Evidence map›Paper›PMID 41931343›Full record

ArticleMedicine2026

Multiregional survey of Chinese pediatricians: Compliance with WHO guidelines on physical activity, sedentary time, and sleep.

Huijuan Liu, Ziyun Li, Houyi Zhu, Li Zhang, Ting Zhang, Yan Li

Abstract read
In one paragraph

Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Huijuan LiuClinical Research Center for Child Health and Disorders, Key Laboratory of Birth Regulation and Control Technology of National Health Commission of China, Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao University, Jinan, China.
Ziyun LiClinical Research Center for Child Health and Disorders, Key Laboratory of Birth Regulation and Control Technology of National Health Commission of China, Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao University, Jinan, China.
Houyi ZhuDepartment of Rehabilitation Medicine, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, China.
Li ZhangClinical Research Center for Child Health and Disorders, Key Laboratory of Birth Regulation and Control Technology of National Health Commission of China, Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao University, Jinan, China.
Ting ZhangClinical Research Center for Child Health and Disorders, Key Laboratory of Birth Regulation and Control Technology of National Health Commission of China, Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao University, Jinan, China.
Yan LiClinical Research Center for Child Health and Disorders, Key Laboratory of Birth Regulation and Control Technology of National Health Commission of China, Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao University, Jinan, China.

Funding

Shandong Province Traditional Chinese Medicine Science and Technology Project Z20243204
6 · The paper itself

Abstract

This study aimed to evaluate Chinese pediatricians' familiarity with the World Health Organization (WHO) guidelines on children's physical activity (PA), sedentary behavior (SB), and sleep, and to assess their knowledge of recommendations, clinical practices in advising children and caregivers, and factors influencing awareness and implementation. A cross-sectional survey was conducted among 354 pediatricians across 9 provinces in China. The questionnaire collected demographic information; assessed awareness of WHO guidelines; evaluated knowledge of age-specific recommendations for PA, SB, and sleep duration; and examined clinical practices in providing guidance to children and caregivers. Only 25.4% of participants were familiar with the WHO guidelines, and merely 9.3% correctly identified the guidelines' release date. Knowledge accuracy regarding age-specific recommendations for PA, SB, and sleep duration varied across different age groups. However, the majority of participants (85.9%) reported routinely providing PA guidance to children and caregivers in clinical practice. Further analysis identified associations between participants' awareness/practices and factors such as years of practice and professional title. While pediatricians demonstrate active engagement in advising children and caregivers on health-promoting behaviors, their awareness of the WHO guidelines needs improvement. Strengthening training and education for pediatricians could enhance their understanding and application of evidence-based guidelines, thereby better supporting child health outcomes.

Indexed as

ExerciseGuideline AdherencePediatriciansSedentary BehaviorSleepAdultChildChinaCross-Sectional StudiesEast Asian PeopleFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedSurveys and Questionnaireschild healthpediatriciansphysical activitysedentary behaviorWHO guidelines

Identifiers

PMID41931343
PMCPMC13052917

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.