Uma análise bibliométrica de três décadas de pesquisa sobre os correlatos e determinantes da atividade física na China
DOI:
https://doi.org/10.12820/rbafs.30e0395Palavras-chave:
Atividade física, Pesquisa em atividade física, China, Fatores associados, DeterminantesResumo
Objetivo: Esse estudo avalia o progresso de três décadas na pesquisa sobre os determinantes e fatores associados à inatividade física na China, ao analisar tendências temporais e as características dos artigos publicados entre 1990 e 2019. Métodos: Uma revisão sistemática foi conduzida pelo Observatório Global de Atividade Física identificando publicações na área de atividade física e saúde entre 1950 e 2019 na China, das quais 162 foram sobre os determinantes e fatores associados à inatividade física. As principais variáveis analisadas foram: tipos de determinantes e fatores associados investigados, delineamento do estudo, grupos etários investigados, instrumentos usados para avaliar a atividade física, afiliação do primeiro autor, características geográficas da população em estudo e década da publicação. Resultados: O número de publicações sobre os determinantes e fatores associados à inatividade física na China mostrou uma tendência crescente desde a publicação do primeiro artigo em 1998. A maioria dos estudos utilizou um delineamento transversal (79,6%), cerca de oito vezes mais frequentes do que estudos de coorte. A maioria das publicações (72,8%) avaliou determinantes e fatores associados à inatividade física no nível individual. Em termos da população em estudo, a maioria das pesquisas foram conduzidas em cidades grandes, com maiores níveis de desenvolvimento. Crianças de 0 a 9 anos de idade foram o grupo com menor número de estudos identificados. Os questionários foram os instrumentos mais usados (72,2%). Conclusões: Apesar de um marcado aumento na quantidade de publicações sobre determinantes e fatores associados à inatividade física na China nas últimas três décadas, as pesquisas são caracterizadas por uma persistente homogeneidade, destacando-se a necessidades de mais estudos de coorte, ampliação da representação geográfica dos estudos, atenção balanceada entre os diferentes grupos etários e a investigação de diferentes camadas de determinantes e fatores associados à inatividade física.
Downloads
Referências
1. Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012;380(9838):219-29.
2. Guthold R, Stevens GA, Riley LM, Bull FC. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants. Lancet Child Adolesc Health. 2020;4(1):23-35.
3. Heath GW, Parra DC, Sarmiento OL, Andersen LB, Owen N, Goenka S, et al. Evidence-based intervention in physical activity: lessons from around the world. Lancet. 2012;380(9838):272-81.
4. Naylor PJ, McKay HA. Prevention in the first place: schools a setting for action on physical inactivity. Br J Sports Med. 2009;43(1):10-3.
5. Kohl HW, Craig CL, Lambert EV, Inoue S, Alkandari JR, Leetongin G, et al. The pandemic of physical inactivity: global action for public health. Lancet. 2012;380(9838):294-305.
6. Ramirez Varela A, Salvo D, Pratt M, Milton K, Siefken K, Bauman A, et al. Worldwide use of the first set of physical activity Country Cards: The Global Observatory for Physical Activity-GoPA! Int J Behav Nutr Phys Act. 2018;15(1):29.
7. Ding D. Surveillance of global physical activity: progress, evidence, and future directions. Lancet Glob Health.2018;6(10):e1046–e1047.
8. Reilly JJ, Aubert S, Brazo-Sayavera J, Liu Y, Cagas JY, Tremblay MS. Surveillance to improve physical activity of children and adolescents. Bull World Health Organ. 2022;100(12):815-24.
9. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-62.
10. Chalkley A, Milton K. A critical review of national physical activity policies relating to children and young people in England. J Sport Health Sci. 2021;10(3):255-62.
11. Gelius P, Messing S, Goodwin L, Schow D, Abu-Omar K. What are effective policies for promoting physical activity? A systematic review of reviews. Prev Med Rep. 2020;18:101095.
12. Chen S, Hong J, Milton K, Klepac B, Ma J, Pedisic Z. Analysis of national physical activity and sedentary behaviour policies in China. BMC Public Health. 2023;23(1):1024.
13. World Health Organization. Global status report on physical activity 2022. Available from: https://www.who.int/teams/health-promotion/physical-activity/global-status-report-on-physical-activity-2022> [2024 March].
14. Strain T, Flaxman S, Guthold R, Semenova E, Cowan M, Riley LM, et al. National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022: a pooled analysis of 507 population-based surveys with 5·7 million participants. Lancet Glob Health. 2024;12(8):e1232-e1243.
15. Hallal PC, Andersen LB, Bull FC, Guthold R, Haskell W, Ekelund U. Global physical activity levels: surveillance progress, pitfalls, and prospects. Lancet. 2012;380(9838):247-57.
16. Ramírez-Vélez R, Silva DR. The challenge of promoting physical activity in low-income and middle-income countries. Lancet Glob Health. 2023;11(8):e1158-e1159.
17. Ding D, Lawson KD, Kolbe-Alexander TL, Finkelstein EA, Katzmarzyk PT, van Mechelen W, et al. The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet. 2016;388(10051):1311-24.
18. Lei XL, Gao K, Wang H, Chen W, Chen GR, Wen X. The role of physical activity on healthcare utilization in China. BMC Public Health. 2023;23(1):2378.
19. Bounajm F, Theriault L, Dinh T. Moving Ahead: The Economic Impact of Reducing Physical Inactivity and Sedentary Behaviour. The Conference Board of Canada. 2014. Available from: <https://www.conferenceboard.ca/product/moving-ahead-the-economic-impact-of-reducing-physical-inactivity-and-sedentary-behaviour/> [2024 November].
20. Global Observatory for Physical Activity. GoPA! Global Observatory for Physical Activity. Available from: <https://new.globalphysicalactivityobservatory.com/goal> [2024 March].
21. Ramírez Varela A, Cruz GIN, Hallal P, Blumenberg C, da Silva SG, Salvo D, et al. Global, regional, and national trends and patterns in physical activity research since 1950: a systematic review. Int J Behav Nutr Phys Act. 2021;18(1):35.
22. Zhang K, Morales D, Chen J, Zhao W, Tang A, Kohn E, et al. The Evolution of Physical Activity and Health Research in China: A Bibliometric Analysis of Study Areas and Sex Balance in Authorship. J Phys Act Health. 2024;21(8):802-6.
23. Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJF, Martin BW. Correlates of physical activity: why are some people physically active and others not? Lancet. 2012;380(9838):258-71.
24. Ding D, Ramirez Varela A, Bauman AE, Ekelund U, Lee IM, Heath G, et al. Towards better evidence-informed global action: lessons learnt from the Lancet series and recent developments in physical activity and public health. Br J Sports Med. 2020;54(8):462-8.
25. Ramírez Varela A, Hallal PC, Mejía Grueso J, Pedišić Ž, Salvo D, Nguyen A, et al. Status and Trends of Physical Activity Surveillance, Policy, and Research in 164 Countries: Findings from the Global Observatory for Physical Activity—GoPA! 2015 and 2020 Surveys. J Phys Act Health. 2023;20(2):112-28.
26. Dumith SC, Hallal PC, Reis RS, Kohl HW 3rd. Worldwide prevalence of physical inactivity and its association with human development index in 76 countries. Prev Med. 2011;53(1-2):24-8.
27. The State Council. State council measures to enhance people’s fitness. Health. Available from: https://english.gov.cn/policies/latest_releases/2019/07/15/content_281476765851704.htm [2024 June].
28. The State Council. China to implement national fitness program. Available from: <https://english.www.gov.cn/policies/latest_releases/2016/06/23/content_281475378214258.htm> [2024 June].
29. Song J. Awakening: Evolution of China's science and technology policies. Tech Soc. 2008;30(3-4):235-41.
30. King D. The scientific impact of nations. Nature. 2004;430(6997):311-6.
31. Wang S, Glen J. Competing Institutional Logics of Academic Personnel System Reforms in Leading Chinese Universities.” J High Educ Policy Manage. 2021;43(1):49–66.
32. Liu J, Wang H. What is the real "Up-or-Out"(in Chinese). Chongqing Higher Education Research. 2020;8(5):44-54.
33. Wang X, Wang W. The tenure track employment system in colleges and universities in China: a scoping review of the Chinese literature. Front Psychol. 2024;14:1271110.
34. Wang T, Yu L, Wang W, Dai K. Employees in change: an exploration of academics’ perceived employee-organisation relationship in the reform of the tenure-track system in China. Stud High Educ. 2023;1–14.
35. Yang X, Cai X, Li T. Does the tenure track influence academic research? An empirical study of faculty members in China. Stud High Educ. 2023;(3):476–92.
36. Machado PG, Florindo AA, Knuth AG, Varela AR, Malta DC, Kohn ER, et al. Progress in Physical Activity Surveillance, Research, Policy, and Gender Equity in Brazil: Results From the Global Observatory for Physical Activity. J Phys Act Health. 2025;8:1-8.
37. Salvo D, Ramírez Varela A, Jáuregui A. Moving Together to Advance Physical Activity Research in Low- and Middle-Income Countries: The Case of Latin America. J Phys Act Health. 2022;19(9):589-91.
38. Liu K, Siu KWM, Gong XY, Gao Y, Lu D. Where do networks really work? The effects of the Shenzhen greenway network on supporting physical activities. Landsc Urban Plan, 2016;152:49-58.
39. Chen A, Liu X. Expectancy beliefs and perceived values of Chinese college students in physical education and physical activity. J Phys Act Health. 2008;5(2):262-74.
40. Nordfjærn T, Zavareh M F. Does the value-belief-norm theory predict acceptance of disincentives to driving and active mode choice preferences for children's school travels among Chinese parents?. J Environ Psychol, 2017;53:31-9.
41. Poitras VJ, Gray CE, Borghese MM, Carson V, Chaput JP, Janssen I, et al. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Appl Physiol Nutr Metab, 2016;41:S197–239.
42. Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act. 2010;7:40.
43. Physical Activity Guidelines Advisory Committee. Physical activity guidelines Advisory Committee scientific report. Washington, DC: U.S. Department of Health and Human Services, 2018. Available from: [2024 November].
44. Kemper HC, Monyeki KD. The Amsterdam growth and health longitudinal study: how important is physical activity in youth for later health? (ELS 33). Cardiovasc J Afr. 2019;30:138-41.
45. The State Council. The People’s Republic of China. Outline of the “Healthy China 2030” Plan, 2016. Available from: http://www.gov.cn/zhengce/2016-10/25/content_5124174.htm> [2024 November].
46. Nigg CR, Fuchs R, Gerber M, Jekauc D, Koch T, Krell-Roesch J, et al. Assessing physical activity through questionnaires – A consensus of best practices and future directions. Psychol Sport Exerc. 2020;50.
47. Skender S, Ose J, Chang-Claude J, Paskow M, Brühmann B, Siegel EM, et al. Accelerometry and physical activity questionnaires - a systematic review. BMC Public Health. 2016;16:515.
48. Xin F, Zhu Z, Chen S, Chen H, Hu X, Ma X, et al. Prevalence and correlates of meeting the muscle-strengthening exercise recommendations among Chinese children and adolescents: Results from 2019 Physical Activity and Fitness in China-The Youth Study. J Sport Healt h Sci. 2022;11(3):358-66.
49. Liu Y, Zhang Y, Chen S, Zhang J, Guo Z, Chen P. Associations between parental support for physical activity and moderate-to-vigorous physical activity among Chinese school children: A cross-sectional study. J Sport Health Sci. 2017;6(4):410-5.
50. Johansson E, Mei H, Xiu L, Svensson V, Xiong Y, Marcus C, et al. Physical activity in young children and their parents-An Early STOPP Sweden-China comparison study. Sci Rep. 2016;6:29595.
51. Stanley RM, Ridley K, Dollman J. Correlates of children's time-specific physical activity: a review of the literature. Int J Behav Nutr Phys Act. 2012;9:50.
52. Harrington DM, Gillison F, Broyles ST, Chaput JP, Fogelholm M, Hu G, et al. Household-level correlates of children's physical activity levels in and across 12 countries. Obesity (Silver Spring). 2016;24(10):2150-7. .
53. Liu Y, Ke Y, Liang Y, Zhu Z, Cao Z, Zhuang J, Cai Y, et al. Results from the China 2022 report card on physical activity for children and adolescents. J Exerc Sci Fit. 2023;21(1):1-5.
54. Van Der Horst K, Paw MJCA, Twisk JWR, Van Mechelen W. A Brief Review on Correlates of Physical Activity and Sedentariness in Youth. Med Sci Sports Exerc. 2007;39(8):1241-50.
55. Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32(5):963-75.
56. Lema-Gómez L, Arango-Paternina CM, Eusse-López C, Petro J, Petro-Petro J, López-Sánchez M, et al. Family aspects, physical fitness, and physical activity associated with mental-health indicators in adolescents. BMC Public Health. 2021;21(1):2324.
57. Chen S, Hong J, Milton K, Klepac B, Ma J, Pedisic Z. Analysis of national physical activity and sedentary behaviour policies in China. BMC public health, 2023;23(1):1024.
58. Zhang M, Ma Y, Xie X, Sun M, Huang Z, Zhao Z, et al. Trends in insufficient physical activity among adults in China 2010–18: a population-based study. Int J Behav Nutr Phys Act. 2023;20(1):87.
59. Ng SW, Howard AG, Wang HJ, Su C, Zhang B. The physical activity transition among adults in China: 1991-2011. Obes Rev. 2014;15 Suppl 1(0 1):27-36.
60. Monda KL, Gordon-Larsen P, Stevens J, Popkin BM. China's transition: the effect of rapid urbanization on adult occupational physical activity. Soc Sci Med. 2007;64(4):858-70.
61. Yadav K, Krishnan A. Changing patterns of diet, physical activity and obesity among urban, rural and slum populations in north India. Obes Rev. 2008;9(5):400–8.
62. Dans A, Nawi Ng, Varghese C, E. Shyong Tai, Firestone R, Bonita R. The rise of chronic non-communicable diseases in southeast Asia: time for action. Lancet. 2011;377(9766):680-9.
63. Pratt M, Ramirez Varela A, Salvo D, Kohl Iii HW, Ding D. Attacking the pandemic of physical inactivity: what is holding us back?. Br J Sports Med. 2020;54(13):760-2.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2025 Zijian Lu, Kaiyue Zhang, Diana Morales, Ding Ding, Andrea Ramirez Varela, Michael Pratt, Pedro Curi Hallal
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Ao submeter um manuscrito à Revista Brasileira de Atividade Física & Saúde, os autores mantêm a titularidade dos direitos autorais sobre o artigo, e autorizam a Revista Brasileira de Atividade Física & Saúde a publicar esse manuscrito sob a Licença Creative Commons Atribuição 4.0 e identificá-la como veículo de sua publicação original.
