Prevalence and trends of obesity among school children in Taiwan—the Taipei Children Heart Study

Chu, Nain-Feng

doi:10.1038/sj.ijo.0801486

Cited by 89 publications

(72 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…3 Taiwan, an economically developed country, also experienced a decrease in the prevalence of hypertension (age-adjusted prevalence: 26.6-23.5%, from 1993 to 2002) and a decrease in the mean BP in adults. 35 However, the prevalence of obesity is still increasing in Taiwanese children and adults, 20,36 and the trends of hypertension in children are consistent with the rate of increasing obesity. The following lists possible reasons for the inconsistent trends of hypertension between children and adults in Taiwan.…”

Section: Discussionmentioning

confidence: 90%

“…11,15,[17][18][19] In Taiwan, the increasing availability of high fat, high calorie foods has contributed to the continually increasing obesity levels of adults and children. 20 However, no population-based studies examine the relationship between hypertension and obesity in children. Therefore, this study evaluates the trend of hypertension and the relationship between body mass index (BMI) and waist circumference (WC) in Taiwanese young adolescents.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The trend of hypertension and its relationship to the weight status among Taiwanese young adolescents

2011

Self Cite

View full text Add to dashboard Cite

This study evaluates prevalence of hypertension in 1996 and 2006, and examines the relationship between hypertension and weight of Taiwanese young adolescents. Two cross-sectional surveys, administered in 1996 and 2006, to junior-high school in Taipei were included. Anthropometric and blood pressure were measured using standard methods, and structured questionnaire was used to collect personal history and lifestyle characteristics. Overweight and obesity are defined based on Taiwan's Department of Health criteria and bases pre-hypertension and hypertension on the 90th and 95th percentile distribution of blood pressure of the population of both surveys. The prevalence of pre-hypertension in Taiwan between 1996 and 2006 increased from 12.0 to 14.4% for boys and decreased from 9.5 to 9.4% for girls. Hypertension increased from 22.8-29.7% and 12.5-20.7% for both boys and girls, respectively. In 1996, compared with normal young adolescents, the risk of hypertension for overweight was 1.8 times higher for boys and 3.4 times for girls. However, the risk of hypertension for overweight in 2006 was 1.7 times higher for boys and 1.5 times higher for girls compared with normal. Every unit increment of body mass index and waist circumference was associated with 17-27% and 6-11% risk of hypertension in both genders in 1996, and was associated with 9-13% and 4% risk of hypertension among young adolescents in 2006, respectively. The prevalence of hypertension has increased significantly in young adolescents, especially for overweight. It is necessary to enrol young adolescents in weight management programs to prevent hypertension-related co-morbidities.

show abstract

Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

The trend of hypertension and its relationship to the weight status among Taiwanese young adolescents

2011

Self Cite

View full text Add to dashboard Cite

show abstract

“…Several studies have found that the prevalence of obesity has increased in the Taiwanese population. 7,8 With the continuing increases in general well-being and standard of living, it is expected that the problem of obesity will further increase. 9 Although obesity has been shown to be associated with an increased risk of cardiovascular diseases and diabetes, [10][11][12][13] it is not yet clear whether the increased prevalence of obesity in the Taiwanese population in the last 30 years is reflected by increased risk of chronic disease.…”

Section: Introductionmentioning

confidence: 99%

Trends in the association between blood pressure and obesity in a Taiwanese population between 1996 and 2006

Summers

Burley

et al. 2010

J Hum Hypertens

View full text Add to dashboard Cite

In the last decades, the prevalence of obesity has increased in the Taiwanese population. This has the potential to impact on the risks of cardiovascular diseases and diabetes. This study investigated trends in the changes in several indices of obesity in the last decade, and the relationship between blood pressure (BP) and these obesity indices available in Mei-Jaw Corporation health-screening data from 1996/1998 to 2006. Three cross-sectional surveys among healthy individuals ages 20-59 years, in which 14 362 subjects examined in year 1996, 17 368 in 1998, and 28 524 in 2006, were included in the analysis. Body weight and height data were available from 1996, whereas %body fat, waist circumference and waist-hip ratio (Whratio) were only available from 1998 onwards. We found that the association between systolic BP and body weight, body mass index, %body fat, Whratio and waist became stronger for both men and women in 2006 than 1996 after adjustment for age, education level, alcohol intake, smoking and betel nut chewing. In contrast, non-obese people seemed to have lower diastolic BP in 2006 than in 1996. This trend is consistent irrespective of the index of obesity used. Among healthy individuals, the average values for the obesity indices increased in men but remained similar in women. However, in both men and women, the relationship between obesity and BP has changed. Further research is required to investigate the impact of these intriguing changes in the associations on the risk of cardiovascular diseases in the Taiwanese population.

show abstract

“…1 Other industrialized countries, including Taiwan, are beginning to experience an epidemic of excess body weight as peoples' lifestyles and diet became more westernized. [3][4][5][6] According to the National Nutritional and Health Survey in Taiwan, the mean body mass index (BMI) was 22.1, 24.6, and 24.8 kg/m 2 for age groups [45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64], and 65 þ years in 1993-1996, representing increases of 1, 5 and 9%, respectively, since a 1986-1988 survey. 5 Evidence suggests that overweight and obesity are important determinants of chronic diseases (CDs), including diabetes mellitus, hypertension, dyslipidemia, coronary heart disease, cardiovascular disease, some cancers, gallbladder disease, osteoarthritis, sleep apnea, and respiratory problems.…”

Section: Introductionmentioning

confidence: 99%

The relationship of excess body weight and health-related quality of life: evidence from a population study in Taiwan

2006

View full text Add to dashboard Cite

Objective: Excess body weight is related to significant morbidity and mortality. However, less is known about the relationship of body weight to health-related quality of life (HRQOL), especially for Asian populations. We examined the relationship of excess weight and HRQOL in a general population sample from Taiwan. Research methods and procedures: This cross-sectional study used a national representative sample (n ¼ 14 221) from the 2001 Taiwan National Health Interview Survey. Body weight was categorized using body mass index (BMI in kg/m 2 ) as normal (18.5-24.9), overweight (25-29.9), and obese (X30). HRQOL was measured using the Taiwan version of the SF-36. We compared the body weight-HRQOL relationships by age, gender, and status of chronic condition, respectively. We especially used the Generalized Estimating Equations (GEE) to examine the relationships of BMI and HRQOL by taking into account the correlations of HRQOL within households. Four models were developed to adjust sequentially for sets of covariates: Model 1 with no adjustment; Model 2 adjusting for sociodemographic variables; Model 3 adding chronic conditions; Model 4 further adding smoking status. Results: Unadjusted physical HRQOL was best for normal weight, worse for overweight, and worst for obese individuals. For unadjusted mental HRQOL, overweight subjects had at least as good mental domain scores of HRQOL as those with normal weight or obesity, depending on the subscales. As age increased, excess weight was associated with worse physical, but not mental HRQOL. Compared to men, women with excess weight showed a greater deficit in physical HRQOL. Multivariable analyses suggested that obesity was associated with worse physical HRQOL compared to overweight, which, in turn, was worse or comparable to normal weight. Specifically, in the model adjusting for demographic variables, the deficit in physical functioning and physical component scores for the obese vs normal weight were statistical significant (Po0.05) and clinically important difference (effect size X0.3). Both obesity and overweight were associated with higher mental component scores than normal weight, but the effect size was o0.3. Conclusion: In Taiwan, excess weight was related to worse physical, but not mental HRQOL. The lack of impact of increased body weight on mental health status presents a potential challenge to preventing the increases in obesity. More research is needed to elucidate the mechanisms by which excess weight affects specific domains of HRQOL, and to develop effective prevention strategies.

show abstract

Prevalence and trends of obesity among school children in Taiwan—the Taipei Children Heart Study

Cited by 89 publications

References 32 publications

The trend of hypertension and its relationship to the weight status among Taiwanese young adolescents

The trend of hypertension and its relationship to the weight status among Taiwanese young adolescents

Trends in the association between blood pressure and obesity in a Taiwanese population between 1996 and 2006

The relationship of excess body weight and health-related quality of life: evidence from a population study in Taiwan

Contact Info

Product

Resources

About