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Systematic review and Meta-analysis of the effect of sleep on subsequent-day physical activity among children and adolescents
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Xuewen HU1, Guanggao ZHAO*, 2, Jinmei FU3, Liqiang SU4, Shunli SUN3, Ruiming CHEN2, Delong CHEN2, Tianle JIANG2, Yunong LI2, Fanchao SHEN2, Jin HONG2, Haihua HU2
Chinese Journal of School Health | 2025, 46(12) : 1781 - 1786
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Chinese Journal of School Health | 2025, 46(12): 1781-1786
• Growth, Development and Surveillance •
Systematic review and Meta-analysis of the effect of sleep on subsequent-day physical activity among children and adolescents
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Xuewen HU1, Guanggao ZHAO*, 2, Jinmei FU3, Liqiang SU4, Shunli SUN3, Ruiming CHEN2, Delong CHEN2, Tianle JIANG2, Yunong LI2, Fanchao SHEN2, Jin HONG2, Haihua HU2
Affiliations
  • 1School of Physical Education and Health, East China Jiaotong University, Nanchang 330013, Jiangxi Province, China
Published: 2025-12-25 doi: 10.16835/j.cnki.1000-9817.2025356
Outline
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Objective

To explore the effects of sleep on subsequent-day physical activity (PA) in children and adolescents, so as to provide a reference for refining PA intervention strategies and further investigating their underlying mechanisms.

Methods

Through searching databases including Web of Science Core Collection, PubMed, EBSCOhost, ScienceDirect, Cochrane Library, CNKI, Wanfang and VIP cross-sectional, cohort and experimental studies on sleep and subsequent-day PA among children and adolescents were identified, with the searching period spanning from database inception to June, 2025. Based on the characteristics of the included literature, two sleep variables[sleep duration (SD) and sleep efficiency (SE)] and three physical activity variables[moderate-to-vigorous physical activity (MVPA), light physical activity (LPA), and total physical activity (TPA)] were selected. The relationship between these two types of variables was analyzed for pooled effect sizes using Stata 17.0.

Results

A total of 14 studies were included, with 64.3% published in 2018 or later, involving 11 361 children and adolescents from 17 countries. Meta-analysis results showed that both SD (ES=0.04, 95%CI=0.01-0.07) and SE (ES=0.24, 95%CI=0.01-0.47) were positively correlated with subsequent-day MVPA (both P < 0.05). However, no statistically significant associations were found with LPA (ES=-0.04, 95%CI=-0.13 to 0.06; ES=-0.02, 95%CI=-0.15 to 0.11) or TPA(ES=0.09, 95%CI=-0.02 to 0.20; ES=0.02, 95%CI=-0.03 to 0.06)(all P>0.05). Subgroup analysis revealed that in the "≤6 years" subgroup, SD and SE were positively correlated with TPA (ES=0.22, 95%CI=0.09-0.35) and MVPA (ES=1.19, 95%CI=1.06-1.32), respectively; in the "6-12 years" subgroup, SD was positively correlated with MVPA (ES=0.05, 95%CI=0.02-0.08); in the "≥12 years" subgroup, SE was positively correlated with LPA (ES=0.08, 95%CI=0.00-0.16), while SD was negatively correlated with LPA (ES=-0.23, 95%CI=-0.31 to -0.16) (all P < 0.05).

Conclusion

Adequate SD and good SE can effectively enhance subsequent-day MVPA among children and adolescents, although these sleep effects vary by age group.

Sleep  /  Motor activity  /  Databases, bibliographic  /  Meta-analysis  /  Child  /  Adolescent
胡学文, 赵广高, 付近梅, 苏利强, 孙顺利, 陈睿铭, 陈德龙, 蒋天乐, 李雨浓, 沈凡超, 洪进, 胡海华. 睡眠影响儿童青少年次日身体活动的系统评价与Meta分析. 中国学校卫生, 2025 , 46 (12) : 1781 -1786 . DOI: 10.16835/j.cnki.1000-9817.2025356
Xuewen HU, Guanggao ZHAO, Jinmei FU, Liqiang SU, Shunli SUN, Ruiming CHEN, Delong CHEN, Tianle JIANG, Yunong LI, Fanchao SHEN, Jin HONG, Haihua HU. Systematic review and Meta-analysis of the effect of sleep on subsequent-day physical activity among children and adolescents[J]. Chinese Journal of School Health, 2025 , 46 (12) : 1781 -1786 . DOI: 10.16835/j.cnki.1000-9817.2025356
Year 2025 volume 46 Issue 12
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2
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doi: 10.16835/j.cnki.1000-9817.2025356
  • Receive Date:2025-07-03
  • Online Date:2026-11-06
  • Published:2025-12-25
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  • Received:2025-07-03
  • Revised:2025-10-04
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    1School of Physical Education and Health, East China Jiaotong University, Nanchang 330013, Jiangxi Province, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
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属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
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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