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Russell R. Pate, PhD; June Stevens, PhD; Charlotte Pratt, PhD; James F. Sallis, PhD; Kathryn H. Schmitz, PhD, MPH; Larry S. Webber, PhD; Gregory Welk, PhD; Deborah R. Young, PhD

Arch Pediatr Adolesc Med. 2006;160:1262-1268.

Objectives  To describe the objectively measured physical activity characteristics of a diverse sample of sixth-grade girls, to examine influences on physical activity, and to report compliance with physical activity guidelines.

Design  Cross-sectional study.

Setting  Six locations across the United States.

Participants  A total of 1578 sixth-grade girls. Accelerometers were worn for 7 days, and data for 6 days were included in the analyses.

Main Exposures  Race/ethnicity, free or reduced-price lunch, and geographic region.

Main Outcome Measures  Six operational definitions of adequate activity (60 or 30 minutes of daily moderate to vigorous physical activity at or above 4.6, 3.8, or 3.0 metabolic equivalents) were used to examine whether girls met physical activity guidelines.

Results  Average times spent in sedentary, light, moderate, and vigorous activities were 460, 342, 18, and 6 min/d, respectively. White girls were more active than girls in other race/ethnic groups, and girls who did not receive free or reduced-price lunch were more active than girls who did. Girls in western states were most active. Percentages of girls in compliance with the 6 thresholds for adequate activity varied widely and ranged from 0.6% to 100.0%.

Conclusions  When physical activity is measured objectively and a 4.6–metabolic equivalents cut point for moderate to vigorous physical activity is used, most sixth-grade girls do not meet guidelines for adequate physical activity. One notable finding was the effect of different accelerometer scoring protocols on estimates of compliance. Conceptual and empirical work is needed to define appropriate physical activity for youth using objective physical activity measures.

Author Affiliations: Department of Exercise Science, University of South Carolina, Columbia (Dr Pate); Departments of Nutrition and Epidemiology, The University of North Carolina at Chapel Hill (Dr Stevens); National Heart, Lung, and Blood Institute, Bethesda, Md (Dr Pratt); Department of Psychology, San Diego State University, San Diego, Calif (Dr Sallis); Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia (Dr Schmitz); Department of Biostatistics, Tulane University, New Orleans, La (Dr Webber); Department of Health and Human Performance, Iowa State University, Ames (Dr Welk); and Department of Kinesiology, University of Maryland, College Park (Dr Young).

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