{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T18:21:22Z","timestamp":1771870882371,"version":"3.50.1"},"reference-count":128,"publisher":"Human Kinetics","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Background:<\/jats:bold>\n                    <\/jats:italic>\n                    Although many studies examine adolescent physical activity (PA) guideline adherence, few focus on the lowest end of the PA spectrum\u2014engaging in no-to-low moderate to vigorous PA (MVPA).\n                    <jats:italic>\n                      <jats:bold>Methods:<\/jats:bold>\n                    <\/jats:italic>\n                    This study characterized cross-sectional and longitudinal patterns of device-measured no-to-low MVPA among a cohort of US adolescents and examined sociodemographic and neighborhood-level correlates. This secondary analysis used data from years 2 and 4 of the Adolescent Brain Cognitive Development Study. Participants wore a Fitbit Charge HR 2 on their nondominant wrist 24\u00a0hours per day for 3\u00a0weeks to assess daily MVPA. No-to-low MVPA was defined as &lt;8.57\u00a0minutes per day of MVPA (&lt;1\u00a0d\/wk meeting PA recommendations). Neighborhood conditions were captured using the Child Opportunity Index 2.0. Survey-weighted logistic regression models examined sociodemographic and neighborhood-level correlates of no-to-low MVPA, adjusted for covariates. A total of 5786 adolescents (49% female; mean\u2009=\u200911.99 [0.65]\u00a0y) had complete data at year 2, with 1348 (51% female) providing data at both years.\n                    <jats:italic>\n                      <jats:bold>Results:<\/jats:bold>\n                    <\/jats:italic>\n                    The prevalence of no-to-low MVPA was 17% at year 2, 15% at year 4, and 7.3% across both years, with 10% of adolescents transitioning into and 63% transitioning out of no-to-low MVPA between time points. Females and adolescents from low-income households had higher odds of engaging in no-to-low MVPA at both time points. Adolescents in higher opportunity neighborhoods had lower odds of no-to-low MVPA.\n                    <jats:italic>\n                      <jats:bold>Conclusions:<\/jats:bold>\n                    <\/jats:italic>\n                    This study addresses a critical PA surveillance gap by using device-based measures to quantify no-to-low MVPA among US adolescents. Findings identify at-risk groups and underscore the need for targeted interventions to reduce disparities and improve MVPA engagement.\n                  <\/jats:p>","DOI":"10.1123\/jpah.2025-0317","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T11:13:37Z","timestamp":1763982817000},"page":"411-424","source":"Crossref","is-referenced-by-count":0,"title":["Beyond the Guidelines: Exploring the Prevalence and Correlates of No-to-Low Moderate to Vigorous Physical Activity Among US Adolescents"],"prefix":"10.1123","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4078-8253","authenticated-orcid":true,"given":"Denver M.Y.","family":"Brown","sequence":"first","affiliation":[{"name":"Department of Kinesiology, Kansas State University, Manhattan, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7503-8554","authenticated-orcid":true,"given":"Christopher D.","family":"Pfledderer","sequence":"additional","affiliation":[{"name":"Michael & Susan Dell Center for Healthy Living, Department of Health Promotion and Behavioral Sciences, University of Texas Health Science Center Houston (UTHealth Houston) School of Public Health, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8975-7565","authenticated-orcid":true,"given":"Sitong","family":"Chen","sequence":"additional","affiliation":[{"name":"Institute for Health and Sport, Victoria University, Melbourne, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1925-5690","authenticated-orcid":true,"given":"Peter","family":"Stoepker","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Kansas State University, Manhattan, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9991-8705","authenticated-orcid":true,"given":"Christina N.","family":"Bridges Hamilton","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Kansas State University, Manhattan, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4538-9510","authenticated-orcid":true,"given":"Gina M.","family":"Besenyi","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Kansas State University, Manhattan, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7672-445X","authenticated-orcid":true,"given":"Emily L.","family":"Mailey","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, Kansas State University, Manhattan, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"issue":"1","key":"r1","series-title":"Int J Behav Nutr Phys Act","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-020-01037-z","article-title":"2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5\u201317\u2009years: summary of the evidence","volume":"17","author":"Chaput JP","year":"2020","unstructured":"Chaput JP, Willumsen J, Bull F, et\u00a0al. 2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5\u201317\u2009years: summary of the evidence. 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