Global Matrix 4.0 Physical Activity Report Card Grades for Children and Adolescents: Results and Analyses From 57 Countries


Salomé Aubert, Active Healthy Kids Global Alliance
Joel D. Barnes, Active Healthy Kids Global Alliance
Iryna Demchenko, Children's Hospital of Eastern Ontario, Ottawa
Myranda Hawthorne, Children's Hospital of Eastern Ontario, Ottawa
Chalchisa Abdeta, University of Wollongong
Patrick Abi Nader, Université du Québec à Rimouski
José Carmelo Adsuar Sala, Universidad de Extremadura
Nicolas Aguilar-Farias, Universidad de la Frontera
Susana Aznar, Universidad de Castilla-La Mancha
Peter Bakalár, University of Presov in Presov
Jasmin Bhawra, Toronto Metropolitan University
Javier Brazo-Sayavera, Universidad de la Republica
Mikel Bringas, Physical Activity and Sport Office
Jonathan Y. Cagas, University of the Philippines Diliman
Angela Carlin, Ulster University
Chen Kang Chang, National Taiwan University of Sport
Bozhi Chen, National University of Singapore
Lars Breum Christiansen, Research and Innovation Centre for Human Movement and Learning
Candice Jo Anne Christie, Rhodes University
Gabriela Fernanda De Roia, Universidad de Flores
Christine Delisle Nyström, Karolinska Institutet
Yolanda Demetriou, Fakultät für Sport- und Gesundheitswissenschaften, Technische Universität München
Visnja Djordjic, University of Novi Sad
Arunas Emeljanovas, Lithuanian Sports University
Liri Findling Endy, Israel Ministry of Health
Aleš Gába, Univerzita Palackého v Olomouci
Karla I. Galaviz, Indiana University Bloomington
Silvia A. González, Facultad de Medicina
Kylie D. Hesketh, The Institute for Physical Activity and Nutrition

Publication Name

Journal of Physical Activity and Health


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.

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