Getting the World Moving

    Nearly one in three adults and most adolescents do not move enough to protect their health, and the share of inactive adults is rising because streets, schools and daily routines increasingly leave little room for walking, cycling and play.

    Updated 9 min read6 sources

    Written from the sources listed below, not independently peer-reviewed.

    Take a guess first

    WHO recommends at least 150 minutes of moderate activity a week for adults. Roughly how many adults worldwide did not reach that level in 2022?

    31%

    Adults who are not active enough

    About 1.8 billion adults did not reach 150 minutes of moderate activity a week (or its equivalent), up about 5 percentage points since 2010. Modelled estimate from population surveys.

    Data year 2022. Source: World Health Organization, 2024

    More than 80%

    School-going adolescents aged 11–17 who are not active enough

    Less than one hour of activity a day: 85% of girls and 78% of boys. Most recent global estimate, based on school surveys in 146 countries.

    Data year 2016. Source: World Health Organization, 2019

    2 in 3

    Secondary school pupils not taught the minimum weekly physical education

    More than half of primary pupils also fall short of the minimum weekly time, and two thirds of pupils with disabilities get no physical education at all. Reported in UNESCO's first global status report on the subject.

    Data year 2024. Source: UNESCO, 2024

    The numbers

    Adults who are not active enough

    Unit: % of adults (age-standardised)

    01020304023.4200026.4201031.32022

    Global age-standardised estimates from a pooled analysis of 507 population-based surveys, modelled for 197 countries and territories. Prevalence rose in 103 of them. WHO projects that, if the trend continues, the share will reach 35% by 2030 (a projection, not shown).

    Moving away from the 2030 target

    Under WHO's Global Action Plan on Physical Activity, countries agreed to cut the share of insufficiently active adults and adolescents by 15% in relative terms by 2030, compared with 2010. Instead, adult inactivity rose by about 5 percentage points between 2010 and 2022 and is projected to reach 35% by 2030 if trends continue. Only 22 countries were identified as likely to reach the target, and among adolescents the 2001–2016 trend was also too slow to meet it.

    Who moves least

    • Women are less active than men: 34% of women and 29% of men were insufficiently active in 2022, and in some countries the gap reaches 20 percentage points. Inactivity also rises for both women and men after the age of 60.

      Source: World Health Organization, 2024
    • Inactivity varies widely by region: it is highest in the high-income Asia Pacific region (48%) and South Asia (45%), compared with 28% in high-income Western countries and 14% in Oceania.

      Source: World Health Organization, 2024
    • Adolescent girls were less active than boys in all but four of 146 countries studied, and the gap between them widened in 107 countries between 2001 and 2016. In South Korea, 97% of girls did not get an hour of activity a day.

      Source: World Health Organization, 2019
    • Only 58% of countries make physical education compulsory for girls, only 7% of schools give boys and girls equal time for it, and two thirds of pupils with disabilities receive no physical education.

      Source: UNESCO, 2024

    Are we making progress?

    Instead of one “percent solved” score, DO GOOD rates three separate dimensions. A problem can have mature solutions that still reach too few people. These ratings are an editorial reading of the sources on this page, not a measured index.

    Solution maturity

    How mature and validated are the available solutions?

    Moderate

    Activity recommendations by age are well established, and WHO's action plan sets out 20 policy recommendations covering safer roads, schools, workplaces and other settings. But there are no globally agreed indicators for basics such as access to parks, cycle lanes and footpaths, so it is hard to show which measures shift activity at scale.

    Implementation reach

    How widely are effective solutions actually used?

    Low

    Fewer than half of countries have a national physical activity policy, and fewer than 40% of those are operational. Just over 40% have road design standards that make walking and cycling safer, and two thirds of secondary pupils do not get the minimum weekly physical education.

    Confidence in the data

    Moderate

    The adult estimates draw on 507 surveys with 5.7 million participants from 163 countries and territories, but they rely on self-reported activity and are modelled for countries without data. The latest global adolescent estimate dates from 2016 and covers only young people in school.

    Current trajectory

    Worsening

    Adult inactivity has risen steadily since 2000 and WHO projects 35% by 2030 if trends continue, although almost half of countries improved over the past decade and 22 are likely to meet the 2030 target.

    Why this matters

    Physical inactivity means doing less than the minimum amount of activity that protects health: for adults, WHO recommends at least 150 minutes of moderate or 75 minutes of vigorous activity a week, and for adolescents an average of one hour a day. People who are insufficiently active have a 20% to 30% higher risk of death than those who are active enough, and regular activity helps prevent and manage heart disease, diabetes, cancer and high blood pressure and eases symptoms of depression and anxiety. In 2022, 31% of adults, about 1.8 billion people, did not meet the recommendation, up from 26% in 2010. Among school-going adolescents aged 11 to 17, the most recent global estimate (for 2016) found that more than four in five were not active enough.

    Inactivity is shaped far more by surroundings than by individual willpower. WHO points to the growth of motorised transport and screen use, and to social, cultural, environmental and economic conditions that decide whether walking, cycling, sport and play are safe, affordable and possible. Women are less active than men in most countries, adolescent girls less than boys, and people over 60 less than younger adults. WHO estimates that, if activity levels do not improve, almost 500 million new cases of preventable noncommunicable diseases will occur between 2020 and 2030, costing health systems about US$27 billion a year.

    How physical inactivity is measured

    Global estimates compare what people report doing in population surveys with WHO's activity recommendations. A person counts as insufficiently active when they fall short of the level recommended for their age:

    • Adults (18 and over)

      Insufficiently active means less than 150 minutes of moderate-intensity or 75 minutes of vigorous-intensity activity per week, or an equivalent combination. Activity at work, at home, while travelling and in leisure time all counts.

    • Adolescents (11–17)

      Insufficiently active means less than an average of one hour of moderate- to vigorous-intensity activity per day. Global estimates come from school-based surveys, so young people who are not in school are not covered.

    • Self-reported surveys, modelled estimates

      The adult estimates pool 507 population-based surveys with 5.7 million participants from 163 countries and territories, and use statistical models to produce comparable figures for 197 countries, including those without recent surveys. Answers rely on what people remember and report.

    • Policy monitoring

      WHO tracks progress on the Global Action Plan on Physical Activity 2018–2030 by asking all 194 Member States which policies, guidelines, standards and surveys they have in place.

    What already works, and its limits

    Safe streets for walking and cycling

    What works

    Footpaths, protected cycle lanes, safe crossings and good public transport let people build activity into daily trips without needing extra time or money. WHO asks countries to make walking, cycling and public transport easier and safer for everyone.

    Limits

    Only just over 40% of countries have road design standards that make walking and cycling safer, changes to streets take years and depend on transport and planning budgets, and there is no global indicator to track how many people have access to such infrastructure.

    Quality physical education in schools

    What works

    Schools reach almost all children, and regular physical education builds skills and habits for life. UNESCO recommends at least two hours of physical education a week in primary school and three hours in secondary school, with trained teachers and inclusive programmes for girls and pupils with disabilities.

    Limits

    Two thirds of secondary pupils do not get the minimum weekly time, fewer than half of primary teachers have specialist training, and two thirds of countries spend less than 2% of their education budget on physical education.

    National policies and activity guidelines

    What works

    A national policy that brings together health, transport, education, sport and urban planning is the backbone of WHO's action plan, and national guidelines tell people and professionals how much activity is enough at each age.

    Limits

    Fewer than half of countries have such a policy and fewer than 40% of those are operational. Only 30% of countries have national activity guidelines for all age groups.

    Community sport and active recreation

    What works

    WHO urges countries to support grassroots and community sport and active recreation, making activity affordable and enjoyable for people of all ages and abilities.

    Limits

    Sport offers do not automatically reach those who move least. Women, girls and adults over 60, the groups that move least, need offers designed around their needs, times and safety concerns.

    Activity advice in health care, workplaces and childcare

    What works

    WHO recommends more opportunities for activity in schools, workplaces and childcare centres. Health workers can also ask about activity during routine care and advise patients on how to build it into daily life.

    Limits

    Advice from health workers depends on time and training in busy clinics, and workplace programmes mostly reach people in formal jobs.

    Innovations to watch

    Promising, but not proven at scale. The stage shows how far each approach has come; it is not a recommendation.

    Basic research

    Measuring parks, cycle lanes and footpaths

    WHO notes that there are no globally approved indicators for access to parks, cycle lanes and footpaths, so countries cannot compare how well their environments support activity. Developing such indicators would let progress on the built environment be tracked alongside survey data.

    Early deployment

    A quality checklist for school physical education

    UNESCO's 2024 status report offers a set of 10 indicators that education authorities can use to rate the quality of physical education. How widely it will be used is not yet known.

    Pilots

    Wearable sensors in population surveys

    Some national surveys now ask participants to wear small motion sensors for a few days instead of relying only on questionnaires, which gives a more objective measure of activity and sitting time. Costs and differences between devices still make such data hard to compare across countries.

    What is holding progress back

    Implementation gap:
    Solutions work but reach too few people. Needs infrastructure, funding and organisation.
    Coordination gap:
    Actors are not aligned. Needs standards, partnerships and better incentives.
    Knowledge gap:
    Cause or mechanism not understood. Needs basic research.
    Technology gap:
    Principle known, not yet workable in practice. Needs applied research.
    • Implementation gap

      Policies on paper, not in practice

      Fewer than half of countries have a national physical activity policy, and fewer than 40% of these are operational, so commitments often do not reach streets, schools and clinics.

    • Coordination gap

      Streets designed for cars

      Only just over 40% of countries have road design standards that make walking and cycling safer. Decisions on roads and land use sit with transport and planning ministries, which rarely count health as a goal.

    • Implementation gap

      Too little physical education, too few trained teachers

      Two thirds of secondary pupils and more than half of primary pupils do not get the minimum weekly physical education, fewer than half of primary teachers have specialist training, and only 58% of countries make it compulsory for girls.

    • Knowledge gap

      Blind spots in monitoring

      Almost all countries monitor adult activity, but fewer than 30% monitor children under five, and the latest global estimate for adolescents is from 2016 and covers only those in school.

    • Technology gap

      Self-reported data

      Global estimates rest on questionnaires in which people recall their own activity, and the models fill gaps for 34 of 197 countries and territories without surveys. Device-based measurement is not yet affordable or standardised enough for global monitoring.

    • Implementation gap

      Programmes that leave the least active behind

      Women are inactive more often than men, and the gap between adolescent girls and boys widened in 107 of 146 countries between 2001 and 2016, showing that existing offers do not fit the needs of many girls and women.

    Questions nobody has answered yet

    Unresolved questions, not vetted breakthroughs. Answering any of them would change what is possible.

    Why inactivity is rising

    Adult inactivity rose in more than half of countries between 2010 and 2022. How much of this comes from less physical work, more motorised travel, screen use or ageing populations, and does the mix differ between regions?

    What worked in countries that improved

    Almost half of countries made some progress over the past decade. Which policies, investments or social changes explain these gains, and can they be transferred to countries where inactivity is rising?

    Closing the gender gap

    Girls and women are less active than boys and men in most countries, and the adolescent gap has widened. Which changes in schools, sport, public space and safety reduce this gap without relying on girls to adapt?

    Measuring the environment and young children

    How can countries measure access to parks, safe paths and cycle lanes, and the activity of children under five, cheaply and comparably enough to guide policy?

    What you can do

    • Make short trips active

      Where it is safe, walk, cycle or combine public transport with walking for short everyday journeys. Small amounts add up: WHO says any activity is better than none.

    • Ask about physical education at school

      Ask your child's school how many hours of physical education pupils get each week, whether teachers are trained for it, and whether girls and pupils with disabilities take part equally.

    • Speak up for safe streets

      Take part in local consultations on footpaths, crossings, cycle lanes, parks and school routes. Planning decisions are often made with little input from the people who would walk or cycle.

    • Bring people along

      Join or help organise a walking group, community sports session or active activity for older neighbours. People who move least often start more easily with company.

    Ideas from the community

    Ideas visitors sent in for this challenge, read by the DO GOOD team and pinned with permission. The colour shows the kind of contribution.

    Loading the board…

    Add your idea

    0/120
    0/2000
    Publication

    Your email or phone number is never published.

    What you type is kept in this browser until you send it, so you can come back later.

    What happens next

    The DO GOOD team reads every idea and sorts it by colour: solution, research question, existing project, evidence or local action.

    If you agree to publication, it can be pinned to this board. Contact details are never shown.

    Pinned ideas are not reviewed by scientists and are not endorsed by DO GOOD.

    Connected challenges

    Get involved with DO GOOD

    This page is a research overview. DO GOOD does not run a dedicated programme on this challenge, and donations are not earmarked for it. You can join our volunteer work and outreach.

    Sources

    1. [1]Physical activity (fact sheet)

      World Health Organization (26 June 2024), published 2024

      WHO's current overview. Source of the 150-minute adult recommendation, the 20–30% higher risk of death among insufficiently active people, the health benefits (cardiovascular disease, cancer, diabetes, hypertension, depression and anxiety), the drivers (motorised transport, screens), the rise in inactivity after age 60, and the 10% (2025) and 15% (2030) relative-reduction targets.

    2. [2]National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5·7 million participants

      Strain T, Flaxman S, Guthold R, et al. The Lancet Global Health 12(8): e1232–e1243, published 2024

      Open-access (CC BY) record of the WHO-led analysis, hosted by Imperial College London. Source of the global age-standardised prevalence in 2000 (23.4%), 2010 (26.4%) and 2022 (31.3%), the 507 surveys from 163 countries and territories, the estimates for 197 countries, the rise in 103 of them, and the sex difference (33.8% of women, 28.7% of men).

    3. [3]Nearly 1.8 billion adults at risk of disease from not doing enough physical activity

      World Health Organization (news release, 26 June 2024), published 2024

      Launch of the Lancet Global Health estimates. Source of the 31% and 1.8 billion figures, the 5-point rise since 2010, the 35% projection for 2030, regional figures, the gap between women and men, the 22 countries likely to meet the 2030 target, and WHO's call for community sport, active recreation and active transport.

    4. [4]New WHO-led study says majority of adolescents worldwide are not sufficiently physically active, putting their current and future health at risk

      World Health Organization (news release, 22 November 2019), published 2019

      Launch of the most recent global estimates for adolescents (Guthold et al., The Lancet Child & Adolescent Health, 2020), based on school surveys of 1.6 million students aged 11–17 in 146 countries, 2001–2016. Source of the more than 80% figure, the 85% of girls and 78% of boys, the gender gaps, country examples and WHO's recommendations on physical education and active travel.

    5. [5]WHO highlights high cost of physical inactivity in first-ever global report (news release on the Global status report on physical activity 2022)

      World Health Organization (19 October 2022), published 2022

      Launch of WHO's first global assessment of how 194 countries implement the Global Action Plan on Physical Activity. Source of the almost 500 million new noncommunicable disease cases (2020–2030), the US$27 billion annual cost, the shares of countries with national policies, operational policies, guidelines for all ages and road design standards for walking and cycling, the monitoring gaps and the 20 policy recommendations.

    6. [6]Paris 2024: UNESCO calls on countries to invest far more in physical education (launch of the Global status report on quality physical education)

      UNESCO (24 July 2024), published 2024

      Launch of UNESCO's first global status report on quality physical education. Source of the shares of secondary and primary pupils not taught the minimum weekly time, pupils with disabilities without physical education, teacher training, spending, compulsory physical education for girls, equal time in schools, the recommended weekly hours and the 10 quality indicators.

    Cite this page

    DO GOOD International (2026). Getting the World Moving. Global Challenges. Updated October 15, 2026. https://www.dogood.world/challenges/physical-inactivity

    For figures, please cite the original sources listed above.

    All global challenges