Global matrix 4.0 physical activity report card grades for children and adolescents : results and analyses from 57 countries

Aubert, Salomé and Barnes, Joel D. and Demchenko, Iryna and Hawthorne, Myranda and Abdeta, Chalchisa and Nader, Patrick Abi and Sala, José Carmelo Adsuar and Aguilar-Farias, Nicolas and Aznar, Susana and Bakalár, Peter and Bhawra, Jasmin and Brazo-Sayavera, Javier and Bringas, Mikel and Cagas, Jonathan Y. and Carlin, Angela and Chang, Chen Kang and Chen, Bozhi and Christiansen, Lars Breum and Christie, Candice Jo Anne and De Roia, Gabriela Fernanda and Nyström, Christine Delisle and Demetriou, Yolanda and Djordjic, Visnja and Emeljanovas, Arunas and Endy, Liri Findling and Gába, Aleš and Galaviz, Karla I. and González, Silvia A. and Hesketh, Kylie D. and Huang, Wendy Yajun and Hubona, Omphile and Jeon, Justin Y. and Jurakić, Danijel and Jürimäe, Jaak and Katapally, Tarun Reddy and Katewongsa, Piyawat and Katzmarzyk, Peter T. and Kim, Yeon Soo and Lambert, Estelle Victoria and Lee, Eun Young and Levi, Sharon and Lobo, Pablo and Löf, Marie and Loney, Tom and López-Gil, José Francisco and López-Taylor, Juan and Mäestu, Evelin and Murphy, Marie H. and Reilly, John J. and Tremblay, Mark S. (2022) Global matrix 4.0 physical activity report card grades for children and adolescents : results and analyses from 57 countries. Journal of Physical Activity and Health, 19 (11). pp. 700-728. ISSN 1543-3080 (

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Background: The Global Matrix 4.0 on physical activity (PA) for children and adolescents was developed to achieve a comprehensive understanding of the global variation in children’s and adolescents’ (5–17 y) PA, related measures, and key sources of influence. The objectives of this article were (1) to summarize the findings from the Global Matrix 4.0 Report Cards, (2) to compare indicators across countries, and (3) to explore trends related to the Human Development Index and geo-cultural regions. Methods: A total of 57 Report Card teams followed a harmonized process to grade the 10 common PA indicators. An online survey was conducted to collect Report Card Leaders’ top 3 priorities for each PA indicator and their opinions on how the COVID-19 pandemic impacted child and adolescent PA indicators in their country. Results: Overall Physical Activity was the indicator with the lowest global average grade (D), while School and Community and Environment were the indicators with the highest global average grade (C+). An overview of the global situation in terms of surveillance and prevalence is provided for all 10 common PA indicators, followed by priorities and examples to support the development of strategies and policies internationally. Conclusions: The Global Matrix 4.0 represents the largest compilation of children’s and adolescents’ PA indicators to date. While variation in data sources informing the grades across countries was observed, this initiative highlighted low PA levels in children and adolescents globally. Measures to contain the COVID-19 pandemic, local/international conflicts, climate change, and economic change threaten to worsen this situation.