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Global Matrix 2.0: Report Card Grades on the Physical Activity of Children and Youth Comparing 38 Countries
Open accessAbstract
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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“an analysis of report cards of active healthy kids across 15 countries found that 20%–39% of kids in 10 of those countries earned a grade of D in meeting PA guidelines and <20% earned an F.4”
From A mixed-studies systematic review and meta-analysis of school-based interventions to promote physical activity and/or reduce sedentary time in children (2020) · cites this paper as [4]
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“Approximately 40% of children and adolescents worldwide participate in sport (Tremblay et al., 2016).”
From Impact of organized activities on mental health in children and adolescents: An umbrella review (2022) · cites this paper as Tremblay et al., 2016
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“a large proportion of children and youth, including those living in low and middle-income countries, are either sedentary or not achieving recommended levels of physical activity.8–11”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [9]
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“it is widely reported that the majority of children do not meet these guidelines.”
From A mixed-studies systematic review and meta-analysis of school-based interventions to promote physical activity and/or reduce sedentary time in children (2020) · cites this paper as [4]
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Self-citationParticipation of people living with disabilities in physical activity: a global perspective
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Metadata
- 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
- 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
- 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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