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CONTEXT: Decreased physical activity plays a critical role in the increase in childhood obesity. Although at least 60 minutes per day of moderate-to-vigorous physical activity (MVPA) is recommended, few longitudinal studies have determined the recent patterns of physical activity of youth. OBJECTIVE: To determine the patterns and determinants of MVPA of youth followed from ages 9 to 15 years. DESIGN, SETTING, AND PARTICIPANTS: Longitudinal descriptive analyses of the 1032 participants in the 1991-2007 National Institute of Child Health and Human Development Study of Early Child Care and Youth Development birth cohort from 10 study sites who had accelerometer-determined minutes of MVPA at ages 9 (year 2000), 11 (2002), 12 (2003), and 15 (2006) years. Participants included boys (517 50.1%) and girls (515 49.9%); 76.6% white (n = 791); and 24.5% (n = 231) lived in low-income families. MAIN OUTCOME MEASURE: Mean MVPA minutes per day, determined by 4 to 7 days of monitored activity. RESULTS: At age 9 years, children engaged in MVPA approximately 3 hours per day on both weekends and weekdays. Weekday MVPA decreased by 37 minutes per year corrected, while weekend MVPA decreased by 39 minutes per year corrected. By age 15 years, adolescents were only engaging in MVPA for 50 minutes per weekday corrected and 36 minutes per weekend day corrected. Boys were more active than girls, spending 18 and 14 more minutes per day corrected in MVPA on the weekdays and weekends, respectively. The rate of decrease in MVPA was the same for boys and girls. The estimated age at which girls crossed below the recommended 60 minutes of MVPA per day was approximately 13.2 years for weekday corrected activity compared with boys at 14.9 years corrected, and for weekend activity, girls crossed below the recommended 60 minutes of MVPA at 12.7 years corrected compared with boys at 13.6 years corrected. CONCLUSION: In this study cohort, measured physical activity decreased significantly between ages 9 and 15 years.
Philip R. Nader (Tue,) studied this question.