{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T02:15:39Z","timestamp":1777860939866,"version":"3.51.4"},"reference-count":65,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T00:00:00Z","timestamp":1754352000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In the Chinese context, a greater emphasis is placed on academic skills rather than healthy lifestyles among pre\u2010school children. To promote well\u2010being as a whole, a comprehensive interpretation of multivariant relationships between health, functioning and well\u2010being is necessary for children in this age group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The current study adopted a network analysis among 422 urban Chinese pre\u2010school children (57.8\u2009\u00b1\u20099.7\u2009months, 54.2% boys) to detect the inter\u2010relationships between the variables from nine domains, including demographics, adiposity, physical activity levels, executive function, motor coordination, sleep disturbance, diet health and mental strengths and difficulties. Data was obtained through both questionnaires completed by parents and direct assessment among children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings indicated that poor well\u2010being outcomes were prevalent among the participating children, including risk of central obesity (18.9%), global sleep disturbance (38.4%) and moderate\u2010to\u2010severe mental difficulties (42.6%). The network analysis demonstrated that age fully\/partially mediated the associations among child functioning such as executive function and motor coordination. Mental strength, mental difficulties and sleep health had mutual correlations, however, none of them had a significant relationship with age. Furthermore, sex played little role in the network.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study supports that healthy lifestyle is crucial for Chinese pre\u2010school children to learn and practice. Results of network analysis implies that education on child's mental health are warranted for children, parents and teachers. A balance between academic achievement and child's health well\u2010being should be prioritized in child care and early childhood education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cch.70144","type":"journal-article","created":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T01:20:04Z","timestamp":1754443204000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Healthy Lifestyle Matters: A Network Analysis of Urban Chinese Pre\u2010School Children's Adiposity, Sleep Health, Mental Health, Child Functioning and Health Behaviours"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1154-5076","authenticated-orcid":false,"given":"Yuan","family":"Fang","sequence":"first","affiliation":[{"name":"Department of Health and Physical Education The Education University of Hong Kong  Hong Kong SAR 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