Intervention of childhood and adolescents obesity in Shantou city

Guo, Hai-ting; Zeng, Xiao-shan; Zhuang, Qiaoyu; Zheng, Yufeng; Chen, Shenren

doi:10.1016/j.orcp.2014.11.006

Cited by 17 publications

(40 citation statements)

References 23 publications

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“…With regard to the slightly increased BMI and WC after the intervention, our study was consistent with another obesity treatment intervention on metabolic profile in China [24]. However, effects on BMI and WC outcomes were still controversial among school-based childhood obesity prevention programs.…”

Section: Discussionsupporting

confidence: 85%

“…While several other systematic reviews and meta-analyses still showed positive effects on the change of BMI and WC among children [25][26][27]. It seems logical that BMI and WC still keep uptrend in the progress of the intervention because children are at the peak period of growth and development [24]. Therefore, it may underestimate the effectiveness of intervention studies when simply using anthropometric indicators as independent outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Improving the Metabolic and Mental Health of Children with Obesity: A School-Based Nutrition Education and Physical Activity Intervention in Wuhan, China

et al. 2020

Nutrients

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This study aimed to evaluate the effectiveness of a school-based nutrition education and physical activity intervention on cardiovascular risk profile and mental health outcomes among Chinese children with obesity. Two primary schools were randomly allocated to the control group (CG) and the intervention group (IG). We selected children with obesity from 1340 students in the third and fourth grades as participants. The IG received 8 months of nutrition education and physical activity intervention, while the CG was waitlisted. A generalized estimating equation model was applied to assess repeated variables over time. A total of 171 children with obesity (99 IG and 72 CG) aged 9.8 ± 0.7 years completed the post-intervention stage. Compared with baseline, significant reductions were observed within the IG for depression and fasting plasma glucose at post-intervention. After adjusting for confounders, group and time interaction effects showed that the IG achieved improvements in the risk of poor well-being (p = 0.051) and social anxiety (p = 0.029), had decreased diastolic blood pressure (p = 0.020) and fasting plasma glucose (p < 0.001), and had significantly increased high-density lipoprotein (p < 0.001) from baseline to post-intervention relative to the CG. The effects of school-based nutrition education and physical activity intervention on children with obesity are diverse, including not only the improvement of metabolic health but also mental health promotion.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Improving the Metabolic and Mental Health of Children with Obesity: A School-Based Nutrition Education and Physical Activity Intervention in Wuhan, China

et al. 2020

Nutrients

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“…Table 1 summarized the characteristics of all studies, including study design, duration of intervention, school types and intervention strategies. Of the seventy-six included studies, forty were classified as treatment studies [ 29 , 30 , 34 , 40 – 42 , 44 , 46 , 48 , 49 , 56 – 63 , 65 – 67 , 69 , 71 – 73 , 76 , 77 , 79 , 82 , 84 , 85 , 89 , 90 , 93 , 95 , 97 – 101 ] targeting overweight and / or obese children and thirty-six were prevention studies for all children irrespective of baseline weight [ 22 , 23 , 28 , 31 – 33 , 35 – 39 , 43 , 45 , 47 , 50 – 55 , 64 , 68 , 70 , 74 , 75 , 78 , 80 , 81 , 83 , 86 – 88…”

Section: Resultsmentioning

confidence: 99%

Systematic review and meta-analysis of school-based obesity interventions in mainland China

et al. 2017

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BackgroundNumerous school-based interventions for childhood obesity have been emerging in mainland China in recent decades, but little is known about the effectiveness of such interventions. This study aims to assess the effectiveness of school-based interventions for childhood obesity conducted in mainland China.MethodsA systematic search was undertaken in eight databases to identify both randomized and non-randomized controlled trials from January 1990 to December 2015 examining the effectiveness of school-based obesity interventions. A random effects meta-analysis was conducted assessing the impact of included interventions on (body mass index) BMI. The quality of each included studies were assessed using Effective Public Health Practice Project Quality Assessment Tool. A P value <0.05 (two-sided) was considered statistically significant.ResultOf the seventy-six included studies, we found physical activity and health education were the two most common components of interventions. More treatment studies were effective compared with prevention studies (85.0% vs. 58.3%). Comprehensive interventions involving physical activity and health education appeared more effective than the physical activity only interventions in both obesity treatment and prevention studies. The meta-analyses showed comprehensive interventions involving physical activity and health education had larger effect on the change of BMI than physical activity only interventions (treatment studies: -1.80 kg/m2 (95% CI: -2.15,-1.44) vs. -0.91 kg/m2 (95% CI: -1.15,-0.67); prevention studies: -0.19 kg/m2 (95% CI: -0.27, -0.11) vs. +0.05 kg/m2 (95% CI: -0.04, +0.15)).ConclusionsComprehensive school-based interventions may assist in tackling the rising prevalence of childhood obesity in mainland China.

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“…Third, the children’s nutritional habits and/or physical activity levels and patterns were not objectively measured, which would have been very useful for interpreting the results. One recent Chinese study in Shantou city, another economic zone in China similar to Xiamen, indicated that inappropriate dietary intakes and lack of physical activity levels might lead to the imbalance of energy intake and consumption and associate with higher prevalence of overweight and obesity [32]. However, the sample size we surveyed is as large as 71,229 urban children under five years old, and the self-description of dietary energy intake and physical activity levels were difficult to assess accurately, even if a unified method of measurement was informed.…”

Section: Discussionmentioning

confidence: 99%

Secular Trends in Growth and Nutritional Outcomes of Children under Five Years Old in Xiamen, China

Chen

Zeng

et al. 2016

IJERPH

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Abstract:The purpose of this study was to examine secular changes in growth and nutritional outcomes of Chinese urban children under five years old, in 2009, 2012, and 2015. Cluster random sampling methods were used to select children under five years old in Xiamen, one of five special economic zones in China. Subjects (N = 71,229) under five years old (39,413 boys, 31,816 girls) were examined at three different times (22,576 in 2009, 24,816 in 2012, and 23,837 in 2015). Significant differences in the boys' height and weight (p < 0.05) were found across the three time points; subjects in the 2015 sample were the heaviest and tallest, and they had the highest BMI (2009 < 2015; 2012 < 2015). Among the girls, those in the 2015 sample were similar to the boys (2009 < 2012; 2012 < 2015). In general, similar patterns were observed when mean values were analyzed by age. An increasing trend was found in the prevalence of overweight and obesity and a decreasing trend for stunting, underweight, and wasting. The results revealed that the burden of childhood underand over-nutrition might constitute a public health concern in modern China.

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Intervention of childhood and adolescents obesity in Shantou city

Cited by 17 publications

References 23 publications

Improving the Metabolic and Mental Health of Children with Obesity: A School-Based Nutrition Education and Physical Activity Intervention in Wuhan, China

Improving the Metabolic and Mental Health of Children with Obesity: A School-Based Nutrition Education and Physical Activity Intervention in Wuhan, China

Systematic review and meta-analysis of school-based obesity interventions in mainland China

Secular Trends in Growth and Nutritional Outcomes of Children under Five Years Old in Xiamen, China

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