Article Text

How active are our children? Findings from the Millennium Cohort Study
  1. Lucy J Griffiths1,
  2. Mario Cortina-Borja1,
  3. Francesco Sera1,
  4. Theodora Pouliou1,
  5. Marco Geraci1,
  6. Carly Rich1,
  7. Tim J Cole1,
  8. Catherine Law1,
  9. Heather Joshi2,
  10. Andrew R Ness3,
  11. Susan A Jebb4,
  12. Carol Dezateux1
  1. 1MRC Centre of Epidemiology for Child Health, UCL Institute of Child Health, London, UK
  2. 2Department of Quantitative Social Science, Institute of Education, University of London, London, UK
  3. 3School of Oral and Dental Sciences, Bristol Dental School, Bristol, UK
  4. 4MRC Human Nutrition Research, Elsie Widdowson Laboratory, Cambridge, UK
  1. Correspondence to Dr Lucy Griffiths; lucy.griffiths{at}


Objective To describe levels of physical activity, sedentary time and adherence to Chief Medical Officers (CMO) physical activity guidelines among primary school-aged children across the UK using objective accelerometer-based measurements.

Design Nationally representative prospective cohort study.

Setting Children born across the UK, between 2000 and 2002.

Participants 6497 7-year-old to 8-year-old singleton children for whom reliable accelerometer data were available for at least 10 h a day for at least 2 days.

Main outcome measures Physical activity in counts per minute (cpm); time spent in sedentary and moderate-to-vigorous intensity physical activity (MVPA); proportion of children meeting CMO guidelines (≥60 min/day MVPA); average daily steps.

Explanatory measures Gender, ethnicity, maternal current/most recent occupation, lone parenthood status, number of children in the household and country/region of residence.

Results The median daily physical activity level was 595 cpm (IQR 507, 697). Children spent a median of 60 min (IQR 47–76) in MVPA/day and were sedentary for a median of 6.4 h/day (IQR 6–7). Only 51% met CMO guidelines, with girls (38%) less active than boys (63%). Children took an average of 10 229 (95% CI (8777 to 11 775)) steps each day. Children of Indian ethnicity were significantly less active overall than all other ethnic groups. Children of Bangladeshi origin and those living in Northern Ireland were least likely to meet CMO guidelines.

Conclusions Only half of 7-year-old children in the UK achieve recommended levels of physical activity, with significant gender, ethnic and geographic variations. Longitudinal studies are needed to better understand the relevance of these (in)activity patterns for long-term health and well-being. In the meantime population-wide efforts to boost physical activity among young people are needed which are likely to require a broad range of policy interventions.

  • Public Health
  • Sports Medicine
  • Paediatrics

This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 3.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See:

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