Settings and Influences on
Physical Activity and Health

Methodology and Detailed Findings
The detailed, long-form, version of this reportcard is available from our website (www.
activehealthykidsscotland.co.uk). This provides
more information on the process of identifying data,assigning grades, and references.

Family and Peer Influence

848% of adult men and 33% of adult women reported
meeting the physical activity recommendation of 5x30 minutes of moderate-vigorous intensity physicalactivity per weekScottish Health Survey 2011.
More than 28% of adults were obese and 64% eitheroverweight or obese in 2011Scottish Health Survey 2011.

D-9(Perceived safety, access, and availability of spacefor physical activity)
77-81% of Scottish adolescents felt that it was‘always safe for children to play outside’ and 51%
agreed that they ‘always felt safe locally’2010 HBSC Scotland.

We plan to make international comparisons of Scottish Report Card Findings inMay 2014 as part of the Global Summit On The Physical Activity of Children

B

10

Physical activity and health is given great emphasis innational policy, strategy, and investmentwww,scotland.gov.uk.
Many of the Health Behaviours and Outcomes gradedin the first section of this card are the focus of national
policies, investments and/or targets for improvement.

Established in 2013, Active
Healthy Kids Scotland wasinspired by the exampleof the Active Healthy Kids
Canada Report Card and thedeveloping international Active

We plan to publish the next Active Healthy Kids Scotland Report Card in May
2015. To do so we need further funding and are seeking partnerships withindividuals or organisations who might consider providing financial or othersupport-please contact Prof John J Reilly of the University of Strathclyde(john.j.reilly@strath.ac.uk) for further information.

Healthy Kids Network (www.
activehealthykids.ca)

The 2013 Active Healthy Kids
Scotland Report Card is theAcknowledgements

first Scottish report card. It
This card was produced with funding from the Scottish Universities Insight Institute(www.scottishinsight.ac.uk) and was a partnership between the University ofStrathclyde (Prof John J Reilly), University of Aberdeen (Prof Geraldine McNeill
and Dr Smita Dick), and the Children’s Hospital of Eastern Ontario Healthy Active
Living and Obesity Research Institute (Prof Mark S Tremblay). We are grateful forthe contributions of members of the project steering group and the large numberof stakeholders who formed a wider working group.

88% of parents of under 5 year olds reported having
access to a park or play area locallyGrowing Up in Scotland and40-50% of households reported having access to apark or play area locally(Including Schools)

Active Healthy
Kids Scotland
Report Card(www.activehealthykids.ca/summit).

77% of parents of 5 year olds agreed or strongly
agreed that local outdoor space was safe for theirchildrenGrowing Up in Scotland.

National Policy, Strategy, andInvestment

Next Steps
This is the first Active Healthy Kids Scotland Report Card but it should not be thelast.

Only 22% of Scottish adults reported meeting the‘5 a day’ fruit and vegetable intake recommendationin 2011Scottish Health Survey 2011, fruit and vegetableconsumption is lower in the more deprived, andpurchasing may have been declining recentlyLiving Cost andFood Surveys.

Community and the Built
Environment

An academic publication based on the Active Healthy Kids Scotland Report Card
will be submitted to the Journal of Physical Activity and Health in 2013.

CHILD’S
PLAY2013?

provides a critical, current, andcomprehensive assessmentof the physical activity andhealth of Scottish children andadolescents.

The Report Card should beB

used as an advocacy tool, as
the basis of public debate,
policy discussion and change,
and research proposals.

www.activehealthykidsscotland.co.uk

2013 REPORT CARD

Physical Activity and HealthBehaviours and OutcomesPhysical Activity and HealthBehaviours and Outcomes

Common to any report card are the grades. This first Scottish Report Card
assigns grades to 10 indicators grouped into 2 categories (see left).

Sedentary Behaviour

Organised Sport Participation

The 10 health indicators are grouped
into 2 categories:

Physical Activity and HealthBehaviours and Outcomes

3 ActiveTransportation
4 Active andOutdoor Play
5 Organised SportParticipation
6 Diet7 Obesity

Settings and Influences on
Physical Activity and Health
8 Family And Peer
Influence

We are succeeding with about half of our children andadolescents (40-59%)
We are succeeding with less than half children and adolescents(20-39%)We are succeeding with very few children and adolescents (019%).

The grades provide arobust assessmentof the ‘state of thenation’, i.e. how weare doing as a country
in promoting physicalactivity and healthamong children and adolescents inScotland.

omPhhaysvioic alurs a nd Outc

A c t i v it y a nald HethThe Scottish Intercollegiate Guidelines Network
recommends that school-age children andadolescents should spend no more than 2 hours per
day in recreational screen time, and this is consistent
with international recommendations.

Physical Activity2(Incomplete Grade). Where current Scottish data were
inadequate to assign a grade, and/or where no recommendation
existsReport Card grades also contain important information, where it is available,
about trends over time and the presence of inequalities(e.g. by age, gender, ethnicity,or socio-economic
deprivation).Grades areInfluence
assigned a ‘+’ if trends are
gs andson
ittn
improving or if there is noSe
ctivity andAlamarked inequality, andHesic
assigned a ‘–‘ if they are
getting worse or if there
1-78, 9& 10
is marked inequality.

(including recreational screen time, TV viewing,
gaming, internet use)

FAmong 11-15 year olds, only 19% of boys and 11%of girls2010 HBSC met the Scottish, UK, and international
recommendation of at least 60 minutes of daily
physical activity of at least moderate intensity.

Active Transportation

3Multiple sources of data suggest that just over half ofScottish primary school children regularly commute
actively (walking or cycling) to school, and about 4050% of those at secondary school regularly commute
activelyScottish Health Survey; National Travel Survey 2012; Hands Up Scotland 2011.

6F

4INC

D-Average intake of saturated fat (13%) exceeded the11% of energy intake recommended; average total
fat intake as was 33% of energy intake which met
the recommendation to not exceed 35% of energy
intakeSurveyofDiet Among Children in Scotland 2010.
* Non-Milk Extrinsic Sugars

Obesity

7INC

Sugar* intake should not exceed 11% of energy
intakeScottish Dietary Target for Children . Sugar intake reached
15% of energy intake in 3-7 year olds, 16% in 8-11year olds, and 17% in 12-16 year olds, increasing
with increasing levels of deprivationSurvey of Diet Among Childrenin Scotland 2010.
Children and adolescents typically had 2 –3 portionsof fruit and vegetables per day, and only 14% met the‘5 a day’ recommendationScottish Health Survey 2011. Fruit andvegetable intake was lowest among more deprived
children and adolescentsSurvey of Diet Among Children in Scotland 2010.

CActive and Outdoor Play
57% of Scottish children were reported to play
outdoors for at least 30 minutes for at least fivetimes in the last week Scottish Health Survey. In the absenceof a recommendation, and given the F grades forsedentary behaviour and overall physical activity, thisis difficult to grade.

5Participation in sport at least once in the previousweek was reported for 69% of 2-15 year oldsScottish
Health Survey 2011
. In the absence of a recommendation,and given the F grades for sedentary behaviour andphysical activity, this is difficult to grade.

Diet

76% of Scottish 11-15 year olds report more than 2hours per day of TV alone. In addition, 77% of boys
and 37% of girls report 2 hours per day of gaming2010
HBSC.

We are succeeding with well over half of children andadolescents (60-79%).

ha lt

10 National Policy,
Strategy, andInvestment

INC

We are succeeding with a large majority of children andadolescents (80-100%)

Be

9 Community and the Built
Environment

ABCDF1es

2 PhysicalActivity

The card grades are based on an assessment of current Scottish datafor each indicator, judged against a benchmark (e.g. an evidence-based
recommendation), and determined by the percentage of Scottish children
and adolescents meeting the benchmark.

Phy1 Sedentary
Behaviour

Multiple data sources suggest that levels of obesity
among children and adolescents are higher than at
any time in our history. Obesity prevalence amongchildren and adolescents has more than trebled since
1990, and obesity is more common among the moredeprivedScottish Health Survey.

F-