Exercise & Training

More is not always better: longitudinal associations and nonlinear dose-response relationships between physical activity, psychological capital, and positive body image among Chinese university students.

TL;DR

Higher levels of physical activity were prospectively associated with greater psychological capital and body appreciation among Chinese university students, with PsyCap partially mediating this association (23.33%), and different dimensions of PA demonstrating distinct nonlinear dose-response patterns.

Key Findings

Baseline physical activity prospectively predicted higher psychological capital at follow-up.

  • Cross-lagged panel model showed β = 0.121, p < 0.001
  • Two-wave longitudinal survey with a three-month interval
  • Sample of 669 university students from four universities in Z City, China
  • PA was assessed using the Physical Activity Rating Scale-3 (PARS-3)
  • PsyCap was measured using the Psychological Capital Questionnaire-24 (PCQ-24)

Baseline physical activity prospectively predicted greater body appreciation at follow-up.

  • Cross-lagged panel model showed β = 0.264, p < 0.001
  • Body appreciation was assessed using the Body Appreciation Scale-2 (BAS-2)
  • This was the largest prospective beta coefficient reported among the primary associations
  • The association remained after controlling for baseline body appreciation

Baseline psychological capital prospectively predicted subsequent body appreciation.

  • Cross-lagged panel model showed β = 0.170, p < 0.001
  • This finding supports PsyCap as an independent prospective predictor of body appreciation
  • The three-month follow-up interval was used to assess this temporal association

Psychological capital partially mediated the prospective association between baseline physical activity and follow-up body appreciation.

  • PsyCap accounted for 23.33% of the total association between PA and body appreciation
  • Mediation was evaluated using bias-corrected bootstrap procedures
  • The mediation was partial, meaning PA also had a direct prospective association with body appreciation independent of PsyCap
  • This indicates PsyCap is one psychological mechanism linking PA to body appreciation

Exercise intensity was linearly associated with psychological capital, while exercise duration and frequency exhibited U-shaped (nonlinear) associations with PsyCap.

  • Polynomial regression models were fitted to investigate nonlinear dose-response relationships
  • Exercise duration and frequency showed U-shaped relationships with PsyCap, suggesting moderate levels may not yield the same benefit as lower or higher levels
  • Exercise intensity showed a straightforward positive linear association with PsyCap
  • These findings indicate 'more is not always better' for certain dimensions of PA with respect to PsyCap

Exercise duration demonstrated a significant cubic nonlinear association with body appreciation, while intensity and frequency showed positive linear associations.

  • Exercise intensity and frequency were positively linearly associated with body appreciation
  • Exercise duration showed a cubic (third-order polynomial) nonlinear dose-response relationship with body appreciation
  • The cubic pattern suggests the relationship between duration and body appreciation changes direction more than once across the range of duration values
  • These distinct patterns were identified using polynomial regression models

Male students reported significantly higher levels of physical activity, psychological capital, and body appreciation than female students.

  • All gender differences were statistically significant at p < 0.05
  • This pattern was observed across all three primary constructs: PA, PsyCap, and body appreciation
  • The sample consisted of Chinese university students

What This Means

This research suggests that being more physically active is linked over time to both stronger psychological resources (like confidence, hope, resilience, and optimism — collectively called 'psychological capital') and a more positive relationship with one's body (measured as 'body appreciation') among Chinese university students. The study followed 669 students across two time points three months apart, and found that students who were more active at the start of the study tended to have higher psychological capital and greater body appreciation three months later. Part of how physical activity may benefit body image appears to work through building these psychological strengths, which accounted for roughly 23% of the link between activity and body appreciation. A particularly notable finding is that the relationship between physical activity and these psychological benefits is not always straightforward — 'more is not always better.' Different aspects of exercise (how hard you work out, how long each session lasts, and how often you exercise) had different patterns of association with psychological wellbeing. For example, working out at higher intensities was consistently associated with better outcomes in a simple linear way, but exercising for longer durations showed a more complex, curved relationship with both psychological capital and body image. This suggests that simply doing more exercise in terms of session length does not guarantee proportionally greater psychological benefit. The study also found that male students consistently reported higher physical activity, psychological capital, and body appreciation than female students. Because this was a longitudinal study (not an experiment), the findings show associations over time rather than proving that exercise directly causes improvements in body image or psychological capital. Still, this research suggests that promoting physical activity among university students — particularly attending to exercise intensity and frequency — may support both psychological wellbeing and healthier attitudes toward one's body, and that building psychological strengths may be one pathway through which this benefit occurs.

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Citation

Li Y, Chen X. (2026). More is not always better: longitudinal associations and nonlinear dose-response relationships between physical activity, psychological capital, and positive body image among Chinese university students.. Frontiers in public health. https://doi.org/10.3389/fpubh.2026.1870988