Evidence map›Paper›PMID 40764036›Full record

ArticleChild: care, health and development2025

Healthy Lifestyle Matters: A Network Analysis of Urban Chinese Pre-School Children's Adiposity, Sleep Health, Mental Health, Child Functioning and Health Behaviours.

Yuan Fang, Jing Liu, Mengge Zhang, Zixin Wang, Siyu Chen, Chen Zheng, Simon B Cooper, Fenghua Sun

Abstract read
In one paragraph

Article in Child: care, health and development, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

8 authors.

Yuan FangDepartment of Health and Physical Education, The Education University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0000-0003-1154-5076
Jing LiuDepartment of Health and Physical Education, The Education University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0009-0004-7351-3736
Mengge ZhangDepartment of Education Psychology, The Chinese University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0009-0009-6838-7217
Zixin WangCentre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0000-0002-1158-2304
Siyu ChenCentre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0000-0002-6271-1858
Chen ZhengDepartment of Health and Physical Education, The Education University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0000-0003-4519-6353
Simon B CooperDepartment of Sport Sciences, Sport, Health and Performance Enhancement (SHAPE) Research Centre, Nottingham Trent University, Nottingham, UK.ORCID https://orcid.org/0000-0001-5219-5020
Fenghua SunDepartment of Health and Physical Education, The Education University of Hong Kong, Hong Kong SAR, China.ORCID https://orcid.org/0000-0001-5251-4087

Funding

Dean's Research Fund from Faculty of Liberal Arts and Social Sciences, The Education University of Hong Kong IDS-5 2022
6 · The paper itself

Abstract

backgroundIn the Chinese context, a greater emphasis is placed on academic skills rather than healthy lifestyles among pre-school children. To promote well-being as a whole, a comprehensive interpretation of multivariant relationships between health, functioning and well-being is necessary for children in this age group.

methodsThe current study adopted a network analysis among 422 urban Chinese pre-school children (57.8 ± 9.7 months, 54.2% boys) to detect the inter-relationships between the variables from nine domains, including demographics, adiposity, physical activity levels, executive function, motor coordination, sleep disturbance, diet health and mental strengths and difficulties. Data was obtained through both questionnaires completed by parents and direct assessment among children.

resultsFindings indicated that poor well-being outcomes were prevalent among the participating children, including risk of central obesity (18.9%), global sleep disturbance (38.4%) and moderate-to-severe mental difficulties (42.6%). The network analysis demonstrated that age fully/partially mediated the associations among child functioning such as executive function and motor coordination. Mental strength, mental difficulties and sleep health had mutual correlations, however, none of them had a significant relationship with age. Furthermore, sex played little role in the network.

conclusionThis study supports that healthy lifestyle is crucial for Chinese pre-school children to learn and practice. Results of network analysis implies that education on child's mental health are warranted for children, parents and teachers. A balance between academic achievement and child's health well-being should be prioritized in child care and early childhood education.

Indexed as

AdiposityHealth BehaviorHealthy LifestyleMental HealthChild, PreschoolChinaExerciseFemaleHumansMalePediatric ObesitySleepSleep Wake DisordersUrban Populationchild functioninghealth behavioursnetwork analysisphysical and mental healthpre‐school children

Identifiers

PMID40764036
PMCPMC12324986

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.