Relationship between physical activity and physical health of preschool children in Tibet

CHEN Ting; LI Xiaocan; PENG Yaohan; ZHAO Xiangdong; ZHU Kangxin; SUN Ruizhe; YANG Haihang

doi:10.11852/zgetbjzz2024-0986

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Chinese Journal of Child Health Care ›› 2026, Vol. 34 ›› Issue (1) : 29-33. DOI: 10.11852/zgetbjzz2024-0986

Column on physical activity and childhood weight management

Relationship between physical activity and physical health of preschool children in Tibet

CHEN Ting^1*, LI Xiaocan^1*, PENG Yaohan¹, ZHAO Xiangdong¹, ZHU Kangxin¹, SUN Ruizhe², YANG Haihang¹

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Abstract

Objective To investigate the relationship between different levels of physical activity, sedentary time, and physical health among preschool children (aged 3 - 6 years) in specific regions of Tibet. Methods Data were obtained from the Tibetan National Physical Fitness Monitoring database, including 1 035 preschool children as study subjects. The physical fitness test assessed both body shape and physical function. The chi-square test and binary logistic regression models were used to analyze factors affecting physical health. Results The overall physical fitness qualification rate among preschool children in these Tibetan regions was 84.25%, significantly lower than the national average (P<0.001). Children exercising 3 - 4 times per week, for 30 - 120 minutes per session, and with sedentary time <2 hours per day, achieved better total physical fitness scores (P<0.05). Compared to the reference group (exercising <3 times/week), logistic regression showed that physical activity significantly increased the odds of passing the fitness qualification. This effect was observed in normal-weight preschool children (3 - 4 times/week: OR=23.88; ≥5 times/week: OR=9.54), obese children (3 - 4 times/week: OR=3.87), and children with high body fat (≥10.10%) (3 - 4 times/week: OR=9.65;≥5times/week:OR=4.97;60 - 120 min/session: OR=12.11) (all P<0.05). Conclusion Controlling sedentary time (<2h/d) and increasing physical activity (30 - 120min/session, 3 - 4 times/week) are crucial strategies for improving the physical fitness of preschool children in Tibet. For obese preschool children and those with high body fat, increasing both the frequency and duration of exercise is essential for enhancing their physical health outcomes.

Key words

Tibet / preschool children / physical activity / physical health

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CHEN Ting, LI Xiaocan, PENG Yaohan, ZHAO Xiangdong, ZHU Kangxin, SUN Ruizhe, YANG Haihang. Relationship between physical activity and physical health of preschool children in Tibet[J]. Chinese Journal of Child Health Care. 2026, 34(1): 29-33 https://doi.org/10.11852/zgetbjzz2024-0986

References

[1] Fan C, Sun R, Nie M, et al. Correction: The cardiorespiratory fitness of children and adolescents in Tibet at altitudes over 3 500 meters[J]. PLoS One, 2023, 18(12): e296556.
[2] 索朗曲珍,李亚杰,罗央措,等. 西藏婴幼儿生长迟缓和低体重与海拔的关联——基于倾向性评分匹配分析[J]. 中华疾病控制杂志,2022, 26(9): 1043-1049.
Solang QZ, Li YJ, Luo YT, et al. Association of growth retardation and low body weight with altitude in Tibetan infants and young children based on propensity score matching analysis[J]. Chin J Dis Control Prev,2022,26(9): 1043-1049. (in Chinese)
[3] 次旦旺久,拉巴顿珠,王凤丹,等. 三种方法评估藏族儿童骨龄效果比较及藏族儿童骨龄发育特点[J]. 协和医学杂志. 2021, 12(3): 411-416.
Cidan WJ, Laba DZ, Wang FD, et al. Comparison of three methods for evaluating bone age in Tibetan children and characteristics of bone age development in Tibetan children[J]. Med J PUMCH, 2021, 12(3): 411-416.(in Chinese)
[4] 席焕久,李文慧,温有锋,等. 海拔对儿童和青少年生长发育的影响[J]. 人类学学报. 2016, 35(2): 267-282.
Xi HJ, Li WH, Wen YF, et al. Effects of altitude on growth and development of children and adolescents[J]. Journal of Anthropology, 2016,35(2): 267-282. (in Chinese)
[5] Haapala EA, Gao Y, Hartikainen J, et al. Associations of fitness, motor competence, and adiposity with the indicators of physical activity intensity during different physical activities in children[J]. Sci Rep, 2021, 11(1): 12521.
[6] 陈婷,梁蒙,王佳娟,等. 西藏部分地区幼儿体质健康状况及相关因素分析[J]. 中国学校卫生, 2023, 44(11): 1626-1630.
Chen T, Liang M, Wang JJ, et al. Analysis of physical health status and related factors of young children in some areas of Tibet[J]. Chin J Sch Health, 2023,44(11): 1626-1630. (in Chinese)
[7] Komiya S, Eto C, Otoki K, et al. Gender differences in body fat of low- and high-body-mass children: Relationship with body mass index[J]. Eur J Appl Physiol, 2000, 82(1-2): 16-23.
[8] Cole TJ, Lobstein T. Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity[J]. Pediatr Obes, 2012, 7(4): 284-294.
[9] 国家国民体质监测中心.国民体质测定标准手册(幼儿部分)[EB/OL].(2003-12-08)[2024-06-30] https://www.sport.gov.cn/qts/n4986/c670120/content.html.
[10] Xiong X, Zhang W, An Y, et al. Association between physical health and physical activity behaviors for children aged 3-6 years in kindergarten: A cross-sectional study from China[J]. PLoS One, 2022, 17(12): e278341.
[11] 高雅楠,杨亚,韩晓伟,等. 儿童青少年身体活动和久坐少动行为与体质健康关系的研究[J]. 北京体育大学学报. 2024, 47(3): 22-39.
Gao YN, Yang Y, Han XW, et al. The relationship between physical activity and sedentary behavior of children and adolescents and their physical health[J]. Journal of Beijing Sport University, 2024,47(3): 22-39. (in Chinese)
[12] 陈新梅,旦增贡吉. 拉萨市藏族初中生体力活动与身体成分的关联[J]. 中国学校卫生, 2020, 41(9): 1406-1410.
[13] 周楠,郝翠荣. 中国城乡幼儿体质健康状况研究进展[J]. 中国健康教育, 2024, 40(3): 244-249.
Zhou N, Hao CR. Progress of physical health status of young children in urban and rural areas in China[J]. China Health Education, 2024,40(3): 244-249. (in Chinese)
[14] Fan J, Wu TY, Lovering AT, et al. Differential brain and muscle tissue oxygenation responses to exercise in Tibetans compared to Han Chinese[J]. Front Physiol, 2021, 12: 617954.
[15] Zhang Y, Su F, Song Y, et al. Associations between physical fitness index and body mass index in Tibetan children and adolescents in different high-altitude areas: Based on a study in Tibet, China[J]. Int J Environ Res Public Health, 2022, 19(16):10155.
[16] Bianba, Berntsen S, Andersen LB, et al. Exercise capacity and selected physiological factors by ancestry and residential altitude: Cross-sectional studies of 9-10-year-old children in Tibet[J]. High Alt Med Biol, 2014, 15(2): 162-169.
[17] Zhang Y, Sun J, Zhao M, et al. Prevalence of thinness, overweight and obesity among Tibetan adolescents aged 12-17 years[J]. Public Health Nutr, 2021, 24(13): 4017-4022.
[18] 徐荣彬,宋逸,马军,等. 西藏藏族中小学生1991—2014年超重与肥胖变化趋势分析[J]. 中国公共卫生, 2017, 33(12): 1712-1716.
Xu RB, Song Y, Ma J, et al. Trend analysis of overweight and obesity changes among Tibetan primary and secondary school students in Tibet from 1991 to 2014[J]. China Public Health, 2017,33(12): 1712-1716. (in Chinese)
[19] 李红娟,张柳. 儿童青少年身体活动与体质健康的关系及促进建议[J]. 人民教育, 2020(10): 36-41.
Li HJ, Zhang L. Relationship between physical activity and physical fitness of children and adolescents and suggestions for promotion[J]. People's Education, 2020(10): 36-41. (in Chinese)
[20] Senechal M, Hebert JJ, Fairchild TJ, et al. Vigorous physical activity is important in maintaining a favourable health trajectory in active children: the CHAMPS Study-DK[J]. Sci Rep, 2021, 11(1): 19211.
[21] Chen S, Su H, Liu X, et al. Effects of exercise training in hypoxia versus normoxia on fat-reducing in overweight and/or obese adults: A systematic review and meta-analysis of randomized clinical trials[J]. Front Physiol, 2022, 13: 940749.