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ORIGINAL RESEARCH article

Front. Public Health

Sec. Environmental Health and Exposome

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1692650

This article is part of the Research TopicPublic Health Outcomes: The Role of Social Security Systems in Improving Residents' Health Welfare, Volume IIView all 17 articles

The Smog of Exercise: The Causal Effect of Air Pollution on Fitness Behaviors

Provisionally accepted
Wen  CaoWen Cao1*Tianyu  GaoTianyu Gao2Chen  AoChen Ao2Na  LiNa Li3*Huijun  XiongHuijun Xiong4*
  • 1Jiangxi Rural Commercial United Bank Co.,Ltd., Nanchang, China
  • 2Jiangxi University of Finance and Economics, Nanchang, China
  • 3Jiangxi Agricultural University, Nanchang, China
  • 4Shanghai Lixin University of Accounting and Finance, Shanghai, China

The final, formatted version of the article will be published soon.

With the rapid advancement of industrialization and urbanization in China, air pollution is now an increasingly serious issue, drawing heightened attention to its effects on both the mental and physical health of individuals. From the perspective of health behavior, this study investigates residents' engagement in physical activity by examining fitness behavior, utilizing temperature inversion as an instrumental variable for air pollution. The analysis is based on a dataset comprising 63,340 respondents from the China Family Panel Studies conducted between 2010 and 2018. Applying the two-stage least squares method, the paper empirically tests the causal link between air pollution and residents' fitness participation. The results reveal a statistically significant negative association: as air pollution intensifies, the likelihood of individuals participating in fitness activities decreases. Moreover, the results highlight heterogeneous effects across demographic groups, including differences by gender, age, household registration, and education level. Overall, this study provides robust evidence regarding the health-related economic costs of air pollution.

Keywords: Air Pollution, Fitness Behaviors, Temperature inversion, Two-stage least squares, Causal effect

Received: 16 Sep 2025; Accepted: 22 Sep 2025.

Copyright: © 2025 Cao, Gao, Ao, Li and Xiong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Wen Cao, caowen1671@163.com
Na Li, lina1992@jxau.edu.cn
Huijun Xiong, 651158023@qq.com

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