ArticleBMC public health2025
Factors associated with adherence to muscle-trengthening activity guidelines among adolescents at different educational stages in China.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- 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
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3 authors.
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Abstract
purposeThis study aimed to examine the associations between guideline-concordant muscle-strengthening activity (MSA) and multiple factors, including anthropometric measures, demographic characteristics, behavioral patterns, and sociocultural influences, across different educational stages among Chinese school-aged children.
methodsUtilizing data from the 2019 Shanghai Student Physical Fitness Index Survey, we analyzed a representative sample of 81,264 school children (aged 9-17 years; 49.6% female) and their parents. Participants reporting ≥ 3 days of MSA per week were classified as meeting the MSA recommendations. Student-reported measures included gender, grade level, MSA frequency, moderate-to-vigorous physical activity (MVPA), peer and parental support, and anthropometric data for BMI calculation. Parent-reported measures encompassed family income and parental MSA/MVPA participation. Binary logistic regression was employed to identify factors associated with meeting the MSA recommendations.
resultsThe analysis revealed that 51.2% of Shanghai school children met MSA recommendations, but participation rates varied significantly by grade level. In the elementary school model, student MVPA (school days: OR = 1.77, 95% CI:1.74-1.81; weekends: OR = 1.84, 95% CI:1.76-1.93), parental MSA (OR = 1.14, 95% CI:1.11-1.16), peer support (OR = 1.07, 95% CI:1.06-1.09) and family income (30,0001-10,0000) (OR = 1.08, 95% CI:1.0-1.18) were significantly associated with guideline-concordant MSA, explaining 72.5% of the variance. The middle school model additionally identified parental support as a significant predictor (junior middle: OR = 1.01, 95% CI:1.00-1.01; junior high: OR = 1.02, 95% CI:1.01-1.02), accounting for 68.6% and 70.8% of the variance, respectively.
conclusionsOur findings advance the understanding of MSA behavior among Chinese youth and its grade-specific determinants. The results suggest that effective interventions should adopt a multi-level approach, engaging not only the children themselves but also their parents and peers to promote healthier, more active lifestyles.
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