Overall obesity is leveling-off while abdominal obesity continues to rise in a Chinese population experiencing rapid economic development: analysis of serial cross-sectional health survey data 2002–2010

Lao, Xiang Qian; Ma, W J; Sobko, Tanja; Zhang, Y H; Xu, Yongjian; Xu, Xiao; Yu, Dongmei; Nie, Shao Ping; Cai, Qiu Mao; Xia, Liang; Thomas, G. Neil; Griffiths, Siân

doi:10.1038/ijo.2014.95

Cited by 40 publications

(37 citation statements)

References 29 publications

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“…Considering this increasing trajectory is pertinent in the development of preventive strategies, particularly when considering that an increase of 1 cm in WC increases the relative risk of cardiovascular disease by 2% . WC has been shown to have increased in adults from 1999 to 2012 , and in areas of fast economic development a leveling‐off of BMI in adults has also been accompanied by an increase in WC and abdominal obesity . Of note is that the comparisons between NHANESIII and NHANES2014 is provided herein to describe a trend and to support the shifting toward the left of the distribution on a 13‐year period, and not to test for statistically significant differences that, in this case, might not have any research or clinical implications.…”

Section: Discussionmentioning

confidence: 98%

Changes in pediatric waist circumference percentiles despite reported pediatric weight stabilization in the United States

et al. 2016

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Background Obesity is a global health concern but the United States has reported a leveling in obesity rates in the pediatric population. Objective To provide updated waist circumference (WC) percentile values, identify differences across time and discuss differences within the context of reported weight stabilization in a nationally representative sample of American children. Methods Percentiles for WC in self-identified African Americans (AA), European Americans (EA) and Mexican Americans (MA) were obtained from 2009–2014 National Health and Nutrition Examination Survey data (NHANES2014). Descriptive trends across time in 10th, 25th, 50th, 75th and 90th percentile WC distributions were identified by comparing NHANES2012 with previously reported NHANESIII (1988–94). Results WC increased in a monotonic fashion in AA, EA and MA boys and girls. When compared with NHANESIII data, a clear left shift of percentile categories was observed such that values that used to be in the 90th percentile are now in the 85th percentile. Differences in WC were observed in EA and MA boys during a reported period of weight stabilization. Conclusion and Relevance WC has changed in the US pediatric population across time, even during times of reported weight stabilization, particularly among children of diverse racial/ethnic backgrounds.

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Section: Discussionmentioning

confidence: 98%

Changes in pediatric waist circumference percentiles despite reported pediatric weight stabilization in the United States

et al. 2016

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“…However, it appears evident that the diverse changes in lifestyle and environment have led to an increased prevalence of the primary diabetes risk factor (aside from age), namely a rise in the mean BMI in populations worldwide [3]. Even if overall obesity seems to be levelling off, such as in a region of China [114], increases in abdominal obesity are still rising.…”

Section: How May Unfavourable Lifestyle and Environmental Changes Caumentioning

confidence: 99%

Environmental/lifestyle factors in the pathogenesis and prevention of type 2 diabetes

Kolb

Martin

2017

BMC Med

505

327

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Background: Environmental and lifestyle changes, in addition to the ageing of populations, are generally believed to account for the rapid global increase in type 2 diabetes prevalence and incidence in recent decades. Discussion: In this review, we present a comprehensive overview of factors contributing to diabetes risk, including aspects of diet quality and quantity, little physical activity, increased monitor viewing time or sitting in general, exposure to noise or fine dust, short or disturbed sleep, smoking, stress and depression, and a low socioeconomic status. In general, these factors promote an increase in body mass index. Since loss of β-cell function is the ultimate cause of developing overt type 2 diabetes, environmental and lifestyle changes must have resulted in a higher risk of β-cell damage in those at genetic risk. Multiple mechanistic pathways may come into play. Conclusions: Strategies of diabetes prevention should aim at promoting a 'diabetes-protective lifestyle' whilst simultaneously enhancing the resistance of the human organism to pro-diabetic environmental and lifestyle factors. More research on diabetes-protective mechanisms seems warranted.

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“…Obesity is a major public health problem that has attracted considerable public attention worldwide [1,2,3]. The prevalence of obesity in China was 12% in 2010 [4].…”

Section: Introductionmentioning

confidence: 99%

Associations of Overweight, Obesity and Related Factors with Sleep-Related Breathing Disorders and Snoring in Adolescents: A Cross-Sectional Survey

Peng

Kou

et al. 2017

IJERPH

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Background: Sleep-related breathing disorders (SRBD) have been identified as a major public health problem closely related to adolescent obesity. We aimed to estimate the prevalences of SRBD and snoring in adolescents in Changchun City, Northeastern China, and to evaluate the associated factors in this population. Methods: In total, 1955 adolescents aged 11–18 years were recruited in Changchun City using stratified cluster sampling. Parents and caretakers of children completed the questionnaires, which included demographic characteristics, anthropometric parameters and a pediatric sleep questionnaire (SRBD scale). Logistic regression was used to analyze the relationship between SRBD, snoring and other factors. Results: The prevalences of SRBD and snoring in our population were 3.7% and 3.3%, respectively, and the prevalences of overweight and obesity were 12.6% and 4.9%. Multivariate logistic regression showed that urban residence (OR = 2.356, 95%CI: 1.251–4.435) and post-term birth (OR = 3.275, 95%CI: 1.396–7.683) were significantly associated with SRBD. Preterm birth (OR = 2.255, 95%CI: 1.021–4.980) and parental education level of university and above (OR = 0.265, 95%CI: 0.083–0.850) were significantly associated with snoring. Overweight (OR = 2.063, 95%CI: 1.062–4.006) was also related to snoring. Conclusions: The prevalences of SRBD and snoring were similar to those reported in previous studies. Urban residence and post-term birth were important influencing factors for SRBD; overweight, highest parental education level (university and above) and preterm birth were key factors affecting snoring in adolescents.

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Overall obesity is leveling-off while abdominal obesity continues to rise in a Chinese population experiencing rapid economic development: analysis of serial cross-sectional health survey data 2002–2010

Cited by 40 publications

References 29 publications

Changes in pediatric waist circumference percentiles despite reported pediatric weight stabilization in the United States

Changes in pediatric waist circumference percentiles despite reported pediatric weight stabilization in the United States

Environmental/lifestyle factors in the pathogenesis and prevention of type 2 diabetes

Associations of Overweight, Obesity and Related Factors with Sleep-Related Breathing Disorders and Snoring in Adolescents: A Cross-Sectional Survey

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