Evidence map›Paper›PMID 41859261›Full record

ArticleFrontiers in public health2026

Phase-specific changes in anthropometric and physical fitness outcomes among Chinese upper-secondary students before, during, and after the COVID-19 pandemic: the moderating role of educational track.

Chenlu Xu, Chendong Xu, Shenxing Du

Abstract read
In one paragraph

Article in Frontiers in 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

3 authors.

Chenlu XuZhejiang Pan'an High School, Jinhua, Zhejiang, China.
Chendong XuZhejiang Pan'an High School, Jinhua, Zhejiang, China.
Shenxing DuDepartment of Rehabilitation, Dongyang Red Cross Hospital, Jinhua, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The COVID-19 pandemic substantially disrupted school-based physical activity worldwide; however, how such disruptions differentially affect distinct domains of adolescent physical fitness across educational tracks remains insufficiently understood. Methods: Using large-scale school-based fitness surveillance data collected before, during, and after the COVID-19 pandemic, we examined phase-specific changes in anthropometric indicators and physical fitness outcomes among Chinese upper secondary school students aged 15-18 years. Students were stratified by educational track (general academic vs. vocational education), and outcomes spanning explosive power, endurance, flexibility, and anthropometric measures were analyzed to assess phase effects and phase-by-school-type interactions. Results: Statistically robust phase-related variations and phase-by-school-type interactions were observed across all fitness domains, with highly domain-specific responses. Anthropometric indicators followed overall upward trajectories consistent with long-term secular patterns, although students in vocational education exhibited greater temporal sensitivity to pandemic-related disruption. Explosive power showed relatively small phase effects but large and persistent between-school differences, whereas endurance and flexibility displayed pronounced phase-dependent changes, including delayed differentiation in endurance performance and a temporary narrowing of between-school disparities in flexibility during the pandemic. Conclusions: These findings demonstrate that large-scale societal disruptions, such as the COVID-19 pandemic, can alter adolescent physical fitness in domain- and context-specific ways, reshaping developmental patterns and inequality dynamics rather than uniformly depressing fitness levels. The educational track plays a critical role in moderating vulnerability and recovery across fitness domains, underscoring the need for fitness monitoring and intervention strategies that are sensitive to both domain-specific characteristics and the educational context.

Indexed as

AnthropometryCOVID-19Physical FitnessSchoolsStudentsAdolescentChinaEast Asian PeopleExerciseFemaleHumansMalePandemicsadolescent physical fitnessCOVID-19 pandemiceducational stratificationhealth inequalityschool-based surveillanceschool type

Identifiers

PMID41859261
PMCPMC12996040

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.