1 in 4 Teens Misses Daily Exercise Goal, Global Study Finds
A Lancet Global Health analysis of 3 million adolescents reveals stagnant activity levels over 15 years, with girls and those in lower-income nations reporting the lowest engagement.
By Yasmin Nasser ·

The World Health Organization’s recommendation for adolescents to engage in at least 60 minutes of moderate to vigorous activity daily remains largely unmet. A new study in The Lancet Global Health indicates that one in four teenagers worldwide fails to reach this benchmark on any given day. The data shows no improvement in these numbers over the last 15 years, signaling a persistent gap between public health guidelines and actual behavior among youth.
Global averages place the number of active days per week below three for the typical adolescent. Only 14% of the 3 million participants across 140 countries reported exercising for an hour or more every day. Fiona Bull, who leads the physical activity unit at the WHO and co-authored the research, described the flat trend as disappointing. She argued that current strategies are insufficient and that a fundamental reevaluation is needed to shift these stagnant figures.
A distinct gender gap emerged in the findings, with girls consistently less active than boys in nearly every country analyzed. Nearly 30% of female participants reported zero days of physical activity during the week, compared to 22% of male participants. The disparity was also visible in daily habits, where only 11% of girls were active every day, a figure that rose to 17% for boys. The weekly average of active days for girls stood at 2.4, lower than the 3-day average for boys.
Economic and environmental factors also influenced activity levels, with adolescents from low- and middle-income countries generally reporting less exercise than their peers in wealthier Western nations. Andrea Ramirez Varela, an epidemiologist at the University of Texas Health Science Center in Houston, noted that physical activity is often a matter of opportunity. In many urban areas of Latin America, safety concerns and air pollution restrict independent outdoor play. Varela observed that the digital environment further contributes to sedentary behavior, as many teens spend their after-school hours in front of screens.
Cultural norms play a role in the gender divide, particularly in regions where specific expectations surround female adolescents. Solveig Cunningham, a global health researcher at Emory University, pointed to examples in India where family members discourage girls from spending extended time outside to avoid sun exposure, which can impact marriage prospects in some communities. Cunningham added that while girls often perform physical chores, these activities are frequently less intense than the outdoor sports played by boys.
Experts suggest that schools offer a practical entry point for intervention. Countries with higher rates of adolescent activity often provide more structured sports time during or after the school day. Varela emphasized that moving the needle requires focusing on settings where teenagers spend most of their time. She warned that failing to address low activity levels in adolescence will carry the problem into adulthood, increasing the long-term costs to physical and mental health.
The study relied on self-reported survey data from 140 countries collected over 15 years. Researchers used a standard question regarding the number of days in the past week participants were active for at least 60 minutes. This method provides a broad global picture, though it lacks the precision of wearable technology, which remains too costly for large-scale adolescent studies.






