ArticleHealth and quality of life outcomes2025
Associations between 24-hour movement guidelines and health-related quality of life among urban preschool children in Singapore, Japan, and China.
Article in Health and quality of life outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of meeting 24-hour movement guidelines in China: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Associations of 24-H Movement Behavior Composition with Estimated Cardiorespiratory Fitness in School-Aged Children: A Compositional Data Analysis.Children (Basel, Switzerland) · 2026Article
- Article
- Associations Between 24-Hour Movement Behaviors and Health-Related Quality of Life in East Asian Children.Healthcare (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundHealth-related quality of life (HRQoL) is increasingly recognized as a critical indicator of well-being in early childhood, yet its associations with 24-hour movement behaviors-physical activity, screen time, and sleep-remain underexplored in Asian populations. This study aims to examine the association between adherence to the 24-hour movement guidelines (24-MG) and health-related quality of life (HRQOL) among preschoolers residing in major urban areas of Singapore, Japan, and China.
methodsA cross-sectional survey was conducted among 6,634 children aged 3-6 years across Singapore (n = 3,672), Japan (n = 760), and China (n = 2,202). Movement behaviors were assessed using the validated SMALLQ
resultsFull adherence to all three 24-h MG components was significantly associated with higher physical and psychosocial HRQoL scores in Singapore and China. In Japan, adherence to physical activity guidelines alone is associated with higher HRQoL. Notably, Chinese children had the highest adherence rates across all individual and combined movement behaviors. Conversely, Japanese children had the lowest rates of full adherence and were more likely to fall short of all guidelines.
conclusionsThis study provides novel evidence from three urban Asian contexts that adherence to the 24-hour movement guidelines positively correlates with HRQoL in preschool-aged children. The findings highlight the importance of integrated movement behavior frameworks and support the development of culturally tailored public health policies to improve early childhood well-being.
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