garden hose

Toddler playing with a garden hose (Photo by Phil Goodwin on Unsplash)

In A Nutshell

  • Fewer than 1 in 10 toddlers meet all three daily movement guidelines (active play, limited screen time, and adequate sleep) on the same day.
  • A study following 1,668 children over a decade found that toddlers who moved more and screened less tended to be more physically active by age 12.
  • Parents playing actively with their kids was one of the strongest factors linked to children being outdoors and active years later.
  • Results differed by sex: sleep mattered more for boys’ later activity levels, while screen limits and active play with a parent were key predictors for girls.

Fewer than 1 in 10 toddlers are getting enough active play, limiting screen time, and sleeping adequately, all in the same day. That number alone is unsettling. But a new study adds a longer-range concern. Those early patterns are linked to how active children tend to be a decade later.

Researchers tracked more than 1,600 children from Quebec, Canada, from age 2.5 through age 12, examining whether movement habits in toddlerhood predicted physical activity levels in early adolescence. Children who regularly played with their parents, kept screen time under an hour a day, and slept enough were meaningfully more likely to be physically active at 12. And one of the clearest patterns in the data? Parents getting up and moving alongside their kids.

With global estimates suggesting around 80% of adolescents fall short of recommended physical activity levels, the research points to a window most families are already missing before a child’s third birthday.

Most Toddlers Are Already Falling Short of an Active Childhood

Published in the Journal of Developmental & Behavioral Pediatrics, the study drew from the Quebec Longitudinal Study of Child Development. From a larger birth cohort, 1,668 children with complete data were included in the analysis: 849 boys and 819 girls born between 1997 and 1998. Parents reported their 2.5-year-old’s daily habits: how often they played sports, hobbies, or games together; how much screen time the child got; and how long the child slept. Ten years later, the children reported how much time they spent outdoors and how active they were during free time.

Only about one-third of toddlers were playing actively with a parent at least once a day. A similar share were keeping screen time under the WHO-recommended one-hour daily limit. About three-quarters were getting the recommended 11 or more hours of sleep. Meeting all three targets on the same day? Just 8.7% of boys and 9.3% of girls pulled it off.

A decade on, the numbers told a clear story. Boys averaged about 80 minutes of outdoor play per day; girls averaged about 72 minutes. Roughly half of all children reported little or no physical activity during leisure time. Another 29% of boys and 31.5% of girls fell into a moderately active category, while only 24.5% of boys and 14.9% of girls met the study’s threshold for being classified as active.

Baby girl or toddler playing xylophone
Playing with your toddler may pay off for years. New research links early active habits to higher physical activity at age 12. (© Irina Schmidt – stock.adobe.com)

How an Active Childhood Looks Different for Boys and Girls

Results broke down differently by sex. For boys, playing actively with a parent and limiting screen time in toddlerhood were tied to more outdoor play at 12. Getting enough sleep as a toddler was specifically linked to higher physical activity levels for boys. For girls, both active play with a parent and limited screen time predicted more outdoor play and higher leisure-time physical activity a decade later.

Researchers controlled for a wide range of factors that might explain the connection away: a child’s temperament, body weight, cognitive ability, and family circumstances including income, single-parent status, and maternal depression. Even after accounting for all of those, the link between early movement habits and later active lifestyle held.

Maternal depression surfaced as a recurring risk factor. Sons of mothers with more depressive symptoms were less likely to engage in daily active play or meet movement guidelines overall. Daughters of those mothers were more likely to exceed recommended screen time limits. When a parent is struggling mentally, the study suggests these family challenges may be linked to fewer opportunities for active play at home.

Why Parents Are the Key to an Active Childhood

Among all the habits studied, parents and kids playing together showed up as one of the strongest predictors of outdoor play at age 12 for both boys and girls. Kicking a ball around, going on walks, shooting hoops in the driveway: those shared routines built something that stuck. Kids who grew up with that kind of regular physical engagement appeared to carry it forward, not because they were told to, but because movement had become a normal part of daily life. Cutting screen time helped too, but it was the active time with a parent that showed up most consistently across the data.

For girls especially, who face a well-documented drift toward inactivity during the teen years, those early habits with a parent may act as a buffer against pressures that otherwise push adolescents toward the couch. Research consistently shows that girls become less active as they move through adolescence, and this study suggests that the groundwork for resisting that trend gets laid in toddlerhood.

Active play as a daily habit and keeping screens in check during the toddler years may be one of the more impactful habits parents can build early on. A game of tag or a walk around the block at age two may not feel like much in the moment. But the data suggests it leaves a mark that shows up years later, long after the children have outgrown the playground.


Disclaimer: This article is based on observational data and does not establish cause and effect. Health, behavioral, and parenting decisions should always be made in consultation with a qualified professional.


Paper Notes

Limitations

Active leisure in toddlerhood was measured by frequency rather than duration or intensity, which limits the precision of that measure. Participants were born in the late 1990s, making the data historical. Researchers note this has value for measuring screen time, since screens were far less portable and pervasive then, allowing for cleaner estimates. Because this is an observational study, causality cannot be established. Researchers can identify associations between early habits and later activity, but cannot prove one directly caused the other.

Funding and Disclosures

Primary funding came from the Social Sciences and Humanities Research Council and the Sport Canada Research Initiative, both with Linda S. Pagani as principal investigator. Additional funding for the broader Quebec Longitudinal Study of Child Development dataset came from several Quebec government ministries, the Lucie and André Chagnon Foundation, the Research Centre of the Sainte-Justine University Hospital, and other provincial research institutes. The authors declare no conflicts of interest.

Publication Details

Authors: Kianoush Harandian, MSc; Laurie-Anne Kosak, MSc; Mark Tremblay, PhD; Linda S. Pagani, PhD. Published in the Journal of Developmental & Behavioral Pediatrics (2026). Paper title: “Active Parent-Child Leisure, Sedentariness, and Sleep in Toddlerhood Promise Later Active Lifestyle in Early Adolescence.” DOI: http://dx.doi.org/10.1097/DBP.0000000000001478

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