Physical movement is a powerful catalyst for human health and specifically for brain function.
Money motivates: According to the CDC, nearly 90 cents of every dollar spent on healthcare in the U.S., goes to treating a preventable chronic disease. Public and private insurers have realized the cost of inactivity and healthcare models are slowly shifting to value-based payment models, placing the financial incentive on preventing and managing disease. Unfortunately, most of these initiatives are focused on the final decades of life when costs are highest. The Heckman Equation makes the argument for early childhood investment but, as yet, it is not a policy priority in the U.S.
Lack of research: There is a lack of universal screening for physical development milestones in children. This is exacerbated by the fact that there are no national guidelines for physical activity prior to age three. Emerging research supports the role of movement and body awareness for building resilience but this has had a limited impact on developing treatment protocols for children. Adverse Childhood Experiences (ACEs) screening is increasing but, to what end if we do not have effective treatment protocols? Perhaps the most promising is Dr. Bruce Perry's Neurosequential Model.
Cultural Norms: Systems and values in the U.S. emphasize athletic and academic achievement. This has led to prioritization of "kids in seats with pencil in hand" as early as possible; negating the established research around children's readiness for either of those actions at the dictated ages. Being physically active is not a cultural norm in the U.S. Many countries in the world that have established the connection between movement and mental function demonstrate clear prioritization of physical activity throughout the life span.
False assumptions: Policymakers may assume children are moving, playing and taking PE in school. Parents, caregivers and educators may lack the necessary understanding of the importance of early movement experiences for establishing brain structure and function necessary for learning and social-emotional regulation.
Movement in early life isn’t optional—it’s foundational. From the womb through the first three years, movement shapes how the brain is built and how the body functions. These early movement patterns determine a child’s capacity to learn, play, build confidence, form relationships, and manage emotions. In short, movement in early life lays the groundwork for lifelong success.
And yet, children today are moving less than ever. At the same time, we’re seeing historic declines in academic performance, skyrocketing mental health challenges, and rising rates of trauma and suicide among youth. We're sounding the alarm—but ignoring a powerful, proven solution: early movement builds resilience.
So why isn’t this knowledge reflected in our policies, schools, or healthcare systems? For two decades, I’ve asked that question to experts across disciplines. Their answer? “You’re onto something.”
PQ Theory isn’t new. It’s a synthesis of decades of research and, in many ways, simple common sense. The problem isn’t what we don’t know—it’s what we’re not applying when it matters most.
My mission is to change that. Let’s build a future where movement and nutrition are prioritized from conception onward—because the first years of life matter most.