{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T06:16:28Z","timestamp":1777011388651,"version":"3.51.4"},"reference-count":87,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2022,1,15]],"date-time":"2022-01-15T00:00:00Z","timestamp":1642204800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The present study sought to examine the associations between participation in physical education (PE) classes and a range of health-related behaviours among adolescents. Secondary analysis of self-reported data from the Global Student Health Survey, collected between 2010 and 2017 from 222,121 adolescents (N = 117,914 girls; 49.0%; aged 13\u201317 years) from 67 countries and five world regions, was carried out. Participation in PE classes (0, 1\u20132, \u22653 days\/week) was the independent variable. Physical activity (PA); sedentary behaviour (SB); active travel to school; fruit, vegetables, and alcohol consumption; and smoking; as well as adopting \u22655 of these healthy behaviours; were the dependent variables. Complex samples logistic regressions were performed to explore the associations between participation in PE classes and health-related behaviours. The results revealed that 18.2% of adolescents did not take part in PE classes. A total of 56.7% and 25.1% of adolescents reported participating in PE classes on 1\u20132 and \u22653 days\/week, respectively. Only 26.8% of adolescents adopted \u22655 healthy behaviours. Participation in PE classes was positively associated with PA, active travel, fruit consumption, and vegetable consumption (only for \u22653 days\/week), but was negatively associated with meeting SB recommendations, and with not smoking (only for girls and \u22653 days\/week). Overall, PE participation was positively associated with adopting \u22655 healthy behaviours, with favourable results found for those who attended more PE classes. The findings revealed a positive association between participation in PE classes and a range of health-related behaviours among adolescents. This suggests that, worldwide, quality PE should be delivered at least 3 days per week up to daily to promote healthy lifestyles among adolescents.<\/jats:p>","DOI":"10.3390\/ijerph19020955","type":"journal-article","created":{"date-parts":[[2022,1,16]],"date-time":"2022-01-16T20:44:00Z","timestamp":1642365840000},"page":"955","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Participation in Physical Education Classes and Health-Related Behaviours among Adolescents from 67 Countries"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2540-6678","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Martins","sequence":"first","affiliation":[{"name":"Centro de Estudos de Educa\u00e7\u00e3o, Faculdade de Motricidade Humana e UIDEF, Instituto de Educa\u00e7\u00e3o, Universidade de Lisboa, 1649-004 Lisboa, Portugal"},{"name":"Facultad de Ciencias del Deporte y la Educaci\u00f3n F\u00edsica, Universidad de A Coru\u00f1a, 15001 A Coru\u00f1a, Spain"},{"name":"CIPER, Faculty of Human Kinetics, University of Lisbon, 1649-004 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9850-7771","authenticated-orcid":false,"given":"Adilson","family":"Marques","sequence":"additional","affiliation":[{"name":"CIPER, Faculty of Human Kinetics, University of Lisbon, 1649-004 Lisboa, Portugal"},{"name":"ISAMB, Faculty of Medicine, University of Lisbon, 1649-004 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0927-692X","authenticated-orcid":false,"given":"\u00c9lvio R\u00fabio","family":"Gouveia","sequence":"additional","affiliation":[{"name":"Departement of Physical Education and Sport, University of Madeira, 9000-072 Funchal, Portugal"},{"name":"Interactive Technologies Institute, LARSyS, 9020-105 Funchal, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7003-1641","authenticated-orcid":false,"given":"Francisco","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Centro de Estudos de Educa\u00e7\u00e3o, Faculdade de Motricidade Humana e UIDEF, Instituto de Educa\u00e7\u00e3o, Universidade de Lisboa, 1649-004 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8681-0642","authenticated-orcid":false,"given":"Hugo","family":"Sarmento","sequence":"additional","affiliation":[{"name":"Research Unit for Sport and Physical Activity (CIDAF), Faculty of Sport Sciences and Physical Education, Est\u00e1dio Universit\u00e1rio de Coimbra, University of Coimbra, 3040-256 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3993-8069","authenticated-orcid":false,"given":"Miguel Gonz\u00e1lez","family":"Valeiro","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias del Deporte y la Educaci\u00f3n F\u00edsica, Universidad de A Coru\u00f1a, 15001 A Coru\u00f1a, Spain"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"105892","DOI":"10.1016\/j.ypmed.2019.105892","article-title":"Clustering of unhealthy behaviors in a nationally representative sample of U.S. children and adolescents","volume":"130","author":"Mayne","year":"2020","journal-title":"Prev. 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