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Improving National and International Surveillance of Movement Behaviours in Childhood and Adolescence: An International Modified Delphi Study

Reilly JJ 1 , Andrew R 2 , Abdeta C 3 , Azevedo LB 4 , Farias NA 5 , Barak S 6 Show all authors , Bardid F 7 , Bizzozero-Peroni B 8 , Brazo-Sayavera J 9 , Cagas JY 10 , Chelly MS 11 , Christiansen LB 12 , Djordjic VD 13 , Draper CE 14 , El-Hamdouchi A 15 , Fares EJ 16 , Gába A 17 , Hesketh KD 18 , Hossain MS 19 , Huang W 20 , Jáuregui A 21 , Juvekar SK 22 , Kuzik N 23 , Larouche R 24 , Lee EY 25 , Levi S 26 , Liu Y 27 , Löf M 28 , Loney T 29 , Gil JFL 30 , Mäestu E 31 , Manyanga T 32 , Martins C 33 , Mendoza-Muñoz M 34 , Morrison SA 35 , Munambah N 36 , Mwase-Vuma TW 37 , Naidoo R 38 , Ocansey R 39 , Okely AD 40 , Oluwayomi A 41 , Paudel S 42 , Poh BK 43 , Ribeiro EH 44 , Silva DAS 45 , Shahril MR 46 , Smith M 47 , Staiano AE 48 , Standage M 49 , Subedi N 50 , Tanaka C 51 , Tang HK 52 , Thivel D 53 , Tremblay MS 54 , Uzicanin E 55 , Vlachopoulos D 56 , Webster EK 57 , Widyastari DA 58 , Zembura P 59 , Aubert S 60

Affiliations 

  • 1 Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland. john.j.reilly@strath.ac.uk
  • 2 Department of Psychological Sciences and Health, University of Strathclyde, Glasgow, Scotland
  • 3 School of Education, University of Wollongong, Wollongong, Australia
  • 4 School of Sport and Physical Activity, Sheffield Hallam University, Sheffield, UK
  • 5 Department of Physical Education, Sports and Recreation, Universidad de La Frontera, Temuco, Chile
  • 6 Department of Nursing, Faculty of Health Science, Ariel University, Ariel, Israel
  • 7 Institute of Education, University of Strathclyde, Glasgow, Scotland
  • 8 Instituto Superior de Educación Física, Universidad de La República, Rivera, Uruguay
  • 9 Department of Sports and Computer Science, Universidad Pablo de Olavide, Seville, Spain
  • 10 Department of Sports Science, College of Human Kinetics, University of the Philippines Diliman, Quezon, Philippines
  • 11 Research Laboratory (LR23JS01) «Sport Performance, Health and Society», Higher Institute of Sport and Physical Education of Ksar Saîd, University of Manouba, Tunis, Tunisia
  • 12 Department of Sport Sciences and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
  • 13 Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
  • 14 Faculty of Health Sciences, SAMRC Developmental Pathways for Health Research Unit, University of the Witwatersrand, Johannesburg, South Africa
  • 15 National Centre for Energy Sciences and Nuclear Techniques, Kenitra, Morocco
  • 16 American University of Beirut, Beirut, Lebanon
  • 17 Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic
  • 18 Institute of Physical Activity and Nutrition, Deakin University, Burwood, Australia
  • 19 Biomedical Research Foundation, Dhaka, Bangladesh
  • 20 Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China
  • 21 Department of Physical Activity and Healthy Lifestyles, National Institute of Public Health, Cuernavaca, México
  • 22 Vadu Rural Health Program, KEM Hospital Research Centre, Pune, India
  • 23 Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, K1H 5B2, Canada
  • 24 Faculty of Health Sciences, University of Lethbridge, Lethbridge, Canada
  • 25 School of Kinesiology and Health Studies, Queen's University, Kingston, Canada
  • 26 Efsharibari- National Program for Active and Healthy Living, Ministry of Health, Haifa, Israel
  • 27 School of Physical Education, Shanghai University of Sport, Shanghai, China
  • 28 Department of Biosciences and Nutrition, Karolinska Institutet, Solna, Sweden
  • 29 College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, United Arab Emirates
  • 30 Centro de Investigacion Biomedica, Unidad de Actividad Fisica Infanto-Juvenil, University of Navarra, Pamplona, Spain
  • 31 Institute of Sport Sciences and Physiotherapy, Faculty of Medicine, University of Tartu, Tartu, Estonia
  • 32 Division of Medical Sciences, University of Northern British Columbia, Prince George, Canada
  • 33 Faculty of Sports, Research Centre of Physical Activity, Health and Leisure, Porto, Portugal
  • 34 Faculty of Sport Sciences, University of Extremadura, Badajoz, Spain
  • 35 Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
  • 36 Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe
  • 37 Centre for Social Research, University of Malawi, Zomba, Malawi
  • 38 Discipline of Biokinetics, Exercise and Leisure Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
  • 39 School of Education and Leadership Studies, University of Ghana, Legon, Ghana
  • 40 School of Health and Society, University of Wollongong, Wollongong, Australia
  • 41 Human Kinetics and Health Education, University of Lagos, Lagos, Nigeria
  • 42 Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Burwood, Australia
  • 43 Centre for Community Health Studies (ReaCH), Faculty of Health Sciences, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia
  • 44 Evelyn H. Ribeiro, Physical Activity Epidemiology Group at the University of Sao Paulo (GEPAF/USP), Sao Paulo, Brazil
  • 45 Department of Physical Education, Sports Center, Federal University of Santa Catarina, Santa Catarina, Brazil
  • 46 Centre for Healthy Ageing and Wellness (HCARE), Universiti Kebangsaan Malaysia, Bandar Baru Bangi, Malaysia
  • 47 School of Nursing, The University of Auckland, Auckland, New Zealand
  • 48 Pennington Biomedical Research Center, Louisiana State University, Louisiana, USA
  • 49 Centre for Motivation and Health Behaviour Change, Department for Health, University of Bath, Bath, UK
  • 50 The Lown Scholar, Harvard T.H. Chan School of Public Health, Harvard University, Cambridge, USA
  • 51 Department of Human Nutrition, Tokyo Kasei Gakuin University, Tokyo, Japan
  • 52 Faculty of Public Health, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam
  • 53 Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Condition (AME2P UPR3533), International Research Chair "Health in Motion", Clermont Auvergne University, Clermont-Ferrand, France
  • 54 Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada
  • 55 Faculty of Physical Education and Sport, University of Tuzla, Tuzla, Bosnia-Herzegovina
  • 56 Department of Sport and Health Science, University of Exeter, Devon, UK
  • 57 Department of Kinesiology, Recreation, and Sport Studies, University of Tennessee, Knoxville, USA
  • 58 Institute for Population and Social Research, Mahidol University, Nakhon Pathom, Thailand
  • 59 Jozef Pilsudski University of Physical Education, Warsaw, Poland
  • 60 Active Healthy Kids Global Alliance, Healthy Active Living and Obesity Research, Ottawa, Canada
Sports Med, 2025 Jan;55(1):203-219.
PMID: 39361231 DOI: 10.1007/s40279-024-02104-2

Abstract

BACKGROUND: The actions required to achieve higher-quality and harmonised global surveillance of child and adolescent movement behaviours (physical activity, sedentary behaviour including screen time, sleep) are unclear.

OBJECTIVE: To identify how to improve surveillance of movement behaviours, from the perspective of experts.

METHODS: This Delphi Study involved 62 experts from the SUNRISE International Study of Movement Behaviours in the Early Years and Active Healthy Kids Global Alliance (AHKGA). Two survey rounds were used, with items categorised under: (1) funding, (2) capacity building, (3) methods, and (4) other issues (e.g., policymaker awareness of relevant WHO Guidelines and Strategies). Expert participants ranked 40 items on a five-point Likert scale from 'extremely' to 'not at all' important. Consensus was defined as > 70% rating of 'extremely' or 'very' important.

RESULTS: We received 62 responses to round 1 of the survey and 59 to round 2. There was consensus for most items. The two highest rated round 2 items in each category were the following; for funding (1) it was greater funding for surveillance and public funding of surveillance; for capacity building (2) it was increased human capacity for surveillance (e.g. knowledge, skills) and regional or global partnerships to support national surveillance; for methods (3) it was standard protocols for surveillance measures and improved measurement method for screen time; and for other issues (4) it was greater awareness of physical activity guidelines and strategies from WHO and greater awareness of the importance of surveillance for NCD prevention. We generally found no significant differences in priorities between low-middle-income (n = 29) and high-income countries (n = 30) or between SUNRISE (n = 20), AHKGA (n = 26) or both (n = 13) initiatives. There was a lack of agreement on using private funding for surveillance or surveillance research.

CONCLUSIONS: This study provides a prioritised and international consensus list of actions required to improve surveillance of movement behaviours in children and adolescents globally.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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