity of Malaysian Primary School Children
Wong, J. E., Parikh, P., Poh, B. K., Deurenberg, P., & on behalf of the SEANUTS Malaysia Study Group (2016) · Asia Pacific Journal of Public Health · doi:10.1177/1010539516650726 · Cited by 29
Objectively assessed physical activity and weight status of primary school children in Germany with and without migration backgrounds
Kobel, S., Kettner, S., Hermeling, L., Dreyhaupt, J., & Steinacker, J. M. (2019) · Public Health · doi:10.1016/j.puhe.2019.05.009 · Cited by 27
“week compared with 36% and 48% of boys and girls with migration backgrounds, respectively.(13) However, most of these data were assessed subjectively with their known disadvantages.”
Background
Overweight and Obesity Is Associated with Higher Risk of Perceived Stress and Poor Sleep Quality in Young Adults
Dakanalis, A., Voulgaridou, G., Alexatou, O., Papadopoulou, S. Κ., Jacovides, C., Pritsa, A. A., Chrysafi, M., Papacosta, E., Kapetanou, M. G., Tsourouflis, G. S., et al. (2024) · Medicina · doi:10.3390/medicina60060983 · Cited by 27
“Investing in holistic wellness programs that address stress, sleep, diet, and physical activity can empower young adults to make positive lifestyle choices that can promote healthy body weight management and overall well-being throughout their academic journey and beyond.”
Background
Longitudinal associations of parental and peer influences with physical activity during adolescence: findings from the COMPASS study
Lau, E. Y., Faulkner, G., & Qian, W. (2016) · Health Promotion and Chronic Disease Prevention in Canada · doi:10.24095/hpcdp.36.11.01 · Cited by 27
Eveningness associates with lower physical activity from pre- to late adolescence
Merikanto, I., Kuula, L., Lahti, J. M. T., Räikkönen, K., & Pesonen, A. (2020) · Sleep Medicine · doi:10.1016/j.sleep.2020.07.021 · Cited by 28
Prevalence and trends in Australian adolescents’ adherence to 24-hour movement guidelines: findings from a repeated national cross-sectional survey
Scully, M. L., Gascoyne, C., Wakefield, M. A., & Morley, B. (2022) · BMC Public Health · doi:10.1186/s12889-021-12387-z · Cited by 27
“This is consistent with findings from longitudinal studies which describe declines in physical activity levels during adolescence [47, 48].”
Result
Sex and educational level differences in physical activity and motivations to exercise among Spanish children and adolescents
Romero‐Parra, N., Solera-Alfonso, A., Bores‐García, D., & Delfa-de-la-Morena, J. M. (2022) · European Journal of Pediatrics · doi:10.1007/s00431-022-04742-y · Cited by 39
“Likewise, some discrepancies were observed regarding the ages at which motivation steepest declines the most: from 15 to 19 [16–18], 9 to 15 [7] or 9 to 12 among girls and 13 to 16 among boys [13, 19], which may be related to the fact that most studies focused on a specific age group or a single educational level.”
Background
Fat free mass explains the relationship between stunting and energy expenditure in urban Mexican Maya children
Wilson, H., Dickinson, F., Hoffman, D. J., Griffiths, P. L., Bogin, B. A., & Varela‐Silva, M. I. (2012) · Annals of Human Biology · doi:10.3109/03014460.2012.714403 · Cited by 27
“It is likely that this sample of girls will become less active in adolescence (Dumith et al. 2011), increasing their risk for obesity in adulthood.”
Background
The Influence of 2-Year Changes in Physical Activity, Maturation, and Nutrition on Adiposity in Adolescent Youth
Benítez‐Porres, J., Alvero‐Cruz, J. R., de Albornoz-Gil, M. C., Correas-Gómez, L., Barrera-Expósito, J., Dorado-Guzmán, M., Moore, J. B., & Carnero, E. Á. (2016) · PLoS ONE · doi:10.1371/journal.pone.0162395 · Cited by 27
“The literature supports the contention that PA declines during adolescence [14–20] and that boys are more active than girls during the circumpubertal years whether PA is measured via self-report [21] or objectively [22].”
Background
Trends of low physical activity among Iranian adolescents across urban and rural areas during 2006–2011
Amiri, P., Naseri, P., Vahedi-Notash, G., Jalali‐Farahani, S., Mehrabi, Y., Zarghani, N. H., Azizi, F., Hadaegh, F., & Khalili, D. (2020) · Scientific Reports · doi:10.1038/s41598-020-78048-0 · Cited by 27
Health promotion for adolescent childhood leukemia survivors: Building on prevention science and ehealth
Elliot, D. L., Lindemulder, S., Goldberg, L., Stadler, D. D., & Smith, J. L. (2012) · Pediatric Blood & Cancer · doi:10.1002/pbc.24372 · Cited by 26
“During this period, physical activity levels diminish, especially for females [8], and chronic sleep deprivation is common [9].”
Background
Body size and weight, and the nutrition and activity behaviours of sexual and gender minority youth: findings and implications from New Zealand
Lucassen, M. F. G., Guntupalli, A. M., Clark, T. C., Fenaughty, J., Denny, S., Fleming, T. M., Smith, M., & Utter, J. (2019) · Public Health Nutrition · doi:10.1017/s1368980019001149 · Cited by 26
Tracking of health‐related physical fitness between childhood and adulthood
Shigaki, G. B., Barbosa, C. C. L., Batista, M. B., Romanzini, C. L. P., Gonçalves, E. M., Serassuelo, H., & Ronque, Ê. R. V. (2019) · American Journal of Human Biology · doi:10.1002/ajhb.23381 · Cited by 27
Adherence to Life-Style Recommendations and Attention-Deficit/Hyperactivity Disorder: A Population-Based Study of Children Aged 10 to 11 Years
Loewen, O. K., Maximova, K., Ekwaru, J. P., Asbridge, M., Ohinmaa, A. E., & Veugelers, P. J. (2020) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000787 · Cited by 26
Relationships Among Children’s Independent Mobility, Active Transportation, and Physical Activity: A Multisite Cross-Sectional Study
Larouche, R., Barnes, J. D., Blanchette, S., Faulkner, G., Riazi, N. A., Trudeau, F., & Tremblay, M. S. (2020) · Pediatric Exercise Science · doi:10.1123/pes.2019-0238 · Cited by 26
Trajectories of Physical Activity Among Adolescents in the Transition From Primary to Secondary School
Mikalsen, H. K., Bentzen, M., Säfvenbom, R., & Lagestad, P. (2020) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2020.00085 · Cited by 25
“Despite these efforts, research on PA behavior reveals an overall decrease worldwide from early childhood and throughout adulthood (Dumith et al., 2011; Reilly, 2016; HuNT, 2019).”
Background
Adolescent physical activity, sedentary behavior and sleep in relation to body composition at age 18 years in urban South Africa, Birth-to-Twenty+ Cohort
Micklesfield, L. K., Hanson, S. K., Lobelo, F., Cunningham, S. A., Hartman, T. J., Norris, S. A., & Stein, A. D. (2021) · BMC Pediatrics · doi:10.1186/s12887-020-02451-9 · Cited by 31
“Adolescence is also a time of physical activity decline, particularly in females, but most evidence for this comes from high-income countries [8].”
Background
Does Vigorous Physical Activity Contribute to Adolescent Life Satisfaction?
Chmelík, F., Frömel, K., Groffik, D., Šafář, M., & Mitáš, J. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18052236 · Cited by 26
Differences in participation across physical activity contexts between adolescents with and without disability over three years: a self-determination theory perspective
Bentzen, M., & Malmquist, L. K. (2021) · Disability and Rehabilitation · doi:10.1080/09638288.2021.1894489 · Cited by 27
“downturn from childhood to adolescence [8,9].”
Predicting school students’ physical activity intentions in leisure-time and school recess contexts: Testing an integrated model based on self-determination theory and theory of planned behavior
Pasi, H., Lintunen, T., Leskinen, E., & Hagger, M. S. (2021) · PLoS ONE · doi:10.1371/journal.pone.0249019 · Cited by 37
“However, few children meet these guidelines, and rates of children meeting guideline levels of physical activity decline throughout adolescence [5,6].”
Background
Energy Expenditure During Xbox Kinect Play in Early Adolescents: The Relationship with Player Mode and Game Enjoyment
Verhoeven, K., Abeele, V. V., Gers, B., & Seghers, J. (2015) · Games for Health Journal · doi:10.1089/g4h.2014.0106 · Cited by 26
“These behaviors are likely to be continued into adulthood, warranting prevention.(5,6) Because early adolescents enjoy playing passive videogames,(3) it is likely that active videogames possess the ability to stimulate physical activity in early adolescents who exhibit an inactive lifestyle.”
A systematic review of methods to measure family co‐participation in physical activity
Uijtdewilligen, L., Brown, H. E., Müller‐Riemenschneider, F., Lim, Y. W., Brage, S., & van Sluijs, E. M. F. (2017) · Obesity Reviews · doi:10.1111/obr.12589 · Cited by 26
“Further, levels of physical activity decline substantially throughout childhood and into adolescence (9,10).”
Background
Keeping Them in the Game: Taking Up and Dropping Out of Sport and Exercise in Ireland
Lunn, P., Kelly, E., & Fitzpatrick, N. (2013) · doi:10.26504/rs33 · Cited by 25
“Telama (2009), Dumith et al. (2011) and Craigie et al. (2011) cover 48, 26 and 28 studies respectively (with some overlap).”
Background
Outcomes of a 1‐year randomized controlled trial to evaluate a behavioral ‘stepped‐down’ weight loss intervention for adolescent patients with obesity
Norman, G. J., Huang, J. S., Davila, E. P., Kolodziejczyk, J. K., Carlson, J., Covin, J. R., Gootschalk, M., & Patrick, K. (2015) · Pediatric Obesity · doi:10.1111/ijpo.12013 · Cited by 25
“Furthermore, research suggests both insufficient physical activity (PA) and unhealthy diet increase with age in adolescence (2,3).”
BackgroundMethod
Physical Fitness, Weight, Smoking, and Exercise Patterns in Young Adults
Leyk, D., Rüther, T., Witzki, A. H., Sievert, A., Moedl, A., Blettner, M., Hackfort, D., & Löllgen, H. (2012) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2012.0737 · Cited by 27
Physical activity levels in Portuguese adolescents: A 10-year trend analysis (2006–2016)
Fernandes, H. M. (2017) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2017.05.015 · Cited by 25
Vegan Nutrition: Latest Boom in Health and Exercise
Wirnitzer, K. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-814625-5.00020-0 · Cited by 28
Physical activity and its correlates among higher secondary school students in an urban district of Nepal
Thapa, K., Bhandari, P. M., Neupane, D., Bhochhibhoya, S., Rajbhandari‐Thapa, J., & Pathak, R. P. (2019) · BMC Public Health · doi:10.1186/s12889-019-7230-2 · Cited by 25
Composition of weekly physical activity in adolescents by level of physical activity
Groffik, D., Fromel, K., & Baďura, P. (2020) · BMC Public Health · doi:10.1186/s12889-020-08711-8 · Cited by 22
School and Family Environment is Positively Associated with Extracurricular Physical Activity Practice among 8 to 16 Years Old School Boys and Girls
Romero, C., Dorado-Suárez, A., Jiménez-Zazo, F., Castro-Lemus, N., & Aznar, S. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17155371 · Cited by 40
“A consistent finding in the scientific literature is the decline of physical activity during adolescence [6] as well as a lower level of physical activity among girls and adolescent girls compared to boys [7,8].”
Background
Relationships between grit, physical activity, and academic success in university students: Domains of physical activity matter
Daniels, B. T., Human, A., Gallagher, K. M., & Howie, E. K. (2021) · Journal of American College Health · doi:10.1080/07448481.2021.1950163 · Cited by 26
Associations between the School Environment and Physical Activity Pattern during School Time in Swedish Adolescents
Nyberg, G., Ekblom, Ö. B., Kjellenberg, K., Wang, R., Larsson, H., Jakobsson, B. T., & Helgadóttir, B. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910239 · Cited by 31
“In addition, physical activity levels decrease with increasing age [7,8].”
Background
Energy Cost and Enjoyment of Active Videogames in Children and Teens: Xbox 360 Kinect
Clevenger, K. A., & Howe, C. A. (2015) · Games for Health Journal · doi:10.1089/g4h.2014.0101 · Cited by 24
A cluster randomised controlled trial to evaluate the effectiveness and cost-effectiveness of the GoActive intervention to increase physical activity among adolescents aged 13–14 years
Brown, H. E., Whittle, F., Jong, S. T., Croxson, C. H. D., Sharp, S. J., Wilkinson, P. O., Wilson, E., van Sluijs, E. M. F., Vignoles, A. F., & Corder, K. L. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-014419 · Cited by 25
“In adolescence, physical activity declines 7% per year.(3) Low physical activity in adolescence is also likely to progress to adulthood inactivity,(4) increasing the risk of diabetes, cancer and mortality.”
Physical activity in patients with oligo- and polyarticular juvenile idiopathic arthritis diagnosed in the era of biologics: a controlled cross-sectional study
Risum, K., Hansen, B. H., Selvaag, A. M., Molberg, Ø., Dagfinrud, H. S., & Sanner, H. (2018) · Pediatric Rheumatology · doi:10.1186/s12969-018-0281-6 · Cited by 25
Puberty timing and relative age as predictors of physical activity discontinuation during adolescence
Gallant, F., Hébert, J. J., Thibault, V., Mekari, S., Sabiston, C. M., & Bélanger, M. F. (2023) · Scientific Reports · doi:10.1038/s41598-023-40882-3 · Cited by 27
Is change in environmental supportiveness between primary and secondary school associated with a decline in children׳s physical activity levels?
Coombes, E. G., Jones, A., Page, A. S., & Cooper, A. R. (2014) · Health & Place · doi:10.1016/j.healthplace.2014.07.009 · Cited by 24
Correlates of physical activity in young people: A narrative review of reviews. Implications for physical education based on a socio-ecological approach (Correlatos de actividad física en jóvenes: Una revisión narrativa de revisiones. Implicaciones para
Martins, J., Marques, A., Peralta, M., Palmeira, A. L., & da Costa, F. C. (2017) · Retos · doi:10.47197/retos.v0i31.53505 · Cited by 24
“, 2005), age (Dumith et al., 2011) and socioeconomic status (Stalsberg & Pedersen, 2010), the results in general do not allow to identify the specific correlates for each subgroups.”
BackgroundResultInfluential
Sprint Interval Training and the School Curriculum: Benefits Upon Cardiorespiratory Fitness, Physical Activity Profiles, and Cardiometabolic Risk Profiles of Healthy Adolescents
Martin-Smith, R., Buchan, D. S., Baker, J. S., MacDonald, M. J., Sculthorpe, N. F., Easton, C., Knox, A., & Grace, F. (2018) · Pediatric Exercise Science · doi:10.1123/pes.2018-0155 · Cited by 25
Individual and Environmental Factors Associated with Participation in Physical Activity as Adolescents Transition to Secondary School: A Qualitative Inquiry
McGaughey, T., Vlaar, J., Naylor, P., Hanning, R. M., Mare, L. L., & Mâsse, L. C. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17207646 · Cited by 24
Risk factors and risk profiles for neck pain in young adults: Prospective analyses from adolescence to young adulthood—The North-Trøndelag Health Study
Jahre, H., Grotle, M., Småstuen, M. C., Guddal, M. H., Smedbråten, K., Richardsen, K. R., Stensland, S. Ø., Storheim, K., & Øiestad, B. E. (2021) · PLoS ONE · doi:10.1371/journal.pone.0256006 · Cited by 25
“Development of MSK pain may be influenced by such changes and characteristics, for instance, sleeping disturbances [10], mental health problems [11], and a decreased physical activity level [12].”
Background
Physical Activity in High School Classrooms: A Promising Avenue for Future Research
Fenesi, B., Graham, J. D., Crichton, M. C., Ogrodnik, M., & Skinner, J. K. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19020688 · Cited by 28
“In a large-scale review of tracking studies across the world, participation in physical activity from adolescence to adulthood was shown to be stable, or “tracked” over time [35,36].”
Background
Objectively measured physical activity during primary school physical education predicts intrinsic motivation independently of academic achievement level
de Bruijn, A. G. M., de Greeff, J. W., Temlali, T. Y., Oosterlaan, J., Smith, J., & Hartman, E. (2022) · British Journal of Educational Psychology · doi:10.1111/bjep.12527 · Cited by 41

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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