WALES 2021 Active Healthy Kids (AHK) Report Card: The Fourth Pandemic of Childhood Inactivity

Int J Environ Res Public Health. 2022 Jul 2;19(13):8138. doi: 10.3390/ijerph19138138.

Abstract

This is the fourth Active Healthy Kids (AHK) Wales Report Card. The 2021 card produced grades on children and young people's physical activity (PA) using pre-COVID-19 data that were not used in previous versions. Eleven quality indicators of PA were graded through expert consensus and synthesis of the best available evidence. Grades were assigned as follows: Overall PA-F; Organised Sport and PA-C; Active Play-C+; Active Transportation-C-; Sedentary Behaviours-F; Physical Fitness-C-; Family and Peer Influences-D+; School-B-; Community and the Built Environment-C; National Government and Policy-C; and Physical Literacy-C-. All but three grades remained the same or decreased from the 2018 AHK-Wales Report Card (Active Play increased from C- to C+; Active Transportation, D+ to C-; Family and Peers, D to D+). This is concerning for children's health and well-being in Wales, particularly given recent evidence that PA has further decreased during the COVID-19 pandemic. The results from the Report Card should be used to inform the decision making of policy makers, practitioners and educators to improve children and young people's PA levels and opportunities and decrease PA inequalities.

Keywords: children; community and environment; health; physical activity; play; policy; school; sedentary.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • COVID-19* / epidemiology
  • Child
  • Exercise
  • Health Policy
  • Health Promotion
  • Humans
  • Pandemics / prevention & control
  • Sedentary Behavior*

Grants and funding

This research was funded by The Waterloo Foundation, grant number 1158–4603. The APC was partially funded by an Early Career Researcher award to A.B.R. from the Paediatric Work Physiology Conference and by the Knowledge Economy Skills Scholarship (KESS), as the funder of A.B.R.’s PhD. It is a pan-Wales higher-level skills initiative led by Bangor University on behalf of the HE sector in Wales. It is in part funded by the Welsh Government’s European Social Fund (ESF) convergence programme for West Wales and the Valleys.