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.

In the high-income western countries, there was a decreasing trend in insufficient physical activity, but the rate of decrease was just under what is necessary to meet the 2030 target.

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Successful experiences from countries with a positive trend, and those on track to meet global target, should be shared widely.

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We show a global increase in insufficient physical activity prevalence, whereas previous estimates had not detected a significant trend, probably due to divergent trajectories in the limited data previously available.

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