ArticleBMC public health2019
Do country-level environmental factors explain cross-national variation in adolescent physical activity? A multilevel study in 29 European countries.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Is the Health Behavior in School-Aged Survey Questionnaire Reliable and Valid in Assessing Physical Activity and Sedentary Behavior in Young Populations? A Systematic Review.Frontiers in public health · 2022Pooled it
- Correlations between Physical Activity Participation and the Environment in Children and Adolescents: A Systematic Review and Meta-Analysis Using Ecological Frameworks.International journal of environmental research and public health · 2021Pooled it
- Impact of Pubertal Progression on Physical Activity and Sedentary Time in Adolescent Girls.Pediatric exercise science · 2026Article
- Body mass index (BMI) versus socioeconomic factors and physical activity in early childhood.Scientific reports · 2026Article
- How university physical education instructors' political literacy shapes student values: the mediating role of teacher educative efficacy in the Chinese context.Frontiers in psychology · 2026Article
- Multilevel determinants of physical activity in children and adolescents: a meta-analysis guided by social ecological model.BMC sports science, medicine & rehabilitation · 2025Article
- Multimodal Physiotherapist Intervention Program for Physical and Psychological Functioning in Children with Chronic Pain: Guiding Physiotherapy Intervention with the Pediatric Pain Screening Tool with Recommendations for Clinical Practice.Journal of clinical medicine · 2025Article
- Article
- Familial and lifestyle factors related to physical activity in elementary school students: a cross-sectional study based on a nationally representative survey in Japan.BMC pediatrics · 2023Article
- Sibling Resemblance in Physical Activity Levels: The Peruvian Sibling Study on Growth and Health.International journal of environmental research and public health · 2023Article
- Global Matrix 4.0 physical activity report cards grades for children and adolescents: A comparison among 15 Asian countries and regions.Journal of exercise science and fitness · 2022Article
- Toward Systems Models for Obesity Prevention: A Big Role for Big Data.Current developments in nutrition · 2022Article
- Examining Adolescent Tennis Participation in Contemporary China Using an Ecological Framework.International journal of environmental research and public health · 2022Article
- Surveillance of physical activity and sedentary behaviour in czech children and adolescents: a scoping review of the literature from the past two decades.BMC public health · 2022Article
- Physical Activity Participation and the Environment in Children and Adolescents: A Systematic Review and Meta-Analysis Protocol.International journal of environmental research and public health · 2021Article
- Levels of Physical Activity and Mental Health in Adolescents in Ireland.International journal of environmental research and public health · 2021Article
- The Direct and Indirect Relationships of Environmental, Interpersonal and Personal Factors with High School Students Physical Activity: An Ecological Approach.International journal of environmental research and public health · 2021Article
- Parental-perceived home and neighborhood environmental correlates of accelerometer-measured physical activity among school-going children in Uganda.PLOS global public health · 2021Article
- Article
- Establishing consensus on key public health indicators for the monitoring and evaluating childhood obesity interventions: a Delphi panel study.BMC public health · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundWorldwide, roughly 80% of adolescents fail to meet World Health Organization (WHO) recommendations regarding physical activity, though there is substantial variation in adolescent physical activity prevalence across countries. This study explored whether country-level environmental differences explained cross-national variation in adolescent moderate- to vigorous-intensity physical activity (MVPA) and vigorous-intensity activity (VPA).
methodUsing the data of 138,014 11- to 15-year-olds from 29 European countries in the 2013/2014 Health Behaviour in School-aged Children (HBSC) study, multilevel regression models examined the influence of four types of country-level environmental factors (physical, socio-cultural, economic, and political) on self-reported individual-level physical activity (MVPA and VPA).
resultsThe environmental variables explained 38% of country-level variance in MVPA and 81% of country-level variance in VPA. Lower annual average national temperature, higher community safety, lower average national household income and a weaker physical education policy were significantly associated with more MVPA. Greater urbanisation, lower annual average national temperature, higher adult physical activity and higher average national household income were significantly associated with more VPA.
conclusionsThe findings showed that national differences in the physical, socio-cultural and economic environment were related to adolescent physical activity. They point to potential avenues for future research looking at interactions between individual and environmental factors.
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