Purpose: Poor vision is prevalent in school-aged students, especially in East Asia. This can not only cause irreversibly physical health impairments like glaucoma and cataracts, but also the loss of individual education and employment opportunities and deterioration of the quality of life. The present study aims to investigate the associations between poor vision, vision-related risk behaviors, and mathematics achievement in youth from China. Methods: The present study included a total of 106,192 Grade 4 students and 70,236 Grade 8 students from the China National Assessment of Educational Quality-Physical Education & Health 2015 (CNAEQ-PEH 2015). We conducted a standard logarithmic visual acuity scale for vision screening, a self-reported questionnaire for vision-related risk behavior and a standardized mathematics assessment for mathematics performance. Poor vision is defined as the visual acuity below 5.0 by using the standard logarithmic visual acuity chart. Linear regression was conducted. Results: The prevalence rate of poor vision in China was 37.1% in Grade 4 and 66.2% in Grade 8 in 2015. Students who had poor vision were more likely to have better mathematics achievement than those with normal vision. Reading in bed, insufficient sleep, and screen time during weekdays and weekends were associated with higher odds of poor vision. Conclusions: Poor vision was positively associated with mathematics academic achievements, while vision-related risk behaviors such as screen time, homework time and reading in bed were associated with a high prevalence of poor vision in compulsory education cycle students.

Purpose: To summarize the framework and development procedure of the China National Assessment of Education Quality - Physical Education & Health in 2015 (CNAEQ-PEH 2015), an authoritative and evidence-based national surveillance protocol developed by the Ministry of Education of the People’s Republic of China for Grade 4 and Grade 8 students. Methods: The framework of CNAEQ-PEH 2015 included a test battery of physical fitness and health outcomes and self-reported questionnaires regarding facilitators and barriers to physical fitness and health in school settings and family status, completed by students, teachers, and principals. A qualified, standardized, and responsible work procedure was generated to provide insights into the quality of data collection and supervision of large-scale school-based physical fitness testing implementation. Measure development, stratified unequal probability sampling, and implementation were included in the working procedure. Results: In the first circle of the CNAEQ-PEH conducted on June 18, 2015, 111,173 Grade 4 students from 4,015 elementary schools and 72,243 Grade 8 students from 2,461 middle schools, along with their principals (n = 6,447) and physical education (PE) teachers (n = 11,418), were sampled by probability proportionate to size (PPS) across 323 counties in China. Results provided detailed information regarding students’ physical fitness outcomes, learning, lifestyle, and educational environment. Conclusions: CNAEQ-PEH 2015 is a large-scale assessment of physical fitness and health outcomes. It helps provide opportunities to understand the physical fitness and health status of Chinese Grade 4 and 8 students and to study the correlations of physical fitness and health, as well as their relationship with education-related indicators and academic performance.

Background: Parents from urban, lower social economic classes often encounter unique challenges in their lives, which shape how they work with their children who are overweight or obese to change their exercise and eating behaviors at home. The present study took an initial step to address a gap in the literature by describing the challenges that parents from lower social economic classes in an urban city encountered in changing exercise and eating behaviors of their children who are overweight or obese. Methods: A conversational style semi-structured interview with prompts and probes was conducted to 44 parents whose child is overweight or obese. Inductive content analysis and constant comparison was used to analyze the data. Data trustworthiness was established by using a variety of strategies. Results: Two major themes with eight sub-themes emerged from the data: Challenges to promote a healthy active lifestyle, and challenges from their child’s development and lifestyle behavior. Eight sub-themes were: (1) Need for effective strategies for a lifestyle behavior change, (2) monitor and promote healthy choices, (3) money, time, and dangerous neighborhood, (4) scientific knowledge to promote a healthy active lifestyle, (5) developmental changes of adolescence, (6) unmotivated and lack of persistence, (7) sneaking eating, and (8) peer pressure. Conclusion: The challenges, from economic to parenting, are certainly of importance, and understanding these challenges will be crucial to help school-based professionals develop interventions. Those identified challenges should be clearly placed within family-school collaboration practices.

Previous studies have indicated a positive association between physical activity (PA) and mathematics achievement. The present study explored the association of PA outside school with math interest using longitudinal data from Kaifeng, a medium-sized city in Central China. A two-tier multilevel logistic model was conducted using 2,132 students’ math test scores, self-reported PA frequency, and math learning-related experience in December 2019 and January 2021. Socioeconomic status, school location, and sex were all controlled. The results showed that physical exercise frequency and physical exercise per class outside school had a significant positive impact on mathematics interest ([ ];[ ]), as did previous mathematics interest ([ ]) and self-educational expectation ([ ];[ ]). It indicated that regular physical exercise outside of school can lead to increased mathematics interest.