A large new study released today shows that American children fall short of the amount of exercise they need each day. The figures vary by both geography and type of exercise.

The research was released by the National Physical Activity Plan (NPAP) Alliance, which releases a report card on children and youth physical activity and exercises every two years. The current version is called the 2018 U.S. Report Card on Physical Activity for Children and Youth, and its purpose is to assess “the levels of physical activity and sedentary behaviors in American children and youth.” Another goal of the study is to examine circumstances that prevent children from getting the necessary amount of exercise per day. This threshold is one hour of physical activity. The age group measured is children and youth ages 6 to 17 years old.

Most of the members of the committee that oversaw the study were academicians, led by Peter T. Katzmarzyk, PhD, FACSM, FAHA, Pennington Biomedical Research Center. Pennington is part of Louisiana State University.

The results are based on nine indicators of physical activity:

1. Overall physical activity
2. Sedentary behaviors
3. Active transportation
4. Organized sport participation
5. Active play
6. Health-related fitness
7. Family and peers
8. Schools
9. Community and the built environment

Additionally, activities are broken into three segments: aerobic activity, muscle strengthening activity and bone-strengthening activity. The most aerobic exercise involves walking or running. Muscle strengthening activity is dominated by climbing and lifting weights. Bone-strengthening includes running and skipping rope.

Geography is another key marker for whether children are likely to reach the benchmarks. States are measured based on the percentage of the residents between ages 6 and 17 that hit the appropriate exercise activity levels. Montana was at the top of the list with at 53%, while Arkansas was at the bottom with 35%.

United States	46.5
Montana	53.4	1
Kansas	52.6	2
California	51.7	3
Nebraska	51.7	3
North Dakota	51.5	5
New Mexico	51.2	6
Idaho	50.4	7
Colorado	49.8	8
Illinois	49.3	9
Iowa	49.2	10
Vermont	49.1	11
Wisconsin	48.7	12
Oklahoma	48.1	13
Utah	47.4	14
New Hampshire	47.2	15
Nevada	46.4	16
Arizona	46.3	17
Missouri	46.2	18
Massachusetts	45.7	19
Michigan	45.6	20
West Virginia	44.4	21
Tennessee	44.1	22
Connecticut	44.0	23
Delaware	43.5	24
Texas	42.9	25
New York	42.4	26
Pennsylvania	42.4	26
North Carolina	42.3	28
Virginia	42.3	28
Maine	42.2	30
Alaska	41.4	31
Rhode Island	41.3	32
Kentucky	40.6	33
Florida	39.3	34
South Carolina	36.8	35
Hawaii	36.6	36
Louisiana	35.3	37
Maryland	35.2	38
Arkansas	35.1	39
District of Columbia	25.5	40

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