Evidence map›Paper›PMID 42265802›Full record

ArticleBMC psychology2026

Adherence to 24-hour movement guidelines and mental health outcomes in Chinese university students.

Yongtao Yan, Xiangli Zhong, Yang Wang, Sha Liao, Xiangyu Du, Qiyuan He, Yunhan Qing, Cheng Chen, Yisong Yao, Yongyu Huang

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

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yongtao YanSchool of Physical Education, Shenzhen Polytechnic University, Shenzhen, China.
Xiangli ZhongKey Laboratory of Digital-Intelligent Disease Surveillance and Health Governance, North Sichuan Medical College, Shunqing District, Banzheng Street, Nanchong, 637000, China.
Yang WangSchool of Physical Education and Sports Science, South China Normal University, Guangzhou, China.
Sha LiaoSchool of Physical Education and Sports Science, South China Normal University, Guangzhou, China.
Xiangyu DuSchool of Physical Education and Sports Science, South China Normal University, Guangzhou, China.
Qiyuan HeSchool of Physical Education and Sports Science, South China Normal University, Guangzhou, China.
Yunhan QingKey Laboratory of Digital-Intelligent Disease Surveillance and Health Governance, North Sichuan Medical College, Shunqing District, Banzheng Street, Nanchong, 637000, China.
Cheng ChenGraduate School, Harbin Sport University, Harbin, China. ccxdyjs@163.com.
Yisong YaoChinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, 610041, China. 1240017309@qq.com.
Yongyu HuangSchool of Physical Education and Sports Science, South China Normal University, Guangzhou, China. huangyongyu177@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health problems such as depression, anxiety, and stress are highly prevalent among university students and may lead to long-term adverse outcomes. Emerging evidence suggests that 24-hour movement behaviors-including physical activity, sedentary behavior, and sleep-play an important role in psychological well-being. However, limited research has examined these behaviors collectively within the 24-hour movement framework among Chinese university students.

methodsA cross-sectional survey was conducted among 836 full-time university students in 2025. Physical activity and sedentary behavior were assessed using the IPAQ-SF, and sleep duration was measured using items from the Pittsburgh Sleep Quality Index. Mental health was evaluated using the DASS-21. Compliance with the Canadian 24-Hour Movement Guidelines was categorized by the number and types of recommendations met. Multivariable linear and logistic regression models were used to examine associations between guideline adherence and psychological symptom scores and risks, adjusting for demographic covariates.

resultsOverall, 23 students met none of the guidelines, while 140, 379, and 294 met one, two, and all three guidelines, respectively. The prevalence of stress, anxiety, and depressive symptoms was 84.4%, 61.4%, and 78.0%. Compared with meeting none of the guidelines, meeting all three was associated with significantly lower prevalence of anxiety (OR = 0.41, 95% CI: 0.17-0.96) and depressive symptoms (OR = 0.21, 95% CI: 0.08-0.50). Meeting two guidelines were also related to lower odds of depressive symptom (OR = 0.32, 95% CI: 0.14-0.77). Among behavior combinations, strongest relationship was shown between meeting both PA, sedentary behavior and anxiety (OR = 0.33), depressive symptoms (OR = 0.28).

conclusionsAdherence to multiple 24-hour movement guidelines is strongly associated with better mental health outcomes among Chinese college students. These findings highlight the potential of integrated movement-based strategies in university mental health promotion.

Indexed as

AnxietyDepressionExerciseGuideline AdherenceMental HealthSedentary BehaviorStudentsAdolescentAdultChinaCross-Sectional StudiesFemaleHumansMaleSleep DurationStress, Psychological24-hour movement behaviorsDASS-21Mental healthPhysical activityUniversity students

Identifiers

PMID42265802
PMCPMC13474884

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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.