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Journal of Science and Medicine in Sport 19 (2016) 407–412

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Journal of Science and Medicine in Sport


journal homepage: www.elsevier.com/locate/jsams

The contribution of organised sports to physical activity in Australia:


Results and directions from the Active Healthy Kids Australia 2014
Report Card on physical activity for children and young people
Stewart A. Vella a , Natasha K. Schranz b,∗ , Melanie Davern c , Louise L. Hardy d ,
Andrew P. Hills e , Philip J. Morgan f , Ronald C. Plotnikoff f , Grant Tomkinson b
a
Early Start Research Institute, Faculty of Social Sciences, University of Wollongong, Australia
b
Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Australia
c
Melbourne School of Population and Global Health, University of Melbourne, Australia
d
Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Australia
e
Centre for Nutrition and Exercise, Mater Research Institute–The University of Queensland, Australia
f
Faculty of Education and Arts, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Australia

a r t i c l e i n f o a b s t r a c t

Article history: Youth participation in organised sport and physical activity is important for healthy development, growth
Received 12 November 2014 and wellbeing. In 2014, Active Healthy Kids Australia released its inaugural Report Card on Physical
Received in revised form 8 April 2015 Activity for Children and Young People, which synthesised the best available national- and state-level
Accepted 24 April 2015
data for children and young people (<18 years). This paper provides a more detailed examination of
Available online 30 April 2015
the evidence informing the grade for Organised Sport from the 2014 Report Card, compares Australia’s
Organised Sport grade with other countries, identifies future directions for research and surveillance,
Keywords:
and explores possible beneficial strategies. The Report Card highlighted that between 64% and 85% of
Sports
Adolescent Australians aged 5–17 years participate in organised sports, a rate higher than alternate forms of physical
Child activity such as active transportation, active play and school based physical activity. This finding reflects
Physical activity Australia’s position as one of the global leaders for participating in organised sport. Future research and
surveillance methodologies however, need to incorporate standardised metrics that aim to capture more
detailed data regarding organised sport participation. Facilitating access for all children and preventing
dropout from organised sports are important initiatives to improve current levels of sport participation.
However, given that 80% of Australians aged 5–17 years are not sufficiently physically active to achieve
the daily recommendation, participation in sport alone is not enough to ensure that children can accrue
the health benefits associated with being physically active. As such, there is a pressing need to develop
strategies that engage children in other forms of physical activity such as active transportation and active
play.
© 2015 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

1. Introduction people typically attending training and competitive fixtures under


the formal guidance and supervision of an adult leader, most often
Sport occupies a prominent place in the Australian national the coach.3 While current figures show Australia is a leading nation
identity. The number one indicator of national pride in Australia in youth sports participation, compared to other developed and
is international sporting achievements,1 which is reflected in the developing countries with reported participation rates of 20–59%,4
large number of Australians aged 5–17 years (64–85%) who par- it is still concerning that about one third of young Australians do
ticipate in some form of organised sport.2 Organised youth sports not participate in any form of organised sport or physical activity.2
are adult-controlled and led programmes with children and young National data show that Australian children who participate in
organised sports have better health-related quality of life and
mental health than their non-participating peers.5,6 However, anal-
∗ Corresponding author. yses of the overall physical activity levels of Australian children
E-mail address: natasha.schranz@mymail.unisa.edu.au (N.K. Schranz). unequivocally demonstrate that sport is not enough as the sole

http://dx.doi.org/10.1016/j.jsams.2015.04.011
1440-2440/© 2015 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.
408 S.A. Vella et al. / Journal of Science and Medicine in Sport 19 (2016) 407–412

outlet for physical activity with less than 20% of Australians aged interpreted by a national Research Working Group (RWG) com-
5–17 years meeting the recommended Australian physical activity prising 24 physical activity and health experts from 10 Australian
guidelines.2 Universities and research institutes. The data (nationally represen-
tative datasets were primarily used) were evaluated by the RWG
(purposeful discussions occurred before the expert panel reached a
2. Physical activity and sport: Are they the same and why
consensus) based on pre-determined weighting criteria in order to
are both important?
assign letter grades to each of the indicators using a quintile-based
grading framework.2
Physical activity is “any bodily movement produced by skele-
The indicators include individual behaviours contributing to
tal muscles that results in energy expenditure“,7 however physical
overall physical activity levels (Organised Sport and Physical
activity and sport are not synonymous. Physical activity can be
Activity Participation, Physical Education and Physical Activity
divided into components, including: leisure-time; occupational
Participation in Schools, Active Play, Active Transportation, and
(e.g., physical education participation at school); transport (e.g.,
Sedentary Behaviours), settings and sources of influence (Family
walking to and or from different destinations); and domestic (e.g.,
and Peers, School, Community and the Built Environment), strate-
household chores) related activity, with sport a sub-set of leisure
gies and investments (Government Strategies and Investments),
time physical activity.8 Therefore the health benefits associated
and traits (Aerobic Fitness, Movement Skills) (Fig. 1). A summary of
with physical activity during childhood and adolescence, including
the Report Card results and the specific survey characteristics for
benefits to blood pressure, metabolic syndrome, adiposity, skeletal
each of the primary national data sources used have been published
and mental health,9 and reduced risk of chronic diseases such as
elsewhere.2,18
heart disease and Type-2 diabetes10 are also indirectly associated
A prominent finding from the 2014 Report Card was that Over-
with the physical activity young people engage in while participat-
all Physical Activity Levels was graded ‘D minus(−)‘, on the basis of
ing in organised sports.
national evidence indicating that only 19% of 5–17 year olds met
Organised sports participation during childhood and adoles-
the recommended Australian physical activity guideline of at least
cence however, is also associated with important psychosocial
60 min of moderate-to-vigorous physical activity every day.2,18
benefits including increased self-esteem, wellbeing and social
While similar grades were allocated to other behaviours (e.g. Active
skills.11 Sport has the potential to provide children with the
Transportation was graded ‘D’), Organised Sport Participation was
opportunity to engage with their peers and learn teamwork and
graded ‘B−’, based on estimates that about two-thirds of young
negotiation skills; to develop self-discipline; to learn how to work
Australians engage in some form of organised sport each year. In
within the rules, regulations and etiquette of a social system; to
comparison to international participation rates, this grade repre-
develop decision-making skills; and to cumulatively acquire trans-
sents a national strength and highlights the potential of organised
ferable movement skills that gives them a sense of movement
sports to facilitate healthy growth, development, and wellbeing
competence and confidence.12 It has been estimated that organised
of Australian children and young people. However, it is unclear
sports contribute between 23% and 60% of Australian children’s
why there is a substantial gap between organised sports and other
(6–12 years) daily physical activity time13 and up to 60% of daily
indicators of physical activity in Australia. Organised sports are
activity energy expenditure during adolescence (9–16 years)14 . The
potentially an important aspect to be included within a national
Global Advocacy for Physical Activity has identified participation in
preventative health priority, focused on increasing overall physical
sports as one of the seven worldwide “investments that work” for
activity levels, with over 2.5 million children participating in orga-
improving physical activity levels,15 and it has been suggested that
nised sports nationwide.19 The objectives of this paper were to:
if every child participated regularly in two distinct organised sports
(1) provide a more detailed examination of the evidence inform-
per year, the prevalence of obesity in childhood could be reduced by
ing the Organised Sport grade from the 2014 AHKA report card (2)
26%.16 Further, research undertaken in a nationally-representative
explore other important national research and surveillance find-
sample of Australian children showed that participation in orga-
ings in the area of organised sports; (3) provide a comparison of
nised sports for at least two years was associated with a clinically
Australian data to that of other countries; (4) provide suggestions
significant increase in health-related quality of life5 and a 10–20%
for future research and surveillance; (5) suggest ways in which we
reduction in risk of being diagnosed with a psychiatric disorder
can improve the grade for Organised Sport; (6) discuss ‘Is Sport
relative to children who do not participate.6
Enough?’ in the context of overall physical activity levels; and,
(7) describe the limitations of the Report Card methodologies and
3. What is the Physical Activity Report Card and what is its findings.
purpose?

Active Healthy Kids Canada has released a Report Card on 4. Summary of the evidence used to grade the participation
Physical Activity for Children and Youth annually for the past 10 levels of Australian children and young people in organised
years.17 The Report Card is a translation of knowledge on surveil- sports
lance, policy and research related to physical activity of children
and youth, which aims to inform stakeholders of the epidemiol- The core metric used to assess participation in organised sport
ogy of children’s physical activity, guide programmes, messages was ‘the proportion of Australian children and young people par-
and policies to promote and support physical activity, and high- ticipating in organised sport at least once over the past 12 months
light where high quality national data are lacking for specific [both in and outside of school]’ and the grade assigned was reflec-
indicators. The Active Healthy Kids initiative has now expanded tive of the synthesis of several large national data sets that report a
to 15 countries from five continents, including Australia, result- range of participation rates, with variations potentially highlighting
ing in the development of country report cards. In 2014, Active measurement inconsistencies. For example, the Australian Bureau
Healthy Kids Australia (AHKA, www.activehealthykidsaustralia. of Statistics (ABS) estimated that 64% of Australians aged 5–17 years
com.au) produced the first evidence-informed Australian Report participated in organised sports over the past 7 days.21 Another
Card on Physical Activity for Children and Young People.2 The AHKA nationally-representative sample of Australian secondary school
Report Card is a synthesis of the best available national and state- students aged 12–17 years showed that 85% participated in orga-
level evidence across 12 physical activity indicators, which were nised sports across the past 12 months.22 Estimates for younger
S.A. Vella et al. / Journal of Science and Medicine in Sport 19 (2016) 407–412 409

Fig. 1. Visual representation of the 2014 AHKA Physical Activity Report Card indicator categories. Adapted from the 2013 Active Healthy Kids Canada Physical Activity Report
Card.20 Note:, + = increases PA levels, − = decreases PA levels, AHKA = Active Healthy Kids Australia, PA = Physical Activity.

children aged 6–7 years suggest that 74% had participated in orga- sports participation in some states. For example in South Australia
nised sports (at least once per week for the duration of an entire participation in organised sports among 9–13 year olds increased
sporting season) in the past 12 months, increasing to 79% for chil- from 57% to 68% between 1985 and 2013.25 In Victoria, the increase
dren aged 11–12 years23 . In the absence of consistent measures in participation among this age group was reported to be 57% in
and subsequent variations in reported participation rates, Orga- 1985 to 92% in 2001.26 Similarly, in New South Wales the median
nised Sport was assigned a B− grade. This reflects the likelihood time spent in organised sports significantly increased during sum-
that the overall organised sports participation rate for Australians mer and winter school terms among 12–16 year olds boys and girls
aged 5–17 years is between 64% and 85%. From these findings and between 1997 and 2004.27 Large variability in state-based esti-
those of the other physical activity behaviours assessed by the mates and inconsistencies with national data highlight the need for
Report Card, it seems a larger proportion of young Australians par- standardised national surveillance measures to eliminate method-
ticipate in organised sport than other physical activity behaviours ological inconsistencies and enable inter-jurisdiction comparisons.
such as active transport (graded a D) and active play (graded an Also, given the lack of current data for some of the above-mentioned
Incomplete).2,18 states, it is important that new surveys be conducted to determine
recent time trends in participation rates.
5. Findings based on additional national and state-based While cross-sectional surveillance data can help to ascer-
sources tain population estimates of participation, these data are limited
because they cannot shed light on important behaviours including
The ABS report the overall organised sport participation rates dropout, maintenance, and commencement rates. Data from the
of Australians aged 5–14 years has remained relatively stable over Longitudinal Study of Australian Children (LSAC) show that 12% of
the last 15 years. In the year 2000, 64% of children participated in all sports participants at age 8 had dropped out by age 10.23 On
organised sports, 68% in 2006,24 and 66% in 2012.19 However, when the other hand, 47% of all nonparticipants at age 8 had commenced
examining state-based data, it appears there has been an increase in sport participation by age 10.5 These fluctuations are masked by
410 S.A. Vella et al. / Journal of Science and Medicine in Sport 19 (2016) 407–412

Table 1 policies, programmes, space, safety and supervision are important


Global Matrix of grades for Organised Sport Participation.4
factors that may positively affect organised sports participation.4
Grade (participation rate) Country For example, the availability of sporting facilities close to home
A (>80%) Nil and in a safe neighbourhood may be an important facilitator of
B (60–79%) New ZealandAustralia (B−) organised sports participation at the population level. There was
C (40–59%) Canada a consensus across countries that more and better quality data are
(C+)FinlandGhanaKenyaSouth needed on the quality of organised sports programmes, as well as
AfricaEngland (C−)Ireland
on the frequency, intensity, and duration of physical activity asso-
(C−)United States (C−)
D (20–39%) ColumbiaMexico ciated with organised sports participation.4
F (<20%) Mozambique
Incomplete data NigeriaScotland
7. Future directions for research and surveillance

the overall participation rate remaining steady at 79% at both age The inconsistency in measurement of physical activity
8 and age 10.5 behaviours across Australian states and territories is detrimental
National surveillance data indicate that participation rates in when determining estimates of organised sports participation
organised sport rise throughout childhood (5–11 years) and decline as well as other physical activity domains. The Australian Phys-
during adolescence.19 Participation rates are slightly higher for girls ical Activity Report Card highlighted this significant issue and a
than for boys aged 5–8 years, but higher for boys from age 9 and key recommendation of the Report Card’s RWG was to address
throughout adolescence.19 Girls aged 5–8 years spend more time measurement issues. Accelerometry, despite providing objective
in organised sports (including dance) per week than age-matched estimates, is not the sole solution as it does not provide contex-
boys (approximately 2 h 9 min vs. 1 h 51 min).19 In contrast, boys tual information to estimate children’s participation in different
aged 12–17 years spend more time in organised sports per week domains of physical activity, including participation in organised
than age-matched girls (8 h 23 min vs. 6 h 13 min),28 however it sports. Rather, consensus across jurisdictions on a standardised
is important to note that a large proportion of the time that chil- measure or multiple measures is required: a problem not unique
dren spend participating in organised sport is spent being inactive to Australia.
(e.g., listening to instructions from the coach, game stoppages, The RWG recommends that national surveillance should mea-
poorly designed activities that require minimal movement and sure the proportion of Australian children and young people
long waiting periods, etc.). Sport contributes to an average of participating in organised team/individual sports at least every 3
45% (approximately 43 min) of MVPA each day and approximately years (to fit with the pre-existing national data collection cycle).
58% of MVPA energy expenditure,14 with a greater percentage of To (1) promote consistency in national surveillance; (2) assess only
MVPA present in practice sessions (20 min per hour) than com- those who participate consistently (e.g., throughout an entire sport-
petitive games (18 min per hour).29 Finally, research suggests that ing season); (3) capture the participation rates in both individual
access and affordability of sports may be an important barrier and team sports, given the differential health effects,5 and (4) cap-
to participation.30 Using LSAC data, indicators of social disadvan- ture the participation rates both within and outside of school. It
tage, such as low household income and a primary language other is recommended the following items be used to monitor partici-
than English, predicted both non-participation and dropout from pation in organised sports outside of school: “Have you/has your
organised sports during childhood.30 Together, these variables suc- child participated in organised team sports (e.g., basketball, foot-
cessfully predicted 83% of cases of sports participation and 90% of ball, netball) on a regular basis outside of school (at least once per
cases of dropout at a two-year follow-up. week for at least 3 months or an entire sporting season) over the
past year?”; and “Have you/has your child participated in orga-
6. Comparison to other countries nised individual sports (e.g., martial arts, dance) on a regular basis
outside of school (at least once per week for at least 3 months or
The 2014 Physical Activity Report Card was released alongside an entire sporting season) over the past year?” It is recommended
the 14 other country report cards as part of a “Global Matrix” of the following items be used to monitor participation in organised
grades4 released at the Global Summit on Physical Activity for Chil- sports within the school environment: “Have you/has your child
dren in Toronto, Canada, in May 2014. All country report cards participated in organised team sports (e.g., basketball, football, net-
graded nine core indicators of physical activity using a standard- ball) on a regular basis within school (at least once per week for at
ised methodology and reporting process (e.g., the metric used least 3 months or an entire sporting season/school term) over the
to assess Organised Sport was ‘the proportion of children and past year?”; and “Have you/has your child participated in organised
youth who participate in organised sport and/or physical activity individual sports (e.g., martial arts, dance) on a regular basis within
programmes’). The coordinated release of data allowed for interna- school (at least once per week for at least 3 months or an entire
tional comparison of grades and activity levels across 15 developed sporting season/school term) over the past year?”
and developing countries. The full range of global grades for Orga- To more fully understand and delineate the health benefits of
nised Sport Participation is given in Table 1. While most countries participation in organised sport and physical activity, it is also rec-
received a grade of ‘C’ with about half of children participating in ommended that objective measures of physical activity be used.
organised sport, New Zealand (B) and Australia (B−) are leading Along with observational data (in both practice and competitive
the world with well over half of children participating in orga- settings), this will enable quantification of intensity and dura-
nised sport. It is probable that this good grade for Australia will tion of physical activity during participation in organised sports.
continue, with evidence of increases (∼5% point per decade) in These data will be valuable alongside other health indicators such
the prevalence of children who regularly participate in organised as health-related quality of life, psychosocial measures and bio-
sport in recent decades25–27 (see previous section). Interestingly, markers of cardiometabolic diseases. This information may also
analysis of Table 1 reveals that the grades for Organised Sport guide public understanding of why sports may be insufficient
Participation are strongly and positively related to the grades by themselves to provide enough physical activity for minimum
for Community and the Built Environment (rho = 0.65, p = 0.03). health benefits. More longitudinal data are also required to reli-
This relationship makes sense because community infrastructure, ably track children’s engagement with organised sports over time
S.A. Vella et al. / Journal of Science and Medicine in Sport 19 (2016) 407–412 411

(including dropout rates, reasons for drop-out and re-engagement significant barriers to teaching PE.40 Other indirect measures
of dropouts), and the association between organised sport partici- include initiatives to increase the quality of the sporting experience,
pation and physical and mental health outcomes, and the influence such as coach training. Coach behaviours and the coach-created
of the quality of sporting experience (e.g., coach quality, motiva- motivational climate are salient predictors of dropout from orga-
tional climate) on physical activity and physical and mental health nised youth sports.33 Coach training aimed at helping coaches
outcomes. It is also important to examine whether young people are to facilitate motivating climates has shown that dropout can be
involved in a single sport or multiple sports at each time point, and reduced by 80%41 and this would have substantial economic and
the time spent in sport, to determine dose-response relationships public health benefits if applied nationally.8,31 However, current
between sports participation and health outcomes. coaching accreditation courses do not include relevant information
Due to demonstrable health benefits associated with participa- to allow coaches to promote physical activity or to prevent dropout
tion in organised sports,10,11 preventing dropout from youth sport from organised sports42 and in addition many sporting associa-
should be considered a public health priority. The gross health- tions/organisations do not enforce mandatory coaching courses,
care savings attributable to maintaining participation in organised especially for primary school sports.
sports are approximately $1.49 billion per year in Australia.31 More
attention is also warranted to assess the contribution of lifestyle
and action sports such as BMX riding, skateboarding and rock 9. Is sport enough?
climbing. Despite claims that the popularity of these sports is rising,
data remain scant.32 As reported by the Australian Sports Commis- It is encouraging that a large proportion of young Australians
sion, these sports are likely to attract more participants through participate in organised sport. It is also important that attempts are
generational change and have a higher ‘visibility’ as a result of their being made at the community, state and national levels to standard-
online prevalence.32 The health benefits of these particular sports, ise research and surveillance methodologies and improve the grade
however, are unknown and given the lack of data at present it is through various programmes, policies and strategies. However, as
unclear the best way to capture participation in such sports. mentioned previously, sport is only one component of physical
activity8 therefore in order to improve the Overall Physical Activ-
ity Levels of young Australians, we need to acknowledge that sport
8. Improving the grade alone is not enough. It is imperative that we encourage, support
and facilitate the incorporation of more physical activity through-
Sport occupies a prominent place in the Australian national out their everyday life such as using active transport to and or from
identity, but despite Australia being one of the leading countries school; allowing children to engage in unstructured indoor and out-
worldwide in terms of participation, 25–35% of young Australians door play at both school and home; and breaking up long periods of
(5–17 years) do not participate in organised sports. An impor- sedentary time whilst limiting time engaged in electronic media.2
tant opportunity exists to leverage the significant national interest Improving the physical activity levels of children and young people
in sports to promote greater participation through direct and when participating in organised sports is also an important factor
indirect means. Direct means include increasing access to orga- to consider moving forward.2
nised sports and preventing dropout, while indirect measures
include the provision of good quality physical education during
primary school, which predicts participation in organised sports 10. Limitations of the Report Card methodology and its
at a national level.30 Affordability and access to organised sports findings
needs to be addressed to ensure socially disadvantaged groups
have equitable access to good quality sporting programmes.30 The 2014 AHKA Report Card is based upon the best available
This may include a decrease in the cost of sports participation national- and state-level data but there are methodological limita-
through government assistance, or providing community sport- tions that need to be noted. The heterogeneity of data collection
ing programmes in low socioeconomic areas. Twelve percent of methodologies (e.g., self-report, proxy-report CATI) and instru-
Australian children (approx. 300,000 individuals)19 drop out of ments/questionnaires (e.g., difference in questions, recall periods)
organised sports between the ages of 10 and 12 years,5 and this is is a limitation as different methods and instruments can produce
likely to increase with age.33 Therefore, programmes and/or strate- different estimates. The use of self-report data is also a limitation,
gies that are designed to increase retention in organised sports and however population monitoring typically relies on self-report data
also aim to improve the quality and increase the quantity of physical due to the expense and expertise required for objective monitoring.
activity encountered by children when participating in organised The strength of self-report data however is that contextual informa-
sports, should be supported by policies at the national, state and tion can be collected which is not available from objective measures
community levels. For example, young Australians who participate such as accelerometers.
in Australian Rules Football and Football (soccer) do so without the Secondly, each of the core metrics were based upon self-report
accumulation of competition points. Such measures are hypothe- data due to the lack of high quality nationally representative
sised to reduce stress and anxiety in sports, support the acquisition objective data across each of the indicators. This prevented the
of basic skills, and lead to higher rates of enjoyment.34,35 RWG from assessing the quality of the activity being performed
Indirect measures such as the addition of good quality PE during (e.g., while we know that approximately two-thirds of young Aus-
primary school is also an important strategy. The use of special- tralians participate in organised sport, we do not know how active
ist PE teachers during primary school has been shown to predict they are when they participate). Lastly, each of the 15 country
participation in organised sports at a national level.30 This is per- report cards released at the 2014 Global Summit used standard-
haps because specialist PE teachers or highly trained classroom ised methodology and reporting process; however the level of
teachers are able to facilitate greater sport-related outcomes such the evidence used to inform grades varied between countries. For
as higher levels of physical activity, fitness, and fundamental move- example, while some countries used objectively measured data,
ment skills when compared with untrained teachers,36–39 and are most used self-reported questionnaire data. These limitations high-
therefore more likely to facilitate successful and motivated partic- light the need for standardised measures (and where possible the
ipation in organised sports. Non-specialist PE teachers do not have use of objective measures) at both the national and international
the relevant expertise to facilitate these outcomes and experience levels.
412 S.A. Vella et al. / Journal of Science and Medicine in Sport 19 (2016) 407–412

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