Riverine sediments have played an important role in the morphological evolution of river channels and river deltas. However, the sediment regime in the many world's rivers has been altered in the context of global changes. In this study, temporal changes in the sediment regime of the Pearl River were examined at different time scales, that is, annual, seasonal, and monthly time scales, using the Mann–Kendall test. The results revealed that precipitation variability was responsible for monthly and seasonal distribution patterns of the sediment regime and the long‐term changes in the water discharge; however, dam operation has smoothed the seasonal distribution of water discharge and resulted in decreasing trends in the annual, wet‐season, and dry‐season sediment load series since the 1950s. Due to the different regulation magnitudes of dam operation, differences were observed in sediment regime changes among the three tributaries. In addition, human activities have altered the hysteresis of seasonal rating curves and affected hysteresis differences between increasing and decreasing water discharge stages. Sediment supply is an important factor controlling river channel dynamics, affecting channel morphology. From the 1950s to the 1980s, siltation was dominant in river channels across the West River and North River deltas in response to the sediment increases; however, scouring occurred in the East River deltas due to sediment reduction. Significant erosion occurred in river channels in the 1990s, which was mostly due to downcutting of the river bed caused by sand excavations and partly because of the reduced sediment load from upstream. Although sand excavations have been banned and controlled by authority agencies since 2000, the erosion of cross sections was still observed in the 2000s because of reduced sediment caused by dam construction. Our study examines the different effects of human activities on the sediment regime and downstream channel morphology, which is of substantial scientific importance for river management.

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