Abstract
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC? The prevalence of insufficient physical activity (PA) among Chinese adults has shown an upward trend, reaching 22.3% in 2018. Leisure time PA (LTPA) constitutes a minimal proportion of total physical activity patterns. WHAT IS ADDED BY THIS REPORT? The adherence rate to Physical activity guidelines (PAGs) was 85.7%. While occupational PA remained the predominant form of physical activity, its proportion has decreased. LTPA has emerged from its historically lowest position among activity types. Screen-based activities now constitute the primary form of sedentary behavior. WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE? Strategic interventions are needed to promote LTPA by addressing urban-rural disparities in sports facility access and increasing public venue availability. Additionally, targeted initiatives are required to reduce sedentary time, particularly among young people and urban residents, while maintaining engagement in LTPA.