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. 2024 May 6;54(7):1755–1769. doi: 10.1007/s40279-024-02038-9

Table 2.

Ranking of challenges and barriers to the development of physical fitness surveillance/monitoring systems for children and adolescents according to the responses of the expert panel (n = 16)

Main barriers and challenges Rank Mean ranking
Government support (convincing governments and decision makers to employ national surveillance systems in the country) 1 3.2
Financial support (lack of financial resources, funding, grants) 2 3.1
Public health priority (it is not considered a public health priority agenda) 3 2.9
Logistical support (data collection and managing data entry from multiple sources) 4 2.7
Schools support (barriers to obtaining collaboration from managers and schools) 5 2.6
Participation rate (having difficulty achieving adherence in some countries) 6 2.2
Standardization of tests (need to standardize tests to allow comparison) 7 1.8
Human resources (difficulty in training the work team and physical education teachers) 8 1.7
Ethical and legal (personal data protection legislation and political and cultural barriers) 9 1.5
Lack of literature on physical fitness (lack of substantial results on physical fitness related to the health of children and adolescents) 10 1.2