Evidence mapPaperPMID 41398242Full record

SynthesisBMC public health2025

Prevalence of meeting 24-hour movement guidelines in China: a systematic review and meta-analysis.

Zhe Zhang, Runhao Li, YunFei Xie, ZiChao Chen, Richard Bailey, Selina Khoo

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Zhe ZhangFaculty of Sports and Exercise Science, Universiti Malaya, Kuala Lumpur, 50603, Malaysia.
Runhao LiFaculty of Sports and Exercise Science, Universiti Malaya, Kuala Lumpur, 50603, Malaysia.
YunFei XieFaculty of Sports and Health, East China Jiaotong University, Nanchang, 330013, China.
ZiChao ChenInstitute of Sports Science, Sichuan University, Chengdu, 610021, China.
Richard BaileyFaculty of Social Sciences and Liberal Arts, UCSI University, Kuala Lumpur, 56000, Malaysia.
Selina KhooFaculty of Sports and Exercise Science, Universiti Malaya, Kuala Lumpur, 50603, Malaysia. selina@um.edu.my.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdhering to 24-hour movement guidelines, encompassing physical activity, sedentary behavior, and sleep, is crucial for health. This study aimed to estimate the prevalence of (non)adherence to these guidelines in the Chinese population.

methodFour electronic databases (PubMed, Scopus, Web of Science, and CNKI) were searched for quantitative studies published in Chinese and English between June 2016 and October 2025. Studies were included if they reported overall (non)adherence to the 24-hour movement guidelines in Chinese participants. The prevalence data from multiple studies were pooled using a random-effects model. Subgroup analyses were conducted to determine differences in prevalence across populations, regions, survey years, female percentage, and assessment methods for physical activity and sleep. Additionally, meta-regression analyses were performed to identify the sources of heterogeneity.

resultsThe meta-analysis included 68 studies, encompassing 832,027 participants. The overall pooled prevalence of meeting all three 24-hour movement guidelines was 7.6% (95% CI: 6.2%, 9.0%). Adults showed the highest adherence (17.9%, 95% CI: 11.4%, 25.4%), followed by preschoolers (13.3%, 95% CI: 11.3%, 15.4%), while children and adolescents (5.1%, 95% CI: 4.1%, 6.2%) and older adults (1.7%, 95% CI: 1.5%, 2.0%) demonstrated markedly lower adherence. Furthermore, 13.0% (95% CI: 11.0%, 14.9%) of the population met none of the guidelines, with older adults exhibiting the highest non-adherence (17.4%, 95% CI: 6.3%, 32.4%).

conclusionThis meta-analysis underscores the low adherence to 24-movement guidelines among Chinese populations. These findings highlight the urgent need for targeted interventions to improve 24-hour movement behaviors across all age groups.

Indexed as

ExerciseGuideline AdherenceSedentary BehaviorChinaFemaleGuidelines as TopicHumansPrevalenceSleep24-Hour movement guidelinesChinaPhysical activityPrevalenceScreen timeSedentary behaviorSleep

Identifiers

PMID41398242
PMCPMC12822022

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.