Prevalence of Physical Activity and Sedentary Behavior among Chinese Children and Adolescents: Variations, Gaps, and Recommendations
Abstract
:1. Introduction
2. Method
2.1. Literature Search and Study Selection
2.2. Data Extraction
2.3. Quality-Assessment Study
3. Results
4. Discussion
4.1. Key Findings and Interpretations
4.2. Identified Gaps and Proposed Recommendations
4.2.1. Accurate Prevalence of PA and SB
4.2.2. PA and SB Prevalence Trends
4.2.3. PA and SB Measures
4.3. Review Limitations
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Inclusion Criteria | Exclusion Criteria |
---|---|
| Studies that:
|
Author (Year) | Design | Project | Sample | Measures | Prevalence Definition | Prevalence | |||
---|---|---|---|---|---|---|---|---|---|
PA | SB | PA | SB | PA (%) | SB (%) | ||||
Tian et al. (2007) | CS | China GSHS 2003 | N = 7393 3633 m; 3760 f 13–15 years | GSHS | 60 min MVPA/day | <3 h/day | O: 12.2; M: 15.7; F: 8.9 | O: 78.0; M: 78.4; F: 77.5 | |
Parvanta et al. (2010) | CS | CHNS 2004 | N = 1552 828 m; 724 f 6–17.99 years | NM | Interview-administered questionnaire | NA | Low: <6 h; medium: 6–10.99 h; high: ≥11 h | NA | 6–11.99 years Low: 23.3; medium: 38.8; high: 37.8. 12–17.99 years Low: 38.5; medium: 29.5; high: 32.0 |
Cui et al. (2011) | Multiple CS | CHNS 1997, 2000, 2004, 2006 | N = 6817 3615 m; 3202 f 6–18 years | NM | Interview-administered questionnaire | NA | <2 h/day | NA | 6–12 years Urban M: 1997: 86.7; 2000: 83.6; 2004: 68.3; 2006: 63.3 F: 1997: 86.5; 2000: 88.7; 2004: 66.3; 2006: 72.8 Rural M: 1997: 90.6; 2000: 88.5; 2004: 69.7; 2006: 53.3 F: 1997: 89.8; 2000: 88.4; 2004: 71.6; 2006: 57.7 13–18 years Urban M: 1997: 88.8; 2000: 88.9; 2004: 57.1; 2006: 55.7 F: 1997: 90.3; 2000: 91.5; 2004: 74.7; 2006: 65.3 Rural M: 1997: 94.3; 2000: 92.4; 2004: 77.1; 2006: 67.5 F: 1997: 97.0; 2000: 91.7; 2004: 83.3; 2006: 75.4 |
Zhang et al. (2012) | Multiple CS | CHNS 1997, 2000, 2004 | N = 5497 2913 m; 2584 f 6–18 years | Interview-administered questionnaire | NC | ≤2 h/day | 6–11 years M: 1997: 71.5; 2000: 72.0; 2004: 72.4 F: 1997: 63.9; 2000: 65.9; 2004: 70.1 12–18 years M: 1997: 81.3; 2000: 84.0; 2004: 89.1 F: 1997: 79.0; 2000: 79.6; 2004: 80.6 | O: 1997: 94.6; 2000: 93.5; 2004: 76.9 6–11 years O: 1997: 94.2; 2000: 93.1; 2004: 75.1 M: 1997: 94.9; 2000: 92.5: 2004: 74.5 F: 1997: 93.4; 2000: 93.8; 2004: 75.9 12–18 years O: 1997: 95.1; 2000: 93.8; 2004: 78.5 M: 1997: 94.5; 2000: 94.6; 2004: 75.6 F: 1997: 95.8; 2000: 92.8; 2004: 81.8 | |
Wang et al. (2013) | CS | CCCYPAS | N = 2163 1086 m; 1077 f 9–17 years | GT3X accelerometers (MPA as 2800 to 3999 CPM and VPA as ≥4000 CPM;) | 60 min MVPA/day | NA | O: 5.6; M: 9.4; F: 1.9 4–6th graders O: 3.8; M: 7.6; F: 1.0 7–9th graders O: 5.4; M: 8.4; F: 2.1 10–12th graders O: 9.1; M: 13.9; F: 3.1 | NA | |
Chen et al. (2014) | CS | CYRBS 2011 | N = 9901 5057 m; 4844 f 11–18 years | YRBSS | YRBSS | 60 min MVPA/day≥ 5 days | None; >0–2 h; >2–4 h; >4 h | O: 19.9; M: 25.1;F: 14.6 | TV viewing None (O: 57.0; M: 52.1; F: 62.2); >0–2 h (O: 38.2; M: 42.4; F: 33.9); >2–4 h(O: 3.5; M: 4.0; F: 3.0); >4 h (O: 1.2; M: 1.5; F: 0.9) Computer use None (O: 69.8; M: 66.0; F: 73.7); >0–2 h (O: 24.8; M: 26.8; F: 22.7); >2–4 h(O: 3.7; M: 4.7; F: 2.6); >4 h(O: 1.7; M: 2.5; F: 0.9) |
Cai et al. (2017) | CS | PAFCTYS 2016 | N = 116,615 57,685 m; 58,930 f 9–17 years | NM | Chinese Version of HBSC | NA | ≤2 h/day | NA | Primary Urban O: 66.8; M: 64.8; F: 68.9 Rural O: 65.0; M: 59.5; F: 70.3 Junior middle Urban O: 59.5; M: 57.4; F: 61.6 Rural O: 60.5; M: 55.5; F: 65.5 Junior high Urban O: 61.8; M: 60.7; F: 63.0 Rural O: 69.0; M: 68.0; F: 69.9 |
Fan and Cao (2017) | CS | PAFCTYS 2016 | N = 90,712 42,644 m; 48,068 f 9–17 years | IPAQ—Short Form | NM | 60 min MVPA/day | NA | O: 29.9; M: 31.8; F: 28.2 Urban M: 33.6; F: 29.0 Rural M: 30.6; F:27.9 Primary O: 33.5; M: 34.1; F: 33.0 Urban M: 36.5; F: 36.5 Rural M: 32.1; F: 29.4 Junior middle O: 32.5; M: 34.1; F: 31.2 Urban M: 37.3; F: 32.4 Rural M: 31.6; F: 30.6 Junior high O: 24.4; M: 27.8; F: 21.3 Urban M: 27.7; F: 18.6 Rural M: 28.5; F: 24.1 | NA |
Liu et al. (2019) | CS | China Report Card 2018 | N = 125,281 62,139 m; 63,142 f 9–17 years | Chinese Version of HBSC | 60 min MVPA/day | <2 h/day | O: 13.1; M: 14.5; F: 11.7 Primary 18.9; secondary 11.9; upper secondary 8.0 Rural: 12.6; Urban: 13.8 | O: 7.1; M:6.5; F: 7.6 Primary 13.2; secondary 3.9; upper secondary 3.9 | |
Song et al. (2019) | CS | CHNS 2010-2012 | N = 38,744 19,631 m; 19,113 f 6–17 years | Interview-administered questionnaire | NC | <2 h/day | O: 35.4; M: 37.8;F: 32.6 6–12 years 31.7; 13–17 years 39.9 | O: 14.2; M: 14.1;F: 14.4 6–12 years 17.0; 13–17 years 10.8 | |
Zhu et al. (2019) | CS | PAFCTYS 2017 | N = 105,246 50,557 m; 54,689 f 7–19 years | IPAQ—Short Form | Chinese Version of HBSC | 60 min MVPA/day | ≤2 h/day | O: 34.1; M: 36.5; F: 31.9 Primary 38.5; Junior middle 35.3; Junior high 24.20 Urban: 34.1; Rural: 34.1 | O: 65.4; M: 62.8; F: 67.7 Primary 67.7; junior middle 60.5; junior high 69.70 Urban: 66.6; Rural: 64.0 |
Author and Year | Study Participation | Measurements | Data Analysis | Total | Quality Judgement | |||
---|---|---|---|---|---|---|---|---|
Describe Participants in Detail | Response Rate >80% | Objective Measures | Validated Measures | Prevalence (95% CI) | Stratification | |||
Tian et al. (2007) | 1 | 1 | 0 | 1 | 1 | 1 | 5 | High |
Parvanta et al. (2010) | 1 | 0 | 0 | 0 | 0 | 1 | 2 | Low |
Cui et al.(2011) | 1 | 0 | 0 | 0 | 0 | 1 | 2 | Low |
Zhang et al. (2012) | 1 | 0 | 0 | 0 | 0 | 1 | 2 | Low |
Wang et al. (2013) | 1 | 0 | 1 | 1 | 0 | 1 | 4 | Moderate |
Chen et al. (2014) | 1 | 1 | 0 | 1 | 0 | 1 | 4 | Moderate |
Cai et al.(2017) | 1 | 1 | 0 | 1 | 1 | 1 | 5 | High |
Fan and Cao (2017) | 1 | 1 | 0 | 1 | 1 | 1 | 5 | High |
Liu et al.(2019) | 1 | 1 | 0 | 1 | 0 | 1 | 4 | Moderate |
Song et al. (2019) | 1 | 0 | 0 | 0 | 1 | 1 | 4 | Moderate |
Zhu et al. (2019) | 1 | 1 | 0 | 1 | 1 | 1 | 5 | Moderate |
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Shen, H.; Yan, J.; Hong, J.-T.; Clark, C.; Yang, X.-N.; Liu, Y.; Chen, S.-T. Prevalence of Physical Activity and Sedentary Behavior among Chinese Children and Adolescents: Variations, Gaps, and Recommendations. Int. J. Environ. Res. Public Health 2020, 17, 3066. https://doi.org/10.3390/ijerph17093066
Shen H, Yan J, Hong J-T, Clark C, Yang X-N, Liu Y, Chen S-T. Prevalence of Physical Activity and Sedentary Behavior among Chinese Children and Adolescents: Variations, Gaps, and Recommendations. International Journal of Environmental Research and Public Health. 2020; 17(9):3066. https://doi.org/10.3390/ijerph17093066
Chicago/Turabian StyleShen, Hejun, Jin Yan, Jin-Tao Hong, Cain Clark, Xian-Nan Yang, Yang Liu, and Si-Tong Chen. 2020. "Prevalence of Physical Activity and Sedentary Behavior among Chinese Children and Adolescents: Variations, Gaps, and Recommendations" International Journal of Environmental Research and Public Health 17, no. 9: 3066. https://doi.org/10.3390/ijerph17093066