Social-emotional functioning explains the effects of physical activity on academic performance among Chinese primary school students: a mediation analysis
Open accessAbstract
Objective To examine the mediating effects of socioemotional and behavioral functioning in the association between physical activity and academic achievement in Chinese children.Study design Chinese children (n = 17 318; aged 6-11 years) from the Shanghai Children's Health, Education and Lifestyle Evaluation study in 2014 were the source of data. Children reported the time spent in moderate-to-vigorous physical activities (MVPA) during weekdays and weekends. Parents rated their children's socioemotional and behavioral difficulties. Head teachers rated the academic performance of each student. A mediation analysis with multiple mediators was performed to test the mediation effects of 5 socioemotional and behavioral variables (emotional problems, conduct problems, hyperactivity and inattention, peer relationship, and prosocial behaviors) in the association between MVPA and academic achievement, adjusting for demographic and health-related variables.Results Results revealed that MVPA was positively associated with academic performance (b = 0.78; SE = .01; P < .001). Conduct problems, hyperactivity and inattention, and peer problems showed significant mediating effects in the association between MVPA and academic achievement, with hyperactivity and inattention being the strongest mediator (b = 0.38; SE = 0.04; P < .001) accounting for 49% of the total effect.Conclusions This study provides evidence that MVPA is associated with fewer socioemotional difficulties, which, in turn, is associated with better academic achievement. Promoting physical activity among school-aged children may benefit their overall development.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The method of collecting exercise time in the form of self-report has been widely used in existing studies, and its reliability and validity have been widely recognized.
“The method of collecting exercise time in the form of self-report has been widely used in existing studies, and the reliability and validity of this method have also been widely recognized [15,16].”
Engagement in moderate to vigorous-intensity physical activity both on weekdays and on weekends is associated with better academic performance among Chinese primary school students.
“Engagement in moderate to vigorous-intensity physical activity both on weekdays and on weekends is associated with better academic performance among Chinese primary school students.81”
From Physical activity and health in Chinese children and adolescents: expert consensus statement (2020) (2020) · cites this paper as [81]
Cites
The Strengths and Difficulties Questionnaire: A research note
Goodman, R. (1997) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1997.tb01545.x · Cited by 14,908 · see citing works
Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., & Schellinger, K. B. (2011) · Child Development · doi:10.1111/j.1467-8624.2010.01564.x · Cited by 8,746 · see citing works
Health benefits of physical activity: the evidence
Warburton, D. E. R. (2006) · Canadian Medical Association Journal · doi:10.1503/cmaj.051351 · Cited by 8,007 · see citing works
Janssen, I., & LeBlanc, A. G. (2010) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-7-40 · Cited by 4,829 · see citing works
Compendium of Physical Activities: Classification of energy costs of human physical activities
AINSWORTH, B. E., HASKELL, W. L., LEON, A. S., JACOBS, D. R., MONTOYE, H. J., SALLIS, J. F., & PAFFENBARGER, R. S. (1993) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199301000-00011 · Cited by 4,102 · see citing works
Be smart, exercise your heart: Exercise effects on brain and cognition
Hillman, C. H., Erickson, K. I., & Kramer, A. F. (2008) · Nature Reviews Neuroscience · doi:10.1038/nrn2298 · Cited by 3,563 · see citing works
Multiple imputation by chained equations: what is it and how does it work?
Azur, M. J., Stuart, E. A., Frangakis, C., & Leaf, P. J. (2011) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.329 · Cited by 3,542 · see citing works
Penedo, F. J., & Dahn, J. R. (2005) · Current Opinion in Psychiatry · doi:10.1097/00001504-200503000-00013 · Cited by 2,851 · see citing works
Greenberg, M. T., Weissberg, R. P., O'Brien, M. U., Zins, J. E., Fredericks, L., Resnik, H., & Elias, M. J. (2003) · American Psychologist · doi:10.1037/0003-066x.58.6-7.466 · Cited by 2,147 · see citing works
Donnelly, J. E., Hillman, C. H., Castelli, D., Etnier, J. L., Lee, S., Tomporowski, P., Lambourne, K., & Szabo-Reed, A. N. (2016) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000901 · Cited by 1,864 · see citing works
Goodman, R., Ford, T., Simmons, H., Gatward, R., & Meltzer, H. (2000) · British Journal of Psychiatry · doi:10.1192/bjp.177.6.534 · Cited by 1,818 · see citing works
Hinshaw, S. P. (1992) · Psychological Bulletin · doi:10.1037/0033-2909.111.1.127 · Cited by 1,636 · see citing works
The relationship between physical activity and cognition in children: a meta-analysis
Sibley, B. A., & Etnier, J. L. (2003) · Pediatric Exercise Science · doi:10.1123/pes.15.3.243 · Cited by 1,308 · see citing works
Masten, A. S., Roisman, G. I., Long, J. D., Burt, K. B., Obradović, J., Riley, J. R., Boelcke-Stennes, K., & Tellegen, A. (2005) · Developmental Psychology · doi:10.1037/0012-1649.41.5.733 · Cited by 1,152 · see citing works
Exercise and Children’s Intelligence, Cognition, and Academic Achievement
Tomporowski, P. D., Davis, C. L., Miller, P. H., & Naglieri, J. A. (2008) · Educational Psychology Review · doi:10.1007/s10648-007-9057-0 · Cited by 874 · see citing works
Hillman, C. H., Pontifex, M. B., Raine, L. B., Castelli, D. M., Hall, E. E., & Kramer, A. F. (2009) · Neuroscience · doi:10.1016/j.neuroscience.2009.01.057 · Cited by 845 · see citing works
Effects of a classroom-based program on physical activity and on-task behavior
MAHAR, M. T., MURPHY, S. K., ROWE, D. A., GOLDEN, J., SHIELDS, A. T., & RAEDEKE, T. D. (2006) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000235359.16685.a3 · Cited by 674 · see citing works
Effect of physical education and activity levels on academic achievement in children
COE, D. P., PIVARNIK, J. M., WOMACK, C. J., REEVES, M. J., & MALINA, R. M. (2006) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000227537.13175.1b · Cited by 611 · see citing works
Singh, A. (2012) · Archives of Pediatrics & Adolescent Medicine · doi:10.1001/archpediatrics.2011.716 · Cited by 604 · see citing works
Classroom-based physical activity, cognition, and academic achievement
Donnelly, J. E., & Lambourne, K. (2011) · Preventive Medicine · doi:10.1016/j.ypmed.2011.01.021 · Cited by 554 · see citing works
The Anxiolytic Effects of Exercise: A Meta-Analysis of Randomized Trials and Dose–Response Analysis
Wipfli, B. M., Rethorst, C. D., & Landers, D. M. (2008) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.30.4.392 · Cited by 498 · see citing works
Aerobic Fitness and Neurocognitive Function in Healthy Preadolescent Children
Hillman, C. H., Castelli, D. M., & BUCK, S. M. (2005) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000176680.79702.ce · Cited by 493 · see citing works
Exercise in prevention and treatment of anxiety and depression among children and young people
Larun, L., Nordheim, L. V., Ekeland, E., Hagen, K. B., & Heian, F. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004691.pub2 · Cited by 492 · see citing works
Álvarez-Bueno, C., Pesce, C., Cavero-Redondo, I., Sánchez-López, M., Martínez-Hortelano, J. A., & Martínez-Vizcaíno, V. (2017) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2017.06.012 · Cited by 478 · see citing works
Tremblay, M., Inman, J., & Willms, J. (2000) · Pediatric Exercise Science · doi:10.1123/pes.12.3.312 · Cited by 433 · see citing works
Effects of Physical Activity on Psychological Variables in Adolescents
Calfas, K. J., & Taylor, W. C. (1994) · Pediatric Exercise Science · doi:10.1123/pes.6.4.406 · Cited by 402 · see citing works
Academic Achievement and Physical Activity: A Meta-analysis
Álvarez-Bueno, C., Pesce, C., Cavero-Redondo, I., Sánchez-López, M., Garrido-Miguel, M., & Martínez-Vizcaíno, V. (2017) · Pediatrics · doi:10.1542/peds.2017-1498 · Cited by 391 · see citing works
Steele, R. M., van Sluijs, E. M. F., Cassidy, A., Griffin, S. J., & Ekelund, U. (2009) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.2009.28153 · Cited by 263 · see citing works
van Lier, P. A. C., Vitaro, F., Barker, E. D., Brendgen, M. R., Tremblay, R. E., & Boivin, M. (2012) · Child Development · doi:10.1111/j.1467-8624.2012.01802.x · Cited by 263 · see citing works
Exercise to improve self-esteem in children and young people
Ekeland, E., Heian, F., Hagen, K. B., Abbott, J. M., & Nordheim, L. V. (2004) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003683.pub2 · Cited by 258 · see citing works
Spruit, A., Assink, M., van Vugt, E., van der Put, C., & Stams, G. J. (2016) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.03.006 · Cited by 250 · see citing works
Hebebrand, J., Anagnostopoulos, D., D, S. E. M., Linse, H., Pejovic-Milovancevic, M. M., & Klasen, H. (2015) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-015-0807-0 · Cited by 186 · see citing works
Physical activity and inactivity in Chinese school-aged youth: the China Health and Nutrition Survey
Tudor-Locke, C. E., Ainsworth, B. E., Adair, L. S., Du, S., & Popkin, B. M. (2003) · International Journal of Obesity · doi:10.1038/sj.ijo.0802377 · Cited by 185 · see citing works
Epidemic increase in overweight and obesity in Chinese children from 1985 to 2005
Ji, C. Y., & Cheng, T. O. (2008) · International Journal of Cardiology · doi:10.1016/j.ijcard.2008.07.003 · Cited by 182 · see citing works
Carlo, G., White, R. M. B., Streit, C., Knight, G. P., & Zeiders, K. H. (2017) · Child Development · doi:10.1111/cdev.12761 · Cited by 181 · see citing works
Xiang, F., & Cao, Z. (2017) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2017.09.006 · Cited by 167 · see citing works
van der Ende, J., Verhulst, F. C., & Tiemeier, H. W. (2016) · Development and Psychopathology · doi:10.1017/s0954579416000353 · Cited by 155 · see citing works
Huang, Y., Wong, S. H., & Salmon, J. (2009) · Pediatric Exercise Science · doi:10.1123/pes.21.3.339 · Cited by 148 · see citing works
Galéra, C., Melchior, M., Chastang, J., Bouvard, M., & Fombonne, É. (2009) · Psychological Medicine · doi:10.1017/s0033291709005510 · Cited by 145 · see citing works
Ansary, N. S., & Luthar, S. S. (2009) · Development and Psychopathology · doi:10.1017/s0954579409000182 · Cited by 137 · see citing works
Griffiths, L. J., Dezateux, C. A., & Hill, A. J. (2010) · International Journal of Pediatric Obesity · doi:10.3109/17477166.2010.526221 · Cited by 117 · see citing works
Physical fitness and academic performance in middle school students
Bass, R. W., Brown, D. D., Laurson, K. R., & Coleman, M. M. (2013) · Acta Paediatrica · doi:10.1111/apa.12278 · Cited by 116 · see citing works
Maintenance of Cognitive Control during and after Walking in Preadolescent Children
Drollette, E. S., Shishido, T., Pontifex, M. B., & Hillman, C. H. (2012) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318258bcd5 · Cited by 116 · see citing works
Chen, C., Zhang, Y., Sun, W., Chen, Y., Jiang, Y., Song, Y., Lin, Q., Zhu, L., Zhu, Q., Wang, X., et al. (2017) · BMJ Open · doi:10.1136/bmjopen-2016-014004 · Cited by 90 · see citing works
Self-citationDeLay, D., Zhang, L., Hanish, L. D., Miller, C. F., Fabes, R. A., Martin, C. L., Kochel, K. P., & Updegraff, K. A. (2016) · Prevention Science · doi:10.1007/s11121-016-0678-8 · Cited by 89 · see citing works
Liang, Y., Lau, W. C., Huang, Y., Maddison, R., & Baranowski, T. (2014) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2014.09.005 · Cited by 85 · see citing works
Sleep disturbances and teacher ratings of school achievement and temperament in children
Bruni, O., Ferini‐Strambi, L., Russo, P. M., Antignani, M., INNOCENZI, M., Ottaviano, P., Valente, D., & Ottaviano, S. (2005) · Sleep Medicine · doi:10.1016/j.sleep.2005.09.003 · Cited by 79 · see citing works
Results From Shanghai’s (China) 2016 Report Card on Physical Activity for Children and Youth
Liu, Y., Tang, Y., Cao, Z., Chen, P., Zhang, J., Zhu, Z., Zhuang, J., Yang, Y., & Yueying, H. (2016) · Journal of Physical Activity and Health · doi:10.1123/jpah.2016-0362 · Cited by 72 · see citing works
Chen, P. (2017) · Journal of Sport and Health Science · doi:10.1016/j.jshs.2017.09.011 · Cited by 67 · see citing works
Childhood trajectories of inattention-hyperactivity and academic achievement at 12 years
Salla, J., Michel, G., Pingault, J., Lacourse, É., Paquin, S., Galéra, C., Falissard, B., Boivin, M., Tremblay, R. E., & Côté, S. M. (2016) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-016-0843-4 · Cited by 58 · see citing works
Peer Victimization and Academic Performance in Primary School Children
Mundy, L. K., Canterford, L. D., Kosola, S. K., Degenhardt, L. J., Allen, N. B., & Patton, G. C. (2017) · Academic Pediatrics · doi:10.1016/j.acap.2017.06.012 · Cited by 57 · see citing works
Hume, C., Jorna, M., Arundell, L., Saunders, J., Crawford, D. A., & Salmon, J. (2008) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2008.07.006 · Cited by 49 · see citing works
Correlates of physical activity and screen-based behaviors in Chinese children
Huang, Y., Wong, S. H., & Salmon, J. (2013) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2012.12.011 · Cited by 48 · see citing works
Zhang, Y., Zhang, D. “., Jiang, Y., Sun, W., Wang, Y., Chen, W., Li, S., Shi, L., Shen, X., Zhang, J., et al. (2015) · PLoS ONE · doi:10.1371/journal.pone.0115483 · Cited by 26 · see citing works
Self-citationTresco, K. E., Lefler, E. K., & Power, T. J. (2010) · PubMed · Cited by 23 · see citing works
Zhang, Y., Zhang, D. “., Li, X., Ip, P., Ho, F. K. W., Jiang, Y., Sun, W., Zhu, Q., Zhu, W., Zhang, J., et al. (2017) · Scientific Reports · doi:10.1038/s41598-017-15102-4 · Cited by 22 · see citing works
Self-citationPromoting physical activity among Chinese youth: No time to wait
Liu, Y. (2017) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2017.03.014 · Cited by 18 · see citing works
Chih, C. H., & Chen, J.-F. (2011) · The International Journal of Sport and Society · doi:10.18848/2152-7857/cgp/v02i01/54058 · Cited by 17 · see citing works
Shang-li, L. (2007) · journal of physical education · Cited by 5 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Physical activity and health in Chinese children and adolescents: expert consensus statement (2020)
Chen, P., Wang, D., Shen, H., Yu, L., Gao, Q., Mao, L., Jiang, F., Luo, Y., Xie, M., Zhang, Y., et al. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2020-102261 · Cited by 225 · see citing works
“81 Theme 5: overweight and obesity 1.”
Self-citationMediators between physical activity and academic achievement: A systematic review
Visier‐Alfonso, M. E., Sánchez‐López, M., Álvarez‐Bueno, C., Hermosa, A. R., Nieto, M., & Martínez‐Vizcaíno, V. (2021) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.14107 · Cited by 38 · see citing works
Zarazaga-Peláez, J., Barrachina, V., Gutiérrez-Logroño, A., Villanueva-Guerrero, Ó., Roso-Moliner, A., & Mainer-Pardos, E. (2024) · Sustainability · doi:10.3390/su16167238 · Cited by 36 · see citing works
Mechanism Between Physical Activity and Academic Anxiety: Evidence from Pakistan
Kayani, S., Wang, J., Biasutti, M., Zagalaz Sánchez, M. L., Kiyani, T., & Kayani, S. (2020) · Sustainability · doi:10.3390/su12093595 · Cited by 21 · see citing works
Wang, T., & Guo, C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19084678 · Cited by 13 · see citing works
“The method of collecting exercise time in the form of self-report has been widely used in existing studies, and the reliability and validity of this method have also been widely recognized [15,16].”
BackgroundMethodWidyastari, D. A., Saonuam, P., Rasri, N., Pongpradit, K., & Katewongsa, P. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910088 · Cited by 14 · see citing works
Lin, Q., Hunsberger, M. L., Klingberg, S., Henauw, S. D., Hebestreit, A., Lauria, F., Mazur, A., Moreno, L. A., Noémi, K. M. E., Pigeot, I., et al. (2025) · BMC Public Health · doi:10.1186/s12889-025-23578-3 · Cited by 4 · see citing works
PHYSICAL EXERCISE, MENTAL HEALTH, QUALITY OF LIFE IN HIGHER EDUCATION– SYSTEMATIC REVIEW
Dias, I. S., Jacinto, M., Abreu, M. O., & Fonseca, M. (2023) · Psicologia Saúde & Doenças · doi:10.15309/23psd240313 · Cited by 2 · see citing works
Leung, Y. W., Lin, S. H., Li, J. W., & Capio, C. M. (2024) · Early Child Development and Care · doi:10.1080/03004430.2024.2434921 · Cited by 2 · see citing works
Li, Y., Chen, T.-C., & Thelkar, A. R. (2024) · International Journal of Uncertainty Fuzziness and Knowledge-Based Systems · doi:10.1142/s0218488524400178
Prática esportiva e motivação para aprendizagem de alunos do ensino médio
Cuquetto, D. C., Carvalho, C., & Donadia, J. F. (2025) · Revista Brasileira de Ciências do Esporte · doi:10.1590/rbce.47.e20250065
Movement and Physical Activity in Hong Kong Kindergartens
Fan, T., Santiago-Saamong, C. R., & Capio, C. M. (2026) · Springer eBooks · doi:10.1007/978-981-95-0281-3_9
Niu, L., Ji, J., Zhang, D. “., Li, L., Xiang, M., & Li, Y. (2026) · Child and Adolescent Mental Health · doi:10.1111/camh.70074
Self-citation
- Authors
- Zhang, Y., Niu, L., Zhang, D., Ip, P., Ho, F., Jiang, Y., Sun, W., Zhu, Q., & Jiang, F.
- Affiliations
- Shanghai Jiao Tong University (CN)
- Fordham University (US)
- University of Georgia (US)
- Queen Mary Hospital (CN)
- Corresponding author
- Jiang, Fan
- Venue
- The Journal of Pediatrics
- Publisher
- Elsevier BV
- Published
- 2019-05
- Volume
- 208
- Pages
- 74-80
- ISSN
- 0022-3476 (ISSN-L)
- OpenAlex
- W2908118848
- Cited by
- 13
- References
- 59
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 2
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- green
- eprints.gla.ac.uk
- Licence
- Locations
- The Journal of Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion, cc-by-sa)
- Funders
- Shanghai Health and Family Planning Commission (GWIV-36)
- Chinese National Natural Science Foundation (81422040, 81602870)
- Shanghai Municipal Education Commission (HJTY-2018-D04)
- Ministry of Education New Century Excellent Talents (NCET-13-0362)
- Shanghai Science and Technology Commission (14441904004)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Keywords
- physical activity, academic performance, social-emotional functioning, behavioral problems, conduct problems, hyperactivity/inattention, peer problems, prosocial behavior, emotional problems, moderate-to-vigorous physical activity, elementary school students, mediation, Chinese children
- MeSH terms
- Academic Performance, Child, China, Emotions, Female, Humans, Life Style, Male, Risk Factors, Social Behavior, Exercise, Attention Deficit and Disruptive Behavior Disorders, Asian People
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review