Eating-out behaviors, associated factors and associations with obesity in Chinese school children: findings from the childhood obesity study in China mega-cities

Zheng, Jinge; Gao, Liwang; Xue, Hong; Xue, Bo; Zhao, Li; Wang, Yun; Wei, Junxiang; Wang, Youfa

doi:10.1007/s00394-020-02475-y

Cited by 7 publications

(27 citation statements)

References 29 publications

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“…Proportions are column percentages. Bold values represent statistically significant (P < 0.05) of overweight/obesity of children and adolescents was 29.8% using data from five major cities (Beijing, Shanghai, Nanjing, Xian, and Chengdu) across China [29]. Interestingly, we observed that around two fifths (39.23%) of the total sample were misperception on their weight status (Fig.…”

Section: Discussionmentioning

confidence: 83%

“…The finding showed that the prevalence of overweight/obesity was 26.95% and underweight was 8.26% in China (Table 2 ). Similarly, Zheng et al reported the prevalence of overweight/obesity of children and adolescents was 29.8% using data from five major cities (Beijing, Shanghai, Nanjing, Xian, and Chengdu) across China [ 29 ]. Interestingly, we observed that around two fifths (39.23%) of the total sample were misperception on their weight status (Fig.…”

Section: Discussionmentioning

confidence: 99%

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Association of body perception and dietary weight management behaviours among children and adolescents aged 6–17 years in China: cross-sectional study using CHNS (2015)

et al. 2022

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Background Obesity is rapidly globally increasing. Meanwhile, there is an increase in negative perception of the body image and, consequently, an increase in weight control management. Body perception plays an important mediating role between overweight or obesity and weight control behaviours. This study aims to examine whether body perception is associated with dietary weight management behaviours among Chinese children and adolescents. Methods Child body perception and health behaviours from Chinese Health and Nutrition Survey (2015) were assessed, and 729 boys and 640 girls who aged 6 to 17 years were included in this study. Variables assessed as covariates were sociodemographic, physical activity and body perception involving self-perceptive weight status and body image dissatisfaction (BID). Multivariate logistic regression was used to explore the association between dietary weight management behaviours and body perception. Results 60.77% students rightly matched their body mass index (BMI) with self-perceived weight. The prevalence of BID was 59.39%. After adjustment for sociodemographic information, physical activities and BMI, those whose self-perceived weight status as overweight/obesity were associated with an increased risk of dietary weight management behaviours comparing to those who have normal weight in boys (OR = 5.07; 95% CI = 1.86, 13.87; P < 0.001) and girls (OR = 14.28; 95%CI = 5.73, 35.56; P < 0.001). And those who desire to be thinner were strongly associated with dietary weight management behaviours (OR = 9.51; 95%CI = 3.47, 26.09; P < 0.001) comparing to those who were satisfied with their body image in girls. Conclusions The results revealed that body perception had a significant association with dietary weight management behaviours and exited the discrepancy according to sex. It is necessary to promote healthy awareness of body perception and to establish self-motivation for improving basic health knowledge in school health education activities.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Association of body perception and dietary weight management behaviours among children and adolescents aged 6–17 years in China: cross-sectional study using CHNS (2015)

et al. 2022

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“…22.3% overall obesity Frequency of eating foods away from home BMI z-score Only the at-home ‘Western pattern’ was positively associated with BMI z-scores ( β = 0.0006; < 0.001). Results indicate that unhealthy dietary pattern consumed at home is associated to BMI z-score, while away-from-home food consumption is not associated 13 Zheng et al [ 33 ] China 7–17-year-old children 80.1% ate away from home ≥ 1 times/week. 29.8% overall obesity Frequency of eating foods away from home BMI, WC Both eating out for Western-style and for Chinese-style food was not statistically significantly associated with overweight risk after adjusting for child and parental factors 14 Ma et al [ 47 ] China 6–17-year-old children 12.3% ate away from home ≥ 3 times per week 23.8% overall obesity 13.2% overweight, 10.6% obese Weekly frequency of eating foods away from home BMI Findings revealed that eating out three times per week or more was statistically significant associated with higher prevalence of overweight and obesity among boys (OR 1.20, 95 CI 1.04–1.38) compared with those ate out less than three times per week.…”

Section: Resultsmentioning

confidence: 99%

“…Other mediating factors were BMI as reported in seven studies [ 27 , 34 , 38 , 44 , 45 , 61 , 62 ]. Western dietary pattern and urbanization are indicated in few studies, with time constraints for food preparation [ 11 , 28 , 33 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Pooled prevalence of food away from home (FAFH) and associated non-communicable disease (NCD) markers: a systematic review and meta-analysis

Godbharle

Jeyakumar

Giri

et al. 2022

J Health Popul Nutr

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Background Food away from home (FAFH) is an ‘eating behavior’ widely practiced across nations, more common in developed nations. Likewise, in developing countries an increase of close to 50% indicates an upsurge in FAFH consumption. While various indices and tools are used to assess diet quality, diversity, or healthy eating, FAFH is less utilized to study dietary behaviors and the associated disease risk. Objective To calculate the pooled estimate of FAFH and identify the associated non-communicable disease (NCD) markers. Design Systematic review and meta-analysis. Methods Independent electronic searches were conducted across 6 databases: Medline, Web of Science, Scopus, Cochrane library, Ingenta, and CAB direct. Observational studies investigating the association between FAFH and NCD markers published between the year 2011 and 2021 were eligible for inclusion. Studies that included overweight or obese participants, pregnant women, or those under institutional care at baseline were excluded. The guidelines for reporting meta-analysis of observational studies in epidemiology were adhered to in the preparation of this systematic review. Results The random effects combined estimate for the overall prevalence of FAFH was 39.96% (95% CI 29.97–53.29). High heterogeneity (τ2 = 0.63, I2 = 100%) and high risk of bias were observed among the selected studies. The test for overall effect was observed to be z = 25.11 (p < 0.001). Eleven out of fourteen studies showed a positive association between FAFH and anthropometric changes. Twelve out of seventeen studies showed a positive association between FAFH and cardiovascular disease (CVD) biomarkers. Conclusion Our work confirms FAFH as an evolving dietary behavior in both developing and developed countries, emphasizing the lack of representation from low-income countries. The association of FAFH with obesity and non-communicable disease risk is reinforced by our analyses. These findings should enable policy decisions to meet the rising demand of FAFH with healthier options to prevent the risk of NCD.

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“…The selection process resulted in the inclusion of 40 studies using data from 12 countries (Table 2). The geographical distribution of the articles was unbalanced, with an over-representation of 3 countries (Brazil, n ¼ 12 15,[19][20][21][22][23][24]26,29,32,33,44 ; China, n ¼ 10 28,37,41,[47][48][49][50][51][52][53] ; and Malaysia, n ¼ 6 14,17,30,38,42,46 ) compared with other countries (Botswana, n ¼ 1 39 ; Ethiopia, n ¼ 2 16,27 ; India, n ¼ 2 31,40 ; Lebanon, n ¼ 1 25 ; Malawi, n ¼ 1 43 n ¼ 2 18,45 ; Morocco, n ¼ 1 36 ; Turkey, n ¼ 1 34 ; and Vietnam, n ¼ 1 35 ; Figure 2A). In addition, in 5 of the 12 countries, the studies were conducted at the local level, ie, at the city level (Ethiopia, 16,27 India, 31,40 Malawi,…”

Section: Synthesis Of the Resultsmentioning

confidence: 99%

Consumption of food away from home in low- and middle-income countries: a systematic scoping review

et al. 2022

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Context Consumption of food away from home represents an increasing share of people’s food consumption worldwide, although the percentage of food intake that is consumed away from home varies among countries and among individuals. Previous systematic reviews have reported that, overall, consumption away from home negatively affects an individual’s diet and nutritional status. However, these reviews have mainly focused on high-income countries, leaving a gap in knowledge and data for people in low- and middle-income countries (LMICs). Objective The present review aimed to describe trends in the consumption of food away from home in an apparently healthy population in low- and middle-income countries (LMICs) and to investigate any associations between this behavior and diet quality, nutritional status, and health outcomes. Data Sources A structured search strategy was developed for retrieving (from MEDLINE [via PubMed], Web of Science, and Scopus) peer-reviewed articles published in English from March 2011 until May 2021. Data Extraction Forty studies were included, and from them information was obtained based on data from 12 different countries. A qualitative and descriptive approach was used to review the evidence. Data Analysis It was found that there was large heterogeneity in the definition of food consumed away from home and the methods used to measure it, making comparisons and syntheses difficult. Consumption of food away from home in LMICs was relatively common and was positively driven by factors such as being a male, being young, having a high socio-economic status, being educated, and living in urban areas. As in high-income countries, consumption of food away from home in LMICs had unfavorable effects on an individual’s diet quality, nutritional status, and health. Conclusion There is a need to develop harmonized surveillance systems for better monitoring of the phenomenon of food consumption away from home in LMICs, including a need for a standardized definition for food consumed away from home, to enable the design of effective regulatory policies.

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Eating-out behaviors, associated factors and associations with obesity in Chinese school children: findings from the childhood obesity study in China mega-cities

Cited by 7 publications

References 29 publications

Association of body perception and dietary weight management behaviours among children and adolescents aged 6–17 years in China: cross-sectional study using CHNS (2015)

Association of body perception and dietary weight management behaviours among children and adolescents aged 6–17 years in China: cross-sectional study using CHNS (2015)

Pooled prevalence of food away from home (FAFH) and associated non-communicable disease (NCD) markers: a systematic review and meta-analysis

Consumption of food away from home in low- and middle-income countries: a systematic scoping review

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