Evidence map›Paper›PMID 38869941›Full record

ArticleJMIR public health and surveillance2024

Adherence to 24-Hour Movement Guidelines Among Chinese Older Adults: Prevalence, Correlates, and Associations With Physical and Mental Health Outcomes.

Wei Liang, Yanping Wang, Qian Huang, Borui Shang, Ning Su, Lin Zhou, Ryan E Rhodes, Julien Steven Baker, Yanping Duan

Abstract read
In one paragraph

Article in JMIR public health and surveillance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  14. Is meeting 24-hour movement guidelines associated with a lower risk of frailty among adults?The international journal of behavioral nutrition and physical activity · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Wei Liang *School of Physical Education, Shenzhen University, Shenzhen, China.ORCID 0000-0002-8120-7905
Yanping Wang *Department of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China (Hong Kong).ORCID 0000-0001-6979-3625
Qian HuangFitness and Health Lab, Hubei Institute of Sport Science, Wuhan, China.ORCID 0009-0007-6547-8813
Borui ShangDepartment of Social Sciences, Hebei Sports University, Shijiazhuang, China.ORCID 0000-0003-3009-950X
Ning SuSchool of Physical Education, Shenzhen University, Shenzhen, China.ORCID 0000-0001-7333-7366
Lin ZhouSchool of Physical Education, Hebei Normal University, Shijiazhuang, China.ORCID 0000-0003-3898-7173
Ryan E RhodesSchool of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.ORCID 0000-0003-0940-9040
Julien Steven BakerDepartment of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China (Hong Kong).ORCID 0000-0002-9093-7897
Yanping DuanDepartment of Sport, Physical Education and Health, Hong Kong Baptist University, Hong Kong, China (Hong Kong).ORCID 0000-0002-6432-7542

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is known that 24-hour movement behaviors, including physical activity (PA), sedentary behavior (SB), and sleep, are crucial components affecting older adults' health. Canadian 24-hour movement guidelines for older adults were launched in 2020, emphasizing the combined role of these 3 movement behaviors in promoting older adults' health. However, research on the prevalence and correlates of guideline adherence and its associations with health-related outcomes is limited, especially among Chinese older adults.

objectiveThis study aimed to investigate the prevalence and correlates of meeting 24-hour movement guidelines among Chinese older adults. Furthermore, this study aimed to examine the associations of guideline adherence with older adults' physical and mental health outcomes.

methodsUsing a stratified cluster random sampling approach, a total of 4562 older adults (mean age 67.68 years, SD 5.03 years; female proportion: 2544/4562, 55.8%) were recruited from the latest provincial health surveillance of Hubei China from July 25 to November 19, 2020. Measures included demographics, movement behaviors (PA, SB, and sleep), BMI, waist circumference, waist-hip ratio (WHR), percentage body fat (PBF), systolic and diastolic blood pressure, physical fitness, depressive symptoms, and loneliness. Generalized linear mixed models were employed to examine the associations between variables using SPSS 28.0 (IBM Corp).

resultsOnly 1.8% (83/4562) of participants met all 3 movement guidelines, while 32.1% (1466/4562), 3.4% (155/4562), and 66.4% (3031/4562) met the individual behavioral guidelines for PA, SB, and sleep, respectively. Participants who were older, were female, and lived in municipalities with lower economic levels were less likely to meet all 3 movement guidelines. Adhering to individual or combined movement guidelines was associated with greater physical fitness and lower values of BMI, waist circumference, WHR, PBF, depressive symptoms, and loneliness, with the exception of the relationship of SB+sleep guidelines with loneliness. Furthermore, only meeting SB guidelines or meeting both PA and SB guidelines was associated with lower systolic blood pressure.

conclusionsThis is the first study to investigate adherence to 24-hour movement guidelines among Chinese older adults with regard to prevalence, correlates, and associations with physical and mental health outcomes. The findings emphasize the urgent need for promoting healthy movement behaviors among Chinese older adults. Future interventions to improve older adults' physical and mental health should involve enhancing their overall movement behaviors and should consider demographic differences.

Indexed as

ExerciseGuideline AdherenceAgedChinaEast Asian PeopleFemaleHumansMaleMental HealthMiddle AgedPrevalenceSedentary BehaviorSleepcardiometabolic indicatorsCOVID-19depressiondiastolic blood pressurelonelinessmental healtholder adultsphysical activityphysical fitnesspost–COVID-19 erasedentary behaviorsleepsystolic blood pressure

Identifiers

PMID38869941
PMCPMC11211711

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.