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Physical Activity and Sedentary Behaviors among Chinese Children: Recent Trends and Correlates
Xi Yang1, Alice Waiyi Leung2, Russell Jago3
1Chinese Center for Disease Control and Prevention, Beijing 102206, China;National Institution for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Insights
Physical activity declined and sedentary behavior increased in Chinese children from 2004-2015. This trend highlights risks for physical inactivity in specific subgroups and regions.
Area of Science:
- Pediatric Health
- Public Health
- Behavioral Science
Background:
- Childhood physical activity (PA) and sedentary behaviors are crucial for long-term health.
- Understanding trends in PA and sedentary time among Chinese children is essential for public health interventions.
Purpose of the Study:
- To examine trends in physical activity (PA) and sedentary behaviors among Chinese children aged 6-17 years.
- To identify correlates influencing these behaviors over time.
Main Methods:
- Longitudinal analysis of 4,341 children (6,936 observations) from the China Health and Nutrition Survey (2004-2015).
- Employed random-effects ordinal regression and repeated-measures mixed-effects models for PA trends.
- Utilized quantile regression models to analyze factors influencing PA and sedentary behaviors.
Main Results:
- Physical inactivity prevalence increased by 5.5% from 2004-2015.
- PA volume decreased by 5.8 MET-hr/week, while sedentary time increased by 1.8 hr/week.
- Age, ethnicity, region, and urbanization level significantly influenced PA and sedentary behaviors.
Conclusions:
- A significant declining trend in physical activity was observed among Chinese children between 2004 and 2015.
- Specific subgroups and geographical areas exhibit higher risks for physical inactivity, necessitating targeted interventions.
Objective:
This study was aimed at examining the trends and correlates of physical activity (PA) and sedentary behaviors among Chinese children.
Methods:
A total of 4,341 subjects (6,936 observations) aged 6-17 years who participated in the China Health and Nutrition Survey (2004-2015) were included. Of the subjects, 41% participated in the survey twice or more. Random-effects ordinal regression models and repeated-measures mixed-effects models were used to examine the PA trends. Quantile regression models were applied to examine the factors influencing PA and sedentary behaviors.
Results:
From 2004 to 2015, the prevalence of physical inactivity among Chinese children aged 6-17 years increased by 5.5% [odds ratio ( OR), 1.51; 95% confidence interval ( CI), 1.19-1.90; P < 0.001]. The PA volume declined by 5.8 metabolic equivalent of task-hr/week ( P < 0.001), and the time spent in sedentary behaviors increased by 1.8 hr/week ( P < 0.001). Age, ethnicity, and region showed significant effects on the PA volume across the quartiles ( P < 0.001). Across the quartiles, sedentary time was significantly higher in the children residing in urban areas ( P < 0.001) or areas with high urbanization levels ( P ≤ 0.005) than in their counterparts.
Conclusions:
A declining PA trend among Chinese children aged 6-17 years was observed from 2004 to 2015, and certain subgroups and geographical areas are at higher risk of physical inactivity.
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