How exercise frequency affects BMI: a nationwide cross-sectional study exploring key influencing factors, including dietary behavior

PurposeBody Mass Index (BMI) is an important indicator for assessing obesity and related health risks. With the rapid socio-economic development and changes in lifestyle, abnormal BMI (such as underweight, overweight, and obesity) has become an increasingly serious public health issue. This study ai...

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Main Authors: Ming Zhang, Qinyi Guan, Jianrong Mai, Si Li, Chengwu Liu, Ling Zhou, Lina Lin, Kaisheng Teng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1514805/full
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author Ming Zhang
Qinyi Guan
Jianrong Mai
Si Li
Chengwu Liu
Ling Zhou
Lina Lin
Kaisheng Teng
author_facet Ming Zhang
Qinyi Guan
Jianrong Mai
Si Li
Chengwu Liu
Ling Zhou
Lina Lin
Kaisheng Teng
author_sort Ming Zhang
collection DOAJ
description PurposeBody Mass Index (BMI) is an important indicator for assessing obesity and related health risks. With the rapid socio-economic development and changes in lifestyle, abnormal BMI (such as underweight, overweight, and obesity) has become an increasingly serious public health issue. This study aims to explore the impact of exercise frequency on BMI among Chinese adults aged 19 to 59, and to analyze the role of dietary behaviors in regulating BMI, providing a basis for BMI intervention strategies.MethodThe study employs a multi-stage sampling method across 23 provinces, provincial capitals, and four municipalities in China, randomly selecting 120 cities from each region. Online surveys were conducted using Wenjuanxing by trained surveyors.ResultA total of 8,611 individuals participated in the survey. Among them, 1,066 (12.38%) had a BMI < 18.5, 5,354 (62.18%) had a BMI between 18.5 and 23.9, and 2,191 (25.44%) had a BMI ≥ 24. Factors such as gender, age, marital status, monthly household income, smoking, and alcohol consumption significantly affected BMI (p < 0.05). The overall impact of exercise on abnormal BMI was −0.003, with a direct effect of −0.005. The mediating effect of dietary behaviors between exercise and abnormal BMI was 0.002, accounting for 92.48% of the total effect.ConclusionThis study highlights the widespread prevalence of abnormal BMI among individuals aged 19 to 59 in China. A single exercise intervention may be insufficient to effectively improve abnormal BMI; thus, it should be combined with strategies aimed at enhancing dietary behaviors.
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spelling doaj-art-6db00a56419b45678e92ac18177072732025-01-15T05:10:24ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.15148051514805How exercise frequency affects BMI: a nationwide cross-sectional study exploring key influencing factors, including dietary behaviorMing Zhang0Qinyi Guan1Jianrong Mai2Si Li3Chengwu Liu4Ling Zhou5Lina Lin6Kaisheng Teng7Department of Physical Education, Guangzhou Xinhua University, Dongguan, ChinaSchool of Public Health, Guangxi Medical University, Nanning, ChinaDepartment of Pathology, School of Basic Medical Sciences, Guangzhou Health Science College, Guangzhou, ChinaDepartment of Cardiothoracic Surgical ICU, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, ChinaSchool of Public Health and Health Professions, Guangzhou Health Science College, Guangzhou, ChinaSchool of Nursing, Guangzhou Xinhua University, Guangzhou, ChinaSchool of Nursing, Guangzhou Xinhua University, Guangzhou, ChinaSchool of Public Health, Guangxi Medical University, Nanning, ChinaPurposeBody Mass Index (BMI) is an important indicator for assessing obesity and related health risks. With the rapid socio-economic development and changes in lifestyle, abnormal BMI (such as underweight, overweight, and obesity) has become an increasingly serious public health issue. This study aims to explore the impact of exercise frequency on BMI among Chinese adults aged 19 to 59, and to analyze the role of dietary behaviors in regulating BMI, providing a basis for BMI intervention strategies.MethodThe study employs a multi-stage sampling method across 23 provinces, provincial capitals, and four municipalities in China, randomly selecting 120 cities from each region. Online surveys were conducted using Wenjuanxing by trained surveyors.ResultA total of 8,611 individuals participated in the survey. Among them, 1,066 (12.38%) had a BMI < 18.5, 5,354 (62.18%) had a BMI between 18.5 and 23.9, and 2,191 (25.44%) had a BMI ≥ 24. Factors such as gender, age, marital status, monthly household income, smoking, and alcohol consumption significantly affected BMI (p < 0.05). The overall impact of exercise on abnormal BMI was −0.003, with a direct effect of −0.005. The mediating effect of dietary behaviors between exercise and abnormal BMI was 0.002, accounting for 92.48% of the total effect.ConclusionThis study highlights the widespread prevalence of abnormal BMI among individuals aged 19 to 59 in China. A single exercise intervention may be insufficient to effectively improve abnormal BMI; thus, it should be combined with strategies aimed at enhancing dietary behaviors.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1514805/fullbody mass indexexercisedietary behaviormediation effectinfluencing factor
spellingShingle Ming Zhang
Qinyi Guan
Jianrong Mai
Si Li
Chengwu Liu
Ling Zhou
Lina Lin
Kaisheng Teng
How exercise frequency affects BMI: a nationwide cross-sectional study exploring key influencing factors, including dietary behavior
Frontiers in Public Health
body mass index
exercise
dietary behavior
mediation effect
influencing factor
title How exercise frequency affects BMI: a nationwide cross-sectional study exploring key influencing factors, including dietary behavior
title_full How exercise frequency affects BMI: a nationwide cross-sectional study exploring key influencing factors, including dietary behavior
title_fullStr How exercise frequency affects BMI: a nationwide cross-sectional study exploring key influencing factors, including dietary behavior
title_full_unstemmed How exercise frequency affects BMI: a nationwide cross-sectional study exploring key influencing factors, including dietary behavior
title_short How exercise frequency affects BMI: a nationwide cross-sectional study exploring key influencing factors, including dietary behavior
title_sort how exercise frequency affects bmi a nationwide cross sectional study exploring key influencing factors including dietary behavior
topic body mass index
exercise
dietary behavior
mediation effect
influencing factor
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1514805/full
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