Phase-specific changes in anthropometric and physical fitness outcomes among Chinese upper-secondary students before, during, and after the COVID-19 pandemic: the moderating role of educational track.
Xu C, Xu C, Du S • Frontiers in public health • 2026
Large-scale societal disruptions such as the COVID-19 pandemic alter adolescent physical fitness in domain- and context-specific ways, reshaping developmental patterns and inequality dynamics rather than uniformly depressing fitness levels, with educational track playing a critical moderating role.
Key Findings
Results
Statistically robust phase-related variations and phase-by-school-type interactions were observed across all physical fitness domains among Chinese upper secondary students before, during, and after the COVID-19 pandemic.
Study used large-scale school-based fitness surveillance data collected across three pandemic phases: before, during, and after COVID-19.
Students were aged 15-18 years and stratified by educational track: general academic versus vocational education.
Outcomes analyzed spanned explosive power, endurance, flexibility, and anthropometric measures.
Phase effects and phase-by-school-type interactions were assessed across all fitness domains.
Responses were described as 'highly domain-specific' rather than uniform across fitness categories.
Results
Anthropometric indicators followed overall upward trajectories consistent with long-term secular patterns, with vocational education students exhibiting greater temporal sensitivity to pandemic-related disruption.
Anthropometric measures showed an overall upward trend across the three pandemic phases.
This upward trajectory was characterized as consistent with long-term secular patterns.
Vocational education students showed greater temporal sensitivity to pandemic-related disruption compared to general academic track students.
The phase-by-school-type interaction was observed for anthropometric outcomes.
Results
Explosive power showed relatively small phase effects but large and persistent between-school differences across the pandemic phases.
Phase effects on explosive power were described as 'relatively small' compared to other fitness domains.
Between-school differences in explosive power were characterized as 'large and persistent.'
This pattern suggests that educational track differences in explosive power were maintained regardless of pandemic phase.
Explosive power was among the outcomes analyzed using school-based fitness surveillance data.
Results
Endurance performance displayed pronounced phase-dependent changes including delayed differentiation between educational tracks.
Endurance showed 'pronounced phase-dependent changes' across the three study periods.
A pattern of 'delayed differentiation in endurance performance' was observed between school types.
This suggests that differences between general academic and vocational students in endurance emerged or widened at a later phase rather than immediately.
Endurance was one of the fitness domains most affected by pandemic-phase variation.
Results
Flexibility disparities between educational tracks temporarily narrowed during the pandemic phase.
Flexibility displayed 'pronounced phase-dependent changes' similar to endurance.
A 'temporary narrowing of between-school disparities in flexibility during the pandemic' was observed.
This narrowing suggests that the pandemic disruption differentially affected flexibility across educational tracks in a way that reduced inequality temporarily.
The narrowing was characterized as temporary, implying disparities may have re-emerged in the post-pandemic phase.
Conclusions
The educational track moderates vulnerability and recovery across fitness domains during large-scale societal disruptions such as the COVID-19 pandemic.
Vocational education students showed differential responses compared to general academic track students across multiple fitness domains.
The moderating role of educational track was observed across anthropometric indicators, explosive power, endurance, and flexibility.
The findings indicate that pandemic disruptions reshape 'developmental patterns and inequality dynamics rather than uniformly depressing fitness levels.'
Authors concluded there is a need for fitness monitoring and intervention strategies 'sensitive to both domain-specific characteristics and the educational context.'
Xu C, Xu C, Du S. (2026). Phase-specific changes in anthropometric and physical fitness outcomes among Chinese upper-secondary students before, during, and after the COVID-19 pandemic: the moderating role of educational track.. Frontiers in public health. https://doi.org/10.3389/fpubh.2026.1771290