ArticleJournal of sport and health science2022
Prevalence and correlates of meeting the muscle-strengthening exercise recommendations among Chinese children and adolescents: Results from 2019 Physical Activity and Fitness in China-The Youth Study.
Article in Journal of sport and health science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Estimated Prevalence of Compliance With Muscle-Strengthening Activity Recommendations in Children and Adolescents: A Meta-Analysis.Acta paediatrica (Oslo, Norway : 1992) · 2025Pooled it
- Handgrip strength thresholds associated with metabolic syndrome risk in children and adolescents: a systematic review and meta-analysis.Epidemiology and health · 2024Pooled it
- School-Based Comprehensive Strength Training Interventions to Improve Muscular Fitness and Perceived Physical Competence in Chinese Male Adolescents.BioMed research international · 2022Trial
- Association of parental moderate-to-vigorous physical activity with child overweight/obesity, physical fitness and MVPA guideline adherence: dose-response analyses among schoolchildren.BMC public health · 2026Article
- Associations between parental role modeling of physical activity and overweight and obesity in children and adolescents: words, actions, or both? A cross-sectional study of young children's population in Shanghai.BMC public health · 2026Article
- Associations of the Muscle Strength Index with Overweight/Obesity, Elevated Blood Pressure, and Their Comorbidity in Chinese Children and Adolescents During Two Decades.Journal of clinical medicine · 2026Article
- Temporal Variations and Sociodemographic Differences in no Muscle-Strengthening Exercise Among Adolescents: A 10-Year Repeated Cross-Sectional Study.Scandinavian journal of medicine & science in sports · 2026Article
- Changing landscape of physical fitness and urban-rural inequalities: evidence from 1.2 million children and adolescents over 20 years of urbanization.BMC medicine · 2026Article
- Do clock-in for physical exercise in campus help in building undergraduate exercise habits? Evidence from undergraduates in Henan, China.Frontiers in public health · 2026Article
- Development and validation of an explainable machine learning-based risk prediction model for obesity in Chinese children and adolescents: a population-based study.Frontiers in nutrition · 2026Article
- Analysis of the association between physical health and BMI in single-child and multiple-child families: a study based on the SUREG model and the BMA approach.BMC public health · 2025Article
- Factors associated with adherence to muscle-trengthening activity guidelines among adolescents at different educational stages in China.BMC public health · 2025Article
- Associations between muscle-strengthening exercise and depressive and anxiety symptoms in children and adolescents.BMC public health · 2025Article
- Is muscle-strengthening exercise associated with better academic performance of Literacy, Mathematics and Language? Results from a cross-sectional study.Journal of exercise science and fitness · 2025Article
- Imbalance between muscle strength development and weight gain in children and young adults in China: serial cross-sectional evidence from 1.33 million students from five successive national surveys between 2000 and 2019.The Lancet regional health. Western Pacific · 2025Article
- Are more muscle-strengthening exercise participations associated with weight status in children and adolescents? Results from 67,281 participants.BMC public health · 2025Article
- The relationship between socioeconomic status and organized sports participation among Chinese children and adolescents: the chain-mediated role of parental physical exercise and parental support.BMC public health · 2025Article
- Associations between class-level factors and student physical activity during physical education lessons in China.The international journal of behavioral nutrition and physical activity · 2025Article
- Determinants of engagement in muscle-strengthening activities among children and adolescents: insights from a large-scale school-based study.Frontiers in public health · 2025Article
- Association Between Frequency of Muscle-Strengthening Exercise and Depression Symptoms Among Middle and High School Students: Cross-Sectional Survey Study.JMIR public health and surveillance · 2024Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to describe the national prevalence of Chinese children and adolescents who met the World Health Organization muscle-strengthening exercise (MSE) recommendations and identify correlates of meeting the MSE recommendations.
methodsCross-sectional data from the 2019 Physical Activity and Fitness in China-The Youth Study, a nationally representative sample of Chinese children and adolescents (n = 80,413; mean age = 13.7 years; 53.9% girls) and their parents, were analyzed. Children and adolescents who reported engaging ≥3 days (up to 7 days) of MSE per week were classified as meeting the MSE recommendations. MSE, demographics, lifestyle behaviors (sport participation, moderate-to-vigorous physical activity, screen time, and sleep duration), exercise intention, peer and parental support, and parental MSE participation were assessed through self-reports. Logistic regression models were used to determine the correlates of meeting the MSE recommendations. The analyses were completed in 2020.
resultsOverall, 39.3% of children and adolescents met the MSE recommendations. Girls, 10th-12th graders, minorities, those from lower income households and those from families with lower parental education were less likely to meet the MSE recommendations. Children and adolescents who were proficient in ≥2 sports were more likely to meet the MSE recommendations (adjusted odds ratio (aOR) = 1.44, 95% confidence interval (95%CI): 1.26-1.65), as were those with more moderate-to-vigorous physical activity (aOR = 1.57, 95%CI: 1.53-1.61). Additionally, children and adolescents with high exercise intention (aOR = 1.60, 95%CI: 1.51-1.69), those whose parents met the adult MSE recommendations (aOR = 1.46, 95%CI: 1.40-1.52), and those who received high peer (aOR = 1.27, 95%CI: 1.20-1.34) and parental support (aOR = 1.07, 95%CI: 1.04-1.12) were more likely to meet the MSE recommendations.
conclusionLess than two-fifths of Chinese children and adolescents met the World Health Organization MSE recommendations. The correlates identified in our study can help inform the development of school and community based strategies and policies to enhance participation in MSE and improve muscular fitness of all Chinese children and adolescents.
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