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Physical activity: children

Physical activity guidelines

The Physical activity guidelines: UK Chief Medical Officers' report sets out different guidelines for different ages of children:

  • Infants (less than 1 year) should be physically active several times every day in a variety of ways, including at least 30 minutes of ‘tummy time’ (time on their stomach) in infants not yet mobile.
  • Toddlers (aged 1-2 years) and pre-schoolers (aged 3-4 years) should spend at least 180 minutes per day in a variety of physical activities, with this including 60 minutes of moderate-to-vigorous intensity physical activity for pre-schoolers.
  • Children and young people aged 5 – 18 years should engage in moderate to vigorous physical activity (MVPA) for at least 60 minutes every day. The guidelines state that, "Moderate and vigorous activity can be differentiated by the ‘talk test’: being able to talk but not sing indicates moderate intensity activity, while having difficulty talking without pausing is a sign of vigorous activity.” (UK Chief Medical Officers’ Physical Activity Guidelines, p.14). Children and young people should aim to minimise time spent being sedentary.

The Scottish Health Survey is the key data source providing estimates of the proportion of children meeting the physical activity guideline.

Children's physical activity levels by age and sex

In 2022, 69% of children aged 5-15 years met the guideline of at least 60 minutes of physical activity on every day of the week including activity at school. 

Chart 1 shows that boys aged 8-10 and girls aged 5-7are descriptively are most likely to meet the guideline. The recommendation for 2 – 4 year olds is different to that for older children: 2 – 4 year olds should spend at least 180 minutes per day in physical activities, with this including 60 minutes of MVPA for 3 – 4 year olds. Since the Scottish Health Survey does not collect complete information on activity that is not moderate or vigorous, the data for 2 – 4 year olds in chart 1 is based only on those who meet the 60 minutes MVPA recommendation. Children and young people aged 5 – 18 should engage in MVPA for at least 60 minutes every day.

 

Children's physical activity levels by SIMD quintile

Chart 2 shows that in 2022  girls and boys in the least deprived areas (as measured by the Scottish Index of Multiple Deprivation) were more likely to engage in 60+ minutes of physical activity on 7 days of the week (including activity in school) than those in the most deprived areas. The results for adults meeting the recommended physical activity guidelines, also show a pattern by deprivation (Scottish Health Survey 2022, Chapter 9: Physical Activity tables, 9.3).

 

Children's physical activity levels over time

The way questions in the Scottish Health Survey were asked about children’s physical activity were different in 2017 and 2018, compared to previous years. Changes in methodology due to the COVID-19 pandemic also mean that 2020 results are not comparable with other years.

There was no significant difference in the proportion of children meeting the physical activity guidelines when school-based activities are included between 2021 and 2022 for either boys (76% in 2021, compared with 72% in 2022) or girls (67% in 2021, compared with 66% in 2022; Scottish Health Survey 2022, Chapter 9: Physical Activity tables, 9.9).

Children’s physical activity levels: international comparison

The Health Behaviour in School-aged Children (HBSC) survey allows physical activity levels in young people to be compared across countries (mostly European). A direct comparison is possible, given the standard methodology adopted in each of the participating countries.

Pages 30 and 31 of the report A focus on adolescent physical activity, eating behaviours, weight status and body image in Europe, central Asia and Canada: Health Behaviour in School-aged Children international report from the 2021/2022 survey shows the number of 11-. 13- and 15-year-olds who report at least 60 minutes of MVPA each day.

In 2021/22:

  • The proportion of 11-year-olds in Scotland reporting at least 60 minutes of MVPA daily was higher than the HSBC average across all participating countries for both girls (29% in Scotland; 20% HBSC average) and boys (35% in Scotland; 28% average).
  • The proportion of 13-year-olds in Scotland reporting at least 60 minutes of MVPA daily was also higher than the HSBC average for both girls (17% in Scotland; 14% HBSC average) and boys (28% in Scotland; 24% average).
  • The proportion of 15-year-olds in Scotland reporting at least 60 minutes of MVPA daily was similar to the HSBC average for both girls (12% in Scotland; 11% average) and boys (21% both in Scotland and average).

Like the Scottish Health Survey, the HBSC survey has found that boys are more likely than girls to achieve the recommended level of physical activity for children, although there is not always a statistically significant difference between the sexes. This is the case across nearly all the countries participating in the HBSC survey.

The HBSC survey produces lower estimates than the Scottish Health Survey of the percentage of young people achieving the recommended level of physical activity. However, the surveys use different methods and this is likely to account for this difference in estimates. For details of the survey methodologies see the key data sources page.

 

Please note: If you require the most up-to-date data available, please check the data sources directly as new data may have been published since these data pages were last updated. Although we endeavour to ensure that the data pages are kept up-to-date, there may be a time lag between new data being published and the relevant ScotPHO web pages being updated.

Page last updated: 23 September 2024
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