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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Result
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Background
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Method
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Background
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Background
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Background
A Physical Education Intervention Effects on Correlates of Physical Activity and Motivation
Palmer, S. E., Bycura, D. K., & Warren, M. (2017) · Health Promotion Practice · doi:10.1177/1524839917707740 · Cited by 19
Comparing the Psychometric Properties of Two Physical Activity Self-Efficacy Instruments in Urban, Adolescent Girls: Validity, Measurement Invariance, and Reliability
Voskuil, V. R., Pierce, S. J., & Robbins, L. B. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01301 · Cited by 16
Family leisure-time physical activities – results of the “Juniors for Seniors” 15-week intervention programme
Pluta, B., Bronikowska, M., Tomczak, M., Laudańska–Krzemińska, I., & Bronikowski, M. (2017) · Biomedical Human Kinetics · doi:10.1515/bhk-2017-0023 · Cited by 15
“Studies show [13] a decline in LTPA levels from age 9 up to 18.”
Background
Photorealistic Avatar and Teen Physical Activity: Feasibility and Preliminary Efficacy
Thompson, D. I., Cantu, D., Callender, C. S., Liu, Y., Rajendran, M., Rajendran, M., Zhang, Y., & Deng, Z. (2018) · Games for Health Journal · doi:10.1089/g4h.2017.0103 · Cited by 17
One‐year longitudinal study found a bidirectional relationship between physical activity and sleep disturbance in teenage Estonian girls
Raudsepp, L. (2018) · Acta Paediatrica · doi:10.1111/apa.14279 · Cited by 15
“Population studies indicate that leisure time PA declines by an estimated 7% per year through adolescence (3).”
Background
One-year changes in physical activity and sedentary behavior among adolescents: the Croatian Physical Activity in Adolescence Longitudinal Study (CRO-PALS)
Štefan, L., Sorić, M., Devrnja, A., Petrić, V., & Mišigoj‐Duraković, M. (2018) · International Journal of Adolescent Medicine and Health · doi:10.1515/ijamh-2017-0223 · Cited by 16
“[11] showed a mean decline in PA of 7% annually in boys aged 13–16 years.”
Background
Changing recess geographies: children’s perceptions of a schoolyard renovation project promoting physical activity
Pawlowski, C. S., Andersen, H. B., Arvidsen, J., & Schipperijn, J. (2019) · Children s Geographies · doi:10.1080/14733285.2019.1582754 · Cited by 15
“The renewed schoolyards primarily targeted children in grades 4 through 6 (age 10–13) since PA declines significantly during these school years (Nader et al. 2008; Dumith et al. 2011).”
Background
Moderate to Vigorous Physical Activity During Physical Education, Recess, and Class Time Among Elementary School Children in Qatar
Zimmo, L., Almudahka, F., Ibrahim, I. A. E., Al‐Kuwari, M. G., & Farooq, A. (2019) · Journal of Teaching in Physical Education · doi:10.1123/jtpe.2018-0351 · Cited by 15
Exploring Factors Influencing Girls' Continued Participation in Competitive Dance
Shannon, C. S. (2016) · Journal of Leisure Research · doi:10.18666/jlr-2016-v48-i4-6601 · Cited by 14
Qualitative views of Nigerian school principals and teachers on the barriers and opportunities for promoting students’ physical activity behaviours within the school settings
Oluwasanu, M. M., Oladepo, O., & Ibitoye, S. E. (2021) · BMC Public Health · doi:10.1186/s12889-021-12327-x · Cited by 14
Physical Activity in Youth with Down Syndrome and Its Relationship with Adiposity
Xanthopoulos, M. S., Walega, R., Xiao, R., Pipan, M. E., Cochrane, C. I., Zemel, B. S., Kelly, A. T., & Magge, S. N. (2023) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000001192 · Cited by 14
Effectiveness of the Walking in ScHools (WISH) Study, a peer-led walking intervention for adolescent girls: results of a cluster randomised controlled trial
MURPHY, M. H., O’Kane, S. M., Carlin, A., Lahart, I. M., Doherty, L. C., Jago, R., McDermott, G., Faulkner, M., & Gallagher, A. M. (2024) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-024-01563-0 · Cited by 15
The ACT-i-Pass study protocol: How does free access to recreation opportunities impact children’s physical activity levels?
Gilliland, J., Clark, A. F., Tucker, P., Harry Prapavessis, A., Avison, W. R., & Wilk, P. (2015) · BMC Public Health · doi:10.1186/s12889-015-2637-x · Cited by 14
“With regard to individual-level socio-demographic factors, a negative association has been identified between PA and age, with PA declines being steepest for female adolescents [14, 15].”
Background
Environmental Mismatch: Do Associations between the Built Environment and Physical Activity among Youth Depend on Concordance with Perceptions?
Loh, V. H. Y., Veitch, J., Salmon, J., Cerin, E., Mavoa, S., Villanueva, K., & Timperio, A. F. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17041309 · Cited by 14
“Adolescence is a period when physical activity levels decline steeply when transitioning from childhood [8], and is also a period that is characterised by social changes, including a shift in autonomy away from family to peer interactions [9].”
Background
Effects of 2 Methods of Combined Training on Cardiometabolic Risk Factors in Adolescents: A Randomized Controlled Trial
de Faria, W. F., Mendonça, F. R., dos Santos, G. C., Kennedy, S. G., Elias, R. G. M., & Neto, A. S. (2020) · Pediatric Exercise Science · doi:10.1123/pes.2020-0016 · Cited by 14
Effects of behavioural skill training on cognitive antecedents and exercise and sport behaviour in high school students: a cluster-randomised controlled trial
Schnider, L., Schilling, R., Cody, R., Kreppke, J.-N., & Gerber, M. (2021) · International Journal of Sport and Exercise Psychology · doi:10.1080/1612197x.2021.1877329 · Cited by 14
“ARTICLE HISTORY Received 17 August 2020 Accepted 25 December 2020 KEYWORDS Adolescents; intervention; motivation; planning; replication The transition from adolescence to adulthood is characterised by the decline of physical activity and an increase of sedentary behaviours (Dumith et al., 2011).”
BackgroundInfluential
The Association of Family, Friends, and Teacher Support With Girls’ Sport and Physical Activity on the Island of Ireland
O’Brien, W., Coppinger, T. C., Hogan, I., Belton, S., MURPHY, M. H., Powell, C., & Woods, C. B. (2021) · Journal of Physical Activity and Health · doi:10.1123/jpah.2020-0386 · Cited by 14
Effects of tabata training on health-related fitness components among secondary school students
Popowczak, M., Rokita, A., & Domaradzki, J. (2022) · Kinesiology · doi:10.26582/k.54.2.2 · Cited by 14
FITNESSGRAM® Friday: A Middle School Physical Activity and Fitness Intervention
Murray, T. D., Eldridge, J. A., Silvius, P., Silvius, E., & Squires, W. (2012) · International journal of exercise science · doi:10.70252/hqjx4202 · Cited by 14
“At the present there are numerous national and state policymakers that have focused on school PE as important area for intervention to increase physical activity and physical fitness to combat issues like the obesity crisis (2, 7, 9, 11, 22, 28, 29, 31).”
Background
Improving health-related fitness in adolescents: The CrossFit Teens randomized controlled trial
Eather, N., Morgan, P. J., & Lubans, D. R. (2015) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2015.12.406 · Cited by 13
The effects of two weeks high-intensity interval training on fasting glucose, glucose tolerance and insulin resistance in adolescent boys: a pilot study
Cockcroft, E., Bond, B., Williams, C. A., Harris, S., Jackman, S. R., Armstrong, N., & BARKER, A. R. (2019) · BMC Sports Science Medicine and Rehabilitation · doi:10.1186/s13102-019-0141-9 · Cited by 14
Determinants of Physical Activity and Screen Time Trajectories in 7th to 9th Grade Adolescents—A Longitudinal Study
Krist, L., Roll, S., Stroebele‐Benschop, N., Rieckmann, N., Müller‐Nordhorn, J., Bürger, C., Willich, S. N., & Müller‐Riemenschneider, F. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17041401 · Cited by 14
“Whereas associated factors are mostly reported for the whole study sample representing average changes of the sample (based on mean differences normally assessed at two time points), this approach does not investigate distinct subgroups following different trajectories of PA and ST [18].”
BackgroundInfluential
The evolution of sports: Age-cohort effects in sports participation
Apostolou, M. (2014) · International Journal of Sport and Exercise Psychology · doi:10.1080/1612197x.2014.982678 · Cited by 14
Feasibility of a peer-led, after-school physical activity intervention for disadvantaged adolescent females during the COVID-19 pandemic: results from the Girls Active Project (GAP)
McQuinn, S., Belton, S., Staines, A. S., & Sweeney, M. R. (2022) · Pilot and Feasibility Studies · doi:10.1186/s40814-022-01149-2 · Cited by 11
“An age-related decline in PA participation during adolescence is a consistent finding in the literature [7, 8], with national evidence to suggest [9] that the largest reduction in PA levels for females occurs between second (aged 13–14) and third year (aged 14–15) in postprimary school.”
Result
Understanding the intention-to-behaviour relationship for adolescents: an application of the multi-process action control model
Haider, I., Brown, D. M. Y., Bray, S. R., Dutta, P., Rhodes, R. E., & KWAN, M. Y. W. (2022) · International Journal of Sport and Exercise Psychology · doi:10.1080/1612197x.2022.2138496 · Cited by 12
“It is estimated that engagement in physical activity behaviour declines on average 7% per year during the broader adolescent and youth period (Dumith et al., 2011).”
Background
Flipping the Script: An Initial Exploration of Flipped Learning as an Enhanced Alternative to Traditional Physical Education Lessons
Killian, C. M., Espinoza, S. M., Webster, C. A., Long, B., Urtel, M. G., Woods, A. M., & D’Agostino, E. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192215188 · Cited by 13
“What If Others Think I Look Like…” The Moderating Role of Social Physique Anxiety and Sex in the Relationship between Physical Activity and Life Satisfaction in Swiss Adolescents
Meyer, S., Lang, C., Ludyga, S., Grob, A., & Gerber, M. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054441 · Cited by 17
“Finally, we assumed that, for girls, the moderating effect of social physique anxiety is stronger than for boys (Hypothesis 3) [43,53,56].”
Background
Cardiovascular Health Trajectories in Adolescence and Their Association With Sociodemographic and Cardiometabolic Outcomes in Spain.
Martínez-Gómez, J., de Cos-Gandoy, A., Fernández-Alvira, J. M., Bodega, P., de Miguel, M., Tresserra-Rimbau, A., Laveriano-Santos, E., Ramírez-Garza, S. L., Orrit, X., Carvajal, I., et al. (2024) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2023.12.016 · Cited by 13
Exploring perceived autonomy support and emotions in university tennis courses
Simonton, K. L., Solmon, M. A., & Garn, A. C. (2019) · International Journal of Sport and Exercise Psychology · doi:10.1080/1612197x.2019.1623285 · Cited by 17
The association between obesity and hyperactivity/anxiety among elementary school students in Japan
Suzuki, Y., Ikeda, A., Maruyama, K., Sakamoto, N., Wada, H., & Tanigawa, T. (2019) · International Journal of Behavioral Medicine · doi:10.1007/s12529-019-09827-x · Cited by 13
Acceptability and Usability of a Wearable Activity Tracker and Application Among Inactive Adolescent Girls
Voskuil, V. R., Stroup, S., & Leyden, M. (2020) · Physical Activity and Health · doi:10.5334/paah.51 · Cited by 13
Free Time Activities of High School Students: Sports or Video Games?
Balatoni, I. (2020) · Athens Journal of Sports · doi:10.30958/ajspo.7-2-4 · Cited by 13
Multi-level validation of the German physical activity self-efficacy scale in a sample of female sixth-graders
Bachner, J., Sturm, D. J., Haug, S., & Demetriou, Y. (2020) · BMC Public Health · doi:10.1186/s12889-020-09096-4 · Cited by 13
Obesity in Young Adulthood: The Role of Physical Activity Level, Musculoskeletal Pain, and Psychological Distress in Adolescence (The HUNT-Study)
Guddal, M. H., Stensland, S. Ø., Småstuen, M. C., Johnsen, M. B., Heuch, I., Zwart, J., & Storheim, K. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17124603 · Cited by 18
“Young people commonly drift away from engagement in regular physical activity throughout their adolescent years [13], and the majority of adolescents worldwide (81%) do not adhere to the current recommendations of daily PA [6].”
Background
Impact of a Father–Daughter Physical Activity Intervention: An Exploration of Fathers’ Experiences
Pollock, E. R., Young, M. D., Lubans, D. R., Barnes, A. T., Eather, N., Coffey, J. E., Hansen, V., & Morgan, P. J. (2020) · Journal of Child and Family Studies · doi:10.1007/s10826-020-01837-8 · Cited by 14
SNAP-Ed physical activity interventions in low-income schools are associated with greater cardiovascular fitness among 5th and 7th grade students in California
Thompson, H. R., Hewawitharana, S. C., Kao, J., Rider, C. D., Talmage, E., Gosliner, W. A., Whetstone, L. M., & Woodward-Lopez, G. M. (2020) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2020.101222 · Cited by 13
“…the known drop off in student PA and fitness during adolescence (particularly for female students), identifying interventions that are effective during the middle school years, especially for female students, is particularly important (Bowser et al., 2016; Dumith et al., 2011; Konty et al., 2020).”
Background
Physical Activity in Adolescents with and without Type 1 Diabetes during the New Zealand COVID-19 Pandemic Lockdown of 2020
Telford, D. M., Signal, D., Hofman, P. L., & Gusso, S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18094475 · Cited by 13
“While pandemic data for PA by age group is not available, based on pre-pandemic data, average PA decreases steadily throughout adolescence [48], and in NZ, average active time decreases from 12.”
Background
Prevalence and Trends of Physical Activity in Thai Children and Young People: Pooled Panel Data Analysis from Thailand’s Surveillance on Physical Activity 2012–2020
Widyastari, D. A., Saonuam, P., Rasri, N., Pongpradit, K., & Katewongsa, P. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910088 · Cited by 16
Differential impact of COVID-19 lockdown on physical activity in younger and older adolescents – prospective study
Kesic, M. G., Gilić, B., Zovko, I. Č., Drid, P., Korovljev, D., & Sekulić, D. (2021) · Medycyna Pracy · doi:10.13075/mp.5893.01180 · Cited by 13
“Evidenced differences in sports participation between younger and older adolescents are likely to occur due to increased commitments, lack of free time, focus on academic achievement [6], socialization with friends in sedentary activities, and employment in older adolescents [20].”
Background
Predicting Dropout From Organized Football: A Prospective 4-Year Study Among Adolescent and Young Adult Football Players
Yperen, N. W. V., Jonker, L., & Verbeek, J. (2022) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2021.752884 · Cited by 18
“Specifically, as young people progress through adolescence, physical activity levels tend to decline (Dumith et al., 2011) and participation in organized sport drops (Zimmermann-Sloutskis et al.”
Background
Barriers and facilitators to comprehensive, school-based physical activity promotion for adolescents prior to and during the COVID-19 pandemic: a qualitative study
Johnson, A. M., Tandon, P. S., Hafferty, K. R., Senturia, K., Garrett, K., Bollinger, B. J., & Kroshus, E. (2022) · Health Education Research · doi:10.1093/her/cyac036 · Cited by 13
Predictors and Trends of Gross Motor Skill Performance in At-Risk Elementary School-Aged Children
Burns, R. D., Brusseau, T. A., Fu, Y., & Hannon, J. C. (2015) · Perceptual and Motor Skills · doi:10.2466/10.15.pms.121c14x6 · Cited by 13

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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