"It makes sense. We have kids that are less active than before," said Dr. Stephen Daniels, a University of Colorado pediatrician and spokesman for the heart association.
Health experts recommend that children 6 and older get 60 minutes of moderately vigorous activity accumulated over a day. Only one-third of American kids do now.
"Kids aren't getting enough opportunities to build up that activity over the course of the day," Daniels said. "Many schools, for economic reasons, don't have any physical education at all. Some rely on recess" to provide exercise.
Sam Kass, a White House chef and head of first lady Michelle Obama's Let's Move program, stressed the role of schools in a speech to the conference on Monday.
"We are currently facing the most sedentary generation of children in our history," Kass said.
The new study was led by Grant Tomkinson, an exercise physiologist at the University of South Australia. Researchers analyzed 50 studies on running fitness a key measure of cardiovascular health and endurance involving 25 million children ages 9 to 17 in 28 countries from 1964 to 2010.
The studies measured how far children could run in 5 to 15 minutes and how quickly they ran a certain distance, ranging from half a mile to two miles. Today's kids are about 15 percent less fit than their parents were, researchers concluded.
"The changes are very similar for boys and girls and also for various ages," but differed by geographic region, Tomkinson said.
The decline in fitness seems to be leveling off in Europe, Australia and New Zealand, and perhaps in the last few years in North America. However, it continues to fall in China, and Japan never had much falloff fitness has remained fairly consistent there. About 20 million of the 25 million children in the studies were from Asia.
Tomkinson and Daniels said obesity likely plays a role, since it makes it harder to run or do any aerobic exercise. Too much time watching television and playing video games and unsafe neighborhoods with not enough options for outdoor play also may play a role, they said.
Other research discussed global declines in activity.
Fitness is "pretty poor in adults and even worse in young people," especially in the United States and eastern Europe, said Dr. Ulf Ekelund of the Norwegian School of Sport Sciences in Oslo, Norway.
World Health Organization numbers suggest that 80 percent of young people globally may not be getting enough exercise.
Healthy lifestyle guidelines: http://bit.ly/16ZnV7e
Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP