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Pediatric researchJournal Article

04 May 2025

Social epidemiology of sports and extracurricular activities in early adolescents.

Background

This study examines the social epidemiology of sports and extracurricular activities in early adolescents (9-14 years) using a diverse national U.S.

Methods

We examined data from baseline (2016-2018, ages 9-10) to Year 3 follow-up (2019-2021) of the Adolescent Brain and Cognitive Development (ABCD) Study (N = 11,270). Multivariable linear regression models with standardized betas estimated adjusted cross-sectional associations between sociodemographic factors (age, biological sex, sexual orientation, race and ethnicity, household income, parental education) and physical activity (metabolic equivalent of task (MET)-hours(h)/week) through sports and extracurricular activities at baseline and Year 3.

Results

Average MET-h/week decreased from 15.5 (±18.7) in Year 1 follow-up to 13.0 (±19.1) in Year 3 follow-up. Female sex, gay/bisexual sexual orientation, lower household income, and lower parental education were associated with lower MET-h/week at baseline. Male adolescents were more likely to play soccer and baseball/softball; female adolescents were more likely to play a musical instrument and participate in swimming/water polo and ballet/dance. Among the most common sports and extracurricular activities, lower parental income and education were associated with lower participation.

Conclusion

This study of early adolescents identified sociodemographic differences in sports and extracurricular activities that can inform targeted interventions to reduce these disparities.

Impact

This study examines the trends and social epidemiology of sports and extracurricular activities in early adolescents using a demographically diverse national U.S.

Sample

Average early adolescent physical activity decreased across three years of follow-up. Soccer, musical instruments, swimming/water polo, baseball/softball, and ballet/dance were the most common activities at baseline. Female sex, gay/bisexual sexual orientation, lower household income, and lower parental education were associated with lower weekly physical activity at baseline.

COI Statement

Competing interests: The authors declare no competing interests. Consent for publication: Caregivers provided written informed consent, and each child provided written assent.

References:

  • National Research Council (US) and Institute of Medicine (US) Committee on Adolescent Health Care Services and Models of Care for Treatment P, Lawrence, R. S., Gootman, J. A., Sim, L. J. Setting the Stage. In: Adolescent Health Services: Missing Opportunities. National Academies Press (US); 2009. Accessed July 19, https://www.ncbi.nlm.nih.gov/books/NBK215426/ (2024).
  • Bize, R., Johnson, J. A. & Plotnikoff, R. C. Physical activity level and health-related quality of life in the general adult population: a systematic review. Prev. Med. 45, 401–415 (2007).
  • Dimitri, P., Joshi, K. & Jones, N. Moving Medicine for Children Working Group. Moving more: physical activity and its positive effects on long term conditions in children and young people. Arch. Dis. Child. 105, 1035–1040 (2020).
  • Fox, C. K., Barr-Anderson, D., Neumark-Sztainer, D. & Wall, M. Physical activity and sports team participation: associations with academic outcomes in middle school and high school students. J. Sch. Health 80, 31–37 (2010).
  • Nelson, M. C. & Gordon-Larsen, P. Physical activity and sedentary behavior patterns are associated with selected adolescent health risk behaviors. Pediatrics 117, 1281–1290 (2006).

Article info

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Doi:

10.1038/s41390-025-04099-6

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