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Variations in accelerometry measured physical activity and sedentary time across Europe-harmonized analyses of 47,497 children and adolescents

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posted on 16.11.2020, 14:03 authored by J Steene-Johannessen, BH Hansen, KE Dalene, E Kolle, K Northstone, NC Møller, A Grøntved, N Wedderkopp, S Kriemler, AS Page, JJ Puder, JJ Reilly, LB Sardinha, EMF Van Sluijs, LB Andersen, H Van Der Ploeg, W Ahrens, C Flexeder, M Standl, H Shculz, LA Moreno, S De Henauw, N Michels, G Cardon, FB Ortega, J Ruiz, S Aznar, M Fogelholm, A Decelis, LG Olesen, MF Hjorth, R Santos, S Vale, LB Christiansen, R Jago, L Basterfield, CG Owen, CM Nightingale, G Eiben, A Polito, F Lauria, J Vanhelst, C Hadjigeorgiou, K Konstabel, D Molnár, O Sprengeler, Y Manios, J Harro, A Kafatos, SA Anderssen, U Ekelund, S Anderssen, AJ Atkin, R Davey, Dale EsligerDale Esliger, P Hallal, KF Janz, N Møller, R Pate, J Reilly, J Salmon, Lauren SherarLauren Sherar
© 2020 The Author(s). Background: Levels of physical activity and variation in physical activity and sedentary time by place and person in European children and adolescents are largely unknown. The objective of the study was to assess the variations in objectively measured physical activity and sedentary time in children and adolescents across Europe. Methods: Six databases were systematically searched to identify pan-European and national data sets on physical activity and sedentary time assessed by the same accelerometer in children (2 to 9.9 years) and adolescents (≥10 to 18 years). We harmonized individual-level data by reprocessing hip-worn raw accelerometer data files from 30 different studies conducted between 1997 and 2014, representing 47,497 individuals (2-18 years) from 18 different European countries. Results: Overall, a maximum of 29% (95% CI: 25, 33) of children and 29% (95% CI: 25, 32) of adolescents were categorized as sufficiently physically active. We observed substantial country-A nd region-specific differences in physical activity and sedentary time, with lower physical activity levels and prevalence estimates in Southern European countries. Boys were more active and less sedentary in all age-categories. The onset of age-related lowering or leveling-off of physical activity and increase in sedentary time seems to become apparent at around 6 to 7 years of age. Conclusions: Two third of European children and adolescents are not sufficiently active. Our findings suggest substantial gender-, country-A nd region-specific differences in physical activity. These results should encourage policymakers, governments, and local and national stakeholders to take action to facilitate an increase in the physical activity levels of young people across Europe.


The funding agencies supporting this work are as follows: Italy: the Ministry of Agricultural, Food and Forestry Policies Ireland: The Health Research Board; The Netherlands: The Netherlands Organisation for Health Research and Development (ZonMw); and Norway: The Research Council of Norway, Division for Society and Health



  • Sport, Exercise and Health Sciences

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International Journal of Behavioral Nutrition and Physical Activity








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This is an Open Access Article. It is published by BMC under the Creative Commons Attribution 4.0 Unported Licence (CC BY). Full details of this licence are available at:

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Dr Lauren Sherar Deposit date: 13 November 2020

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