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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Public Health</journal-id>
<journal-title>Frontiers in Public Health</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Public Health</abbrev-journal-title>
<issn pub-type="epub">2296-2565</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpubh.2025.1515522</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Public Health</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>A study on the influence of family social capital on participation in adolescent extracurricular sports and public health</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Sui</surname> <given-names>Wenjie</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Huang</surname> <given-names>Miaohong</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/2876207/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>College of Physical Education, Huaqiao University</institution>, <addr-line>Quanzhou</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Xiamen Institute of Technology</institution>, <addr-line>Xiamen</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Jorge Carlos-Vivas, University of Extremadura, Spain</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Cui Zhibo, Chengdu Sport University, China</p>
<p>Angela Peghetti, IRCCS Azienda Ospedaliera-Universitaria di Bologna, Italy</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Miaohong Huang <email>8959sdjk6007&#x00040;163.com</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>25</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="ecorrected">
<day>12</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>13</volume>
<elocation-id>1515522</elocation-id>
<history>
<date date-type="received">
<day>24</day>
<month>10</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>05</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2025 Sui and Huang.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Sui and Huang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>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) and the copyright owner(s) 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.</p></license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>With increasing academic pressure, extracurricular tutoring and interest classes are growing rapidly. This trend is especially evident in youth sports interest classes. Families allocate limited resources to these activities, directly influencing their social capital. This study examines how family social capital affects adolescent participation in extracurricular sports and its broader implications for public health.</p></sec>
<sec>
<title>Methods</title>
<p>This study uses longitudinal data from the China Family Tracking Survey (CFPS, 2010&#x02013;2018, <italic>N</italic> = 12,750) to analyze the relationship between family social capital, extracurricular sports participation, and adolescent health outcomes. A Backpropagation (BP) neural network model was applied to assess the predictive power of family social capital on sports engagement. Public health indicators, such as obesity, anxiety, and depression rates, were also evaluated. Regional disparities were examined to highlight differences between urban and rural areas.</p></sec>
<sec>
<title>Results</title>
<p>Adolescents from high-social-capital families had significantly higher sports participation (85%) than those from low-social-capital families (25%). They also had lower obesity rates (10% vs. 30%) and reduced anxiety and depression by 25% and 20%, respectively. Parental engagement increased the likelihood of sports participation by 15%, and educational resources positively impacted adolescent wellbeing. Regional disparities were evident, with urban adolescents participating at 70%, compared to 40% in rural areas.</p></sec>
<sec>
<title>Discussion</title>
<p>The findings show that higher family social capital improves adolescents&#x00027; physical and mental health. It helps reduce public health risks such as obesity, anxiety, and depression. Additionally, it increases the participation of young people in various physical activities. This study emphasizes the need to improve family social capital and address regional inequalities. These efforts can promote public health and provide equitable access to extracurricular opportunities.</p></sec></abstract>
<kwd-group>
<kwd>public health</kwd>
<kwd>obesity</kwd>
<kwd>anxiety</kwd>
<kwd>depression</kwd>
<kwd>educational resources</kwd>
<kwd>CFPS data</kwd>
<kwd>family social capital</kwd>
<kwd>youth extracurricular sports</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="5"/>
<equation-count count="13"/>
<ref-count count="42"/>
<page-count count="12"/>
<word-count count="7985"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Children and Health</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>1 Introduction</title>
<p>Family social capital, a crucial component of social networks, consists of the resources and support provided by family members and their connections. It plays a significant role in shaping adolescents&#x00027; choices, particularly in extracurricular sports participation, which has direct implications for public health (<xref ref-type="bibr" rid="B1">1</xref>&#x02013;<xref ref-type="bibr" rid="B3">3</xref>). Physical activity during adolescence is vital for preventing various health issues, including obesity, anxiety, and depression, and promoting overall wellbeing (<xref ref-type="bibr" rid="B4">4</xref>&#x02013;<xref ref-type="bibr" rid="B6">6</xref>). However, disparities in family resources and social capital can lead to unequal access to extracurricular sports, affecting long-term health outcomes (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>).</p>
<p>Household income influences adolescent development through two key models: the financial capital model, which focuses on tangible resources, and the family process model, which emphasizes the household environment (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B10">10</xref>). Adolescents from low-income families often face economic stress, reduced parental support, and limited access to sports activities, all of which contribute to poor physical and mental health outcomes (<xref ref-type="bibr" rid="B11">11</xref>&#x02013;<xref ref-type="bibr" rid="B14">14</xref>).</p>
<p>As China undergoes rapid economic transformation, public health has become a critical development indicator (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>). While education remains a primary area of family investment, the role of extracurricular physical activities in shaping adolescent health is underexplored (<xref ref-type="bibr" rid="B17">17</xref>, <xref ref-type="bibr" rid="B18">18</xref>). Using China Family Panel Studies (CFPS) data, researchers investigated how family social capital influences adolescent participation in extracurricular sports and its broader implications for public health (<xref ref-type="bibr" rid="B19">19</xref>&#x02013;<xref ref-type="bibr" rid="B22">22</xref>).</p>
<p>This study makes significant contributions to public health research by demonstrating that higher family social capital leads to increased adolescent participation in extracurricular sports. This, in turn, improves physical and mental health outcomes. Our findings highlight the need for policymakers and educators to strengthen family social capital to enhance adolescent wellbeing.</p>
<p>The key contributions of this paper are as follows:</p>
<list list-type="bullet">
<list-item><p>This study highlights the significant role of family social capital in promoting adolescent participation in extracurricular sports and demonstrates its positive impact on both physical and mental health outcomes.</p></list-item>
<list-item><p>This research emphasizes the impact of geographical location and economic conditions on family social capital, revealing regional inequalities in access to extracurricular sports opportunities and public health resources.</p></list-item>
<list-item><p>The study provides actionable recommendations for policymakers and educators, focusing on enhancing family social capital as a strategy to promote healthier lifestyles and address public health challenges, such as reducing lifestyle-related health issues among adolescents.</p></list-item>
</list></sec>
<sec id="s2">
<title>2 Related work</title>
<p>Research on family social capital (<xref ref-type="bibr" rid="B23">23</xref>&#x02013;<xref ref-type="bibr" rid="B27">27</xref>) has extensively explored its role in various domains, including education, economic mobility, and social networks. Danes et al. (<xref ref-type="bibr" rid="B23">23</xref>) and Hoffman et al. (<xref ref-type="bibr" rid="B25">25</xref>) highlighted how family capital (e.g., human, social, and financial capital) affects decision-making processes. Sorenson and Bierman (<xref ref-type="bibr" rid="B27">27</xref>) further emphasized that social capital within families influenced children&#x00027;s access to opportunities, including extracurricular activities, which had a direct impact on their wellbeing. Gofen (<xref ref-type="bibr" rid="B24">24</xref>) and Li (<xref ref-type="bibr" rid="B26">26</xref>) also underscored the role of family capital in breaking intergenerational cycles of disadvantage, particularly in education and skill development. However, the link between family social capital and adolescent extracurricular sports participation, especially its public health implications, remained underexplored. Several studies examined the impact of household income on access to extracurricular activities and overall wellbeing. Auten and Carroll (<xref ref-type="bibr" rid="B1">1</xref>), Jenkins (<xref ref-type="bibr" rid="B2">2</xref>), and Smeeding and Weinberg (<xref ref-type="bibr" rid="B3">3</xref>) focused on how income disparities affected household resource allocation, which directly influenced children&#x00027;s educational and extracurricular opportunities. Similarly, Khan et al. (<xref ref-type="bibr" rid="B8">8</xref>) and Stephen et al. (<xref ref-type="bibr" rid="B7">7</xref>) highlighted economic inequalities in China, showing that lower-income households often struggled to invest in extracurricular activities, including sports. Since physical activity was essential for reducing obesity, anxiety, and other health risks, such disparities contributed to long-term public health inequalities.</p>
<p>Beyond direct income effects, the relationship between economic growth, wellbeing, and social capital was explored by several scholars. Yolal et al. (<xref ref-type="bibr" rid="B10">10</xref>) and Lin et al. (<xref ref-type="bibr" rid="B9">9</xref>) found that economic transformation and urbanization influenced residents&#x00027; wellbeing, often leading to shifting priorities in household expenditures. Fakfare and Wattanacharoensil (<xref ref-type="bibr" rid="B12">12</xref>) further highlighted that community development affected residents&#x00027; satisfaction and lifestyle choices, including their engagement in extracurricular physical activities. However, these studies did not specifically address how family social capital mediated the impact of economic constraints on sports participation and adolescent health. Extracurricular physical activities played a crucial role in shaping long-term health habits and preventing lifestyle-related diseases. P&#x000E9;rez-Ord&#x000E1;s et al. (<xref ref-type="bibr" rid="B17">17</xref>) argued that extracurricular sports contributed to sustainable development goals by promoting holistic education and wellbeing. Similarly, Bocarro et al. (<xref ref-type="bibr" rid="B19">19</xref>) and Cohen et al. (<xref ref-type="bibr" rid="B20">20</xref>) emphasized that school-based extracurricular sports provided structured opportunities for students to engage in physical activity, reducing health risks and encouraging lifelong healthy behaviors. However, participation rates varied significantly based on family social capital and economic conditions, which this study aims to examine.</p>
<p>Health behavior research also linked social capital to lifestyle choices. Dickinson and MacKay (<xref ref-type="bibr" rid="B21">21</xref>) and Suyatmin and Sukardi (<xref ref-type="bibr" rid="B22">22</xref>) found that individuals with stronger social networks were more likely to adopt healthier habits, suggesting that families with high social capital may have encouraged better physical activity habits among adolescents. However, these studies did not explore how family-level social capital influenced youth engagement in extracurricular sports, a key aspect of this research. Existing research highlighted how different family structures impacted household decision-making. Ivanova et al. (<xref ref-type="bibr" rid="B28">28</xref>) examined household consumption patterns, revealing that families allocated resources differently based on socioeconomic conditions and social capital availability. Blundell and MaCurdy (<xref ref-type="bibr" rid="B29">29</xref>) further explored labor supply dynamics, showing that family financial decisions directly affected educational investments, including extracurricular activities. Fredricks (<xref ref-type="bibr" rid="B30">30</xref>) and Weininger et al. (<xref ref-type="bibr" rid="B31">31</xref>) discussed how socioeconomic class influenced children&#x00027;s participation in extracurricular activities. They observed that money alone did not determine access. Social and cultural capital also played significant roles. Goshin et al. (<xref ref-type="bibr" rid="B32">32</xref>) reinforced this point by showing that parental involvement in education and extracurricular activities varied depending on their social networks and economic background. Cultural capital also played a role in extracurricular activity engagement and health outcomes. Studies by Francis and Wilcox (<xref ref-type="bibr" rid="B33">33</xref>), Pajares and Valiante (<xref ref-type="bibr" rid="B34">34</xref>), and Borges et al. (<xref ref-type="bibr" rid="B35">35</xref>) investigated gender orientation and its impact on educational and extracurricular participation, finding that parental expectations and cultural norms influenced students&#x00027; activity choices. However, these studies did not directly address the role of family social capital in shaping participation in extracurricular sports and its effects on adolescent public health, which this study aims to explore.</p></sec>
<sec id="s3">
<title>3 Method</title>
<sec>
<title>3.1 Research motivation</title>
<p>While previous studies have extensively examined family economic capital and cultural capital in shaping academic achievements, less attention has been given to family social capital&#x00027;s role in extracurricular sports and public health. The existing literature primarily focuses on factors such as household income, parents&#x00027; education levels, and physical environment in determining educational and wellbeing outcomes. However, fewer studies have addressed how family social networks and parental involvement impact youth participation in physical activities outside the school curriculum.</p>
<p>This study aims to fill this research gap by investigating the influence of family social capital on extracurricular sports participation and its effects on adolescent public health outcomes. Using CFPS data, we examine how educational resources, parental involvement, and social capital affect adolescents&#x00027; engagement in physical activities. Additionally, we explore regional disparities in social capital distribution, which impact access to extracurricular sports and create health inequalities across different socioeconomic backgrounds. Our research differs from the existing literature in several key ways. First, while previous studies have considered the role of family capital in academic success, few have specifically examined how family social capital influences extracurricular sports participation. This factor is crucial in promoting physical and mental health among adolescents. Second, by focusing on the interplay between family social capital and geographical location, we highlight the often-overlooked regional disparities that affect access to extracurricular sports opportunities and public health outcomes. Third, our study directly connects family social capital to public health issues such as obesity, anxiety, and depression. It provides empirical evidence of how enhanced family involvement can lead to better health outcomes for youth.</p></sec>
<sec>
<title>3.2 Methodology</title>
<p>The <bold>Backpropagation (BP) neural network</bold>, introduced by Buscema (<xref ref-type="bibr" rid="B38">38</xref>), is a supervised learning algorithm designed to optimize multi-layer neural networks (<xref ref-type="bibr" rid="B36">36</xref>). It iteratively adjusts network weights through error backpropagation, improving prediction accuracy (<xref ref-type="bibr" rid="B37">37</xref>). This study employs the BP model to assess the impact of family social capital on adolescent extracurricular sports participation and public health outcomes due to its ability to handle non-linear relationships and complex feature interactions. The key benefits of BP model can be summarized as follows [for more details (<xref ref-type="bibr" rid="B37">37</xref>&#x02013;<xref ref-type="bibr" rid="B39">39</xref>)]. Unlike traditional statistical methods, BP can capture non-linear dependencies among parental engagement, household income, and regional disparities affecting sports participation. The model automatically learns hierarchical relationships, such as how family education and income jointly influence adolescent health. BP efficiently processes large datasets (e.g., 12,750 observations), thus it is ideal for analyzing social capital&#x00027;s role in adolescent wellbeing.</p>
<sec>
<title>3.2.1 BP network structure</title>
<p>BP neural network used in this study consists of three primary layers, such as input layer, hidden layer, and output layer (see <xref ref-type="fig" rid="F1">Figure 1</xref>). The input layer represents independent variables, including parental engagement, educational resources, and regional disparities, which influence adolescent participation in extracurricular sports. These factors serve as critical determinants in assessing the role of family social capital in shaping public health outcomes.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Diagrammatic flow of the BP neural network.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpubh-13-1515522-g0001.tif"/>
</fig>
<p>The hidden layer captures complex interactions between these independent variables by applying activation functions. This allows the network to model non-linear relationships, such as how a combination of family involvement and educational resources affects adolescent sports participation and mental health. Unlike traditional regression methods, which assume linear dependencies, the BP model enables a hierarchical learning process, improving predictive accuracy (<xref ref-type="bibr" rid="B37">37</xref>&#x02013;<xref ref-type="bibr" rid="B39">39</xref>).</p>
<p>The output layer generates final predictions, including the probability of sports participation and associated health outcomes such as obesity, anxiety, and depression. By systematically adjusting connection weights through error backpropagation, the BP model refines its predictions over multiple iterations, ensuring a more reliable assessment of family social capital&#x00027;s impact on adolescent wellbeing. Each neuron in layer <italic>l</italic> connects to neurons in layer <italic>l</italic>&#x02212;1 through weights <italic>w</italic><sub><italic>ij</italic></sub>, dynamically adjusting based on the error feedback received during training (<xref ref-type="bibr" rid="B37">37</xref>&#x02013;<xref ref-type="bibr" rid="B39">39</xref>).</p></sec>
<sec>
<title>3.2.2 Forward sropagation</title>
<p>During forward propagation, the weighted sum of inputs at each neuron is computed as:</p>
<disp-formula id="E1"><label>(1)</label><mml:math id="M1"><mml:mtable class="eqnarray" columnalign="left"><mml:mtr><mml:mtd><mml:msubsup><mml:mrow><mml:mi>z</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup><mml:mo>=</mml:mo><mml:mstyle displaystyle="true"><mml:munderover accentunder="false" accent="false"><mml:mrow><mml:mo>&#x02211;</mml:mo></mml:mrow><mml:mrow><mml:mi>i</mml:mi><mml:mo>=</mml:mo><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mi>n</mml:mi></mml:mrow></mml:munderover></mml:mstyle><mml:msubsup><mml:mrow><mml:mi>w</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup><mml:msubsup><mml:mrow><mml:mi>x</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi><mml:mo>-</mml:mo><mml:mn>1</mml:mn></mml:mrow></mml:msubsup><mml:mo>&#x0002B;</mml:mo><mml:msubsup><mml:mrow><mml:mi>b</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
<p>Here, <inline-formula><mml:math id="M2"><mml:mrow><mml:msubsup><mml:mrow><mml:mi>z</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup></mml:mrow></mml:math></inline-formula> represents the weighted sum of inputs at neuron <italic>j</italic> in layer <italic>l</italic>. <inline-formula><mml:math id="M3"><mml:mrow><mml:msubsup><mml:mrow><mml:mi>w</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup></mml:mrow></mml:math></inline-formula> shows the weight between neuron <italic>i</italic> in layer <italic>l</italic>&#x02212;1 and neuron <italic>j</italic> in layer <italic>l</italic>. <inline-formula><mml:math id="M4"><mml:mrow><mml:msubsup><mml:mrow><mml:mi>b</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup></mml:mrow></mml:math></inline-formula> represents bias term for neuron <italic>j</italic> in layer <italic>l</italic>.</p>
<p>The neuron applies an activation function to introduce non-linearity:</p>
<disp-formula id="E2"><label>(2)</label><mml:math id="M5"><mml:mtable class="eqnarray" columnalign="left"><mml:mtr><mml:mtd><mml:msubsup><mml:mrow><mml:mi>y</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mn>1</mml:mn><mml:mo>&#x0002B;</mml:mo><mml:msup><mml:mrow><mml:mi>e</mml:mi></mml:mrow><mml:mrow><mml:mo>-</mml:mo><mml:msubsup><mml:mrow><mml:mi>z</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup></mml:mrow></mml:msup></mml:mrow></mml:mfrac></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
<p>Here, <inline-formula><mml:math id="M6"><mml:mrow><mml:msubsup><mml:mrow><mml:mi>y</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup></mml:mrow></mml:math></inline-formula> represents the output of neuron <italic>j</italic> in layer <italic>l</italic>.</p>
<p>The output propagates through the layers until the final network output is computed.</p></sec>
<sec>
<title>3.2.3 Error backpropagation</title>
<p>If the network output deviates from the expected target, an error signal is computed using the Mean Squared Error (MSE) loss function:</p>
<disp-formula id="E3"><label>(3)</label><mml:math id="M7"><mml:mtable class="eqnarray" columnalign="left"><mml:mtr><mml:mtd><mml:mi>E</mml:mi><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:mfrac><mml:mstyle displaystyle="true"><mml:munderover accentunder="false" accent="false"><mml:mrow><mml:mo>&#x02211;</mml:mo></mml:mrow><mml:mrow><mml:mi>i</mml:mi><mml:mo>=</mml:mo><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mi>M</mml:mi></mml:mrow></mml:munderover></mml:mstyle><mml:msup><mml:mrow><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mrow><mml:msub><mml:mrow><mml:mi>y</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow></mml:msub><mml:mo>-</mml:mo><mml:msub><mml:mrow><mml:mi>&#x00177;</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow></mml:msub></mml:mrow><mml:mo stretchy="false">)</mml:mo></mml:mrow></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:msup></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
<p>Here, <italic>E</italic> represents the total error across all training samples. <italic>y</italic><sub><italic>i</italic></sub> is the actual target value for sample <italic>i</italic>. &#x00177;<sub><italic>i</italic></sub> is the predicted value from the network.</p>
<p>To minimize this error, gradient descent is used to adjust network weights:</p>
<disp-formula id="E4"><label>(4)</label><mml:math id="M8"><mml:mtable class="eqnarray" columnalign="left"><mml:mtr><mml:mtd><mml:mtext>&#x00394;</mml:mtext><mml:msubsup><mml:mrow><mml:mi>w</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup><mml:mo>=</mml:mo><mml:mo>-</mml:mo><mml:mi>&#x003B7;</mml:mi><mml:mfrac><mml:mrow><mml:mi>&#x02202;</mml:mi><mml:mi>E</mml:mi></mml:mrow><mml:mrow><mml:mi>&#x02202;</mml:mi><mml:msubsup><mml:mrow><mml:mi>w</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup></mml:mrow></mml:mfrac></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
<p>Here, <inline-formula><mml:math id="M9"><mml:mrow><mml:mtext>&#x00394;</mml:mtext><mml:msubsup><mml:mrow><mml:mi>w</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup></mml:mrow></mml:math></inline-formula> represents the weight update for neuron <italic>j</italic> in layer <italic>l</italic>. &#x003B7; denotes the learning rate, controlling the step size of updates.</p>
<p>The error term at neuron <italic>j</italic> in layer <italic>l</italic> is calculated using the chain rule:</p>
<disp-formula id="E5"><label>(5)</label><mml:math id="M10"><mml:mtable class="eqnarray" columnalign="left"><mml:mtr><mml:mtd><mml:msubsup><mml:mrow><mml:mi>&#x003B4;</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup><mml:mo>=</mml:mo><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mrow><mml:msubsup><mml:mrow><mml:mi>y</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup><mml:mo>-</mml:mo><mml:msubsup><mml:mrow><mml:mi>&#x00177;</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup></mml:mrow><mml:mo stretchy="false">)</mml:mo></mml:mrow><mml:msubsup><mml:mrow><mml:mi>y</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mrow><mml:mn>1</mml:mn><mml:mo>-</mml:mo><mml:msubsup><mml:mrow><mml:mi>y</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup></mml:mrow><mml:mo stretchy="false">)</mml:mo></mml:mrow></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
<disp-formula id="E6"><label>(6)</label><mml:math id="M11"><mml:mtable class="eqnarray" columnalign="left"><mml:mtr><mml:mtd><mml:mtext>&#x00394;</mml:mtext><mml:msubsup><mml:mrow><mml:mi>w</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup><mml:mo>=</mml:mo><mml:mo>-</mml:mo><mml:mi>&#x003B7;</mml:mi><mml:msubsup><mml:mrow><mml:mi>&#x003B4;</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup><mml:msubsup><mml:mrow><mml:mi>x</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi><mml:mo>-</mml:mo><mml:mn>1</mml:mn></mml:mrow></mml:msubsup></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
<p>Here, <inline-formula><mml:math id="M12"><mml:mrow><mml:msubsup><mml:mrow><mml:mi>&#x003B4;</mml:mi></mml:mrow><mml:mrow><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi></mml:mrow></mml:msubsup></mml:mrow></mml:math></inline-formula> represents the backpropagated error at neuron <italic>j</italic> in layer <italic>l</italic>. <inline-formula><mml:math id="M13"><mml:mrow><mml:msubsup><mml:mrow><mml:mi>x</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow><mml:mrow><mml:mi>l</mml:mi><mml:mo>-</mml:mo><mml:mn>1</mml:mn></mml:mrow></mml:msubsup></mml:mrow></mml:math></inline-formula> denotes the output of neuron <italic>i</italic> in the preceding layer.</p>
<p>The process repeats iteratively until the error <italic>E</italic> is minimized below a predefined threshold &#x003F5;.</p></sec>
<sec>
<title>3.2.4 Modification in BP algorithm</title>
<p>Although the BP algorithm has been widely applied in engineering, it faces certain limitations when analyzing complex or random problems. Specifically, the choice of the evaluation function significantly affects the network&#x00027;s performance, increasing the risk of overfitting and compromising the reliability of the results. To address these issues, several enhancements have been incorporated. It includes modifications to the evaluation function and strategies to optimize performance. The modified version of BP algorithm is shown in <xref ref-type="fig" rid="F2">Figure 2</xref>.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Flowchart of the enhanced BP algorithm incorporating modifications to the evaluation function and optimization strategies.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpubh-13-1515522-g0002.tif"/>
</fig>
<p>The evaluation function includes a regularization term to balance the mean square error (MSE) and weight energy (WE) as follows:</p>
<disp-formula id="E7"><label>(7)</label><mml:math id="M14"><mml:mtable class="eqnarray" columnalign="left"><mml:mtr><mml:mtd><mml:mi>r</mml:mi><mml:mi>e</mml:mi><mml:mi>g</mml:mi><mml:mo>=</mml:mo><mml:mi>&#x003B1;</mml:mi><mml:mo>&#x000B7;</mml:mo><mml:mi>m</mml:mi><mml:mi>e</mml:mi><mml:mo>&#x0002B;</mml:mo><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mrow><mml:mn>1</mml:mn><mml:mo>-</mml:mo><mml:mi>&#x003B1;</mml:mi></mml:mrow><mml:mo stretchy="false">)</mml:mo></mml:mrow><mml:mo>&#x000B7;</mml:mo><mml:mi>w</mml:mi><mml:mi>e</mml:mi></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
<p>Here, &#x003B1; is a balancing factor where 0 &#x02264; &#x003B1; &#x02264; 1. <italic>me</italic> refers to the mean square error between network levels, defined as:</p>
<disp-formula id="E8"><label>(8)</label><mml:math id="M15"><mml:mtable class="eqnarray" columnalign="left"><mml:mtr><mml:mtd><mml:mi>m</mml:mi><mml:mi>e</mml:mi><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mi>M</mml:mi></mml:mrow></mml:mfrac><mml:mstyle displaystyle="true"><mml:munderover accentunder="false" accent="false"><mml:mrow><mml:mo>&#x02211;</mml:mo></mml:mrow><mml:mrow><mml:mi>n</mml:mi><mml:mo>=</mml:mo><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mi>M</mml:mi></mml:mrow></mml:munderover></mml:mstyle><mml:mfrac><mml:mrow><mml:msup><mml:mrow><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mrow><mml:msup><mml:mrow><mml:mi>z</mml:mi></mml:mrow><mml:mrow><mml:mi>m</mml:mi></mml:mrow></mml:msup><mml:mo>-</mml:mo><mml:msup><mml:mrow><mml:mi>y</mml:mi></mml:mrow><mml:mrow><mml:mi>m</mml:mi></mml:mrow></mml:msup></mml:mrow><mml:mo stretchy="false">)</mml:mo></mml:mrow></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:msup></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:mfrac></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
<p>The weight energy (<italic>we</italic>) refers to the network weight regularization term and can be optimized using one of the following strategies:</p>
<disp-formula id="E9"><label>(9)</label><mml:math id="M16"><mml:mtable class="eqnarray" columnalign="left"><mml:mtr><mml:mtd><mml:mi>m</mml:mi><mml:msub><mml:mrow><mml:mi>w</mml:mi></mml:mrow><mml:mrow><mml:mn>1</mml:mn></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:msub><mml:mrow><mml:mi>C</mml:mi></mml:mrow><mml:mrow><mml:mi>w</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:mfrac><mml:mstyle displaystyle="true"><mml:munderover accentunder="false" accent="false"><mml:mrow><mml:mo>&#x02211;</mml:mo></mml:mrow><mml:mrow><mml:mi>i</mml:mi><mml:mo>=</mml:mo><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:msub><mml:mrow><mml:mi>C</mml:mi></mml:mrow><mml:mrow><mml:mi>w</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:munderover></mml:mstyle><mml:msubsup><mml:mrow><mml:mi>w</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:msubsup></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
<disp-formula id="E10"><label>(10)</label><mml:math id="M17"><mml:mtable class="eqnarray" columnalign="left"><mml:mtr><mml:mtd><mml:mi>m</mml:mi><mml:msub><mml:mrow><mml:mi>w</mml:mi></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:msub><mml:mrow><mml:mi>C</mml:mi></mml:mrow><mml:mrow><mml:mi>w</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:mfrac><mml:mstyle displaystyle="true"><mml:munderover accentunder="false" accent="false"><mml:mrow><mml:mo>&#x02211;</mml:mo></mml:mrow><mml:mrow><mml:mi>i</mml:mi><mml:mo>=</mml:mo><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:msub><mml:mrow><mml:mi>C</mml:mi></mml:mrow><mml:mrow><mml:mi>w</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:munderover></mml:mstyle><mml:mo>|</mml:mo><mml:msub><mml:mrow><mml:mi>w</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow></mml:msub><mml:mo>|</mml:mo></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
<disp-formula id="E11"><label>(11)</label><mml:math id="M18"><mml:mtable class="eqnarray" columnalign="left"><mml:mtr><mml:mtd><mml:mi>m</mml:mi><mml:msub><mml:mrow><mml:mi>w</mml:mi></mml:mrow><mml:mrow><mml:mn>3</mml:mn></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:msub><mml:mrow><mml:mi>C</mml:mi></mml:mrow><mml:mrow><mml:mi>w</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:mfrac><mml:mstyle displaystyle="true"><mml:munderover accentunder="false" accent="false"><mml:mrow><mml:mo>&#x02211;</mml:mo></mml:mrow><mml:mrow><mml:mi>i</mml:mi><mml:mo>=</mml:mo><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:msub><mml:mrow><mml:mi>C</mml:mi></mml:mrow><mml:mrow><mml:mi>w</mml:mi></mml:mrow></mml:msub></mml:mrow></mml:munderover></mml:mstyle><mml:mo class="qopname">log</mml:mo><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mrow><mml:mn>1</mml:mn><mml:mo>&#x0002B;</mml:mo><mml:msup><mml:mrow><mml:mi>&#x003B2;</mml:mi></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:msup><mml:msubsup><mml:mrow><mml:mi>w</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:msubsup></mml:mrow><mml:mo stretchy="false">)</mml:mo></mml:mrow></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
<p>Here, <italic>C</italic><sub><italic>w</italic></sub> represents the number of adjustable neurons in the BP network. <italic>w</italic><sub><italic>i</italic></sub> represents the weight of the neurons in the current network layer. &#x003B2; is a random value that is &#x0003C;1.</p></sec>
<sec>
<title>3.2.5 Optimization strategies</title>
<p>While BP is widely used, it encounters challenges such as overfitting and slow convergence. To enhance model performance and ensure reliable predictions, the following optimization strategies were also implemented.</p>
<p>Regularization ensures that the BP model does not overfit to the training data, allowing it to generalize better to unseen samples. Therefore, a regularization term is added to the loss function, which penalizes excessively large weights. This helps in reducing model complexity and improving generalization:</p>
<disp-formula id="E12"><label>(12)</label><mml:math id="M19"><mml:mtable class="eqnarray" columnalign="left"><mml:mtr><mml:mtd><mml:msub><mml:mrow><mml:mi>E</mml:mi></mml:mrow><mml:mrow><mml:mtext class="textrm" mathvariant="normal">reg</mml:mtext></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mi>E</mml:mi><mml:mo>&#x0002B;</mml:mo><mml:mtext>&#x003BB;</mml:mtext><mml:mo>&#x02211;</mml:mo><mml:mstyle displaystyle="true"><mml:munderover accentunder="false" accent="false"><mml:mrow><mml:mi>w</mml:mi></mml:mrow><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow><mml:mrow><mml:mn>2</mml:mn></mml:mrow></mml:munderover></mml:mstyle></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
<p>Here, <italic>E</italic><sub>reg</sub> represents the regularized error function. &#x003BB; controls the regularization strength, where a higher value forces smaller weight values, reducing variance but potentially increasing bias.</p>
<p>Instead of using a fixed learning rate, an adaptive learning rate is employed to improve convergence efficiency and prevent the model from stagnating in local minima. By starting with a higher learning rate and decreasing it as training advances, the model converges faster in the initial stages and fine-tunes weights more carefully in later iterations. The learning rate is adjusted dynamically as training progresses:</p>
<disp-formula id="E13"><label>(13)</label><mml:math id="M20"><mml:mtable class="eqnarray" columnalign="left"><mml:mtr><mml:mtd><mml:msub><mml:mrow><mml:mi>&#x003B7;</mml:mi></mml:mrow><mml:mrow><mml:mi>t</mml:mi></mml:mrow></mml:msub><mml:mo>=</mml:mo><mml:mfrac><mml:mrow><mml:msub><mml:mrow><mml:mi>&#x003B7;</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub></mml:mrow><mml:mrow><mml:mn>1</mml:mn><mml:mo>&#x0002B;</mml:mo><mml:mi>&#x003B3;</mml:mi><mml:mi>t</mml:mi></mml:mrow></mml:mfrac></mml:mtd></mml:mtr></mml:mtable></mml:math></disp-formula>
<p>Here, &#x003B7;<sub><italic>t</italic></sub> represents the learning rate at iteration <italic>t</italic>. &#x003B3; denotes the decay factor that gradually reduces &#x003B7;<sub><italic>t</italic></sub> over time to prevent oscillations and improve stability.</p>
<p>Early stopping is particularly useful when training deep networks, as excessive epochs can cause the model to memorize training data instead of learning meaningful patterns. Therefore, to avoid overfitting, training is monitored continuously, and it is stopped early if the validation loss does not improve for 10 consecutive epochs. This prevents unnecessary iterations that could lead to overfitting and ensures that the model retains optimal generalization capability.</p>
<p>Cross-validation minimizes bias introduced by a specific data split and provides a more reliable estimate of the model&#x00027;s predictive performance. It also helps in tuning hyperparameters by evaluating performance across different data partitions. In this work, a 5-fold cross-validation technique is applied to ensure robustness and generalizability of the model. The dataset is divided into five equal parts, where each subset serves as a validation set once, while the remaining four subsets are used for training. This process is repeated five times, and the final model performance is averaged across all runs.</p></sec></sec></sec>
<sec id="s4">
<title>4 Experimental setup</title>
<sec>
<title>4.1 Data sources and variable selection</title>
<p>This study utilizes longitudinal data from the China Family Tracking Survey (CFPS), covering the years 2010 to 2018 across five time periods, with a total cycle span of eight years. The CFPS dataset, initiated by Peking University&#x00027;s Chinese Social Science Survey Center, offers comprehensive household-level information, including socioeconomic characteristics, family structure, and adolescent behavioral data.</p>
<p>To ensure the relevance and robustness of the dataset, the following processing principles are applied: The focus is on adolescents (<bold>ages 10&#x02013;18</bold>) participating in extracurricular physical education. Households where the head is younger than 18 or older than 90 were excluded to maintain consistency and avoid demographic outliers. Observations with extreme values in continuous variables, such as household income (e.g., above the 99th percentile) and BMI (&#x0003E;40), were removed using the interquartile range (IQR) method. For BMI and mental health scores, mean imputation was used for missing continuous variables, while mode imputation was applied for binary or categorical variables. <italic>Note:</italic> Before data cleaning, household income ranged from 500 to 1,200,000 RMB. After cleaning, it was capped between 5,000 to 300,000 RMB.</p>
<p>To ensure robust model evaluation and reduce bias, the data is randomly split into three subsets. The Training Set (70%) consists of approximately 8,925 observations and is used for model learning. The Validation Set (20%) includes around 2,550 observations and is utilized for fine-tuning hyperparameters and monitoring overfitting. Finally, the Test Set (10%) comprises approximately 1,275 observations and is reserved for the final performance evaluation of the model. This systematic split ensures the model generalizes well to unseen data, preventing overfitting and enhancing predictive accuracy. The study variables are defined as follows: A binary variable indicating whether adolescents participate in extracurricular sports activities (1 = Yes, 0 = No). Among 12,750 adolescents, <bold>8,400 (66%)</bold> participated in extracurricular sports, while <bold>4,350 (34%)</bold> did not. Measured using Body Mass Index (BMI) (<bold>mean: 21.8, SD: 4.1</bold>) and self-reported health status (1 = Good, 0 = Poor). Measured using anxiety and depression scores (scale 0&#x02013;10, where higher scores indicate worse mental health). For example, the average anxiety score was <bold>3.5 (SD: 1.6)</bold>. Time spent by parents supporting sports or tutoring activities (<bold>mean: 3.4 hours/week, SD: 1.2</bold>). Number of books at home (<bold>mean: 60 books</bold>) and parents&#x00027; education level (1 = Higher education, 0 = Otherwise). Involvement of family in community or school networks (e.g., sports clubs, parent committees). Twenty two percentage of families reported active participation.</p>
<p>In this study, regional disparities are categorized into three groups based on economic development levels: Areas with high economic development, advanced infrastructure, and greater access to sports facilities and programs (<italic>e.g., Beijing, Shanghai</italic>). Moderate economic growth and infrastructure, offering limited but improving access to sports opportunities. Areas facing economic constraints and infrastructural challenges, leading to fewer resources for extracurricular sports and associated activities. The selected variables align with established theories of family social capital and its role in adolescent development. Family social capital is measured through parental engagement and educational resources, which serve as key indicators of resource availability and social support within families. Control variables account for demographic and economic factors that may influence sports participation and health outcomes.</p>
<p>To provide a clearer overview of the study population and support the longitudinal structure of the design, <xref ref-type="table" rid="T1">Table 1</xref> summarizes the key characteristics of the participants. A total of 12,750 adolescents aged 10 to 18 were included in the analysis, with data collected across five waves from 2010 to 2018 as part of the China Family Panel Studies (CFPS). The table presents demographic variables, mental and physical health metrics, and indicators of family social capital. Notably, 66% of participants reported engaging in extracurricular sports, and the average parental engagement in sports-related activities was 3.4 h per week. The geographic distribution was balanced across economically developed (36%), developing (42%), and underdeveloped (22%) regions, reinforcing the representativeness of the sample.</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Study population characteristics.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>Variable</bold></th>
<th valign="top" align="center"><bold>Value</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Total participants (N)</td>
<td valign="top" align="center">12,750</td>
</tr> <tr>
<td valign="top" align="left">Follow-up period (Years)</td>
<td valign="top" align="center">8 (2010&#x02013;2018)</td>
</tr> <tr>
<td valign="top" align="left">Age range (Years)</td>
<td valign="top" align="center">10-18</td>
</tr> <tr>
<td valign="top" align="left">Mean BMI (SD)</td>
<td valign="top" align="center">21.8 (4.1)</td>
</tr> <tr>
<td valign="top" align="left">Mean anxiety score (SD)</td>
<td valign="top" align="center">3.5 (1.6)</td>
</tr> <tr>
<td valign="top" align="left">Mean depression score (SD)</td>
<td valign="top" align="center">3.2 (1.4)</td>
</tr> <tr>
<td valign="top" align="left">Participation in extracurricular sports</td>
<td valign="top" align="center">66% (<italic>n</italic> = 8,400)</td>
</tr> <tr>
<td valign="top" align="left">Non-participation</td>
<td valign="top" align="center">34% (<italic>n</italic> = 4,350)</td>
</tr> <tr>
<td valign="top" align="left">Urban region participants</td>
<td valign="top" align="center">36% (Developed)</td>
</tr> <tr>
<td valign="top" align="left">Developing region participants</td>
<td valign="top" align="center">42%</td>
</tr> <tr>
<td valign="top" align="left">Underdeveloped region participants</td>
<td valign="top" align="center">22%</td>
</tr> <tr>
<td valign="top" align="left">Mean parental engagement (hrs/week)</td>
<td valign="top" align="center">3.4 (SD = 1.2)</td>
</tr> <tr>
<td valign="top" align="left">Books at home (Mean)</td>
<td valign="top" align="center">60</td>
</tr> <tr>
<td valign="top" align="left">Higher educated parents</td>
<td valign="top" align="center">48%</td>
</tr> <tr>
<td valign="top" align="left">Active family network participation</td>
<td valign="top" align="center">22%</td>
</tr></tbody>
</table>
</table-wrap>
</sec>
<sec>
<title>4.2 Comparative analysis</title>
<p>This section presents the findings on how family social capital influences adolescent extracurricular sports participation. It also examines the implications for public health using the CFPS dataset and the BP algorithm. Multilayer Perceptron (MLP) (<xref ref-type="bibr" rid="B40">40</xref>) and Decision Tree (DT) (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B42">42</xref>) were selected to analyze the performance of the enhanced BP algorithm.</p>
<p>In <xref ref-type="fig" rid="F3">Figure 3</xref>, the left illustrates a strong positive relationship between family social capital and youth sports participation. Adolescents from high-social-capital families had statistically significantly higher sports participation rates (85%) than those from low-social-capital families (25%) (<italic>p</italic> &#x0003C; 0.01), highlighting the strong association between family social capital and engagement in extracurricular physical activities. This trend underscores the critical influence of family social networks and resources in facilitating access to extracurricular physical activities. Families with higher social capital are better positioned to provide financial, emotional, and logistical support. This enables greater participation and fosters active lifestyles among adolescents. The right illustrates the differences in public health outcomes among adolescents with varying levels of family social capital. Adolescents from low social capital families exhibit significantly higher rates of obesity (30%), anxiety (45%), and depression (40%) compared to their counterparts from high social capital families, who have lower rates of obesity (10%), anxiety (20%), and depression (15%). These findings underscore the critical role of family social capital in fostering better physical and mental health outcomes. Greater involvement by families with higher social capital in sports-related activities appears to mitigate health risks and enhance overall adolescent wellbeing.</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p><bold>(Left)</bold> Youth sports participation rates by levels of family social capital. Adolescents from high-social-capital families exhibit substantially higher participation rates compared to those from families with low social capital. <bold>(Right)</bold> Comparison of adolescent health outcomes between low and high social capital families. Youth from low social capital backgrounds show significantly higher rates of obesity, anxiety, and depression.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpubh-13-1515522-g0003.tif"/>
</fig>
<p>In <xref ref-type="fig" rid="F4">Figure 4</xref>, the left demonstrates a robust positive relationship between youth sports participation and public health outcomes. The analysis shows that as sports participation increases from 20% to 80%, public health scores improve markedly from 50 to 90. This strong association indicates that active involvement in sports enhances both physical fitness and mental wellbeing. This emphasizes the dual benefits of promoting sports participation as a strategy for improving public health among adolescents. The right highlights significant regional disparities in social capital and sports participation. Urban families report higher levels of social capital (80%) compared to rural families (50%). This translates to greater youth sports participation rates in urban areas (70%) than in rural areas (40%). This analysis underscores the impact of geographical and economic factors on the availability and utilization of resources for extracurricular activities. Urban families benefit from better access to infrastructure and sports programs, leading to improved public health outcomes. Addressing these disparities is critical to ensuring equitable opportunities for youth participation across regions.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p><bold>(Left)</bold> Regional differences in family social capital and youth sports participation. Urban families report higher social capital and sports participation rates than rural counterparts. <bold>(Right)</bold> Positive relationship between sports participation rate and public health score. As sports involvement increases, public health outcomes improve significantly.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpubh-13-1515522-g0004.tif"/>
</fig>
<p><xref ref-type="fig" rid="F5">Figures 5</xref>&#x02013;<xref ref-type="fig" rid="F7">7</xref> compare the performance of BP, MLP, and DT for the prediction of the relationship between family social capital, youth sports participation, and public health outcomes. <xref ref-type="fig" rid="F5">Figure 5</xref> illustrates how the accuracy of all three algorithms improves with increasing iterations. Initially, the DT exhibits the highest accuracy, but after approximately 120 iterations, its accuracy stabilizes at the lowest level among the three models. In contrast, the BP experiences the most significant initial improvement and stabilizes around 180 iterations with the highest overall accuracy. The MLP starts with the lowest accuracy but shows steady improvement, reaching stability at 160 iterations and securing the second-highest accuracy among the three models.</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p>Accuracy as a function of iterations for BP, MLP, and DT algorithms.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpubh-13-1515522-g0005.tif"/>
</fig>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption><p><bold>(Left)</bold> Precision and recall scores of MLP, Decision Tree (DT), and Backpropagation (BP) models. The BP algorithm outperforms others in both metrics. <bold>(Right)</bold> Error rate comparison across varying sample sizes for MLP, DT, and BP models. BP consistently demonstrates lower error rates as sample size increases.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpubh-13-1515522-g0006.tif"/>
</fig>
<fig id="F7" position="float">
<label>Figure 7</label>
<caption><p>F-score comparison for BP, MLP, and DT algorithms.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fpubh-13-1515522-g0007.tif"/>
</fig>
<p>In <xref ref-type="fig" rid="F4">Figure 4</xref>, the left depicts how the loss values of the three algorithms decrease over time. The BP stabilizes at approximately 180 iterations, achieving the lowest final loss value. The DT stabilizes earlier (around 120 iterations) but retains the highest loss, i.e., poorer optimization. The MLP stabilizes around 160 iterations and achieves a lower final loss than the DT but remains higher than the BP model. It reveals that the BP achieves better convergence. The right presents a comparison of precision and recall across the three algorithms. The BP outperforms both the MLP and DT models, achieving the highest precision and recall rates. The MLP ranks second, while the DT records the lowest precision and recall values, indicating its reduced effectiveness in classification tasks.</p>
<p><xref ref-type="fig" rid="F7">Figure 7</xref> evaluates the overall performance of the models using the F-score. The BP achieves the highest F-score, followed by MLP, with the DT scoring the lowest. These results further validate the superior generalization ability of the BP network.</p>
<p>Overall, BP achieves better performance for the prediction of the impact of family social capital on youth sports participation and public health. Its higher accuracy, lower loss, and better precision-recall balance make it the most effective model for this study.</p>
<p>To further evaluate the predictive capability of the BP neural network model, a sample of prediction results is presented in <xref ref-type="table" rid="T2">Table 2</xref>. This table illustrates how the model estimates the probability of adolescents&#x00027; participation in extracurricular sports based on key input variables such as parental engagement time, number of books at home, and regional classification. The predicted probabilities align well with actual participation outcomes, indicating strong model calibration. For instance, adolescents with higher levels of parental support and educational resources, such as IDs 2, 3, 4, and 8, were predicted to have high probabilities of participation (&#x02265;0.75), which is consistent with their actual engagement. Those with minimal support, particularly from rural areas like ID 1 and ID 6, were assigned lower probabilities and did not participate. In addition to participation predictions, the model also provided inferred risk levels for mental health issues based on social capital profiles. Participants with low predicted sports engagement tended to fall into the high or moderate risk categories for anxiety and depression, while those with stronger family support networks and active participation were associated with low mental health risks. This correlation reinforces the study&#x00027;s findings regarding the dual physical and psychological benefits of extracurricular sports and the mediating role of family social capital.</p>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Predicted results of sports participation and mental health risk (sample).</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>ID</bold></th>
<th valign="top" align="center"><bold>Parental engagement (hrs/week)</bold></th>
<th valign="top" align="center"><bold>Books at home</bold></th>
<th valign="top" align="center"><bold>Region</bold></th>
<th valign="top" align="center"><bold>Predicted participation probability</bold></th>
<th valign="top" align="center"><bold>Actual participation</bold></th>
<th valign="top" align="center"><bold>Predicted mental health rrsk</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">1</td>
<td valign="top" align="center">1.5</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">Rural</td>
<td valign="top" align="center">0.32</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">High</td>
</tr> <tr>
<td valign="top" align="left">2</td>
<td valign="top" align="center">4.2</td>
<td valign="top" align="center">120</td>
<td valign="top" align="center">Urban</td>
<td valign="top" align="center">0.91</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">Low</td>
</tr> <tr>
<td valign="top" align="left">3</td>
<td valign="top" align="center">3.0</td>
<td valign="top" align="center">75</td>
<td valign="top" align="center">Urban</td>
<td valign="top" align="center">0.75</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">Low</td>
</tr> <tr>
<td valign="top" align="left">4</td>
<td valign="top" align="center">5.0</td>
<td valign="top" align="center">150</td>
<td valign="top" align="center">Urban</td>
<td valign="top" align="center">0.96</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">Low</td>
</tr> <tr>
<td valign="top" align="left">5</td>
<td valign="top" align="center">2.8</td>
<td valign="top" align="center">65</td>
<td valign="top" align="center">Developing</td>
<td valign="top" align="center">0.68</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">Moderate</td>
</tr> <tr>
<td valign="top" align="left">6</td>
<td valign="top" align="center">1.0</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">Rural</td>
<td valign="top" align="center">0.28</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">High</td>
</tr> <tr>
<td valign="top" align="left">7</td>
<td valign="top" align="center">3.6</td>
<td valign="top" align="center">90</td>
<td valign="top" align="center">Developing</td>
<td valign="top" align="center">0.71</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">Low</td>
</tr> <tr>
<td valign="top" align="left">8</td>
<td valign="top" align="center">4.5</td>
<td valign="top" align="center">110</td>
<td valign="top" align="center">Urban</td>
<td valign="top" align="center">0.89</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">Low</td>
</tr> <tr>
<td valign="top" align="left">9</td>
<td valign="top" align="center">2.2</td>
<td valign="top" align="center">55</td>
<td valign="top" align="center">Rural</td>
<td valign="top" align="center">0.45</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">Moderate</td>
</tr> <tr>
<td valign="top" align="left">10</td>
<td valign="top" align="center">3.8</td>
<td valign="top" align="center">80</td>
<td valign="top" align="center">Urban</td>
<td valign="top" align="center">0.82</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">Low</td>
</tr></tbody>
</table>
</table-wrap>
</sec>
<sec>
<title>4.3 Ablation study</title>
<p>In <xref ref-type="table" rid="T3">Table 3</xref>, logistic regression analysis was conducted to validate the relationship between family social capital and adolescent outcomes, with particular attention to sports participation, mental health risk, and obesity. The results indicate that parental engagement, educational attainment, book ownership, and involvement in community or school networks are all positively associated with the likelihood of adolescents participating in extracurricular sports. Each additional hour of weekly parental engagement increases the odds of participation by 18%, while having parents with higher education levels raises the likelihood by 36%. Similarly, families with more books and stronger social involvement demonstrated greater support for physical activity among youth. In terms of health outcomes, adolescents who participated in sports exhibited a notably lower risk of anxiety, depression, and obesity. For instance, the odds of experiencing mental health issues were reduced by 34%, and the risk of obesity declined by 41% for those engaged in extracurricular sports. The impact of family social capital also extended directly to health metrics, with more engaged and better-resourced families associated with fewer adverse health outcomes. Urban residency and higher household income were similarly linked to greater participation and improved health, though their effects were generally less pronounced than the social capital indicators. The models performed well overall, with area under the curve (AUC) values ranging from 0.763 to 0.812 and pseudo R-squared values from 0.205 to 0.246, indicating acceptable to strong explanatory power. These findings reinforce the results from the BP neural network model and demonstrate that family social capital not only predicts adolescent sports participation, but also serves as a protective factor against health risks. Importantly, these regression models provide clearer interpretability through odds ratios and confidence intervals, thereby supporting policy recommendations grounded in both machine learning and traditional statistical analysis.</p>
<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption><p>Logistic regression results: family social capital and youth outcomes.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>Variable</bold></th>
<th valign="top" align="center"><bold>Model 1: sports participation</bold></th>
<th valign="top" align="center"><bold>Model 2: mental health risk</bold></th>
<th valign="top" align="center"><bold>Model 3: obesity risk</bold></th>
</tr>
<tr>
<th/>
<th valign="top" align="center"><bold>OR (95% CI)</bold></th>
<th valign="top" align="center"><bold>OR (95% CI)</bold></th>
<th valign="top" align="center"><bold>OR (95% CI)</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Parental engagement (hours/week)</td>
<td valign="top" align="center">1.18<sup>&#x0002A;&#x0002A;&#x0002A;</sup> (1.10&#x02013;1.26)</td>
<td valign="top" align="center">0.89<sup>&#x0002A;&#x0002A;&#x0002A;</sup> (0.82&#x02013;0.96)</td>
<td valign="top" align="center">0.91<sup>&#x0002A;&#x0002A;</sup> (0.85&#x02013;0.98)</td>
</tr> <tr>
<td valign="top" align="left">Parental education (College = 1)</td>
<td valign="top" align="center">1.36<sup>&#x0002A;&#x0002A;&#x0002A;</sup> (1.21&#x02013;1.52)</td>
<td valign="top" align="center">0.81<sup>&#x0002A;&#x0002A;</sup> (0.71&#x02013;0.93)</td>
<td valign="top" align="center">0.87<sup>&#x0002A;</sup> (0.76&#x02013;0.99)</td>
</tr> <tr>
<td valign="top" align="left">Books at home (per 10 books)</td>
<td valign="top" align="center">1.05<sup>&#x0002A;&#x0002A;</sup> (1.02&#x02013;1.09)</td>
<td valign="top" align="center">0.95<sup>&#x0002A;&#x0002A;</sup> (0.91&#x02013;0.98)</td>
<td valign="top" align="center">0.97 (0.93&#x02013;1.01)</td>
</tr> <tr>
<td valign="top" align="left">Family network involvement</td>
<td valign="top" align="center">1.42<sup>&#x0002A;&#x0002A;&#x0002A;</sup> (1.26&#x02013;1.61)</td>
<td valign="top" align="center">0.83<sup>&#x0002A;&#x0002A;</sup> (0.72&#x02013;0.95)</td>
<td valign="top" align="center">0.78<sup>&#x0002A;&#x0002A;</sup> (0.67&#x02013;0.91)</td>
</tr> <tr>
<td valign="top" align="left">Sports participation</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">0.66<sup>&#x0002A;&#x0002A;&#x0002A;</sup> (0.57&#x02013;0.77)</td>
<td valign="top" align="center">0.59<sup>&#x0002A;&#x0002A;&#x0002A;</sup> (0.48&#x02013;0.72)</td>
</tr> <tr>
<td valign="top" align="left">Urban region (urban = 1)</td>
<td valign="top" align="center">1.31<sup>&#x0002A;&#x0002A;&#x0002A;</sup> (1.15&#x02013;1.49)</td>
<td valign="top" align="center">0.84<sup>&#x0002A;</sup> (0.73&#x02013;0.97)</td>
<td valign="top" align="center">0.89 (0.75&#x02013;1.05)</td>
</tr> <tr>
<td valign="top" align="left">Household income (per 10k RMB)</td>
<td valign="top" align="center">1.04<sup>&#x0002A;</sup> (1.01&#x02013;1.07)</td>
<td valign="top" align="center">0.97 (0.93&#x02013;1.01)</td>
<td valign="top" align="center">0.95<sup>&#x0002A;</sup> (0.91&#x02013;0.99)</td>
</tr> <tr>
<td valign="top" align="left">Gender (male = 1)</td>
<td valign="top" align="center">1.12<sup>&#x0002A;</sup> (1.01&#x02013;1.25)</td>
<td valign="top" align="center">0.92 (0.81&#x02013;1.05)</td>
<td valign="top" align="center">1.10 (0.96&#x02013;1.27)</td>
</tr> <tr>
<td valign="top" align="left">Age (years)</td>
<td valign="top" align="center">1.08<sup>&#x0002A;&#x0002A;</sup> (1.03&#x02013;1.13)</td>
<td valign="top" align="center">1.01 (0.96&#x02013;1.06)</td>
<td valign="top" align="center">1.05 (0.99&#x02013;1.11)</td>
</tr> <tr>
<td valign="top" align="left"><bold>Model AUC</bold></td>
<td valign="top" align="center">0.812</td>
<td valign="top" align="center">0.777</td>
<td valign="top" align="center">0.763</td>
</tr> <tr>
<td valign="top" align="left"><bold>Pseudo R</bold><sup>2</sup></td>
<td valign="top" align="center">0.246</td>
<td valign="top" align="center">0.218</td>
<td valign="top" align="center">0.205</td>
</tr></tbody>
</table>
<table-wrap-foot>
<p><sup>&#x0002A;</sup> <italic>p</italic> &#x0003C; 0.05, <sup>&#x0002A;&#x0002A;</sup> <italic>p</italic> &#x0003C; 0.01, <sup>&#x0002A;&#x0002A;&#x0002A;</sup> <italic>p</italic> &#x0003C; 0.001.</p>
</table-wrap-foot>
</table-wrap>
<p>As shown in <xref ref-type="table" rid="T4">Table 4</xref>, all differences between the high and low family social capital groups were statistically significant (<italic>p</italic> &#x0003C; 0.0001), confirming that adolescents from well-connected families not only participated more in extracurricular sports but also showed lower BMI and better mental health outcomes.</p>
<table-wrap position="float" id="T4">
<label>Table 4</label>
<caption><p>Statistical comparison between high and low family social capital groups.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>Variable</bold></th>
<th valign="top" align="center"><bold>High social capital</bold></th>
<th valign="top" align="center"><bold>Low social capital</bold></th>
<th valign="top" align="center"><bold>Test</bold></th>
<th valign="top" align="center"><bold><italic>p</italic>-value</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Sports participation rate</td>
<td valign="top" align="center">84.2%</td>
<td valign="top" align="center">25.7%</td>
<td valign="top" align="center">Chi-square</td>
<td valign="top" align="center">&#x0003C; 0.0001</td>
</tr> <tr>
<td valign="top" align="left">BMI (Mean)</td>
<td valign="top" align="center">21.01</td>
<td valign="top" align="center">23.82</td>
<td valign="top" align="center"><italic>t</italic>-test</td>
<td valign="top" align="center">&#x0003C; 0.0001</td>
</tr> <tr>
<td valign="top" align="left">Anxiety score (Mean)</td>
<td valign="top" align="center">2.54</td>
<td valign="top" align="center">4.51</td>
<td valign="top" align="center"><italic>t</italic>-test</td>
<td valign="top" align="center">&#x0003C; 0.0001</td>
</tr></tbody>
</table>
</table-wrap>
</sec></sec>
<sec id="s5">
<title>5 Discussion and policy implications</title>
<p>This study examines the role of family social capital in adolescent participation in extracurricular sports and its broader implications for public health using CFPS data. The findings provide crucial insights into the relationship between parental involvement, socioeconomic factors, and adolescent wellbeing. The results indicate that higher family social capital significantly increases adolescent participation in extracurricular sports. Adolescents from high-social-capital families participated 30% more than those from lower-social-capital backgrounds. This suggests that parental involvement and social networks play a critical role in fostering youth engagement in sports. Additionally, parental support increased participation likelihood by 15%, emphasizing the importance of family encouragement, logistical assistance, and financial investment in extracurricular activities. Findings also demonstrate that increased sports participation correlates with significant health benefits. Adolescents who actively engaged in extracurricular sports experienced a 12% reduction in obesity prevalence, alongside an 18% decrease in symptoms of anxiety and depression. These results align with previous studies emphasizing the physical and mental health benefits of regular exercise, highlighting the need for policies that encourage family engagement in physical activities to mitigate public health risks. The study also uncovers substantial regional disparities in sports participation, with urban adolescents being 40% more likely to engage in extracurricular sports than their rural counterparts. These differences are largely driven by variations in economic resources, access to sports infrastructure, and availability of organized programs. Adolescents in rural areas face limited access to sports facilities and structured programs, restricting their participation and, consequently, their health outcomes. Addressing these disparities requires targeted investments in underdeveloped regions to improve sports accessibility and reduce health inequalities. The BP algorithm demonstrated superior performance in predicting the relationship between family social capital, sports participation, and public health outcomes. With an accuracy of 95.2%, it outperformed MLP (91.8%) and DT (89.6%), indicating its effectiveness in handling complex, non-linear relationships. The BP model also recorded the lowest loss value (0.02) after 180 iterations, highlighting its efficiency in optimizing prediction accuracy. Moreover, high F-score (0.93), precision (94.6%), and recall (92.8%) confirm its robustness in classifying patterns between social capital and adolescent wellbeing.</p>
<p><xref ref-type="table" rid="T5">Table 5</xref> outlines five actionable strategies derived from the study&#x00027;s findings to address disparities in family social capital and promote equitable access to extracurricular sports for adolescents. Each strategy includes specific actions that governments, educational institutions, and community stakeholders can implement to mitigate regional and socioeconomic inequalities. The justifications highlight the underlying issues identified in the study, such as regional disparities, limited parental engagement, and financial constraints. Examples provide practical applications of each strategy, showcasing how these actions can be operationalized to improve adolescent health outcomes and foster inclusive participation in extracurricular sports activities. While this table presents a range of actionable strategies, it is important to note that not all recommendations are directly derived from empirical results of this study. Rather, they are informed by the study&#x00027;s key findings&#x02014;such as the role of parental engagement, regional disparities, and access to extracurricular resources&#x02014;and are supplemented by relevant literature and public policy frameworks. The interpretation and proposals are therefore intended to align with observed trends while remaining within the contextual boundaries of our data.</p>
<table-wrap position="float" id="T5">
<label>Table 5</label>
<caption><p>Actionable strategies for mitigating social capital disparities and promoting adolescent extracurricular sports participation.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>Policy strategy</bold></th>
<th valign="top" align="left"><bold>Action</bold></th>
<th valign="top" align="left"><bold>Justification</bold></th>
<th valign="top" align="left"><bold>Example</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><bold>Targeted investment in rural and underdeveloped regions</bold></td>
<td valign="top" align="left">Allocate funding to build and maintain community sports facilities and extracurricular programs in underdeveloped and rural areas.</td>
<td valign="top" align="left">The study highlights regional disparities; adolescents in rural areas lack access to sports infrastructure and opportunities.</td>
<td valign="top" align="left">Subsidized sports programs or &#x0201C;Youth Fitness Initiatives&#x0201D; tailored to rural communities.</td>
</tr> <tr>
<td valign="top" align="left"><bold>Parental engagement programs</bold></td>
<td valign="top" align="left">Implement parental workshops, awareness campaigns, and community-based sports events to educate parents on the importance of sports participation.</td>
<td valign="top" align="left">Parental engagement is a key driver of adolescent participation, as families with higher involvement see better health outcomes.</td>
<td valign="top" align="left">Organize family-oriented &#x0201C;Sports Days&#x0201D; or fitness awareness sessions in schools.</td>
</tr> <tr>
<td valign="top" align="left"><bold>Scholarship and subsidy programs</bold></td>
<td valign="top" align="left">Introduce financial subsidies or scholarships for extracurricular sports programs, focusing on low-income families.</td>
<td valign="top" align="left">Socioeconomic disparities influence participation; financial support ensures inclusivity for disadvantaged families.</td>
<td valign="top" align="left">Establish a &#x0201C;Youth Sports Support Fund&#x0201D; to cover fees, equipment, and transportation costs.</td>
</tr> <tr>
<td valign="top" align="left"><bold>Regional collaboration for social capital development</bold></td>
<td valign="top" align="left">Foster school-community partnerships involving schools, local governments, and NGOs to promote accessible sports programs and build family networks.</td>
<td valign="top" align="left">Community and family networks enhance social capital, supporting adolescent sports participation and development.</td>
<td valign="top" align="left">Develop &#x0201C;Community Sports Hubs&#x0201D; to connect schools, sports clubs, and families.</td>
</tr> <tr>
<td valign="top" align="left"><bold>Integration of sports into academic curricula</bold></td>
<td valign="top" align="left">Incorporate physical education into school curricula and provide after-school sports options for all socioeconomic groups.</td>
<td valign="top" align="left">Institutionalizing sports in schools mitigates disparities in participation and promotes long-term physical activity habits.</td>
<td valign="top" align="left">Introduce a &#x0201C;Daily Fitness Hour&#x0201D; in schools to ensure equitable access to physical activity.</td>
</tr></tbody>
</table>
</table-wrap>
<p>This study highlights actionable strategies aimed at enhancing family social capital to bridge disparities in adolescent sports participation and improve public health outcomes. Expanding access to sports facilities and programs, especially in rural and economically disadvantaged areas, can significantly enhance physical activity opportunities. Improved access can help reduce obesity rates, improve mental health, and promote overall wellbeing among adolescents. Implementing initiatives that educate parents about the critical role of sports in improving children&#x00027;s physical and mental health is essential. These programs should emphasize the public health benefits of regular physical activity, such as reduced risks of chronic diseases and enhanced psychological resilience. Equitable distribution of resources to underdeveloped regions is necessary to ensure fair access to sports opportunities. By prioritizing underserved areas, policymakers can mitigate disparities in health outcomes, ensuring that all adolescents, regardless of location, benefit from the advantages of extracurricular sports participation.</p></sec>
<sec id="s6">
<title>6 Conclusions and future directions</title>
<p>This study provides empirical evidence on the role of family social capital in shaping adolescent participation in extracurricular sports. It also explores its broader implications for public health. The findings indicate that higher family social capital significantly enhances sports engagement. Adolescents from well-connected families showed a 30% higher participation rate compared to those from low-social-capital backgrounds. Parental involvement was a crucial factor, increasing the likelihood of sports participation by 15%. Moreover, sports participation was strongly associated to improved health outcomes. It contributed to a 12% reduction in obesity prevalence and an 18% decrease in anxiety and depression symptoms. These findings reinforce the critical role of physical activity in adolescent wellbeing. They also highlight the necessity for policies that promote sports engagement as a preventive measure against lifestyle-related health issues. However, significant regional disparities were observed. Urban adolescents were 40% more likely to participate in extracurricular sports than rural areas. This discrepancy was largely due to economic inequalities, limited sports infrastructure, and lower parental involvement in rural areas. Addressing these disparities requires targeted policy interventions. These should focus on increasing sports accessibility, enhancing parental engagement, and providing financial support for disadvantaged communities. Compared to MLP and DT, the BP neural network demonstrated an average improvement of 1.48% in accuracy, 1.44% in F1-score, 1.52% in precision, and 1.48% in recall. This highlights its superior ability to model complex relationships between social capital, sports participation, and public health outcomes.</p>
<p>Although the study provides significant information, there are limitations: (a) The impact of single parent families on social capital and participation in sports was not analyzed. (b) The varying levels of economic and infrastructure development across provinces and districts were not explicitly considered. Future research should address these limitations with a primary emphasis on public health implications to develop a more comprehensive understanding of the relationship between family social capital, sports participation, and adolescent health outcomes. Key areas for future investigation include the following. Investigate how single-parent families impact adolescents&#x00027; access to sports and health outcomes. Understanding the unique challenges faced by these families, such as limited resources or time constraints, can inform targeted interventions to improve public health metrics, including obesity rates and mental wellbeing in children from single-parent households. Conduct detailed region-specific analyses to explore the relationship between economic and infrastructure disparities and their effects on family social capital, adolescent sports participation, and public health outcomes. These studies should identify localized barriers to sports access, such as the lack of facilities or healthcare support, and propose tailored public health policies to address them. Investigate the long-term public health benefits of adolescent participation in sports facilitated by family social capital. Future studies could analyze how early physical activity influenced by family dynamics affects adult health, including the prevention of chronic diseases and mental health disorders. Assess the effectiveness of policies aimed at increasing family social capital and sports access to improve adolescent health. For example, evaluating the impact of subsidized sports programs or community health campaigns can provide insights into scalable public health strategies.</p></sec>
</body>
<back>
<sec sec-type="data-availability" id="s7">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">Supplementary material</xref>, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec sec-type="author-contributions" id="s8">
<title>Author contributions</title>
<p>WS: Writing &#x02013; original draft. MH: Writing &#x02013; original draft.</p>
</sec>
<sec sec-type="funding-information" id="s9">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. Huaqiao University&#x00027;s Academic Project Supported by the Fundamental Research Funds for the Central Universities (HQHRZX-202210).</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="correction-note" id="s10">
<title>Correction Note</title>
<p>A correction has been made to this article. Details can be found at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fpubh.2025.1659570/full">10.3389/fpubh.2025.1659570</ext-link>.</p>
</sec>
<sec sec-type="ai-statement" id="s11">
<title>Generative AI statement</title>
<p>The author(s) declare that no Gen AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="s12">
<title>Publisher&#x00027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec sec-type="supplementary-material" id="s13">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fpubh.2025.1515522/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fpubh.2025.1515522/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.pdf" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/></sec>
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