World Journal of Pediatrics

, Volume 13, Issue 3, pp 202–209 | Cite as

Prevalence and factors associated with stages of behavior change for physical activity in adolescents: a systematic review

  • Heloyse Elaine Gimenes Nunes
  • Diego Augusto Santos Silva
  • Eliane Cristina de Andrade Gonçalves
Review article



To analyze prevalence and factors associated with stages of behavior change for physical activity in adolescents.

Data sources

A search was performed in SciELO, PubMed, PsycINFO, SPORTDiscus and LILACS. The search terms were “behavior change” OR “stages of change” OR “stages of readiness” OR “readiness to change” OR “transtheoretical model” OR “process to change” OR “decisional balance”, and “motor activity” OR “physical activity” OR “physical exercise” and “adolescent” OR “students”. After the eligibility criteria, 18 articles were selected.


The highest prevalence of adolescents in the precontemplation, contemplation, and preparation stages was found in the Germany, South Korea, and Iran while there were more adolescents in the action and maintenance in South Korea and Brazil. The evidence of association indicated that females are more likely to be in precontemplation, contemplation and preparation. The evidence was inconclusive for age (in relation to the precontemplation, contemplation, action and maintenance stages), economic status (all stages), shift of study (when stratified by gender) and body composition (all stages). No association was found with parental level of education.


The findings can help to guide interventions and further research on the topic of behavior changes for physical activity in adolescents.

Key words

adolescent behavior motor activity students transtheoretical model 


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The author (HEGN) thanks UNIEDU for the scholarship.

Supplementary material

12519_2017_27_MOESM1_ESM.pdf (116 kb)
Summary of evidence for the studies of SBC/PA correlates in adolescents


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Copyright information

© Children's Hospital, Zhejiang University School of Medicine and Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Heloyse Elaine Gimenes Nunes
    • 1
  • Diego Augusto Santos Silva
    • 1
  • Eliane Cristina de Andrade Gonçalves
    • 1
  1. 1.Post-Graduate Program in Physical EducationFederal University of Santa CatarinaFlorianópolisBrazil

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