Global Flourishing Study

Follow the Study

Sign up to receive our email updates.

Email

About the Study

  • Overview
  • Team

Explore

  • Research Explorer
  • Chat
  • Videos

Resources

  • In the News
  • Reports
  • Access the Data

Funding Partners

The Global Flourishing Study is generously funded by the David & Carol Myers Foundation, Fetzer Institute, the John Templeton Foundation, the Paul Foster Family Foundation, Templeton Religion Trust, Templeton World Charity Foundation, Well-Being for Planet Earth, and the Well Being Trust.

Partners

Baylor University – Institute for Studies of ReligionGallupCenter for Open ScienceThe Human Flourishing Program – Harvard University
© Global Flourishing Study · 2026·Terms·Privacy
Global Flourishing Study
  • Research Explorer
  • Chat
  • Videos
Back to Research Explorer
Mental & Physical Health20255 min read

The Childhood Roots of an Active Adult Life

Comparison of the effects of childhood demographic characteristics on physical activity during adulthood across 22 countries

Notable finding

Childhood health and faith linked to adult fitness across 22 nations.

By
Lee, Chung Gun et al.
Participants
202,898
Countries
22
Journal
BMC Public Health
DOI
10.1186/s12889-025-23430-8
Chat with paper
Chat with paper
§1

Key Takeaways

01

Across 22 countries, adults who reported better health and more frequent religious service attendance during childhood tend to be more physically active.

02

On average, men are more likely to engage in physical activity as adults than women and those of other genders.

03

The strength of the relationship between childhood experiences and adult physical activity varies significantly from one country to another.

§2

Why It Matters

To foster active adults, public health must invest in the well-being and community engagement of children decades earlier.

This research matters because it suggests that adult exercise habits may have roots stretching all the way back to childhood. For public health leaders, it means that promoting physical activity isn't only about building bike lanes or gym memberships for adults — it may also be about supporting children's health and community engagement early on. The strong, cross-national pattern linking childhood religious attendance to adult exercise also raises questions about how community, routine, and social support in early life might encourage lifelong healthy habits. For the rest of us, it's a reminder that the way we grow up — our health, our communities, and our routines — can echo into our adult lives in ways we might not expect. Understanding these connections could help shape better, earlier interventions that give more people a fair shot at a healthy, active life.

This research matters because it suggests that adult exercise habits may have roots stretching all the way back to childhood. For public health leaders, it means that promoting physical activity isn't only about building bike lanes or gym memberships for adults — it may also be about supporting children's health and community engagement early on. The strong, cross-national pattern linking childhood religious attendance to adult exercise also raises questions about how community, routine, and social support in early life might encourage lifelong healthy habits. For the rest of us, it's a reminder that the way we grow up — our health, our communities, and our routines — can echo into our adult lives in ways we might not expect. Understanding these connections could help shape better, earlier interventions that give more people a fair shot at a healthy, active life.

To foster active adults, public health must invest in the well-being and community engagement of children decades earlier.

§3

The Story

What makes someone an active adult? A massive study of over 200,000 people across 22 countries looked at whether things from childhood — like family money, relationships with parents, health, and religious attendance — could predict how much people exercise decades later. The findings were surprising in their simplicity.

Feeling healthy as a child and attending religious services are two powerful, cross-cultural predictors of an active adult life.

Two childhood factors stood out across the globe: how healthy kids felt they were, and how often they attended religious services. People who reported excellent health as children exercised more days per week as adults. The same was true for those who attended religious services at least weekly or monthly around age 12. On the flip side, women and people over 80 tended to exercise less than men and young adults.

Other factors — like family wealth, parent relationships, divorce, abuse, or feeling like an outsider — showed mixed results that varied a lot from country to country. The study also found that physical activity tends to drop off after the early twenties, with a slight bump in the 50s and 60s. While the reasons behind these patterns are complex, the research points to a simple truth: the seeds of adult exercise habits are often planted long before we ever set foot in a gym.

Figure
91%
Countries Showing Lower Female Activity

In 91% of the 22 countries studied, women reported meaningfully fewer days of physical activity than men.

Figure
-0.46 days/week
Gender Gap in Adult Physical Activity

Women exercised about 0.46 fewer days per week than men, roughly one fewer session every two weeks.

Figure
+0.21 days/week
Childhood Religious Attendance and Adult Activity

Those who attended religious services weekly at age 12 exercised about 0.21 more days per week as adults.

Figures
91%
Countries Showing Lower Female Activity

In 91% of the 22 countries studied, women reported meaningfully fewer days of physical activity than men.

-0.46 days/week
Gender Gap in Adult Physical Activity

Women exercised about 0.46 fewer days per week than men, roughly one fewer session every two weeks.

+0.21 days/week
Childhood Religious Attendance and Adult Activity

Those who attended religious services weekly at age 12 exercised about 0.21 more days per week as adults.

§4

Reader Questions

Cite

Research Details
& Citation

Chat with this paper
Published
2025
Journal
BMC Public Health
Participants
202,898
Countries
22
Cite this paper
Lee, C. G., Kwon, E., Paltzer, J., Okafor, C. N., VanderWeele, T. J., Johnson, B. R., & Kwon, J. (2025). Comparison of the effects of childhood demographic characteristics on physical activity during adulthood across 22 countries. BMC Public Health, 25(1). https://doi.org/10.1186/s12889-025-23430-8
Tags
physical-healthexercisechildhoodreligion-spiritualityservice-attendance
Keep reading

More from this lens

View all research
The Long Shadow of a Painful Childhood
Mental & Physical Health

The Long Shadow of a Painful Childhood

The physical pain you feel today might have roots in events that happened decades ago, when you were a child.

2025·Communications Medicine·n=202,898
Who Stays Active? A Surprising Global Snapshot
Mental & Physical Health

Who Stays Active? A Surprising Global Snapshot

Think young people exercise the most? A massive global study found people in their 60s are often more active.

2025·BMC Public Health·n=202,898
In Israel, a Surprising Link Between Faith and Health
Mental & Physical Health

In Israel, a Surprising Link Between Faith and Health

What if being more religious was consistently linked to better health, less pain, and more happiness?

2024·Journal of Religion and Health·n=2916
Who Smokes vs. How Much: The Real Story
Mental & Physical Health

Who Smokes vs. How Much: The Real Story

A country with very few smokers can still have a major smoking problem.

2025·Scientific Reports·n=200,000+
Who Hurts the Most Around the World?
Mental & Physical Health

Who Hurts the Most Around the World?

Where you live might determine how much you hurt: people in Egypt are more than twice as likely to report being in pain as those in Israel.

2025·Communications Medicine·n=202,898
The Long Shadow of a Painful Childhood
Mental & Physical Health

The Long Shadow of a Painful Childhood

Experiencing abuse as a child increases the risk of life-limiting health problems in adulthood by nearly 60%.

2025·BMC Global and Public Health·n=202,898