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In the USA, in a typical week, recreational activity was greater among high-income versus low-income households (boys 15 min/day; 95% CI 6 to 24; girls 19 min/day; 95% CI 12 to 27). In contrast, adolescents in low-income versus high-income households were more likely to travel actively (boys 11%; 95% CI 3% to 19%; girls 10%; 95% CI 3% to 17%) and do more. Policy actions and interventions are required to increase MVPA across all income groups in England and the USA. Differences in formal sports/exercise (England) and recreational (USA)