Results from the Hong Kong's 2018 report card on physical activity for children and youth.

BACKGROUND/OBJECTIVE: The Active Healthy Kids 2018 Hong Kong Report Card provides evidence-based assessment across 12 indicators of physical activity behaviors, sleep, and related community and government initiatives for children and youth.

METHODS

The systematic development process provided by the Active Healthy Kids Global Alliance was used. The best available data from the past 10 years were reviewed by a panel of experts. According to predefined benchmarks, letter grades were assigned to 12 indicators (Overall Physical Activity, Organized Sport Participation, Active Play, Active Transportation, Sedentary Behaviors, Physical Fitness, Sleep, Family, School, Community and Environment, Government, and Obesity).

RESULTS

Three of the five activity behaviors received or grades: Overall Physical Activity (), Sedentary Behaviors (), and Organized Sport Participation (). Active Transportation was graded  + . Same to the 2016 Hong Kong Report Card, Active Play could not be graded. School and Government were graded . Family and Community and Environment was graded and , respectively. Three new indicators were added after the 2016 Report Card and they were graded from (Sleep) to (Physical Fitness) or (Obesity).

CONCLUSIONS

Children and youth in Hong Kong have low physical activity and physical fitness levels and high sedentary behaviors despite a generally favorable community environment. A high prevalence of obesity and low levels of family support warrant more public health action. Researchers should address the surveillance gap in active play and peer support.