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Mediating effect of healthy lifestyles in the association between personality traits and obesity in primary school students in grades 4-6
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Chang-qian WU, Hui-bin DONG, Ye-xiang ZHANG, Xiao-qiang LI
Modern Preventive Medicine | 2026, 53(7) : 1264 - 1269
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Modern Preventive Medicine | 2026, 53(7): 1264-1269
• Child and Adolescent Health, Maternal and Child Health •
Mediating effect of healthy lifestyles in the association between personality traits and obesity in primary school students in grades 4-6
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Chang-qian WU, Hui-bin DONG, Ye-xiang ZHANG, Xiao-qiang LI
Affiliations
  • Changzhou Center for Disease Control and Prevention, Changzhou, Jiangsu 213022, China
Published: 2026-04-10 doi: 10.20043/j.cnki.MPM.202509248
Outline
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Objective

To investigate the mediating effect of healthy lifestyle between personality traits and obesity among primary school students in grades 4-6, so as to provide evidence for targeted obesity interventions.

Methods

A cross-sectional survey and physical examinations were conducted among 3 519 primary school students in grades 4-6 from 14 schools in Changzhou in 2024 by stratified cluster random sampling method. The personality traits were measured by the Big Five Inventory-10. The healthy lifestyle was assessed across four dimensions: healthy diet, moderate exercise, adequate sleep and reasonable screen time. A structural equation model was constructed to analyze the association between personality traits and obesity in primary school students and the mediating effect of the healthy lifestyle.

Results

The detection rate of obesity among primary school students in grades 4-6 was 20.60%, significantly higher in boys (25.16%) than girls (15.49%) (χ2=50.127, P<0.001). The detection rate of obesity decreased significantly with the increase of education level of father and mother (all P<0.05). The total score of healthy lifestyle and the score of conscientiousness were negatively correlated with obesity (rs=-0.066, P<0.001; rs=-0.058, P<0.001). After controlling for gender and parental education, the model results showed that the indirect effect of conscientiousness on obesity through healthy lifestyle was -0.010 (95% CI: -0.018~-0.002), and the mediating effect accounted for 18.87% of the total effect.

Conclusion

Conscientiousness can directly or indirectly affect obesity among primary school students in grades 4-6 in Changzhou through healthy lifestyle. Personalized intervention programs for childhood obesity should be designed in combination with personality traits to promote healthy lifestyle.

Obesity  /  Lifestyle  /  Personality traits  /  Mediating effect
武常倩, 董惠斌, 张叶香, 李小强. 健康生活方式在人格特质与4~6年级小学生肥胖关联间的中介效应. 现代预防医学, 2026 , 53 (7) : 1264 -1269 . DOI: 10.20043/j.cnki.MPM.202509248
Chang-qian WU, Hui-bin DONG, Ye-xiang ZHANG, Xiao-qiang LI. Mediating effect of healthy lifestyles in the association between personality traits and obesity in primary school students in grades 4-6[J]. Modern Preventive Medicine, 2026 , 53 (7) : 1264 -1269 . DOI: 10.20043/j.cnki.MPM.202509248
Year 2026 volume 53 Issue 7
17
10
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Article Info
doi: 10.20043/j.cnki.MPM.202509248
  • Receive Date:2025-09-14
  • Online Date:2026-11-02
  • Published:2026-04-10
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  • Received:2025-09-14
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    Changzhou Center for Disease Control and Prevention, Changzhou, Jiangsu 213022, China
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表12种不同金属材料的力学参数
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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