Evidence map›Paper›PMID 42443831›Full record

ArticleBMC public health2026

Association of parental moderate-to-vigorous physical activity with child overweight/obesity, physical fitness and MVPA guideline adherence: dose-response analyses among schoolchildren.

Junyu Wang, Yixin Liang, Shengyong Wu, Shenghui Guo, Yong Yang, Zheng Zhu, Yang Liu, ZhenBo Cao, Yan Tang, Peijie Chen and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 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

11 authors.

Junyu Wang *School of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Yixin Liang *School of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Shengyong WuDepartment of Military Health Statistics, Naval Medical University, Shanghai, China.
Shenghui GuoSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Yong YangSchool of Physical Education, Chaohu University, Hefei, China.
Zheng ZhuSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Yang LiuSchool of Physical Education and Sport Training, Shanghai University of Sport, Shanghai, China.
ZhenBo CaoSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Yan TangSchool of Physical Education and Sport Training, Shanghai University of Sport, Shanghai, China.
Peijie ChenSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China. chenpeijie@sus.edu.cn.
Jie ZhuangSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China. zhuangjiesh@163.com.ORCID https://orcid.org/0000-0002-2442-7418

Funding

Key Project of the National Social Science Foundation of China 16ZDA227Shanghai Oriental Talent Program JS2025098
6 · The paper itself

Abstract

objectivesTo examine associations between parental weekly moderate-to-vigorous physical activity (MVPA) and offspring BMI-defined overweight/obesity, MVPA guideline compliance, and physical fitness attainment, and to characterise dose-response patterns.

methodsWe conducted a cross-sectional analysis of 18,479 linked parent-child dyads (Grades 4-12) from the Shanghai site of a school-based surveillance programme (2016-2020). Parents reported MVPA using the International Physical Activity Questionnaire-Short Form. Child outcomes were BMI-defined overweight/obesity (WHO reference), MVPA guideline compliance (≥ 60 min/day), and fitness attainment (Chinese National Student Physical Fitness Standard total score ≥ 80). Associations across parental MVPA quartiles (Q1 as reference) were estimated using logistic regression with cluster-robust standard errors to account for school-level clustering, adjusting for prespecified child and family covariates. Restricted cubic spline models were used to assess non-linearity and to visualize dose-response relationships.

resultsOverall, 26.1% of children were classified as overweight/obese. Higher parental MVPA was associated with lower odds of offspring overweight/obesity and higher odds of fitness attainment and MVPA compliance, with the strongest association observed for MVPA compliance in Q4 compared with Q1 (adjusted OR 1.82, 95% CI 1.64 to 2.04). For overweight/obesity, spline models showed no strong evidence of non-linearity (p = 0.17), suggesting that the association may be broadly compatible with a linear pattern, although lower estimated odds were observed above approximately 127 min/week and attenuated around 560 min/week. Fitness attainment and MVPA compliance demonstrated non-linear associations (p < 0.001), with larger gains in child MVPA compliance at higher parental MVPA levels.

conclusionHigher parental MVPA was consistently associated with healthier offspring BMI status, higher likelihood of fitness attainment, and substantially greater likelihood of meeting MVPA guidelines, with suggestive dose-response patterns rather than statistically confirmed thresholds for all outcomes. Family-oriented strategies that help parents achieve at least moderate weekly MVPA may represent a scalable lever to improve child movement behaviors and related health indicators.

Indexed as

ExerciseGuideline AdherenceParentsPediatric ObesityPhysical FitnessBody Mass IndexChildChinaCross-Sectional StudiesFemaleHumansMaleAdolescentBody Mass IndexChildModerate-to-vigorous physical activityObesityOverweightParentsPhysical Fitness

Identifiers

PMID42443831
PMCPMC13647530

What OpenQuestion holds

Textmetadata
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.