Muscle strength in Brazilian children and adolescents from 2020 to 2024: an updating systematic review of the Brazilian Report Card Project

Authors

DOI:

https://doi.org/10.1590/1980-0037.2026v28e109296

Keywords:

Saúde do Adolescente, Saúde da Criança, Monitoramento epidemiologico, Aptidão física

Abstract

The present study aimed to identify and summarize evidence regarding muscle strength in Brazilian children and adolescents (aged ≤19 years), in order to update the 2018 and 2019 data previously published by the Brazilian Report Card Project. A systematic search was conducted across seven databases, with a focus on studies published between January 2020 and December 2024. Thirty-six studies, originating from the five major regions of Brazil, were included. Handgrip strength was the most frequently adopted test across the included studies (29 out of 58 measurements – 50%). The prevalence of children and adolescents with adequate levels of muscle strength was 44.1% (40.1% for males and 47.8% for females). Compared to the results of the previous review (2018–2019), an increase was observed in the prevalence of youth with adequate muscle strength levels (from 29.8% to 44.1%). However, upon analyzing the totality of the Brazilian Report Card Project data (which includes 17,379 participants since 2010), the combined prevalence of adequate muscle strength was 56.1% (58.8% for boys; 53.0% for girls), suggesting a declining trend over the years. Despite the punctual increase in the 2020–2024 period, the majority of young Brazilians still do not reach adequate levels of muscle strength, which reinforces the need for public health strategies to promote muscle-strengthening activities.

References

Smith JJ, Eather N, Morgan PJ, Plotnikoff RC, Faigenbaum AD, Lubans DR. The health benefits of muscular fitness for children and adolescents: a systematic review and meta-analysis. Sports Med 2014;44(9):1209-1223.

de Lima TR, Martins PC, Guerra PH, Silva DAS. Muscular fitness and cardiovascular risk factors in children and adolescents: a systematic review. J Strength Cond Res 2020;34(8):2394-2406.

de Lima TR, Martins PC, Moreno YMF, et al. Muscular fitness and cardiometabolic variables in children and adolescents: a systematic review. Sports Med 2022;52(7):1555-1575.

Lima TRd, Moraes MS, Martins PC, Silva VSd, Silva DAS. Diversity of parameters in the muscle strength evaluation of Brazilian school children and adolescents: a systematic review. Rev Bras Cineantropom Desempenho Hum 2018;20(4):497-516.

Bim MA, de Pinto AD, Claumann GS, Pelegrini A. Mediation effects of lean mass and fat mass on the relationship between body mass index and handgrip strength. Am J Hum Biol 2024;36(4).

Moraes FB, Jr., Tadiotto MC, Lenardt B, Mota J, Matos O, Leite N. Importance of Return to Usual and School Activities After Social Isolation in Recovering Vitamin D Concentrations, Physical Fitness, and Motor Performance in Adolescents. Int J Environ Res Public Health 2024;21(11).

Chiang H-L, Chuang Y-F, Chen Y-A, et al. Physical fitness and risk of mental disorders in children and adolescents. JAMA Pediatr 2024;178(6):595-607.

Sandercock GR, Cohen DD. Temporal trends in muscular fitness of English 10-year-olds 1998–2014: An allometric approach. J Sci Med Sport 2019;22(2):201-205.

De Marco JCP, de Araújo Pinto A, Brazo-Sayavera J, Külkamp W, de Lima TR, Pelegrini A. Secular trends and sociodemographic, biological, and behavioural factors associated with handgrip strength in adolescents in southern Brazil: An allometric approach. J Sports Sci 2024;42(9):776-784.

Xiang M, Zhang Z, Kuwahara K. Impact of COVID-19 pandemic on children and adolescents' lifestyle behavior larger than expected. Prog Cardiovasc Dis 2020;63(4):531.

Stockwell S, Trott M, Tully M, et al. Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown: a systematic review. BMJ Open Sport Exerc Med 2021;7(1).

Lima TR, Martins PC, Alves Junior CAS, et al. Report Card Brazil: systematic review of muscle strength assessment in children and adolescents in Brazil. Report Card Brasil: revisão sistemática sobre avaliação da força muscular em crianças e adolescentes no Brasil. Rev Bras Cineantropom Desempenho Hum 2021;23:e80292.

Moher D, Liberati A, Tetzlaff J, Altman DG, Group P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg 2010;8(5):336-341.

National Heart, Lung, and Blood Institute. Quality assessment tool for observational cohort and cross-sectional studies. Bethesda (MD): NHLBI; 2014.

Nevill AM, Duncan MJ, Nobre GC, Gaya A, Myers T, Mello JB. Identifying the key body size and maturity characteristics associated with superior physical fitness performance tests: does one size fit all? Sport Sci Health 2024;20(3):1051-1063.

Martins PC, de Lima LRA, Berria J, Petroski EL, da Silva AM, Silva DAS. Association between phase angle and isolated and grouped physical fitness indicators in adolescents. Physiol Behav 2020;217:112825.

de Lima TR, Sui X, de Lima LRA, Silva DAS. Muscle strength and its association with cardiometabolic variables in adolescents: does the expression of muscle strength values matter? World J Pediatr 2021;17(6):597-608.

de Lima TR, Sui X, Silva DAS. Normalization of Muscle Strength Measurements in the Assessment of Cardiometabolic Risk Factors in Adolescents. Int J Environ Res Public Health 2021;18(16).

de Lima TR, Silva DAS. Handgrip Strength Is Not Associated With High Blood Pressure and Does Not Have Good Discriminatory Power for High Blood Pressure in Adolescents. J Strength Cond Res 2023;37(1):46-54.

Camargo Corrêa R, Marcio da Silva J, Castilho dos Santos G, et al. Associação da aptidão muscular isolada e combinada com fatores de risco cardiovascular em adolescentes brasileiros: um estudo transversal. Rev Bras Prescr Fisiol Exerc 2024;18(114):187-197.

de Lima TR, Silva DAS. Muscle Strength Indexes and Its Association With Cardiometabolic Risk Factors in Adolescents: An Allometric Approach. Res Q Exerc Sport 2024;95(1):289-302.

Dos Santos de Fontes PA, Zaniqueli D, Siqueira JH, et al. Role of muscle mass in the association between handgrip strength and blood pressure in children and adolescents. J Hum Hypertens 2024;38(2):128-133.

Saldanha Filho N, Priscila Reuter C, Francisco De Castro Silveira J, Borfe L, Pollo Renner JD, Pohl HH. Low performance-related physical fitness levels are associated with clustered cardiometabolic risk score in schoolchildren: a cross-sectional study. Hum Mov Sci 2022;23(3):113-119.

Souza GAC, Maia CSC, de Oliveira KA, et al. Evaluation of the relationship between nutritional status, levels of physical activity and physical strength in adolescents. Clin Nutr ESPEN. 2023;53:182-188.

Ferreira GOC, Ferrari G, Langer RD, et al. Phase angle and its determinants among adolescents: influence of body composition and physical fitness level. Sci Rep 2024;14(1):13697.

Leite N, Tadiotto MC, de Moraes FB, Jr., et al. Examining the mediating role of muscle quantity in adolescents: associations with adiposity, cardiorespiratory fitness, muscular fitness, and cardiometabolic risk factors. Sci Rep 2024;14(1):12030.

Bim MA, Pinto AA, Scarabelot KS, Claumann GS, Pelegrini A. Handgrip strength and associated factors among Brazilian adolescents: A cross-sectional study. J Bodyw Mov Ther 2021;28:75-81.

Confortin SC, Barbosa AR, de Oliveira BR, et al. The consumption of culinary preparations and ultra-processed food is associated with handgrip strength in teenagers. Nutr J 2022;21(1):66.

Confortin SC, Batista RFL, Barbosa AR, et al. Is sleep time associated with handgrip strength in adolescents from the 1997/1998 Sao Luis Birth Cohort? Ciênc Saúde Coletiva 2022;27(3):1147-1155.

Estivaleti JMO, Bergamo RR, Oliveira LC, et al. Physical activity level measured by accelerometry and physical fitness of schoolchildren. Rev Paul Pediatr 2022;41:e2021230.

Lemos L, Clark C, Brand C, et al. 24-hour movement behaviors and fitness in preschoolers: A compositional and isotemporal reallocation analysis. Scand J Med Sci Sports 2021;31(6):1371-1379.

Confortin SC, Aristizábal LYG, Bragança M, et al. Are Fat Mass and Lean Mass Associated with Grip Strength in Adolescents? Nutrients. 2022;14(16).

de Souza LV, de Meneck F, Parizotto GP, Franco M. Low birth weight and its relation to physical fitness parameters in children: Its negative effect on muscle strength and cardiorespiratory endurance. Am J Hum Biol 2022;34(1):e23595.

Nevill A, Brand C, de Castro Silveira JF, Sehn AP, Reuter CP. Identifying the ideal "body shape" associated with athletic performance using three-dimensional (height, body mass and waist) allometry. J Sports Sci 2022;40(16):1865-1873.

Saraiva BTC, Agostinete RR, Freitas Júnior IF, et al. Association between handgrip strength and bone mineral density of Brazilian children and adolescents stratified by sex: a cross-sectional study. BMC Pediatr 2021;21(1):207.

Pelegrini A, Bim MA, Alves AD, et al. Relationship Between Muscle Strength, Body Composition and Bone Mineral Density in Adolescents. J Clin Densitom 2022;25(1):54-60.

Mello JB, Pedretti A, Bergmann GG, Gaya AR, Ubago-Guisado E, Gaya ACA. Sprint and upper limbs power field tests for the screening of low bone mineral density in children. Front Physiol 2022;13.

Fochesatto CF, Gaya ACA, Cristi-Montero C, et al. Association between physical fitness components and fluid intelligence according to body mass index in schoolchildren. Appl Neuropsychol Child 2022;11(4):640-646.

Fernandes V, Silva A, Carvalho A, Ribeiro S, Deslandes A. Physical Fitness, Executive Functions, and Academic Performance in Children and Youth: A Cross-Sectional Study. Behav Sci 2024;14(11).

Santana CCdA, Barros MVGd, Medeiros FRCd, et al. Does Physical Fitness Relate to Academic Achievement in High School Students? J Phys Act Health 2023;20(11):1018-1026.

Bergmann GG, Mello JB, Gaya ACA, et al. Relative age effect on muscle power in Brazilian youth: a population study. Rev Bras Cineantropom Desempenho Hum. 2024;26(1):1-12.

Nevill AM, Duncan MJ, Gaya A, Mello JB. Secular trends in the physical fitness of Brazilian youth: Evidence that fitness is declining for the majority but not for a fit minority. Scand J Med Sci Sports 2023;33(10):2079-2089.

Bim MA, de Araújo Pinto A, Silva DAS, Rodrigues AM, Pelegrini A. Normative values of handgrip strength in adolescents according to chronological age and sexual maturation. Motriz Rev Educ Fís 2021;27.

Mello JB, Preissler AAB, Schons P, et al. Changes in the relationship between sprint and horizontal jump performance according to sprint levels in children and adolescents. Int J Perform Anal Sport 2024;24(1):90-103.

da Costa N, Silveira JFC, Schneiders LB, et al. Moderating Role of Physical Fitness in the Association Between TV Time and Adiposity Parameters in Adolescents. Am J Health Promot 2022;36(7):1104-1111.

Todendi PF, Brand C, de Castro Silveira JF, et al. Cardiorespiratory Fitness and Muscular Strength Moderates the Relationship between FNDC5 Polymorphism and Adiposity in Children and Adolescents. Int J Environ Res Public Health. 2021;18(18). doi:10.3390/ijerph18189797.

Todendi PF, Brand C, Silveira JFC, et al. Physical fitness attenuates the genetic predisposition to obesity in children and adolescents. Scand J Med Sci Sports 2021;31(4):894-902.

de Lima TR, Silva DAS. Clusters of negative health-related physical fitness indicators and associated factors in adolescents. Rev Bras Cineantropom Desempenho Hum. 2017;19(4):436-449.

Silva DAS, Pelegrini A, de Castro JAC, et al. Low handgrip strength levels among adolescents in a city in southern Brazil. J Bodyw Mov Ther 2017;21(4):884-889.

de Lima TR, de Sousa GR, de Castro JAC, Silva DAS. Prevalência de baixos níveis de força muscular e fatores associados em adolescentes de uma cidade do sul do Brasil. Rev Bras Educ Fís Esporte 2019;33(1):115-126.

Canadian Society for Exercise Physiology. The Canadian Physical Activity, Fitness & Lifestyle Appraisal CSEP’s Plan for Healthy Living. Ottawa (ON): Canadian Society for Exercise Physiology; 1997.

Gaya AR, Gaya ACA, Pedretti A, Mello JB. Projeto Esporte Brasil, PROESP-Br: Manual de medidas, testes e avaliações. 2021.

Lima TRd, Martins PC, Alves Junior CAS, et al. Report Card Brazil: Systematic review of muscle strength assessment in children and adolescents in Brazil. Rev Bras Cineantropom Desempenho Hum 2021;23:e80292.

Leite Miranda F, Fernandes CH, Myiamoto Meirelles L, Faloppa F, Ejnisman B, Cohen M. The Impact of COVID-19 Social Isolation on Physical Activity and Sedentary Behavior in Brazilian Children and Adolescents. Rev Bras Ortop 2025;60(1):s00441800941.

de Souza Filho AN, Bezerra TA, de Souza AA, et al. Impact of COVID-19 pandemic on 24-hour movement behaviors among preschoolers from Brazil. Int J Popul Stud 2024;10(3):91-98.

Molleri N, Gomes Junior SC, Marano D, Zin A. Survey of the Adequacy of Brazilian Children and Adolescents to the 24-Hour Movement Guidelines before and during the COVID-19 Pandemic. Int J Environ Res Public Health. 2023;20(9):5737.

Oh K-H, Min J-Y, Seo K, Min K-B. Association of Sedentary Lifestyle With Skeletal Muscle Strength and Mass in US Adolescents: Results From the National Health and Nutrition Examination Survey (2011-2014). J Prev Med Public Health 2025;58(3):278.

Edelson LR, Mathias KC, Fulgoni III VL, Karagounis LG. Screen-based sedentary behavior and associations with functional strength in 6–15-year-old children in the United States. BMC Public Health. 2015;16(1):116.

Dong Q, Liu H, Fu Q. Associations between physical fitness and different aspects of screen time in children and adolescents. Sci Rep 2025;15(1):25607.

Faigenbaum AD, MacDonald JP. Dynapenia: it's not just for grown‐ups anymore. Acta Paediatr 2017;106(5):696-697.

Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Promoção da Saúde. Guia de Atividade Física para a População Brasileira [Internet]. Brasília, DF: Ministério da Saúde; 2021 [acesso em 2025 Out 11]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/guia_atividade_fisica_populacao_brasileira.pdf

Downloads

Published

2026-07-17