# From gym to joy: The serial mediation of motor competence and health literacy in Chinese university students’ exercise-life satisfaction pathway

**Authors:** Shao-Shuai Ma, Zhe Zhu, Dongsheng Cai, Chen-Xi Li, Ya-Xing Li, Bo Li, Sai Zhu, Jiaxian Geng, Henri Tilga, Henri Tilga, Henri Tilga

PMC · DOI: 10.1371/journal.pone.0335180 · 2025-11-19

## TL;DR

This study shows that regular exercise improves life satisfaction in Chinese university students, partly through better motor skills and health knowledge.

## Contribution

The study identifies serial mediation pathways of motor competence and health literacy in the exercise-life satisfaction relationship.

## Key findings

- Exercise adherence directly and positively predicts life satisfaction in university students.
- Health literacy mediates 26.25% of the effect of exercise adherence on life satisfaction.
- Motor-skill competence and health literacy sequentially mediate a small portion of the effect.

## Abstract

To investigate the impact of exercise adherence on life satisfaction among Chinese university students and to explore the mediating roles of motor-skill competence and health literacy. The ultimate goals are to provide a comprehensive understanding of the mechanisms underlying the relationship between physical activity and well-being, and to inform the development of targeted interventions that promote holistic student development.

A total of 15,031 valid responses were extracted from a national university-student survey database. All variables were assessed with standardized questionnaires. Data were analyzed with SPSS 27.0. Promoting the physical and mental well-being and holistic development of students has become a policy priority that commands national attention, public concern, and sustained governmental focus, and the PROCESS macro v4.0.

Exercise adherence, life satisfaction, motor-skill competence, and health literacy were positively intercorrelated. Exercise adherence significantly and positively predicted university students’ life satisfaction. The indirect effect along Path 1—exercise adherence → motor-skill competence → life satisfaction—was 0.003, accounting for 1.1% of the total effect. The indirect effect along Path 2—exercise adherence → health literacy → life satisfaction—was 0.067, accounting for 26.25% of the total effect. The indirect effect along Path 3—exercise adherence → motor-skill competence → health literacy → life satisfaction—was 0.001, accounting for 0.28% of the total effect.

The study findings reveal that exercise adherence has a positive direct effect on university students’ life satisfaction and also exerts an indirect effect through the sequential mediation of motor-skill competence and health literacy. These results provide empirical evidence of the complex interplay between physical activity, skill development, and mental health.

## Full-text entities

- **Diseases:** injury (MESH:D014947), ORCID iD (MESH:C535742)
- **Chemicals:** serotonin (MESH:D012701), PONE-D-25-40062 (-), cortisol (MESH:D006854)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12629451/full.md

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Source: https://tomesphere.com/paper/PMC12629451