Cited by 451Physical Activity and HealthObesity, Physical Activity, DietUrban Transport and Accessibility

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Global Matrix 2.0: Report Card Grades on the Physical Activity of Children and Youth Comparing 38 Countries

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Tremblay, Mark S., Barnes, Joel D., González, Silvia A., Katzmarzyk, Peter T., Onywera, Vincent O., Reilly, John J., Tomkinson, Grant R., _, _·2016·Journal of Physical Activity and Health

DOI 10.1123/jpah.2016-0594

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Abstract

The Active Healthy Kids Global Alliance organized the concurrent preparation of Report Cards on the physical activity of children and youth in 38 countries from 6 continents (representing 60% of the world's population). Nine common indicators were used (Overall Physical Activity, Organized Sport Participation, Active Play, Active Transportation, Sedentary Behavior, Family and Peers, School, Community and the Built Environment, and Government Strategies and Investments), and all Report Cards were generated through a harmonized development process and a standardized grading framework (from A = excellent, to F = failing). The 38 Report Cards were presented at the International Congress on Physical Activity and Public Health in Bangkok, Thailand on November 16, 2016. The consolidated findings are summarized in the form of a Global Matrix demonstrating substantial variation in grades both within and across countries. Countries that lead in certain indicators often lag in others. Average grades for both Overall Physical Activity and Sedentary Behavior around the world are D (low/poor). In contrast, the average grade for indicators related to supports for physical activity was C. Lower-income countries generally had better grades on Overall Physical Activity, Active Transportation, and Sedentary Behaviors compared with higher-income countries, yet worse grades for supports from Family and Peers, Community and the Built Environment, and Government Strategies and Investments. Average grades for all indicators combined were highest (best) in Denmark, Slovenia, and the Netherlands. Many surveillance and research gaps were apparent, especially for the Active Play and Family and Peers indicators. International cooperation and cross-fertilization is encouraged to address existing challenges, understand underlying determinants, conceive innovative solutions, and mitigate the global childhood inactivity crisis. The paradox of higher physical activity and lower sedentary behavior in countries reporting poorer infrastructure, and lower physical activity and higher sedentary behavior in countries reporting better infrastructure, suggests that autonomy to play, travel, or chore requirements and/or fewer attractive sedentary pursuits, rather than infrastructure and structured activities, may facilitate higher levels of physical activity.

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Authors: Tremblay, M. S., Barnes, J. D., González, S. A., Katzmarzyk, P. T., Onywera, V. O., Reilly, J. J., Tomkinson, G. R., & _, _.
Affiliations: University of South Australia (AU)
ORCID: Tremblay, Mark S.
Barnes, Joel D.
Katzmarzyk, Peter T.
Onywera, Vincent O.
Reilly, John J.
Tomkinson, Grant R.
Venue: Journal of Physical Activity and Health
Publisher: Human Kinetics
Published: 2016-11
Volume: 13
Issue: s2
Pages: S343-S366
ISSN: 1543-3080 (ISSN-L)
1543-5474
DOI: 10.1123/jpah.2016-0594
OpenAlex: W2553156512
Cited by: 451
References: 115
Citations by year: 2026: 14 · 2025: 14 · 2024: 43 · 2023: 21 · 2022: 61 · 2021: 56 · 2020: 77 · 2019: 61 · 2018: 67 · 2017: 35 · 2016: 2
FWCI: 44.23
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of Physical Activity and Health (publishedVersion)
PubMed (publishedVersion)
Pure (University of Bath) (publishedVersion, other-oa)
UniSA Research Outputs Repository (University of South Australia) (acceptedVersion)
Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion, other-oa)
Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
UND Scholarly Commons (University of North Dakota) (submittedVersion)
Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
Lirias (KU Leuven) (submittedVersion)
The University of Bath Online Publications Store (The University of Bath) (submittedVersion)
Utrecht University Repository (Utrecht University) (submittedVersion)
Funders: Thai Health Promotion Foundation
Japan Society for the Promotion of Science (15K01690)
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 › Transportation › Urban Transport and Accessibility
Keywords: physical activity, children and young people, sedentary behavior, active play, organized sports participation, active travel, built environment, family and peer support, cross-national comparison, income level, surveillance gaps
MeSH terms: Adolescent, Child, Health Policy, Health Promotion, Health Surveys, Humans, Motor Activity, Play and Playthings, Exercise, Sedentary Behavior, Research Report

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Global Matrix 2.0: Report Card Grades on the Physical Activity of Children and Youth Comparing 38 Countries

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