France’s 2020 Report Card on Physical Activity and Sedentary Behaviors in Children and Youth: Results and Progression

in Journal of Physical Activity and Health
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Background: There is an alarming and constant worldwide progression of physical inactivity and sedentary behaviors in children and adolescents. The present paper summarizes findings from France’s 2020 Report Card on physical activity for children and youth, comparing its results to its 2 previous editions (2016 and 2018). Methods: France’s 2020 Report Card follows the standardized methodology established by the Active Healthy Kids Global Matrix, grading 10 common physical activity indicators using the best available evidence. The grades were informed by national surveys, peer-reviewed literature, government and nongovernment reports, and online information. Results: The expert panel awarded the following grades: Overall Physical Activity: D; Organized Sport Participation and Physical Activity: C−; Active Play: INC; Active Transportation: C−; Sedentary Behaviors: D−; Family and Peers: D−; Physical Fitness: D; School: B−; Community and the Built Environment: F; Government: C. Conclusions: This 2020 edition of France’s Report Card again highlights the alarming levels of physical activity and sedentary behaviors among French children and adolescents, calling for the development of effective national action. It also draws attention to the particular deleterious effects of the COVID-19 confinement on youth’s movement behaviors, which significantly worsened the situation.

Fillon, Genin, Larras, Bois, Duclos, and Thivel are with the National Observatory for Physical Activity and Sedentary Behaviors (ONAPS), Clermont-Ferrand, France. Fillon, Genin, and Thivel are also with the Laboratory of the Metabolic Adaptations to Exercise Under Physiological and Pathological Conditions (AME2P), Clermont Auvergne University, CRNH Auvergne, Clermont-Ferrand, France. Vanhelst is with the Inserm U1286—INFINITE—Institute for Translational Research in Inflammation, CIC 1403—Centre d’Investigation Clinique, Centre Hospitalier et de recherche Universitaire (CHRU) de Lille Université de Lille, Lille, France. Luiggi is with the Institut national du sport de l’expertise et de la performance, Pôle Performance, Unité Recherche et Laboratoire SEP, Paris, France. Aubert is with the Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada. Verdot is with the Équipe de surveillance et d’épidémiologie nutritionnelle (Esen); Direction des maladies non-transmissibles et traumatismes (DMNTT)—Santé publique France, Université Paris 13—Sorbonne Paris Nord, Centre de recherche en Épidémiologie et Statistiques (CRESS), Bobigny, France. Rey is with the Institut des sciences du mouvement, UMR CNRS 7287, Structure Fédérative d’Études et de Recherches en Éducation de Provence, FED 4238, Aix-Marseille Université, Marseille, France. Lhuisset and Bois are with the Universite de Pau & des Pays de l’Adour, E2S UPPA, MEPS, Tarbes, France. Fearnbach is with the Pennington Biomedical Research Center, Baton Rouge, LA, USA. Duclos is with the INRAE, UMR 1019, Clermont-Ferrand, France; the University Clermont Auvergne, UFR Medicine, Clermont-Ferrand, France; and the Department of Sport Medicine and Functional Explorations, G. Montpied Hospital, Clermont-Ferrand University Hospital, Clermont-Ferrand, France.

Thivel (david.thivel@uca.fr) is corresponding author.

Supplementary Materials

    • Supplemental Table S1 (PDF 585 KB)
  • 1.

    Poitras VJ, Gray CE, Borghese MM, et al. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Appl Physiol Nutr Metab. 2016;41(6):S197S239. PubMed ID: 27306431 doi:10.1139/apnm-2015-0663

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7(1):40. PubMed ID: 20459784 doi:10.1186/1479-5868-7-40

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Brodersen NH, Steptoe A, Boniface DR, Wardle J. Trends in physical activity and sedentary behaviour in adolescence: ethnic and socioeconomic differences. Br J Sports Med. 2007;41(3):140144. PubMed ID: 17178773 doi:10.1136/bjsm.2006.031138

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Kalman M, Inchley J, Sigmundova D, et al. Secular trends in moderate-to-vigorous physical activity in 32 countries from 2002 to 2010: a cross-national perspective. Eur J Public Health. 2015;25(suppl 2):3740. doi:10.1093/eurpub/ckv024

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Booth VM, Rowlands AV, Dollman J. Physical activity temporal trends among children and adolescents. J Sci Med Sport. 2015;18(4):418425. PubMed ID: 25041963 doi:10.1016/j.jsams.2014.06.002

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Dollman J, Norton K, Norton L. Evidence for secular trends in children’s physical activity behaviour. Br J Sports Med. 2005;39(12):892897. PubMed ID: 16306494 doi:10.1136/bjsm.2004.016675

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Guthold R, Stevens GA, Riley LM, Bull FC. Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. Lancet Glob Health. 2018;6(10):e1077e1086. PubMed ID: 30193830 doi:10.1016/S2214-109X(18)30357-7

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Sigmund E, Sigmundová D, Badura P, Kalman M, Hamrik Z, Pavelka J. Temporal trends in overweight and obesity, physical activity and screen time among czech adolescents from 2002 to 2014: a national health behaviour in school-aged children study. Int J Environ Res Public Health. 2015;12(9):1184811868. PubMed ID: 26393638 doi:10.3390/ijerph120911848

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Bucksch J, Sigmundova D, Hamrik Z, et al. International trends in adolescent screen-time behaviors from 2002 to 2010. J Adolesc Health. 2016;58(4):417425. PubMed ID: 26827267 doi:10.1016/j.jadohealth.2015.11.014

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Corder K, Sharp SJ, Atkin AJ, et al. Change in objectively measured physical activity during the transition to adolescence. Br J Sports Med. 2015;49(11):730736. PubMed ID: 24273308 doi:10.1136/bjsports-2013-093190

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Colley RC, Brownrigg M, Tremblay MS. A model of knowledge translation in health: the active healthy kids Canada report card on physical activity for children and youth. Health Promot Pract. 2012;13(3):320330. PubMed ID: 22447666 doi:10.1177/1524839911432929

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Tremblay MS, Barnes JD, Cowie Bonne J. Impact of the active healthy kids Canada report card: a 10-year analysis. J Phys Act Health. 2014;11(suppl 1):S3S20. doi:10.1123/jpah.2014-0167

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Tremblay MS, Gray CE, Akinroye K, et al. Physical activity of children: a global matrix of grades comparing 15 countries. J Phys Act Health. 2014;11(suppl 1):S113S125. doi:10.1123/jpah.2014-0177

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Tremblay MS, Barnes JD, González SA, et al. Global matrix 2.0: report card grades on the physical activity of children and youth comparing 38 countries. J Phys Act Health. 2016;13(Suppl 2):S343S366. PubMed ID: 27848745 doi:10.1123/jpah.2016-0594

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Aucouturier J, Ganière C, Aubert S, et al. Results from the first French report card on physical activity for children and adolescents. J Phys Act Health. 2017;14(8):660663. PubMed ID: 28422573 doi:10.1123/jpah.2017-0046

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Aubert S, Aucouturier J, Ganière C, et al. Results from France’s 2018 report card on physical activity for children and youth. J Phys Act Health. 2018;15(Suppl 2):S360S362. PubMed ID: 30475139 doi:10.1123/jpah.2018-0511

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Aubert S, Aucouturier J, Vanhelst J, et al. France’s 2018 report card on physical activity for children and youth: results and international comparisons. J Phys Act Health. 2020;17(3):270277. PubMed ID: 31923900 doi:10.1123/jpah.2019-0241

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Aubert S, Barnes JD, Abdeta C, et al. Global matrix 3.0 physical activity report card grades for children and youth: results and analysis from 49 countries. J Phys Act Health. 2018;15(Suppl 2):S251S273. PubMed ID: 30475137 doi:10.1123/jpah.2018-0472

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Ward MR, Tyler R, Edwards LC, Miller MC, Williams S, Stratton G. The AHK-Wales Report Card 2018: Policy Measures—is it possible to “score” qualitative data? Health Promot Int. Published online, 2020. doi:10.1093/heapro/daaa118

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 20.

    World Health Organization. World Health Organization Global Recommendations on Physical Activity for Health; Geneva, Switzerland: World Health Organization; 2010.

    • Search Google Scholar
    • Export Citation
  • 21.

    Verdot C, Salanave B, Deschamps V. Activité physique et sédentarité dans la population française. situation en 2014-2016 et évolution depuis 2006-2007. Bull Epidémiol Hebd. 2020;15:296304.

    • Search Google Scholar
    • Export Citation
  • 22.

    Inchley J, Currie D, Budisavljevic S, et al. Spotlight on Adolescent Health and Well-Being. Findings from the 2017/2018 Health Behaviour in School-Aged Children (HBSC) Survey in Europe and Canada. Copenhagen, Denmark: WHO Regional Office for Europe; 2020.

    • Search Google Scholar
    • Export Citation
  • 23.

    Équipe de surveillance et d’épidémiologie nutritionnelle (Esen). Étude de Santé Sur l’environnement, La Biosurveillance, l’activité Physique et La Nutrition (Esteban), 2014-2016. Volet Nutrition. Chapitre Corpulence. 2e Édition. Saint Maurice: Santé publique France; 2020:158. https://www.santepubliquefrance.fr

    • Search Google Scholar
    • Export Citation
  • 24.

    Anses. INCA 3 en image – Les Français, l’activité physique et la sédentarité | Anses – Agence nationale de sécurité sanitaire de l’alimentation, de l’environnement et du travail; 2021. https://www.anses.fr/fr/content/inca-3-en-image-les-fran%C3%A7ais-lactivit%C3%A9-physique-et-la-s%C3%A9dentarit%C3%A9

    • Search Google Scholar
    • Export Citation
  • 25.

    Vanhelst J, Labreuche J, Béghin L, et al. Physical fitness reference standards in french youth: the BOUGE program. J Strength Cond Res. 2017;31(6):17091718. PubMed ID: 28538324 doi:10.1519/JSC.0000000000001640

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Vanhelst J, Ternynck C, Ovigneur H, Deschamps T. Tracking of physical fitness during chilhood: Longitudinal findings from the Diagnoform program. Rev Epidemiol Sante Publique. 2020;68(3):163169. PubMed ID: 32417152 doi:10.1016/j.respe.2020.04.052

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Thibault H, Contrand B, Saubusse E, Baine M, Maurice-Tison S. Risk factors for overweight and obesity in French adolescents: physical activity, sedentary behavior and parental characteristics. Nutrition. 2010;26(2):192200. PubMed ID: 19577429 doi:10.1016/j.nut.2009.03.015

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Wagner A, Klein-Platat C, Arveiler D, Haan MC, Schlienger JL, Simon C. Parent-child physical activity relationships in 12-year old French students do not depend on family socioeconomic status. Diabetes Metab. 2004;30(4):359366. PubMed ID: 15525880 doi:10.1016/S1262-3636(07)70129-5

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Bernal C, Lhuisset L, Fabre N, Bois J. School-based multi-component intervention to promote physical activity and reduce sedentary time of disadvantaged children aged 6–10 years: protocol for a randomised controlled trial. J Med Internet Res. 2020;9(9):e17815. PubMed ID: 32965238 doi:10.2196/17815

    • Search Google Scholar
    • Export Citation
  • 30.

    Cousson-Gélie F, Carayol M, Fregeac B, et al. The “great live and move challenge”: a program to promote physical activity among children aged 7-11 years. design and implementation of a cluster-randomized controlled trial. BMC Public Health. 2019;19(1):367. PubMed ID: 30943934 doi:10.1186/s12889-019-6648-x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 31.

    Langlois J, Omorou AY, Vuillemin A, Briançon S, Lecomte E, PRALIMAP Trial Group. Association of socioeconomic, school-related and family factors and physical activity and sedentary behaviour among adolescents: multilevel analysis of the PRALIMAP trial inclusion data. BMC Public Health. 2017;17(1):175. PubMed ID: 28178972 doi:10.1186/s12889-017-4070-9

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Van Hoye A, Heuzé J-P, Van den Broucke S, Sarrazin P. Are coaches’ health promotion activities beneficial for sport participants? A multilevel analysis. J Sci Med Sport. 2016;19(12):10281032. PubMed ID: 27017011 doi:10.1016/j.jsams.2016.03.002

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 33.

    Eduscol. L’évaluation Aux Baccalauréats, CAP et BEP de l’enseignement Général, Technologique et Professionnel En Education Physique et Sportive; 2019. https://eduscol.education.fr/eps/examens/ComNat/rapport-cne-2019

    • Search Google Scholar
    • Export Citation
  • 34.

    UNSS. RAPPORT GÉNÉRAL 2018–2019; 2020. https://unss.org/wp-content/uploads/2020/02/RAPPORT_G%C3%89N%C3%89RAL_UNSS_2018_2019.pdf

  • 35.

    Observatoire des mobilités actives. Les Politiques En Faveur Des Cyclistes Dans Les Collectivités. Paris: Club des Villes et Territoires Cyclables; 2019.

    • Search Google Scholar
    • Export Citation
  • 36.

    FUB. Le Vélo au Quotidien. Baromètre Parlons vélo des villes cyclables 2019. Published online 2019.

  • 37.

    Simon C, Wagner A, DiVita C, et al. Intervention centred on adolescents’ physical activity and sedentary behaviour (ICAPS): concept and 6-month results. Int J Obes Relat Metab Disord. 2004;28:S96S103. doi:10.1038/sj.ijo.0802812

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38.

    Simon C, Wagner A, Platat C, et al. ICAPS: a multilevel program to improve physical activity in adolescents. Diabetes Metab. 2006;32(1):4149. PubMed ID: 16523185 doi:10.1016/S1262-3636(07)70245-8

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 39.

    Genin P, Dutheil F, Larras B, et al. Promoting physical activity and reducing sedentary time among tertiary workers: position stand from the French National Observatory for Physical Activity and Sedentary Behaviors (ONAPS). J Phys Act Health. 2019;16(9):677678. PubMed ID: 31365902 doi:10.1123/jpah.2019-0154

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 40.

    Fillon A, Lambert C, Tardieu M, et al. Impact of the COVID-19 confinement on movement behaviors among French young children (<6 years old): results from The ONAPS national survey. Pediatric Minerva. Published online under review.

    • Search Google Scholar
    • Export Citation
  • 41.

    Chambonnière C, Lambert C, Fearnbach N, et al. Effect of the COVID-19 confinement on physical activity and sedentary behaviors in French children and adolescents: new results from The ONAPS national survey. Eur J Integr Med. 2021;43:101308. PubMed ID: 33584872

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 42.

    Moore SA, Faulkner G, Rhodes RE, et al. Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: a national survey. Int J Behav Nutr Phys Act. 2020;17(1):85. PubMed ID: 32631350 doi:10.1186/s12966-020-00987-8

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 43.

    Guerrero MD, Vanderloo LM, Rhodes RE, Faulkner G, Moore SA, Tremblay MS. Canadian children’s and youth’s adherence to the 24-h movement guidelines during the COVID-19 pandemic: a decision tree analysis. J Sport Health Sci. 2020;9(4):313321. PubMed ID: 32525098 doi:10.1016/j.jshs.2020.06.005

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 44.

    Mitra R, Moore SA, Gillespie M, et al. Healthy movement behaviours in children and youth during the COVID-19 pandemic: exploring the role of the neighbourhood environment. Health Place. 2020;65:102418. PubMed ID: 32871499 doi:10.1016/j.healthplace.2020.102418

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 45.

    Thivel D, Tardieu M, Genin P, et al. COVID-19-related national re-confinement: recommendations from the National French Observatory for Physical Activity and Sedentary Behaviors (ONAPS). J Phys Act Health. 2021;18(5):474–476. PubMed ID: 33773488 doi:10.1123/jpah.2020-0735

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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