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Low Global Physical Activity Despite Two Decades of Policy Progress

Authors

Ramírez Varela, Andrea
Bauman, Adrian
Woods, Catherine B
Shawar, Yusra Ribhi
Hallal, Pedro C
Salvo, Deborah
Siefken, Katja
Wendel-Vos, Wanda
Miranda, J Jaime
Mejía-Grueso, Juliana

Supervisor

Item type

Journal Article

Degree name

Journal Title

Journal ISSN

Volume Title

Publisher

Springer Science and Business Media LLC

Abstract

Global physical inactivity has remained high and unchanged for the past two decades. We assessed global political priority for physical activity. An analysis of national policy documents from 200 countries revealed notable progress in policy adoption since 2004, but we found limited evidence of implementation. A qualitative case study design, including insights from 46 key informants, confirmed low political priority. Four key challenges emerged: (1) domination of health-centric approaches; (2) limited recognition of benefits beyond non-communicable disease prevention; (3) interest across sectors but lack of clarity defining physical activity policy and of leadership; and (4) limited multisectoral partnerships. Proposed solutions include: (1) building consensus on physical activity policy with consideration of context; (2) acknowledging the scope of benefits; (3) clarifying multisectoral leadership and responsibilities; and (4) increasing partnerships beyond obvious proponents. Prioritizing physical activity policy is essential for improving human, societal and planetary health.

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Keywords

4206 Public Health, 42 Health Sciences, Physical Activity, Prevention, 8.3 Policy, ethics, and research governance, 3 Good Health and Well Being

Source

Nature Health, ISSN: 3005-0693 (Print); 3005-0693 (Online), Springer Science and Business Media LLC, 1(3), 338-354. doi: 10.1038/s44360-025-00044-3

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Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.