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Background: The Physical Activity Guidelines for Americans recommend that children and youth 6-17 years old engage in at least 60 minutes of moderate-to-vigorous physical activity each day. Research has demonstrated that CM patients who engage in less than the recommended amount of activity face increased risk of obesity. In addition, The Physical Activity Alliance has made calls for communities to develop physical activity plans specific to their regions and emphasized the need for surveillance and reporting of physical activity to enhance efforts to increase rates of physical activity. Given this background, this report card characterizes current physical activity in children and youth in the Kansas City region, establishing a baseline for ongoing surveillance and providing a tool for community advocacy.

Methods: Data were obtained through publicly available sources. Much of the data was drawn from the CM community health needs assessment. Two types of grades, an overall indicator grade and a data quality grade, were assigned in nine physical activity indicators: 1) Active Play; 2) Active Transportation; 3) Community and Built Environment; 4) Family and Peers; 5) Organized Sports Participation; 6)Physical Activity; 7) Physical Fitness; 8) School; and, 9) Sedentary Behavior. Overall indicator grades were derived from the percentage of children or youth meeting indicator criteria, subject matter expert input, and discussion with the regional Kansas City Physical Activity Plan core workgroup. The data quality grade was based on how closely sources aligned with indicator criteria and five standards of data quality: data available at the local level (i.e., Kansas City metro region or county-by-county; required criterion), collected at multiple time points (to track change over time), stratified samples, and publicly available (i.e., free and easily accessible via public websites).

Results: Indicator grades ranged from B- in Organized Sport Participation to F in Active Transportation. Sufficient data were not available in Active Play, Physical Fitness, Family and Peers, or School indicators. Data quality grades ranged from A in Overall Physical Activity to F in Schools.

Conclusions: Less than half of children and youth meet the primary indicator criterion for Overall Physical Activity. Compared to the U.S. Physical Activity report card, the Kansas City region performs worse in Active Transportation and Community and Built Environment indicators and better in Overall Physical Activity, Sedentary Behaviors, and Organized Sports Participation indicators. Systematic surveillance of physical activity should be established in the region to monitor and improve efforts to increase regional physical activity.

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The 2020 Kansas City Regional Report Card On Physical Activity For Children And Youth: A Regional Physical Activity Profile



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