Movement in High School: Proportion of Chinese Adolescents Meeting 24-Hour Movement Guidelines
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The purposes of this study were (a) to examine the proportions of adolescents in China who partially or fully meet three 24-h movement guidelines on physical activity, screen-time, and sleep duration and (b) to examine whether there were gender differences in the proportion of boys and girls meeting these guidelines. The sample was made up of high school adolescents from an eastern province of China (N = 1338). The participants completed a self-reported survey on demographic variables and weekly health behaviors including physical activity, screen-time, and sleep duration. A frequency analysis was conducted to summarize the number of 24-h movement guidelines met of the total sample and by gender; chi-squared tests were used to examine the gender differences in the proportion of students meeting different guidelines, independently and jointly. A high proportion of adolescents did not meet physical activity (97.2%, 95% CI = 96.2–98.0%), or sleep (92.1%, 95% CI = 90.6–93.5%) guidelines, but met screen-time (93.6%, 95% CI = 92.4–94.7%) guidelines. Overall, only 0.3% (95%CI = 0.1–0.6%) of the sample met all three guidelines, 8.8% (95%CI = 7.5–10.2%) met two, 85.8%% (95%CI = 84.0–87.4%) met one, and 5.1% (95%CI = 4.0–6.4%) met none. There was no statistically significant percentage difference between female and male participants in meeting physical activity, screen-time viewing, or sleep duration guidelines, independently or jointly (p values > 0.05). These figures of participants meeting all three guidelines or physical activity and sleep independently are much lower than many estimates in prior research internationally. Considerations to improve adherence to physical activity and sleep guidelines are critical in this population.
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A recent examination of health-related behaviors among 1338 adolescents aged 14-19 in an eastern China province demonstrated that just 2.8% and 7.9% met age-appropriate physical activity and sleep duration guidelines, respectively.
“a recent examination of health-related behaviors among 1338 adolescents aged 14–19 in an eastern China province demonstrated that just 2.8% and 7.9% met age-appropriate physical activity and sleep duration guidelines, respectively [15].”
From Academic Stress, Physical Activity, Sleep, and Mental Health among Chinese Adolescents (2021) · cites this paper as [15]
Academic stress is associated with high learning/testing standards, and expectations may be reducing the time available for or students' ability to engage in health-related behaviors as well as inhibiting mental health in general.
“The implications for Chinese youth are clear, where academic stress is associated with high learning/testing standards, and expectations may be reducing the time available for or students’ ability to engage in health-related behaviors [15] as well as inhibiting mental health in general [19].”
From Academic Stress, Physical Activity, Sleep, and Mental Health among Chinese Adolescents (2021) · cites this paper as [15]
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“This finding is somewhat surprising, as it conflicts with research examining young children in China [7,24], as well as adolescents in other contexts [14], where boys are more likely to meet 24-h movement guidelines.”
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Sorted by citations
Academic Stress, Physical Activity, Sleep, and Mental Health among Chinese Adolescents
Zhu, X., Haegele, J. A., Liu, H., & Yu, F. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18147257 · Cited by 154 · see citing works
“The implications for Chinese youth are clear, where academic stress is associated with high learning/testing standards, and expectations may be reducing the time available for or students’ ability to engage in healthrelated behaviors [15] as well as inhibiting mental health in general [19].”
BackgroundResultInfluentialSelf-citationCao, R., Gao, T., Hu, Y., Qin, Z., Ren, H., Liang, L., Li, C., & Mei, S. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.05.064 · Cited by 46 · see citing works
- Authors
- Ying, L., Zhu, X., Haegele, J., & Wen, Y.
- Affiliations
- School of Sport and Physical Education, Huainan Normal University, Huainan 232038, Anhui Prov, China
- Old Dominion University (US)
- Center of Jiangsu Sports Health Engineering Collaborative Innovation, Nanjing Sport Institute, Nanjing 210014, Jiangsu Prov, China
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-04-01
- Volume
- 17
- Issue
- 7
- Pages
- 2395
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7178222
- OpenAlex
- W3014294503
- Cited by
- 24
- References
- 11
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 6 · 2023: 4 · 2022: 4 · 2021: 3 · 2020: 2
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ODU Digital Commons (Old Dominion University) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Chinese National Funding of Social Sciences (19BTY018)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Life-span and Life-course Studies › Sports and Physical Education Studies
- Keywords
- 24-hour movement guidelines, physical activity, screen time, sleep duration, adolescents, high school students, Chinese adolescents, gender differences, guideline adherence, health behavior
- MeSH terms
- Screen Time, Adolescent, Adult, China, Female, Humans, Male, Sleep, Exercise, Guideline Adherence, Young Adult, Sedentary Behavior
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