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New WHO Recommendation Changes the Assessment of Physical Activity

Even short physical activities – such as climbing stairs or a quick sprint to catch the bus – are now taken into account in the WHO guidelines for assessing physical activity.

Press release from the German Cancer Research Center (DKFZ) I A team led by researchers at the German Cancer Research Center (DKFZ) shows that the WHO’s updated physical activity recommendations fundamentally change the assessment of physical endurance activity. While only 35 percent of respondents met the recommended physical activity targets under the previous WHO guidelines, 99 percent did so under the recommendations in effect since 2020.

The reason lies in a significant change to the WHO guidelines: Endurance activity no longer needs to be performed for at least ten consecutive minutes to count toward the recommendation. Even short bursts of activity—such as climbing stairs or a brisk sprint to catch the bus—are now taken into account. In doing so, the WHO is taking into account new scientific findings indicating that even short periods of physical activity make a positive contribution to health.

For the study, physical activity data from more than 63,000 NAKO participants—collected using accelerometers—were analyzed. However, the results raise questions: If nearly everyone meets the physical activity recommendations, are these recommendations still a suitable benchmark for adequate physical activity? The researchers point out that while the new guidelines better reflect the health benefits of short periods of activity, they also alter the significance of the recommendations. Differences between active and less active population groups become less pronounced, and comparisons with older studies are now only possible to a limited extent.

According to the authors, the study’s findings could indicate that the current thresholds for modern, objective measurement methods—such as accelerometers—should be reviewed and, if necessary, adjusted in the future. The results therefore do not necessarily mean that the population is getting enough physical activity today—rather, the study shows how significantly the assessment has changed due to new scientific findings and altered measurement methods.

“Accelerometers are helpful because potential memory lapses among study participants during interviews can skew the results,” explains senior author Karen Steindorf. The researcher therefore recommends using both the previous and the new assessment methods in parallel in future studies. This would allow for a better understanding of trends in physical activity behavior and enable more targeted planning of measures to promote physical activity.

It is also important to note that the study examined only the recommended endurance activities. The WHO, however, also recommends muscle-strengthening exercises. “For most people, however, strength training is the main barrier preventing them from following the overall recommendations for physical activity,” qualifies lead author Julian Brummer. Therefore, no conclusions can be drawn from this study regarding whether the WHO’s overall recommendations are being met. “However, our research on this topic is in full swing,” adds Brummer.

More information

Original publication:

Brummer J, Stein MJ, Baurecht H, et al. How a 10-minute bout requirement for physical activity affects guideline adherence estimates, Germany. Bull World Health Organ. 2026;104(10):673-681. http://doi.org/10.2471/BLT.25.295087

Website of DKFZ

Press contact:

Dr. Friederike Fellenberg
NAKO Gesundheitsstudie
Head of Project and Science Communication
Am Taubenfeld 21/2
69123 Heidelberg
Germany
Phone.: +49 6221 42620-62
E-mail: friederike.fellenberg@nako.de

German National Cohort (NAKO)

The German National Cohort (NAKO Gesundheitsstudie) is the largest long-term population study in Germany. Since 2014, over 205,000 randomly selected people have been medically examined and asked about their lifestyle habits in 18 study centres. At the beginning of the study, the participants were aged between 20 and 69.

The German National Cohort (NAKO) is a prospective epidemiological cohort study. The researchers observe a large group, a so-called cohort, of healthy, ill or formerly ill people over a long period of time. The aim is to use scientific analyses of the participants’ data to investigate the frequency and causes of common diseases such as cancer, diabetes or cardiovascular diseases, to identify risk factors and to show ways of effective prevention and early detection.

The research project is supported by 26 organisations. Scientists from universities, the Helmholtz Association, the Leibniz Association and other research institutes in Germany are working together in a nationwide network. The study is being carried out by the NAKO e.V. association. It is financed by public funds from the Federal Ministry of Research, Technology and Space (BMFTR), the Helmholtz Association and the participating federal states.