There are increasing numbers of overweight and obese individuals in the US and globally, and correspondingly, the associated healthcare costs are rising dramatically. More than one-third of children are currently considered obese with a predisposition to type 2 diabetes, and it is likely that their metabolic conditions will worsen with age. Physical inactivity has also risen to be the leading cause of many chronic, non-communicable diseases (NCD). Children are more physically inactive now than they were in past decades, which may be due to intrinsic and extrinsic factors. In rodents, the amount of time engaged in spontaneous activity within the home cage is a strong predictor of later adiposity and weight gain. Thus, it is important to understand primary motivators stimulating physical activity (PA). There are normal sex differences in PA levels in rodents and humans. The perinatal environment can induce sex-dependent differences in PA disturbances. This review will consider the current evidence that there are sex differences in PA in rodents and humans. The rodent studies showing that early exposure to environmental chemicals can shape later adult PA responses will be discussed. Next, an exploration of whether there are different motivators stimulating exercise in male vs. female humans will be examined. Finally, the brain regions, genes, and pathways, that modulate PA in rodents, and possibly by translation humans, will be described. A better understanding of why each sex remains physically active through the lifespan could open up new avenues to prevent and treat obesity in children and adults.