ArticleThe international journal of behavioral nutrition and physical activity2025
Changing patterns and associated factors of exercise participation and physical activity levels among middle-aged and older adults from 2011-2020 in China.
Article in The international journal of behavioral nutrition and physical activity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Physical Activity and Macular Choroidal Circulation in Older Adults With Primary Open-Angle Glaucoma: A Swept-Source Optical Coherence Tomography Angiography Study.Translational vision science & technology · 2026Article
- Joint Associations of Accelerometer-Derived Intensity Gradient and Diet Quality with Frailty Among Rural Chinese Older Adults.Nutrients · 2026Article
- Beyond the digital divide: multi-group SEM examination of socioeconomic status, mHealth utilization, and urban-rural physical activity disparities in Indonesia.Frontiers in digital health · 2026Article
- Association of the dietary-behavioral risk index with metabolic syndrome and its components: a cross-sectional study in rural China.Frontiers in endocrinology · 2026Article
- Association between physical exercise and cognitive frailty among community-dwelling older adults: the mediating role of self-efficacy.Frontiers in public health · 2026Article
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Abstract
backgroundPhysical inactivity remains a global concern. Understanding population-level physical activity (PA) trends is essential for evidence-based policy-making.
methodsRepeated cross-sectional analysis was conducted using the five waves (2011-2020) of data from the China Health and Retirement Longitudinal Study. PA was assessed by the International Physical Activity Questionnaire. PA sources (job demands, entertainment, exercise, and others) were assessed since 2013. Age- and sex-standardized prevalence was calculated. Log-binomial regression was performed to explore associated factors.
resultsAmong Chinese adults ≥ 45 years, weekly exercise participation nearly doubled from 22.6% (2013) to 43.9% (2020). Job-related PA declined but remained the major source of moderate-to-vigorous PA. Insufficient PA prevalence demonstrated slight fluctuations, bottoming at 19.6% in 2018 between 2011 (23.9%) and 2020 (22.2%), with significant reductions in adults ≥ 75 years (-12.7%), females (-5.8%), urban residents (-5.5%), hypertension (-4.1%) or diabetes (-9.7%) groups. By 2020, insufficient PA was more prevalent among adults ≥ 75 years (41%, PR: 2.06, 95% CI: 1.65 to 2.57), individuals with low socioeconomic status (SES) (PR: 1.41, 95% CI: 1.26 to 1.59), rural residents (PR: 1.13, 95% CI: 1.01 to 1.26), and individuals with dyslipidemia (PR:1.12, 95% CI: 1.00 to 1.24).
conclusionOur study provides national updated evidence showing exercise participation doubled among middle and older Chinese, yet insufficient PA remained stable over the past decade, which is likely attributable to reductions in job-related PA. In the context of rapid lifestyle and societal changes, future policies and intervention programs need to co-target exercise and varied PA domains and prioritize high-risk populations, including advanced age seniors, rural residents, and low SES groups, to alleviate inequities.
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