Epidemics of overweight and obesity among growing childhood in China between 1997 and 2009

Su, Chang; Zhang, Bing; Wang, You Fa; Jia, Xiaofang; Wang, Hui Jun

doi:10.4103/0366-6999.160648

Cited by 23 publications

(18 citation statements)

References 30 publications

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“…We highlight that, for both genders in 2011, adolescents with higher gross monthly household income had higher odds of being overweight and obese compared to 2001. Similar results for the family income pattern were observed in other studies 27,30 . In Brazil, between 1974 and 2009, obesity prevalence increased (from 0.1% to 2.1%) among adolescents of both genders across all income strata, but with greater magnitude among those with higher income (from 1.2% to 9.2%) 35 .…”

Section: Discussionsupporting

confidence: 91%

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Change in overweight and obesity over a decade according to sociodemographic factors in Brazilian adolescents

Santos

Silva

et al. 2019

Ciênc. saúde coletiva

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The aims were to examine changes in the prevalence of overweight and obesity among students from 2001 to 2011, and to verify if these changes differ according to age group, area of residence, and family income. We analyzed two cross-sectional surveys conducted in 2001 and 2011 with brazilian adolescents. Sociodemographic and anthropometric characteristics were self-reported using a questionnaire. Multinomial logistic regression was used to analyze changes in overweight and obesity between the two surveys. The nutritional status was the outcome of the present study and the surveys (2001 and 2011) were the exposure. The odds of being overweight and obese were higher among boys and girls in urban areas in the 2011 survey compared to the 2001. Boys and girls with higher income were also more likely to present overweight and obesity in the second survey compared to the first. An increase of overweight and obesity was observed over a decade. We suggest that future interventions consider the area of residence and the family income to strengthen the effectiveness of actions developed to prevent and control these indicators among adolescents.

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Section: Discussionsupporting

confidence: 91%

“…In relation to obesity, odds were higher only for girls. It is observed that, even considering subgroups with different ages, the new generation has significantly lower physical activity levels, significantly higher screen time and changes in dietary intake, a trend that occur concomitantly with the increase in obesity 3,27 .…”

Section: Discussionmentioning

confidence: 99%

Change in overweight and obesity over a decade according to sociodemographic factors in Brazilian adolescents

Santos

Silva

et al. 2019

Ciênc. saúde coletiva

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“…It may suggest that a high education level may not be necessary to have better nutritional knowledge or healthier behavior than those with a low education level. In fact, studies from China showing that people with high income were positively associated with a higher energy intake and risk of obesity [31]. …”

Section: Discussionmentioning

confidence: 99%

Trends in Determinants of Hypercholesterolemia among Chinese Adults between 2002 and 2012: Results from the National Nutrition Survey

Song

Man

et al. 2017

Nutrients

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Hypercholesterolemia is a known risk factor for cardiovascular diseases and affects a high proportion of the population. This study aimed to assess and compare the determinants of hypercholesterolemia among Chinese adults aged 18 years and above, from 2002 to 2012. The study used a stratified multistage cluster sampling method to select participants. Sociodemographic and lifestyle information was collected during face-to-face interviews. Dietary intake was calculated by 3-day, 24-h dietary records in combination with weighted edible oil and condiments. Hypercholesterolemia was defined as total cholesterol above 6.22 mmol/L (240 mg/dL) from fasting blood samples. The study included 47,701 (mean age 43.0 years) and 39,870 (mean age 51.0 years) participants in 2002 and 2010–2012 surveys respectively. The weighted prevalence of hypercholesterolemia increased from 1.6% (2.1% urban, 1.0% rural) in 2002 to 6.0% (6.4% urban, 5.1% rural) in 2012. The intake of plant-based food decreased but the intake of pork increased over the 10 years. A high intake of protein and pork, alcohol drinking and overweight/obesity were positively associated with hypercholesterolemia. Neither education nor fruit and vegetable intake were associated with hypercholesterolemia. In conclusion, the burden of hypercholesterolemia increased substantially between 2002 and 2012 in China. Unhealthy lifestyle factors and change in traditional dietary pattern were positively associated with hypercholesterolemia. Further research on the role of diet in the development and prevention of hypercholesterolemia is needed.

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“…Annual increase of overweight/obesity in children is about 0.5–0.7 % in United States of America (USA), Australian, United Kingdom (UK) and China [5]. In China, the prevalence of childhood overweight and/or obesity increased from 12.6 % in 1997 to 22.1 % in 2009 [6]. In 2014, 26.2 % of children in the coastal province of China were obese [7].…”

Section: Introductionmentioning

confidence: 99%

Cesarean section may increase the risk of both overweight and obesity in preschool children

Rutayisire

Huang

et al. 2016

BMC Pregnancy Childbirth

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BackgroundThe increase rates of cesarean section (CS) occurred at the same period as the dramatic increase of childhood overweight/obesity. In China, cesarean section rates have exponentially increased in the last 20 years and they now exceed World Health Organization (WHO) recommendation. Such high rates demand an understanding to the long-term consequences on child health. We aim to examine the association between CS and risk of overweight and obesity among preschool children.MethodWe recruited 9103 children from 35 kindergartens in 4 cities located in East China. Children anthropometric measurements were taken in person by trained personnel. The mode of delivery was classified as vaginal or CS, in sub-analyses we divided cesarean delivery into elective or non-elective. The mode of delivery and other parental information were self-reported by parents. Multivariate logistic regression analysis was used to examine the associations.ResultsIn our cross-sectional study of 8900 preschool children aged 3–6 years, 67.3 % were born via CS, of whom 15.7 % were obese. Cesarean delivery was significantly associated with the risk of overweight [OR 1.24; (95 % CI 1.07–1.44); p = 0.003], and the risk of obesity [OR 1.29; (95 % CI 1.13–1.49); p < 0.001] in preschool children. After adjusted for child characteristics, parental factors and family income, the odd of overweight was 1.35 and of obesity was 1.25 in children delivered by elective CS.ConclusionThe associations between CS and overweight/obesity in preschool children are influenced by potential confounders. Both children delivered by elective or non-elective CS are at increased risk of overweight/obesity. Potential consequences of CS on the health of the children should be discussed among both health care professionals and childbearing women.

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Epidemics of overweight and obesity among growing childhood in China between 1997 and 2009

Cited by 23 publications

References 30 publications

Change in overweight and obesity over a decade according to sociodemographic factors in Brazilian adolescents

Change in overweight and obesity over a decade according to sociodemographic factors in Brazilian adolescents

Trends in Determinants of Hypercholesterolemia among Chinese Adults between 2002 and 2012: Results from the National Nutrition Survey

Cesarean section may increase the risk of both overweight and obesity in preschool children

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