BACKGROUND: Hong Kong's 2016 Report Card on Physical Activity (PA) for Children and Youth is the first evidence-based synthesis of various indicators related to individual behaviors that contribute to overall PA levels, settings and sources of influence, and strategies and investments in Hong Kong. METHODS: Following a standardized protocol, currently best available data for Hong Kong youth were collated and evaluated by an expert consensus panel on 9 indicators (5 activity behaviors and 4 influences on these behaviors). RESULTS: Less than half of the children and youth met the recommended PA level. As a result, a D grade was given for Overall PA levels. Organized Sport Participation and Active Transportation received grades of C- and B, respectively. Sedentary Behaviors and School scored a C grade. Community and the Built Environment scored a grade of B. Family Influence received as low a score as Overall PA (D). Active Play and Government were not graded due to incomplete data. CONCLUSIONS: PA levels are low and sedentary behaviors are high for children and youth in Hong Kong. Promising policies exist in schools and features of community and the built environment are favorable. Increasing family support should be emphasized for future PA promotion.
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