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How Many Chinese Adults Meet the 24-Hour Movement Guidelines: A Systematic Review and Meta-Analysis of 35,495
Jiafu Huang1, Xiangyu Du1, Tena Matolic2
1School of Physical Education & Sports Science, South China Normal University, Guangzhou, China.
Journal of Physical Activity & Health
|August 20, 2025
Summary
Only 16.35% of Chinese adults meet the 24-hour movement guidelines. This low prevalence highlights the urgent need for public health interventions to promote healthier movement behaviors in the adult population.
Area of Science:
- Public Health
- Epidemiology
- Behavioral Science
Background:
- Meeting 24-hour movement guidelines is a public health priority.
- Population-level data is crucial for informing health policy.
- Estimating prevalence among Chinese adults is essential for targeted interventions.
Purpose of the Study:
- To estimate the prevalence of adherence to 24-hour movement guidelines among Chinese adults.
- To provide baseline data for public health initiatives.
- To identify potential disparities in guideline adherence.
Main Methods:
- Systematic search of six electronic databases (Jan 2020 - Nov 2024).
- Inclusion of observational studies reporting prevalence rates in adults aged 18+.
- Meta-analysis to determine pooled prevalence of meeting movement guidelines.
Main Results:
- 12 studies with 35,495 participants were analyzed.
- Only 16.35% of Chinese adults met all three 24-hour movement guidelines.
- Significant age-related differences observed in meeting one guideline, with older adults (≥65 years) showing higher prevalence.
Conclusions:
- Low adherence to 24-hour movement guidelines necessitates targeted interventions.
- Unhealthy movement behaviors are prevalent among Chinese adults.
- Further research is required to understand movement behavior patterns in this demographic.
