Report Card Grades

  • Overall Physical Activity: D-
  • Organized Sport and Physical Activity: INC
  • Active Play: INC
  • Active Transportation: D+
  • Sedentary Behavior: C
  • Physical Fitness: INC
  • Family and Peers: INC
  • School: D
  • Community and Environment: INC
  • Government: D

Report Card Leader

Patrick Abi Nader, Ph.D.
Dr. Abi Nader is an assistant professor of kinesiology at the University of Québec Rimouski, Québec, Canada. He holds a BA in Physical Education (University of Balamand, Lebanon), an MS in Exercise Physiology (University of Louisville, KY, USA), and an MPH in Epidemiology and PhD in Physical activity and Public Health from Oregon State University, OR, USA. His research focuses on: 1) identifying the best strategies to implement school-based physical activity interventions to ensure their success, 2) identifying factors that influence youth’s participation in movement behaviors from childhood through adolescence (especially in the transition age period), and 3) evaluating the performance of a society or country in its efforts to promote physical activity behaviors among its young population.

Report Card Team


Report Card Grades

  • Overall Physical Activity: D
  • Organized Sport and Physical Activity: F
  • Active Play: INC
  • Active Transportation: D
  • Sedentary Behavior: C-
  • Physical Fitness: INC
  • Family and Peers: INC
  • School: D
  • Community and Environment: INC
  • Government: C+

Top Three Priorities

  1. Implement more physical activity programs to encourage Lebanese children and youth to participate in organized sport and physical activity.
  2. Improve the built environment to develop infrastructure and make the activity and playing areas safer for children and youth.
  3. Provide the necessary support for schools to implement more physical activity programs

Report Card Team


"It has been an honor to lead the development of Lebanon’s first physical activity report card for children and youth. I have learned a lot from the international and national collaborations. Our team is more than ever dedicated to ensure that the first report card will be the launchpad for many necessary physical activity initiatives in Lebanon. We want our children and youth to ripe the benefits of leading physically active lifestyles." - Patrick Abi Nader, Ph.D.

Conference Abstract: Movement to Move


Results from the First Lebanon’s Physical Activity Report Card for Children and Youth (2018)


Patrick Abi Nader1,2, Lina Majed3, Suzan Sayegh4, Ruba Hadla5, Cécile Borgi6, Zeina Hawa7, Lama Mattar5, Elie-Jacques Fares6, Marie Claire Chamieh6, Carla Habib Mourad6, Mathieu Bélanger1,8,9

1Centre de formation médicale du Nouveau-Brunswick, Moncton, New-Brunswick
2Centre de Recherche du Centre Hospitalier de l’Université de Montréal, Montréal, Québec
3Sport Science Program, College of Arts and Sciences, Qatar University, Doha, Qatar
4Exercise is Medicine Department, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
5Nutrition Program, Department of Natural Sciences, School of Arts and Sciences, Lebanese American University, Beirut, Lebanon
6 Department  of Nutrition and Food Sciences, American University of Beirut, Beirut, Lebanon
7The Chain Effect, Beirut, Lebanon
8Department of Family Medicine, Université de Sherbrooke, Sherbrooke, Canada
9Office of research services, Vitalité Health Network, Moncton, Canada


Evidence on physical activity (PA) indicators for children and youth at a national level is necessary to improve multi-level support for PA behaviors. This led to the development of Lebanon’s first Physical Activity Report Card for children and youth (2018).


A comprehensive literature review was conducted on peer-reviewed literature, national surveys, and gray literature (e.g. government reports). The search strategy was developed to identify all publications that discussed any of the following 10 PA indicators: overall PA, organized sport and PA, active play, sedentary behaviors, family and peers, school, community and environment, government, and physical fitness. Data were extracted from relevant literature with nationally representative samples. Then the Research Work Group assigned a grade for each indicator using a standard rubric.


Only 6 indicators had sufficient data for grading (Table 1). Government indicator received the highest grade reflecting the efforts of four Lebanese institutions in creating a policy brief that prioritizes PA promotion at schools. Organized sport indicator received the lowest grade reflecting low (<20%) sports participation rates.

Table 1. Grades for Physical Activity Indicators

Indicator Grade
Overall Physical Activity D
Organized Sport F
Active Play INC
Active Transportation D
Sedentary Behaviors C-
Family and Peers INC
School D
Community and Environment INC
Government C+
Physical Fitness INC


Majority of Lebanese children and youth fail to meet the PA guidelines. Although in the right direction, ongoing efforts for the development and implementation of national policies prioritizing PA opportunities at schools may be insufficient to tackle low grades on all PA indicators. Future research should seek to assess indicators with insufficient data, and national PA promotion interventions should aim to improve current report card grades.