# Assessing the relationship between digital technology use and physical health, fitness, and exercise levels among Chinese youth: The moderating effect of parental monitoring

**Authors:** Ziyi Hao, Jiajia Cui, Andi Asrifan, Bogdan Nadolu, Bogdan Nadolu

PMC · DOI: 10.1371/journal.pone.0324705 · PLOS One · 2025-06-04

## TL;DR

This study explores how digital technology use affects the physical health and exercise levels of Chinese youth, and how parental monitoring can reduce these negative effects.

## Contribution

The study reveals that parental monitoring moderates the impact of digital technology use on physical health and exercise in Chinese youth.

## Key findings

- Digital technology use significantly predicts lower physical health and exercise levels among Chinese youth.
- Parental monitoring and positive attitudes toward physical activity can mitigate the negative effects of digital technology use.
- Parental supervision interacts with digital technology use to reduce associated health risks.

## Abstract

The study investigates how digital media use, parental supervision, and attitudes towards physical activity influence young Chinese individuals’ physical health and exercise levels. Concerns over the health impacts of increasing digital technology use among teenagers have spurred extensive research. However, the specific roles of parental supervision and personal attitudes towards physical activity in mitigating or exacerbating these effects remain unclear. The study sample comprises 827 Chinese youth from diverse geographical locations. Regression analyses highlight significant predictors of physical health and exercise levels, including digital technology use (β = 0.35, p < 0.001), social media use (β = 0.22, p = 0.003), online gaming (β = 0.19, p = 0.011), educational technology use (β = 0.29, p = 0.003), parental monitoring (β = 0.47, p < 0.001), and attitudes towards physical activity (β = 0.50, p < 0.001). Additionally, the result illustrates that attitudes towards physical activity moderate the relationship between digital technology usage and physical health and exercise levels (Indirect Effect = 0.12, p = 0.003). The moderation analysis shows that digital technology use, social media use, online gaming, and educational technology use exhibit significant interactions with parental monitoring, indicating that parental supervision can mitigate the health risks associated with digital device usage.These findings underscore the crucial role of parental involvement in mitigating the health risks associated with adolescent technology use.

## Full-text entities

- **Diseases:** cerebral palsy (MESH:D002547), diabetes (MESH:D003920), ORCID iD (MESH:C535742), obesity (MESH:D009765), Non-Communicable Diseases (MESH:D000073296), hyperactivity (MESH:D006948), hypertension (MESH:D006973), psychotic (MESH:D011618), COVID-19 (MESH:D000086382), cardiovascular illness (MESH:D002318), Conduct problems (MESH:D019973), chronic diseases (MESH:D002908)
- **Chemicals:** Nadolu (-), D (MESH:D003903)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

103 references — full list in the complete paper: https://tomesphere.com/paper/PMC12136296/full.md

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Source: https://tomesphere.com/paper/PMC12136296