Results from Scotland’s 2018 Report Card on Physical Activity for Children and Youth
Adrienne R Hughes1, Avril Johnstone1, Farid Bardid2,3, John J Reilly1
1Physical Activity for Health Group, School of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK; 2School of Education, University of Strathclyde, Glasgow, UK; 3Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium
Introduction: Only a small minority of Scottish children and adolescents meet the recommended amount of daily moderate-to-vigorous intensity physical activity (MVPA). Scotland’s 2018 Report Card aimed to (a) provide an updated ‘state of the nation’ for child and adolescent physical activity and health and (b) highlight major gaps in surveillance of physical activity.
Methods: Data sources were used for grading if they had been derived from recent (i.e. from 2014 onwards) nationally representative surveys, and if methods of measurement had small or negligible bias. The main data sources used for grading were the Health Behaviours in School-Age Children survey (HBSC) 2014, the Scottish Health Survey (SHeS) 2016, Hands Up Scotland (HUS) 2016, Transport & Travel in Scotland (TATIS) 2016 and the Scottish Household Survey (SHS) 2016. We graded the 10 core physical activity indicators included in the Global Matrix 3.0, plus two additional indicators (obesity and diet, grades not shown here). The grades were reviewed by key stakeholders from national organisations.
Results:The grades and the rationale for each grade are shown in Table 1.
Table1. Grades and Summary Rationale from Scotland’s 2018 Report Card
Indicator |
Grade |
Rationale |
Overall Physical Activity |
F |
This grade has been carried forward from the 2016 Scottish report card because no data source since the previous card has measured this indicator according to the Global Matrix 3.0 benchmark. 18% of 11-15 year olds achieved ?60mins of MVPA/day on all 7 days (HBSC, 2014). Another data source (McCrorie et al, 2018) found that 11% of 10-11 year olds achieved ?60 mins of MVPA/day on each day of wear using Actigraph, supporting the F grade |
Organized Sport & Physical Activity |
B |
73% of 5-15 year olds reported as participating in organised sport and physical activity in the past week (SHeS, 2016) |
Active Play |
INC |
No data source measured or reported this indicator according to the Global Matrix 3.0 benchmark |
Active Transportation |
C |
Data sources only measured active commuting to/from school. 51-52% of school age children and adolescents in Scotland actively commuted to school (HUS 2016; TATIS 2016) |
Sedentary Behaviours |
F |
This grade has been carried forward from the 2016 Scottish report card because no data source since the previous card has reported this indicator according to the Global Matrix 3.0 benchmark. 64% (weekdays) and 79% (weekend days) of 11-15 year olds reported spending > 2 hrs/d in TV viewing (HBSC 2014). On weekdays, 65% of boys (78% weekend) and 46% of girls (57% weekend) played screen-based electronic games for > 2 hrs/day, and 66% of girls (74% weekend) and 60% of boys (68% weekend) used computers for purposes other than games for >2hrs/d (HBSC 2014). Combining the proportion of youth exceeding 2hrs/d for each form of screen time (i.e. TV viewing, gaming, other computer use) justifies the F grade |
Family and Peers |
INC |
No data sources fitted the Global Matrix 3.0 benchmark for this indicator. |
School |
INC |
No eligible data sources available. |
Community and Environment |
B- |
92% of households with children aged 6-12 years had access to at least one play area within their neighbourhood (SHS, 2016). 66% of households felt that it was safe for children to go to a playground in their neighbourhood with 2 or 3 friends (61% to a park, 62% to field/other open space, 57% for streets around the home). 59% of households felt that it was safe for children to walk/cycle on their own to a playground in their neighborhood (55% to a park, 57% to a field/other open space, 56% for streets around the home). This indicator was graded as B-, although access is high (A grade), safety is lower and varies by play area and whether child is alone (C+ grade) or with friends (B- grade). |
Government |
C |
There was clear evidence of leadership and commitment to providing physical activity opportunities for children and youth, though policy is overly focused on girls and adolescents. There was only limited allocation of funds and resources for implementation of policy. Only limited progress through the key stages of public policymaking (policy agenda; policy formation; policy implementation; policy evaluation; decisions about the future) had been demonstrated, with policy efforts stalling at implementation and evaluation |
Physical Fitness |
INC |
There are no nationally representative data on physical fitness in children or adolescents. |