Aubert, SaloméBarnes, Joel DDemchenko, IrynaHawthorne, MyrandaAbdeta, ChalchisaAbi Nader, PatrickAdsuar Sala, José CarmeloAguilar-Farias, NicolasAznar, SusanaBakalár, PeterBhawra, JasminBrazo-Sayavera, JavierBringas, MikelCagas, Jonathan YCarlin, AngelaChang, Chen-KangChen, BozhiChristiansen, Lars BreumChristie, Candice Jo-AnneDe Roia, Gabriela FernandaDelisle Nyström, ChristineDemetriou, YolandaDjordjic, VisnjaEmeljanovas, ArunasFindling Endy, LiriGába, AlešGalaviz, Karla IGonzález, Silvia AHesketh, Kylie DHuang, Wendy YajunHubona, OmphileJeon, Justin YJurakić, DanijelJürimäe, JaakKatapally, Tarun ReddyKatewongsa, PiyawatKatzmarzyk, Peter TKim, Yeon-SooLambert, Estelle VictoriaLee, Eun-YoungLevi, SharonLobo, PabloLöf, MarieLoney, TomLópez-Gil, José FranciscoLópez-Taylor, JuanMäestu, EvelinMahendra, AgusMakaza, DagaMallari, Marla Frances TManyanga, TaruMasanovic, BojanMorrison, Shawnda AMota, JorgeMüller-Riemenschneider, FalkMuñoz Bermejo, LauraMurphy, Marie HNaidoo, RowenaNguyen, PhuongPaudel, SusanPedišić, ŽeljkoPérez-Gómez, JorgeReilly, John JReimers, Anne KerstinRichards, Amie BSantos Silva, Diego AugustoSaonuam, PairojSarmiento, Olga LSember, VedranaShahril, Mohd RazifSmith, MelodyStandage, MartynStratton, GarethSubedi, NarayanTammelin, Tuija HTanaka, ChiakiTesler, RikiThivel, DavidTladi, Dawn MahubeTlučáková, LenkaVanderloo, Leigh MWilliams, AlunWong, Stephen Heung SangWu, Ching-LinZembura, PawełTremblay, Mark S2023-02-222023-02-222022-11(2022). Journal of Physical Activity and Health, 19(11), 700-728.1543-3080https://hdl.handle.net/2292/62978<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.Electronic-PrintItems in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htmHumansExerciseHealth PolicyAdolescentChildHealth PromotionResearch ReportPandemicsCOVID-19active transportphysical educationsedentary behaviorssportsurveillanceyouthPediatricPreventionClinical ResearchCardiovascularMetabolic and endocrine1106 Human Movement and Sports Sciences1117 Public Health and Health Services1302 Curriculum and PedagogyJournal Article10.1123/jpah.2022-04562023-01-25Copyright: The authors36280233 (pubmed)http://purl.org/eprint/accessRights/RetrictedAccess1543-5474