Sandra Hassink, MD, FAAP, an internationally recognized expert in child obesity prevention at Nemours/Alfred I. duPont Hospital for Children, is serving as president of the American Academy of Pediatrics (AAP). Read More »
From Nemours' KidsHealth
- Body Mass Index (BMI) Charts
- Fitness and Your 13- to 18-Year-Old
- Fitness and Your 4- to 5-Year-Old
- Fitness and Your 2- to 3-Year-Old
- Fitness and Your 6- to 12-Year-Old
- Kids and Food: 10 Tips for Parents
- School Lunches
- Your Child's Weight
- Healthy Eating
- Fitness for Kids Who Don't Like Sports
- Obesity Special Needs Factsheet
- Keeping Portions Under Control
- Weight Loss Surgery (Bariatric Surgery)
- Kids and Exercise
- Motivating Kids to Be Active
- Kids and On-the-Go Nutrition
- Figuring Out Food Labels
- Overweight and Obesity
Trusted External Resources
- American Academy of Pediatrics
- National Initiative for Children’s Healthcare Quality
- National Institutes of Health
- National Guidelines Clearinghouse
- North American Society for Pediatric Gastroenterology, Hepatology
- U.S. Food & Drug Administration: Food Facts for Consumers
- National Dairy Council
- U.S. Department of Agriculture – Child Nutrition and Health
- Centers for Disease Control and Prevention BAM! Body and Mind
- National Heart, Lung & Blood Institute
- The Mighty Timoneers
Kids and Exercise
When most adults think about exercise, they imagine working out in the gym, running on a treadmill, or lifting weights.
But for kids, exercise means playing and being physically active. Kids exercise when they have gym class at school, during recess, at dance class or soccer practice, while riding bikes, or when playing tag.
The Many Benefits of Exercise
Everyone can benefit from regular exercise. Kids who are active will:
- have stronger muscles and bones
- have a leaner body because exercise helps control body fat
- be less likely to become overweight
- decrease the risk of developing type 2 diabetes
- lower blood pressure and blood cholesterol levels
- have a better outlook on life
Besides enjoying the health benefits of regular exercise, kids who are physically fit sleep better. They're also better able to handle physical and emotional challenges — from running to catch a bus to studying for a test.
The Three Elements of Fitness
If you've ever watched kids on a playground, you've seen the three elements of fitness in action when they:
- run away from the kid who's "it" (endurance)
- cross the monkey bars (strength)
- bend down to tie their shoes (flexibility)
Parents should encourage their kids to do a variety of activities so that they can work on all three elements.
Endurance develops when kids regularly get aerobic activity. During aerobic exercise, the heart beats faster and a person breathes harder. When done regularly and for extended periods of time, aerobic activity strengthens the heart and improves the body's ability to deliver oxygen to all its cells.
Aerobic exercise can be fun for both adults and kids. Examples of aerobic activities include:
- ice skating
- inline skating
Improving strength doesn't have to mean lifting weights. Although some kids benefit from weightlifting, it should be done under the supervision of an experienced adult. Most kids don't need a weight-training program to be strong. Push-ups, stomach crunches, pull-ups, and other exercises help tone and strengthen muscles. Kids also use strength activities during play when they climb, do a handstand, or wrestle.
Stretching exercises help improve flexibility, allowing muscles and joints to bend and move easily through their full range of motion. Kids get chances every day to stretch when reach for a toy just out of reach, practice a split, or do a cartwheel.
The Sedentary Problem
Being overweight or obese in childhood has become a serious problem. Many things add to this epidemic, but a big part of it is that kids are becoming more sedentary. In other words, they're sitting around a lot more than they used to.
According to the Kaiser Family Foundation, 8- to 18-year-olds watch about 4½ hours of television a day over 7½ hours on all screen media combined (TV, videos, and DVDs, computer and video games). Too much screen time and not enough physical activity add to the problem of childhood obesity.
One of the best ways to get kids to be more active is to limit the amount of time spent in sedentary activities, especially watching TV or playing video games. The American Academy of Pediatrics (AAP) recommends parents:
- discourage screen time in kids under age 2
- limit screen time in kids older than 2 to less than 1-2 hours a day of entertainment programming
How Much Exercise Is Enough?
Parents should make sure that their kids get enough exercise. So, how much is enough? Kids and teens should get 60 minutes or more of physical activity daily.
The National Association for Sport and Physical Education (NASPE) offers these activity guidelines for infants, toddlers, and preschoolers:
Minimum Daily Activity
No specific requirements
Physical activity should encourage motor development
30 minutes planned physical activity AND 60 minutes unstructured physical activity (free play)
60 minutes planned physical activity AND 60 minutes unstructured physical activity (free play)
1 hour or more
Break up into bouts of 15 minutes or more
Infants and young children should not be inactive for prolonged periods of time — no more than 1 hour unless they're sleeping. And school-age children should not be inactive for periods longer than 2 hours.
Raising Fit Kids
Combining regular physical activity with a healthy diet is the key to a healthy lifestyle.
Here are some tips for raising fit kids:
- Help your kids participate in a variety of age-appropriate activities.
- Establish a regular schedule for physical activity.
- Incorporate activity into daily routines, such as taking the stairs instead of the elevator.
- Embrace a healthier lifestyle yourself, so you'll be a positive role model for your family.
- Keep it fun, so you can count on your kids to come back for more.
Reviewed by: Mary L. Gavin, MD
Date reviewed: October 06, 2016