Mismatch in Children’s Weight Assessment, Ideal Body Image, and Rapidly Increased Obesity Prevalence in China: A 10‐Year, Nationwide, Longitudinal Study

Min, Jungwon; Yan, Alice; Wang, Youfa

doi:10.1002/oby.22310

Cited by 18 publications

(20 citation statements)

References 37 publications

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“…stunting. e findings are consistent with the literature as studies suggest overweight or obesity is more prevalent in urban than in rural areas [32][33][34][35], trends uncommon across the globe, and unique to the country of China. Surprisingly, subjects in a small-medium city had the highest rate of underweight and second-highest rate of overweight or obesity.…”

Section: Discussionsupporting

confidence: 90%

Double Burden of Malnutrition: Examining the Growth Profile and Coexistence of Undernutrition, Overweight, and Obesity among School-Aged Children and Adolescents in Urban and Rural Counties in Henan Province, China

Zhou

Bing

et al. 2020

Journal of Obesity

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Objective. To examine the gender, age, and region of residence in the anthropometric and nutritional profiles of children and adolescents aged 6–18 in Henan Province, China’s third most populous province. Design. This cross-sectional study of the China National Nutrition and Health survey (2010–2013) used a multistage cluster sampling technique. The sample included Chinese schoolchildren and adolescents aged 6 to 18 years (1,660 boys and 1,561 girls). Multiple logistic regression models were used to estimate the associations between sociodemographic correlates and overweight or obesity and stunting. Setting. Nine districts/counties in Henan Province. Participants. 3,221 subjects completed the questionnaire. Sociodemographic information was obtained. Body weight and height were measured. Results. There were statistically significant regional differences in average height and weight for boys in all age groups. Girls followed the same trends except for height when 15–18 years old. The urban-rural residence differences were found in relation to prevalence of stunting and weight status. Subjects in poor rural areas (15.43%) and ordinary rural areas (15.34%) had higher rates of stunting compared to their urban counterparts. Prevalence of overweight or obesity was highest in big city areas (15.71%) and lowest in ordinary rural areas (6.37%). Being a boy (OR = 1.69, 95% CI = 1.314–2.143), living in a big city (OR = 2.10, 95% CI = 1.431–3.073), or in a small-medium city (OR = 2.28, CI = 1.606–3.247), or being in a younger age group was associated with being overweight or obese. In addition, being a boy, living in a big city, or in a small-medium city, or being younger in age meant they were less likely to be stunted. Conclusions. A substantial dual burden of malnutrition among children and adolescents in Henan Province was revealed. The urban-rural differences in nutritional status were found. Stunting was more prevalent in rural areas than in urban. In contrast, while the rising problem of childhood and adolescent obesity still exists in the big city, we also found a great spike in obesity in small-medium cities. Evidence also indicated that boys were more likely to be overweight or obese. Our findings suggest that nutrition education, as well as environmental and policy interventions, is needed to target specific geographic regions.

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Section: Discussionsupporting

confidence: 90%

Double Burden of Malnutrition: Examining the Growth Profile and Coexistence of Undernutrition, Overweight, and Obesity among School-Aged Children and Adolescents in Urban and Rural Counties in Henan Province, China

Zhou

Bing

et al. 2020

Journal of Obesity

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“…Increasing prevalence of negative perception of the body image was reported in Chinese children, with more rapid increases of taking weight management behaviours in adolescents, as well as in girls versus boys [16,17]. However, few studies have been conducted nationwide involving pupils and incorporating both body image dissatisfaction and self-perceived weight status together in terms of body perception.…”

Section: Introductionmentioning

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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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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“…The study revealed that the documents were produced within the last 20 years, with over 80% being published in the recent ten years. This can be explained by the rapid increase in the prevalence of CHO in china, which has almost tripled just within the last two decades [4]. This has resulted in increased attention being given to addressing CHO, which is re ected in research output.…”

Section: Discussionmentioning

confidence: 99%

“…In the last decades, the prevalence of CHO in China has gradually increased, now almost equal to that in developed countries [1,3]. Between 2000 and 2011, the prevalence of CHO in China nearly tripled from 6.5-16.8% [4].…”

Section: Introductionmentioning

confidence: 99%

A Bibliometric Analysis of Childhood Obesity Research From China Indexed in Web of Science

Kawuki¹,

Ghimire²,

Papabathini³

et al. 2020

Preprint

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Abstract Background: Childhood obesity (CHO) is a serious global health threat, whose prevalence in China has gradually increased in the past two decades. The study aimed to quantify and map the scientific output of research concerning CHO published from China though a Bibliometric perspective. Methods: CHO-related publications were retrieved from the Web of Science database by using the keywords ‘childhood obesity’, and ‘childhood overweight’. HistCite and Biblioshiny software were used to categorise and evaluate authors’, institutions’ and journals’ contribution. VOSviewer was used for network-visualisation. Results: A total of 230 CHO-related documents were identified from China (1900-2020), which was 3.8% of the global output of CHO research. The majority (74.8%) of the papers were research articles, and the average citations per document were 18.4. The results show a gradual increase in publication trend over the last 20 years. The leading institutions in CHO research were Peking University (n=22), Chinese CDC (19) and Chinese University of Hong Kong (18), while “Endocrinology Metabolism” (50) was the most decisive research field. The most contributing authors included Wang YF (17), Xue H (11), and Ma GS (10), while “Obesity Reviews” (15) was the most-crucial journal. The most cited article was from Olds T et al. published in 2011. Conclusion: This analysis provides a historical perspective of progress in CHO research from China and has highlighted the leading role played by various stakeholders in addressing CHO. Besides, it highlights a need for more focus on CHO research as well as targeted interventions for effective prevention and control.

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Mismatch in Children’s Weight Assessment, Ideal Body Image, and Rapidly Increased Obesity Prevalence in China: A 10‐Year, Nationwide, Longitudinal Study

Cited by 18 publications

References 37 publications

Double Burden of Malnutrition: Examining the Growth Profile and Coexistence of Undernutrition, Overweight, and Obesity among School-Aged Children and Adolescents in Urban and Rural Counties in Henan Province, China

Double Burden of Malnutrition: Examining the Growth Profile and Coexistence of Undernutrition, Overweight, and Obesity among School-Aged Children and Adolescents in Urban and Rural Counties in Henan Province, China

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)

A Bibliometric Analysis of Childhood Obesity Research From China Indexed in Web of Science

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