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104, 95%CI -0.002 to 0.211, p = 0.055) after adjustment for age, and these associations strengthened after further adjustment for MVPA (p less then 0.05). Adolescents who were inactive at baseline or at baseline and follow-up had lower GPA during follow-up than their continuously highly active peers (mean difference = -0.301, 95%CI -0.543 to -0.058, p = 0.009) and all other adolescents (mean difference = -0.247, 95%CI -0.475 to -0.019, p = 0.029). These differences were greater in girls than in boys. Conclusion Lower levels of MVPA were
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