Evidence map›Paper›PMID 41804877›Full record

ArticleJournal of the American Heart Association2026

Negative and Nonlinear Association Between Particulate Matter and Cardiorespiratory Fitness Among Children and Adolescents: The Mediating Effect of Adiposity.

Feng Zhang, Cun-Jian Bi, Ya-Ru Guo, Yuan Liu, Peng-Wei Sun, Jun Hong, Yan-Yan Hu, He Liu, Li-Xin Hu, Yu-Shan Zhang and 3 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Feng ZhangSchool of Sports Science and Engineering, ECUST-Chengxin Research Institute of Health Science and Engineering East China University of Science and Technology Shanghai China.ORCID 0000-0001-7566-1477
Cun-Jian BiSports Health Promotion Center, School of Physical Education Chizhou University Chizhou China.
Ya-Ru GuoSports Health Promotion Center, School of Physical Education Chizhou University Chizhou China.
Yuan LiuCollege of Physical Education Shanghai University Shanghai China.
Peng-Wei SunCollege of Physical Education and Health East China Normal University Shanghai China.
Jun HongCollege of Physical Education and Health East China Normal University Shanghai China.
Yan-Yan HuCollege of Physical Education and Health East China Normal University Shanghai China.
He LiuCollege of Physical Education and Health East China Normal University Shanghai China.ORCID 0009-0004-5407-8572
Li-Xin HuDepartment of Maternal and Child Health, School of Public Health Sun Yat-sen University Guangzhou China.
Yu-Shan ZhangDepartment of Maternal and Child Health, School of Public Health Sun Yat-sen University Guangzhou China.
Ya-Jun ChenDepartment of Maternal and Child Health, School of Public Health Sun Yat-sen University Guangzhou China.ORCID 0000-0003-3132-2945
Xiao-Jian YinCollege of Physical Education and Health East China Normal University Shanghai China.
Xin-Ming YeSchool of Sports Science and Engineering, ECUST-Chengxin Research Institute of Health Science and Engineering East China University of Science and Technology Shanghai China.ORCID 0000-0002-2138-2701

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiorespiratory fitness (CRF) has been investigated as a broad, holistic health indicator for children and adolescents. The adverse effects of particulate matter on lung function and cardiovascular health have been widely reported, whereas the association between particulate matter and CRF and its potential pathways remains unclear. The study aims to estimate the association between particulate matter and CRF in children and adolescents and the mediating effect of adiposity on this association.

methodsA multistage random cluster sampling method was used to obtain a nationwide sample of 99 995 children and adolescents in China. Daily exposure to particulate matter with aerodynamic diameter ≤2.5 and <10 μm surrounding schools was extracted from the China High Air Pollutants data sets. As surrogates of long-term exposures, we used 3-year average (2013-2015) concentrations before the study for analyses. CRF was estimated by a 20-m shuttle run test.

resultsPer 10-μg/m

conclusionsThere is a negative and nonlinear association between long-term exposure to particulate matter and CRF among children and adolescents, and this association may be partially explained by adiposity. Cohort studies are needed to further validate the findings.

Indexed as

AdiposityAir PollutantsCardiorespiratory FitnessEnvironmental ExposureParticulate MatterAdolescentChildChinaFemaleHumansMaleRisk FactorsAir PollutantsParticulate Matteradipositycardiorespiratory fitnessparticulate matter with aerodynamic diameter ≤10 μmparticulate matter with aerodynamic diameter ≤2.5 μm

Identifiers

PMID41804877
PMCPMC13055663

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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.