Equity

There's a relative lack of access for minority children.Sport participation rates for white children exceed that of African-Americans, Hispanics, and Asian kids. Furthermore, data on other historically marginalized groups such as Native-American children are not even reported in governmentally funded studies that track physical activity in youth (University of Florida's SPARC, 2014). In the Native American community of San Felipe Pueblo, N.M, the only organized sport option is an after-school soccer program serving 250 of the 1,500 kids who live there and which is organized by a non-profit devoted to addressing childhood obesity in tribal areas (Notah Begay III Foundation).

Access is also shaped by geography and gender. In "low socio-economic schools," those that serve the highest percentage of kids on free or reduced-price lunches, only 24.6% of eighth graders play sports. For "high socio-economic schools," it's 36.1%. Despite major gains in among girls over the past four decades delivered by Title IX legislation and enforcement, in 2012, the participation rates for girls remained 2-5% lower than for boys (Bridging the Gap, RWJF, 2012). A 2015 study suggests that gap may be closer to 6% (RWJF/Harvard/NPR). As adults, the gender gap is more pronounced: 35% of men say they play sports, while only 16% of women say the same thing (RWJF/Harvard/NPR).

In Washington, D.C., the percentage of athletic opportunities provided to public high school students has been as low as 15% for boys and 6% for girls (Women's Sports Foundation, 2011).

Disparities exist by state, too. Northeast and Midwest states generally offer more participation opportunities than those in the South and West. Georgia has the lowest rate for girls (22%), Florida the lowest for boys (30%) (Women's Sports Foundation, 2012). Children with physical and intellectual disabilities often experience very limited opportunities in their communities. Despite considerable growth in sport options in recent years driven in part by anti-discrimination laws, one estimate suggests that physical activity levels for children with disabilities remain as much as 4.5 times lower than those without disabilities (University of Florida SPARC, 2014).

Casual play

Fading is the era of sandlot or pickup ball, a form of play that organically promoted innovation and fitness among generations of Americans. More than 40% of parents whose child plays an organized sport say their child does so year-round (RWJF/Harvard/NPR). Yet, free play has been shown to produce higher levels of physical activity than organized sports. One study found that 43% of youth sports practice was spent being inactive (Physical Activity During Youth Sport Practices, 2011).

There's a lack of mainstream options for the moderately interested athlete. About 23% of middle schools and 40% of high schools do not offer intramural sports (Bridging the Gap, RWJF, 2012). In communities with fewer resources, sport options can be organized especially around the more motivated athletes and families. Parents from lower-income households are nearly twice as likely to say they hope their child will become a professional athlete as those from the higher-income homes (39% vs. 20%), according to the RWJF/Harvard/NPR survey.   

Recreation spaces

Half of all vigorous exercise engaged in by Americans occurs in parks. People who live closer to parks report better mental health. Time spent in green outdoor spaces has been shown to boost focus and concentration, and kids with attention deficit hyperactivity disorder (ADHD) experience milder symptoms when they play outside in a natural setting. But in some cities as many as two-thirds of children are without access to a nearby park (The Trust for Public Land). The deficits are greatest in predominantly African American and Hispanic neighborhoods. 

Community Development Block Grants provide up to $100 million annually in support. Still, federal matching funds for urban parks have been slashed over the past decade, as has support from the Land and Water Conservation Fund, which helped get more than 40,000 outdoor recreation projects built, most of them between the 1960s and 1980. Some good news: The LWCF disbursed $45 million in 2015, and in 2016 the commitment jumps to $110 million, the most in more than a decade. The LWCF, however, is scheduled to expire in 2018.

Injuries

Nearly nine out of 10 parents have concerns about risk of injury (87.9%), according to an espnW/Aspen Institute Project Play Survey of Parents on youth sports issues in 2014. Parents were more concerned about injuries than any other issue, including the quality or behavior of coaches (81.5%), cost (70.3%), the time commitment required (67.9%), and the emphasis on winning over having fun (66.1%). Full results from the nationally representative survey are available here.

More than 3.5 million children under age 14 receive medical treatment for sports injuries annually. According to the CDC, more than half of all sports injuries are preventable. Overuse injuries are responsible for nearly half of all sports injuries to middle and high school students (STOP Sports Injuries).

Untrained coaches

Most youth coaches do not receive any training in key competencies in working with children. Only 1 in 5 coaches of youth teams of children under age 14 say they have been trained in effective motivational technique, and just 1 in 3 in skills and tactics in the primary sport they coach, according to 2013 data produced for Project Play by SFIA. There has been little to no improvement since then, according to 2015 data. The value of trained coaches was established long ago by researchers, with one study (Smoll and Smith, 1992) finding that when coaches received training in skills and communicating effectively with kids, only 5% of children chose not to play the sport again. With untrained coaches, the attrition rate was 26%.

Technology

Children today often spend many hours in front of screens (mobile phones, computers, video games, TV), with products that have gotten better at getting and keeping their attention. Even for those who are playing sports, these sedentary hobbies are competing interests in getting kids active through sports, according to parents. More than one in three parents say it is a challenge to make sure their children get enough exercise (RWJF/Harvard School of Public Health, 2016). Now, say hello to e-sports, young people watching other young people play video games – the latest success of the industry in giving kids what they want, and thus another potential competitor for kids’ attention.

Direct and Indirect Consequences

Falling sport participation rates

Most sports have seen major drop-offs in participation over the past decade. In 2015, 56.6% of children between the ages of 6 and 12 played team sports at least one time during the year, and 40 percent played on a regular or "core" basis -- both up from the previous year. Still, the percentage of children between the ages of 6 and 12 who played basketball, baseball, soccer, football, volleyball and wrestling on a regular basis has dropped since 2008 (SFIA, 2016). Gymnastics and a few smaller, newer activities have seen increases; lacrosse and ultimate frisbee, most notably. Hockey, due in part to policy interventions including the banning of body checking and improved coach training, has reversed declines over the past five years.

Further, as the youth sports industry encourages families to focus their children on a limited number of sports, the total number sports that each child plays annually has declined, from 2.14 to 1.89 sports (SFIA, 2016). 

Parental unease

The espnW/Aspen Institute Project Play Survey of Parents shows concerns on a range of issues, coaching and injury risks above all. About a quarter of parents have considered keeping their child out of a sport due to concussion risks, with tackle football registering the greatest level of concern. In an earlier survey, parents of boys under age 15 less often have a favorable opinion of community youth football (49%), baseball (57%) and basketball (49%) leagues than those at the other end of the sport pipeline -- the NFL (71%), MLB (68%) and NBA (58%) (ESPN, 2012). 

Low physical activity rates

Starting at age 9 -- when children often develop a self-concept of whether or not they are an athlete -- physical activity rates begin to drop sharply. By age 15, moderate-to-vigorous physical activity declines 75%, a higher rate than in Europe (Designed to Move, 2012). At that point, they average only 49 minutes per weekday and 35 minutes per weekend (Journal of the American Medical Association, 2008). Among kids ages 6-17, one in five youth are considered inactive, meaning they report no physical activity (Physical Activity Council, 2015). Among high school students, 27.1% say they were active for one hour daily, the CDC recommendation (Youth Risk Behavior Surveillance Study, 2015).

As measured by SFIA in 2015, youth ages 6 to 12 who were "active to a healthy level and beyond" through sports fell again, to 26.6%, down from 30.2% in 2008. The same trend plays out for youth ages 13 to 17, 39.3% of whom were active to a healthy level through sports in 2015, down from 42.7 percent in 2008. The SFIA statistic is defined as those engaged in high-calorie burning activities a minimum of 151 times during the year. Based on guidance from the CDC, 55 sport and fitness activities qualify, including the vast majority of popular team sports plus other recreational activities. Meanwhile, nearly one in three children is completely inactive, meaning they did not engage in any physical activity in the past year.

High obesity and overweight rates

Childhood obesity rates have nearly tripled. The percentage of children ages 6-11 who are classified as obese increased from 7% in 1980 to 17.5% in 2014; among children ages 12 to 19, that figure grew from 5% to 20.5% (Centers for Disease Control and Prevention, 2015). One in three children today is obese or overweight. One study found that among 17 developed nations, the U.S. had the highest rates of childhood obesity among those ages 5-19 (National Academy of Sciences, 2013). There are significant racial and ethnic disparities in obesity prevalence, with Hispanic and African American youth experiencing higher rates than caucasian youth (CDC, 2015).

Military recruitment

More than a quarter of all Americans between the ages of 17 to 24 are too obese to serve in the military. Many are turned away by recruiters and others never try to join. Of those who attempt to join, roughly 15,000 fail their entrance physicals every year because they are overweight. Obesity rates among children and young adults have increased so dramatically that they threaten the future strength of our military (Too Fat to Fight, 2010).

Global competitiveness

Levels of physical activity inadequate to meet current guidelines are associated with a significant financial burden for the U.S. health care system, as much as $131 billion a year (CDC, 2015). Direct and indirect medical costs related to obesity are estimated at $147 billion a year, twice the size of the budget for the U.S. Department of Education. Direct costs are expected to more than double by 2030. Adults who are obese will face decreased earning potential, and employers will pay in the form increased health care costs (Designed to Move, 2012). In total, lifetime societal costs are $92,235 greater for a person with obesity, and if all 12.7 million U.S. youth with obesity became obese adults, the societal costs over their lifetimes may exceed $1.1 trillion (Brookings Institute, 2015).

Opportunities for progress

Research supports the role of sport in health promotion. In a 2014 study published in the American Journal of Preventive Medicine, researchers analyzed obesity prevention strategies and their ability to reduce obesity by the year 2032. They found afterschool physical activity programs would reduce obesity the most, 1.8% among children ages 6 to 12. That's twice the projected impact as any ban on child-directed fast-food advertising. An earlier study, of college students, found that "motives for sport participation are more desirable than those for exercise and may facilitate improved adherence to physical activity recommendations" (Kilpatrick, Journal of American College Health, 2005).

The rationale for cross-sector collaboration is substantial. At the request of the Aspen Institute, the Global Obesity Prevention Center at Johns Hopkins fired up its modeling software and identified the health and economic benefits if stakeholders from across the eight sectors that touch the lives of children can get just half of all youth active for 25 minutes, three times a week – not a crazy ask. The results, released at the 2016 Project Play Summit: a projected 243,830 fewer overweight/obese youth, producing $20 billion in medical costs saved, $32 billion in productivity losses saved, and 4 million years of life saved. Should the more ambitious CDC recommendation of one hour of daily physical activity be achieved in all youth, the benefits grow exponentially: 3.1 million fewer overweight/obese youth, $35 billion in medical costs saved, $57 billion in productivity losses saved, and 33 million years of life saved.

Stakeholders want solutions, guidance. In the U.S., sport is widely recognized as a tool of child development and health promotion, with 75% of parents of children in middle or high school saying they encourage participation (NPR/Harvard/RWJF, 2015). But 94% of parents say more needs to be done to protect their children's health and safety in youth sports (Kelton Research, ACSM, 2011). Through initiatives such as Project Play, stakeholders are coming together to address gaps and identify breakthrough strategies.

Citations for the above charts can be found in the Project Play report, Sport for All, Play for Life: A Playbook to Get Every Kid in the Game. Additional charts and insights can be found in the Project Play report, Physical Literacy in the United States and the State of Play: 2016 report.