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Exercise (Physical Activity) and Children

AHA Scientific Position

Physical inactivity is a major risk factor for developing coronary artery disease. It also increases the risk of stroke and such other major cardiovascular risk factors as obesity, high blood pressure, low HDL ("good") cholesterol and diabetes. The American Heart Association recommends that children and adolescents participate in at least 60 minutes of moderate to vigorous physical activity every day.

Why is exercise or physical activity important for my child?

Increased physical activity has been associated with an increased life expectancy and decreased risk of cardiovascular disease.  Physical activity produces overall physical, psychological and social benefits. Inactive children are likely to become inactive adults. And physical activity helps with

  • controlling weight
  • reducing blood pressure
  • raising HDL ("good") cholesterol
  • reducing the risk of diabetes and some kinds of cancer
  • improved psychological well-being, including gaining more self-confidence and higher self-esteem 

How do I promote physical activity in my child?

  • Physical activity should be increased by reducing sedentary time (e.g., watching television, playing computer video games or talking on the phone).
  • Physical activity should be fun for children and adolescents.
  • Parents should try to be role models for active lifestyles and provide children with opportunities for increased physical activity.

What if my child is uncoordinated or overweight?

All children, even less-coordinated ones, need to be physically active.  Activity may be particularly helpful for the physical and psychological well-being of children with a weight problem.

The American Heart Association recommends:

  • All children age 2 and older should participate in at least 30 minutes of enjoyable, moderate-intensity activities every day.
  • They should also perform at least 30 minutes of vigorous physical activities at least 3–4 days each week to achieve and maintain a good level of cardiorespiratory (heart and lung) fitness.
  • If your child or children don't have a full 30-minute activity break each day, try to provide at least two 15-minute periods or three 10-minute periods in which they can engage in vigorous activities appropriate to their age, gender and stage of physical and emotional development.

Related AHA publications

  • Heart and Stroke Facts
  • About Your Heart and Exercise (for secondary students)
  • Just Move! (also in Spanish)
  • Walking for a Healthy Heart
  • Walking. The Natural Way to Fun and Fitness
  • "How Can Physical Activity Become a Way of Life?" in Answers By Heart kit (also in Spanish kit)
  • "Why Should I Exercise?" and "How Can I Keep Track of Exercise and Eating?" in Answers By Heart kit


AHA Scientific Statements:

Statement on Exercise
Preparticipation Screening in Masters Athletes
CV Policies at Health/Fitness Facilities
Understanding Obesity in Youth

See also:

Cholesterol in Children
Congenital Cardiovascular Disease
Exercise (Physical Activity)
Exercise (Physical Activity), Community Support for
Exercise (Physical Activity), Mental Health and Mental Ability
Exercise (Physical Activity) for Older People and Those With Disabilities
Exercise Stress Test
High Blood Pressure in Children
National Coalition for Promoting Physical Activity
Obesity and Overweight
Overweight in Children
Resting Heart Rate
Risk Factors and Coronary Heart Disease
Target Heart Rates
Thallium Stress Test




During a 24-hour period, about one-fifth of healthy adults are likely to have frequent or multiple types of premature ventricular heartbeats.
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