Physical Activity and Cardiometabolic Health Benefits in Children

  • Konstantinos D. Tambalis
  • Labros S. Sidossis


In children physical activity (PA) is inversely related to risk factors for chronic diseases such as high blood pressure, fat mass, hyperinsulinemia, insulin resistance, and poor lipid profile, while it helps in the development of healthy bones, muscles, and joints. Moreover, PA influences favorably social and psychological functioning in children. Adequate PA levels in childhood are likely to carry favorable behavioral and biological effects into later life. Promotion of PA, especially in the school setting, is likely to result in children engaging in physical activity in adulthood. Current recommendations call for 60 or more minutes of moderate-to-vigorous physical activity per day. Moreover, specific types of physical activity should be included in the weekly physical activity schedule of children and adolescents to add comprehensive health benefits; muscle-strengthening physical activity, vigorous aerobic physical activity, and bone-strengthening physical activity should be performed 3 or more days per week for 60 min or more per day. This chapter summarizes recent experimental and epidemiologic evidence on the role of PA activity on children’s health.


Children Adolescents Physical activity Health benefits Recommendations 


  1. 1.
    Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol. 2012;2(2):1143–211. Review.PubMedPubMedCentralGoogle Scholar
  2. 2.
    Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act. 2011;8:98. Review.PubMedPubMedCentralCrossRefGoogle Scholar
  3. 3.
    Seppala T, Hankonen N, Korkiakangas E, Ruusuvuori J, Laitinen J. National policies for the promotion of physical activity and healthy nutrition in the workplace context: a behaviour change wheel guided content analysis of policy papers in Finland. BMC Public Health. 2017;18(1):87.PubMedPubMedCentralCrossRefGoogle Scholar
  4. 4.
    Andersen LB, Harro M, Sardinha LB, Froberg K, Ekelund U, Brage S, Anderssen SA. Physical activity and clustered cardiovascular risk in children: a cross-sectional study (The European Youth Heart Study). Lancet. 2006;368:299–304.PubMedCrossRefGoogle Scholar
  5. 5.
    Boreham C, Riddoch C. The physical activity, fitness and health of children. J Sports Sci. 2001;19(12):915–29.PubMedCrossRefGoogle Scholar
  6. 6.
    Song M, Carroll DD, Fulton JE. Meeting the 2008 physical activity guidelines for Americans among U.S. youth. Am J Prev Med. 2013;44(3):216–22.PubMedCrossRefGoogle Scholar
  7. 7.
    Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40(1):181–8.PubMedCrossRefGoogle Scholar
  8. 8.
    Fakhouri TH, Hughes JP, Burt VL, Song M, Fulton JE, Ogden CL. Physical activity in U.S. youth aged 12-15 years, 2012. NCHS Data Brief. 2014;141:1–8.Google Scholar
  9. 9.
    Belcher BR, Berrigan D, Dodd KW, Emken BA, Chou CP, Spruijt-Metz D. Physical activity in US youth: effect of race/ethnicity, age, gender, and weight status. Med Sci Sports Exerc. 2010;42(12):2211–21.PubMedPubMedCentralCrossRefGoogle Scholar
  10. 10.
    System YRBS. Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (CDC/NCHHSTP) 2014.Google Scholar
  11. 11.
    O’Dea JA. Why do kids eat healthful food? Perceived benefits of and barriers to healthful eating and physical activity among children and adolescents. J Am Diet Assoc. 2003;103(4):497–501.PubMedGoogle Scholar
  12. 12.
    Blair SN, Clark DG, Cureton KJ, Powell KE. Exercise and fitness in childhood: implications for a lifetime of health. In: Perspectives in Exercise Science and Sports Medicine, vol. 2: Youth, Exercise, and Sport. Indianapolis: Benchmark Press; 1989. p. 401–30.Google Scholar
  13. 13.
    Rush E, Simmons D. Physical activity in children: prevention of obesity and type 2 diabetes. Med Sport Sci. 2014;60:113–21.PubMedCrossRefGoogle Scholar
  14. 14.
    Loprinzi PD, Cardinal BJ, Loprinzi KL, Lee H. Benefits and environmental determinants of physical activity in children and adolescents. Obes Facts. 2012;5(4):597–610.PubMedCrossRefGoogle Scholar
  15. 15.
    Khan NA, Hillman CH. The relation of childhood physical activity and aerobic fitness to brain function and cognition: a review. Pediatr Exerc Sci. 2014;26(2):138–46.PubMedCrossRefGoogle Scholar
  16. 16.
    Brown CL, Halvorson EE, Cohen GM, Lazorick S, Skelton JA. Addressing childhood obesity: opportunities for prevention. Pediatr Clin North Am. 2015;62(5):1241–61.PubMedPubMedCentralCrossRefGoogle Scholar
  17. 17.
    Lobstein T, Baur L, Uauy R, TaskForce IIO. Obesity in children and young people: a crisis in public health. Obes Rev. 2004;5(Suppl 1):4–104.PubMedCrossRefGoogle Scholar
  18. 18.
    Janssen I, Katzmarzyk PT, Boyce WF, Vereecken C, Mulvihill C, Roberts C, et al. Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obes Rev. 2005;6(2):123–32.PubMedCrossRefGoogle Scholar
  19. 19.
    Barlow SE, the Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007;120(Supplement):S164–92.PubMedCrossRefGoogle Scholar
  20. 20.
    Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA. 2014;311(8):806–14.PubMedPubMedCentralCrossRefGoogle Scholar
  21. 21.
    Kosti RI, Panagiotakos DB. The epidemic of obesity in children and adolescents in the world. Cent Eur J Public Health. 2006;14(4):151–9.PubMedCrossRefGoogle Scholar
  22. 22.
    Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7:40.PubMedPubMedCentralCrossRefGoogle Scholar
  23. 23.
    Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, et al. Evidence based physical activity for school-age youth. J Pediatr. 2005;146(6):732–7.PubMedCrossRefGoogle Scholar
  24. 24.
    Miguel-Berges ML, Reilly JJ, Moreno Aznar LA, Jimenez-Pavon D. Associations between pedometer-determined physical activity and adiposity in children and adolescents: systematic review. Clin J Sport Med. 2018;28(1):64–75.PubMedCrossRefGoogle Scholar
  25. 25.
    Kelley GA, Kelley KS, Pate RR. Exercise and BMI z-score in overweight and obese children and adolescents: a systematic review and network meta-analysis of randomized trials. J Evid Based Med. 2017;10(2):108–28.PubMedCrossRefGoogle Scholar
  26. 26.
    Poirier P, Després JP. Exercise in weight management of obesity. Cardiol Clin. 2001;19(3):459–70. Review.PubMedCrossRefGoogle Scholar
  27. 27.
    Maffeis C. Physical activity in the prevention and treatment of childhood obesity: physio-pathologic evidence and promising experiences. Int J Pediatr Obes. 2008;3(2):29–32.PubMedCrossRefGoogle Scholar
  28. 28.
    Arslanian S. Type 2 diabetes in children: clinical aspects and risk factors. Horm Res. 2002;57(Suppl 1):19–28.PubMedGoogle Scholar
  29. 29.
    Rodriguez BL, Fujimoto WY, Mayer-Davis EJ, Imperatore G, Williams DE, Bell RA, et al. Prevalence of cardiovascular disease risk factors in U.S. children and adolescents with diabetes: the SEARCH for diabetes in youth study. Diabetes Care. 2006;29:1891–6.PubMedCrossRefGoogle Scholar
  30. 30.
    Copeland KC, Silverstein J, Moore KR, Prazar GE, Raymer T, Shiffman RN, et al. Management of newly diagnosed type 2 Diabetes Mellitus (T2DM) in children and adolescents. Pediatrics. 2013;131(2):364–82.PubMedCrossRefGoogle Scholar
  31. 31.
    Aylin P, Williams S, Bottle A. Obesity and type 2 diabetes in children, 1996-7 to 2003-4. BMJ. 2005;331(7526):1167.PubMedCrossRefGoogle Scholar
  32. 32.
    Narayan KM, Williams R. Diabetes–a global problem needing global solutions. Prim Care Diabetes. 2009;3(1):3–4.PubMedCrossRefGoogle Scholar
  33. 33.
    Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(5):1047–53.CrossRefPubMedGoogle Scholar
  34. 34.
    Berman LJ, Weigensberg MJ, Spruijt-Metz D. Physical activity is related to insulin sensitivity in children and adolescents, independent of adiposity: a review of the literature. Diabetes Metab Res Rev. 2012;28(5):395–408.PubMedPubMedCentralCrossRefGoogle Scholar
  35. 35.
    Fedewa MV, Gist NH, Evans EM, Dishman RK. Exercise and insulin resistance in youth: a meta-analysis. Pediatrics. 2014;133(1):e163–74.PubMedCrossRefGoogle Scholar
  36. 36.
    Imperatore G, Cheng YJ, Williams DE, Fulton J, Gregg EW. Physical activity, cardiovascular fitness, and insulin sensitivity among U.S. adolescents: the National Health and Nutrition Examination Survey, 1999–2002. Diabetes Care. 2006;29(7):1567–72.PubMedCrossRefGoogle Scholar
  37. 37.
    Kasa-Vubu JZ, Lee CC, Rosenthal A, Singer K, Halter JB. Cardiovascular fitness and exercise as determinants of insulin resistance in postpubertal adolescent females. J Clin Endocrinol Metab. 2005;90(2):849–54.PubMedCrossRefGoogle Scholar
  38. 38.
    Pedersen BK, Saltin B. Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015;25(Suppl 3):1–72.PubMedCrossRefGoogle Scholar
  39. 39.
    Bluestone JA, Herold K, Eisenbarth G. Genetics, pathogenesis and clinical interventions in type 1 diabetes. Nature. 2010;464:1293–300.PubMedPubMedCentralCrossRefGoogle Scholar
  40. 40.
    National Diabetes Statistics Report. 2017. Estimates of Diabetes and Its Burden in the United States. Assessed 27 Nov 2017.
  41. 41.
    Miculis CP, De Campos W, da Silva Boguszweski MC. Correlation between glycemic control and physical activity level in adolescents and children with type 1 diabetes. J Phys Act Health. 2015;12(2):232–7.PubMedCrossRefGoogle Scholar
  42. 42.
    Lopes Souto D, Paes de Miranda M. Physical exercises on glycemic control in type 1 diabetes mellitus. Nutr Hosp. 2011;26(3):425–9.PubMedGoogle Scholar
  43. 43.
    Quirk H, Blake H, Tennyson R, Randell TL, Glazebrook C. Physical activity interventions in children and young people with Type 1 diabetes mellitus: a systematic review with meta-analysis. Diabet Med. 2014;31(10):1163–73.PubMedPubMedCentralCrossRefGoogle Scholar
  44. 44.
    Babar GS, Zidan H, Widlansky ME, Das E, Hoffmann RG, Daoud M, et al. Impaired endothelial function in preadolescent children with type 1 diabetes. Diabetes Care. 2011;34(3):681–5.PubMedPubMedCentralCrossRefGoogle Scholar
  45. 45.
    Kriska AM, LaPorte RE, Patrick SL, Kuller LH, Orchard TJ. The association of physical activity and diabetic complications in individuals with insulin-dependent diabetes mellitus: the Epidemiology of Diabetes Complications Study--VII. J Clin Epidemiol. 1991;44(11):1207–14.PubMedCrossRefGoogle Scholar
  46. 46.
    Kraus WE, Houmard JA, Duscha BD, Knetzger KJ, Wharton MB, McCartney JS, et al. Effects of the amount and intensity of exercise on plasma lipoproteins. N Engl J Med. 2002;347(19):1483–92.PubMedCrossRefGoogle Scholar
  47. 47.
    Kavey RE. Combined dyslipidemia in childhood. J Clin Lipidol. 2015;9(5):S41–56.PubMedCrossRefGoogle Scholar
  48. 48.
    Kit BK, Kuklina E, Carroll MD, Ostchega Y, Freedman DS, Ogden CL. Prevalence of and trends in dyslipidemia and blood pressure among US children and adolescents, 1999-2012. JAMA Pediatr. 2015;169(3):272–9.PubMedCrossRefGoogle Scholar
  49. 49.
    Carnethon MR, Gulati M, Greenland P. Prevalence and cardiovascular disease correlates of low cardiorespiratory fitness in adolescents and adults. JAMA. 2005;294(23):2981–8.PubMedCrossRefGoogle Scholar
  50. 50.
    Ho M, Garnett SP, Baur L, Burrows T, Stewart L, Neve M, et al. Effectiveness of lifestyle interventions in child obesity: systematic review with meta-analysis. Pediatrics. 2012;130(6):e1647–71.PubMedCrossRefGoogle Scholar
  51. 51.
    Escalante Y, Saavedra JM, Garcia-Hermoso A, Dominguez AM. Improvement of the lipid profile with exercise in obese children: a systematic review. Prev Med. 2012;54(5):293–301.PubMedCrossRefGoogle Scholar
  52. 52.
    Cai L, Wu Y, Cheskin LJ, Wilson RF, Wang Y. Effect of childhood obesity prevention programmes on blood lipids: a systematic review and meta-analysis. Obes Rev. 2014;15(12):933–44.PubMedPubMedCentralCrossRefGoogle Scholar
  53. 53.
    Wang Y, Xu D. Effects of aerobic exercise on lipids and lipoproteins. Lipids Health Dis. 2017;16(1):132.PubMedPubMedCentralCrossRefGoogle Scholar
  54. 54.
    Samuels J, Bell C, Samuel J, Swinford R. Management of hypertension in children and adolescents. Curr Cardiol Rep. 2015;17(12):107.PubMedCrossRefGoogle Scholar
  55. 55.
    Rosner B, Cook NR, Daniels S, Falkner B. Childhood blood pressure trends and risk factors for high blood pressure: The NHANES experience 1988-2008. Hypertension. 2013;62(2):247–54.PubMedPubMedCentralCrossRefGoogle Scholar
  56. 56.
    Leary SD, Ness AR, Smith GD, Mattocks C, Deere K, Blair SN, Riddoch C. Physical activity and blood pressure in childhood: findings from a population-based study. Hypertension. 2008;51(1):92–8.PubMedCrossRefGoogle Scholar
  57. 57.
    Andersen LB, Riddoch C, Kriemler S, Hills AP, Hills A. Physical activity and cardiovascular risk factors in children. Br J Sports Med. 2001;45(11):871–6.CrossRefGoogle Scholar
  58. 58.
    Kelley GA, Kelley KS, Tran ZV. The effects of exercise on resting blood pressure in children and adolescents: a meta-analysis of randomized controlled trials. Prev Cardiol. 2003;6(1):8–16.PubMedPubMedCentralCrossRefGoogle Scholar
  59. 59.
    Hansen HS, Froberg K, Hyldebrandt N, Nielsen JR. A controlled study of eight months of physical training and reduction of blood pressure in children: the Odense schoolchild study. BMJ. 1991;303(6804):682–5.PubMedPubMedCentralCrossRefGoogle Scholar
  60. 60.
    Strambi M, Giussani M, Ambruzzi MA, Brambilla P, Corrado C, Giordano U, et al. Novelty in hypertension in children and adolescents: focus on hypertension during the first year of life, use and interpretation of ambulatory blood pressure monitoring, role of physical activity in prevention and treatment, simple carbohydrates and uric acid as risk factors. Ital J Pediatr. 2016;42(1):69.PubMedPubMedCentralCrossRefGoogle Scholar
  61. 61.
    García-Hermoso A, Saavedra JM, Escalante Y. Effects of exercise on resting blood pressure in obese children: a meta-analysis of randomized controlled trials. Obes Rev. 2013;14(11):919–28.PubMedCrossRefGoogle Scholar
  62. 62.
    Naylor LH, Watts K, Sharpe JA, Jones TW, Davis EA, Thompson A, et al. Resistance training and diastolic myocardial tissue velocities in obese children. Med Sci Sports Exerc. 2008;40:2027–32.PubMedCrossRefGoogle Scholar
  63. 63.
    Weaver CM, Gordon CM, Janz KF, Kalkwarf HJ, Lappe JM, Lewis R, et al. The National Osteoporosis Foundation’s position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations. Osteoporos Int. 2016;27(4):1281–386.PubMedPubMedCentralCrossRefGoogle Scholar
  64. 64.
    Bielemann RM, Martinez-Mesa J, Gigante DP. Physical activity during life course and bone mass: a systematic review of methods and findings from cohort studies with young adults. BMC Musculoskelet Disord. 2013;14:77. Review.PubMedPubMedCentralCrossRefGoogle Scholar
  65. 65.
    Ondrak KS, Morgan DW. Physical activity, calcium intake and bone health in children and adolescents. Sports Med. 2007;37(7):587–600.PubMedCrossRefGoogle Scholar
  66. 66.
    Behringer M, Vom Heede A, Yue Z, Mester J. Effects of resistance training in children and adolescents: a meta-analysis. Pediatrics. 2010;126(5):e1199–210.PubMedCrossRefGoogle Scholar
  67. 67.
    Bernhardt DT, Gomez J, Johnson MD, Martin TJ, Rowland TW, Small E, et al. Strength training by children and adolescents. Pediatrics. 2001;107(6):1470–2.PubMedCrossRefGoogle Scholar
  68. 68.
    Cianferotti L, Brandi ML. Muscle-bone interactions: basic and clinical aspects. Endocrine. 2014;45(2):165–77.PubMedCrossRefGoogle Scholar
  69. 69.
    Tyrovola JB. The “Mechanostat” Principle and the Osteoprotegerin-OPG/RANKL/RANK System PART II. The Role of the Hypothalamic-Pituitary Axis. J Cell Biochem. 2017;118(5):962–6.PubMedCrossRefGoogle Scholar
  70. 70.
    Kohrt WM, Bloomfield SA, Little KD, Nelson ME, Yingling VR, American College of Sports M. American College of Sports Medicine Position Stand: physical activity and bone health. Med Sci Sports Exerc. 2004;36(11):1985–96.PubMedCrossRefGoogle Scholar
  71. 71.
    Turner CH, Robling AG. Designing exercise regimens to increase bone strength. Exerc Sport Sci Rev. 2003;31(1):45–50.PubMedCrossRefGoogle Scholar
  72. 72.
    Biddle SJ, Asare M. Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med. 2011;45(11):886–95.PubMedCrossRefGoogle Scholar
  73. 73.
    Ahn S, Fedewa AL. A meta-analysis of the relationship between children’s physical activity and mental health. J Pediatr Psychol. 2011;36(4):385–97.PubMedCrossRefGoogle Scholar
  74. 74.
    Penedo FJ, Dahn JR. Exercise and well-being: a review of mental and physical health benefits associated with physical activity. Curr Opin Psychiatry. 2005;18(2):189–93.PubMedCrossRefGoogle Scholar
  75. 75.
    Dishman RK, Hales DP, Pfeiffer KA, Felton GA, Saunders R, Ward DS, et al. Physical self-concept and self-esteem mediate cross-sectional relations of physical activity and sport participation with depression symptoms among adolescent girls. Health Psychol. 2006;25(3):396–407.PubMedCrossRefGoogle Scholar
  76. 76.
    Peluso MA, Guerra de Andrade LH. Physical activity and mental health: the association between exercise and mood. Clinics (Sao Paulo). 2005;60(1):61–70.CrossRefGoogle Scholar
  77. 77.
    Carek PJ, Laibstain SE, Carek SM. Exercise for the treatment of depression and anxiety. Int J Psychiatry Med. 2011;41(1):15–28.PubMedCrossRefGoogle Scholar
  78. 78.
    Donnelly JE, Hillman CH, Castelli D, Etnier JL, Lee S, Tomporowski P, et al. physical activity, fitness, cognitive function, and academic achievement in children: a systematic review. Med Sci Sports Exerc. 2016;48(6):1223–4.PubMedCrossRefGoogle Scholar
  79. 79.
    Malina RM. Physical activity and fitness: pathways from childhood to adulthood. Am J Hum Biol. 2001;13(2):162–72.PubMedCrossRefGoogle Scholar
  80. 80.
    Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T. Do obese children become obese adults? A review of the literature. Prev Med. 1993;22(2):167–77.PubMedCrossRefGoogle Scholar
  81. 81.
    Ruiz JR, Castro-Piñero J, Artero EG, Ortega FB, Sjöström M, Suni J, et al. Predictive validity of health-related fitness in youth: a systematic review. Br J Sports Med. 2009;43(12):909–23.PubMedCrossRefGoogle Scholar
  82. 82.
    Castro-Piñero J, Perez-Bey A, Segura-Jiménez V, Aparicio VA, Gómez-Martínez S, Izquierdo-Gomez R, et al. Cardiorespiratory fitness cutoff points for early detection of present and future cardiovascular risk in children: a 2-year follow-up study. Mayo Clin Proc. 2017;92(12):1753–62.PubMedCrossRefGoogle Scholar
  83. 83.
    Boreham C, Twisk J, Neville C, Savage M, Murray L, Gallagher A. Associations between physical fitness and activity patterns during adolescence and cardiovascular risk factors in young adulthood: the Northern Ireland Young Hearts Project. Int J Sports Med. 2002;23(Suppl 1):S22–6.PubMedCrossRefGoogle Scholar
  84. 84.
    Bass SL. The prepubertal years: a uniquely opportune stage of growth when the skeleton is most responsive to exercise? Sports Med. 2000;30(2):73–8.PubMedCrossRefGoogle Scholar
  85. 85.
    Kimm SY, Glynn NW, Obarzanek E, Kriska AM, Daniels SR, Barton BA, et al. Relation between the changes in physical activity and body-mass index during adolescence: a multicentre longitudinal study. Lancet. 2005;366(9482):301–7.PubMedCrossRefGoogle Scholar
  86. 86.
    Yang X, Telama R, Viikari J, Raitakari OT. Risk of obesity in relation to physical activity tracking from youth to adulthood. Med Sci Sports Exerc. 2006;38(5):919–25.PubMedCrossRefGoogle Scholar
  87. 87.
    Parsons TJ, Power C, Logan S, Summerbell CD. Childhood predictors of adult obesity: a systematic review. Int J Obes Relat Metab Disord. 1999;23(Suppl 8):S1–107.PubMedGoogle Scholar
  88. 88.
    Wareham N. Physical activity and obesity prevention. Obes Rev. 2007;8(Suppl 1):109–14.PubMedCrossRefGoogle Scholar
  89. 89.
    Morrison JA, Glueck CJ, Woo JG, Wang P. Risk factors for cardiovascular disease and type 2 diabetes retained from childhood to adulthood predict adult outcomes: the Princeton LRC Follow-up Study. Int J Pediatr Endocrinol. 2012;2012(1):6.PubMedPubMedCentralCrossRefGoogle Scholar
  90. 90.
    King A, Fuster V. Children are key to CVD prevention. Nat Rev Cardiol. 2010;7(6):297.PubMedCrossRefGoogle Scholar
  91. 91.
    Schulze MB, Hu FB. Primary prevention of diabetes: what can be done and how much can be prevented? Annu Rev Public Health. 2005;26:445–67.PubMedCrossRefGoogle Scholar
  92. 92.
    Ferreira I, Twisk JW, van Mechelen W, Kemper HC, Stehouwer CD. Development of fatness, fitness, and lifestyle from adolescence to the age of 36 years: determinants of the metabolic syndrome in young adults: the amsterdam growth and health longitudinal study. Arch Intern Med. 2005;165(1):42–8.PubMedCrossRefGoogle Scholar
  93. 93.
    Hallal PC, Victora CG, Azevedo MR, Wells JC. Adolescent physical activity and health: a systematic review. Sports Med. 2006;36(12):1019–30.PubMedCrossRefGoogle Scholar
  94. 94.
    Brill PA, Burkhalter HE, Kohl HW, Blair SN, Goodyear NN. The impact of previous athleticism on exercise habits, physical fitness, and coronary heart disease risk factors in middle-aged men. Res Q Exerc Sport. 1989;60(3):209–15.PubMedCrossRefGoogle Scholar
  95. 95.
    Janz KF, Dawson JD, Mahoney LT. Tracking physical fitness and physical activity from childhood to adolescence: the muscatine study. Med Sci Sports Exerc. 2000;32(7):1250–7.PubMedCrossRefGoogle Scholar
  96. 96.
    Telama R, Yang X, Viikari J, Valimaki I, Wanne O, Raitakari O. Physical activity from childhood to adulthood: a 21-year tracking study. Am J Prev Med. 2005;28(3):267–73.PubMedCrossRefGoogle Scholar
  97. 97.
    Trudeau F, Laurencelle L, Shephard RJ. Tracking of physical activity from childhood to adulthood. Med Sci Sports Exerc. 2004;36(11):1937–43.PubMedCrossRefGoogle Scholar
  98. 98.
    Taylor WC, Blair SN, Cummings SS, Wun CC, Malina RM. Childhood and adolescent physical activity patterns and adult physical activity. Med Sci Sports Exerc. 1999;31(1):118–23.PubMedCrossRefGoogle Scholar
  99. 99.
    Telama R, Yang X, Laakso L, Viikari J. Physical activity in childhood and adolescence as predictor of physical activity in young adulthood. Am J Prev Med. 1997;13(4):317–23.PubMedCrossRefGoogle Scholar
  100. 100.
    Jones RA, Hinkley T, Okely AD, Salmon J. Tracking physical activity and sedentary behavior in childhood: a systematic review. Am J Prev Med. 2013;44(6):651–8.PubMedCrossRefGoogle Scholar
  101. 101.
    Telama R. Tracking of physical activity from childhood to adulthood: a review. Obes Facts. 2009;2(3):187–95.PubMedCrossRefGoogle Scholar
  102. 102.
    Engstrom H, Briand A. Puerperium. Health is an overview over one’s own life. Interview by Jens Rossen. Sygeplejersken. 1991;91(10):8–9.PubMedGoogle Scholar
  103. 103.
    Baquet G, van Praagh E, Berthoin S. Endurance training and aerobic fitness in young people. Sports Med. 2003;33(15):1127–43.PubMedCrossRefGoogle Scholar
  104. 104.
    American College of Sports M. Physical Activity in Children and Adolescents. 2015.Google Scholar
  105. 105.
    Department of Health Physical Activity HIaP. At least five a week: evidence on the impact of physical activity and its relationship with health. a report from the Chief Medical Officer. London: Department of Health; 2004.Google Scholar
  106. 106.
    Health AGDo. Australia’s Physical Activity and Sedentary Behaviour Guidelines. 2014.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Konstantinos D. Tambalis
    • 1
  • Labros S. Sidossis
    • 2
  1. 1.Department of Nutrition and DieteticsHarokopio UniversityAthens, KalitheaGreece
  2. 2.Department of Kinesiology and HealthRutgers UniversityNew BrunswickUSA

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