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Secular trends and sociodemographic determinants of thinness, overweight and obesity among Chinese children and adolescents aged 7–18 years from 2010 to 2018
BACKGROUND: Most studies have focused on overweight/obesity and its secular trend, with insufficient studies on the factors influencing thinness and trends recently. To examine the trends of prevalence and sociodemographic determinants of thinness, overweight, and obesity among Chinese children and...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10192611/ https://www.ncbi.nlm.nih.gov/pubmed/37213615 http://dx.doi.org/10.3389/fpubh.2023.1128552 |
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author | Li, Chengyue Zhang, Mingxuan Tarken, Alimujiang Yimiti Cao, Yuping Li, Qian Wang, Hao |
author_facet | Li, Chengyue Zhang, Mingxuan Tarken, Alimujiang Yimiti Cao, Yuping Li, Qian Wang, Hao |
author_sort | Li, Chengyue |
collection | PubMed |
description | BACKGROUND: Most studies have focused on overweight/obesity and its secular trend, with insufficient studies on the factors influencing thinness and trends recently. To examine the trends of prevalence and sociodemographic determinants of thinness, overweight, and obesity among Chinese children and adolescents aged 7 to 18 years from 2010 to 2018. METHODS: This study was based on cross-sectional data of 11,234 children and adolescents aged 7 to 18 years from the Chinese Family Panel Studies (CFPS) in 2010, 2014, and 2018, including anthropometric and sociodemographic characteristics variables. The nutritional status of each individual was determined according to China and WHO criteria. The demographic characteristics of different subgroups were tested by chi-square, and log-binomial regression was used to analyze the trend of prevalence and the relationship between sociodemographic characteristics and different nutritional statuses. RESULTS: After adjusting for age, from 2010 to 2018, the overall prevalence of thinness decreased, and the prevalence of overweight increased in Chinese children and adolescents. The overall prevalence of obesity declined in boys and increased in girls, but in adolescents aged 16–18 years, it increased significantly. Log-binomial regression analysis showed that among all subjects, time (years), 16–18 years were negatively associated with thinness, while 13–15 years, walking to school, large family size, and paternal age at childbirth older than 30 years old were positively associated with thinness; 10–12/13–15/16–18 years, boarding at school, medium and large family sizes, and mother's education at junior middle school/junior high school and above were negatively associated with overweight/obesity, while time (years), boys were positively associated with overweight/obesity in the multivariate model by adjusting for the statistically significant factors (all p < 0.05). CONCLUSION: Chinese children and adolescents are facing a double burden of malnutrition. Future public health policies and interventions should prioritize high-risk groups specifically young age groups, boys, larger family sizes and so on. |
format | Online Article Text |
id | pubmed-10192611 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-101926112023-05-19 Secular trends and sociodemographic determinants of thinness, overweight and obesity among Chinese children and adolescents aged 7–18 years from 2010 to 2018 Li, Chengyue Zhang, Mingxuan Tarken, Alimujiang Yimiti Cao, Yuping Li, Qian Wang, Hao Front Public Health Public Health BACKGROUND: Most studies have focused on overweight/obesity and its secular trend, with insufficient studies on the factors influencing thinness and trends recently. To examine the trends of prevalence and sociodemographic determinants of thinness, overweight, and obesity among Chinese children and adolescents aged 7 to 18 years from 2010 to 2018. METHODS: This study was based on cross-sectional data of 11,234 children and adolescents aged 7 to 18 years from the Chinese Family Panel Studies (CFPS) in 2010, 2014, and 2018, including anthropometric and sociodemographic characteristics variables. The nutritional status of each individual was determined according to China and WHO criteria. The demographic characteristics of different subgroups were tested by chi-square, and log-binomial regression was used to analyze the trend of prevalence and the relationship between sociodemographic characteristics and different nutritional statuses. RESULTS: After adjusting for age, from 2010 to 2018, the overall prevalence of thinness decreased, and the prevalence of overweight increased in Chinese children and adolescents. The overall prevalence of obesity declined in boys and increased in girls, but in adolescents aged 16–18 years, it increased significantly. Log-binomial regression analysis showed that among all subjects, time (years), 16–18 years were negatively associated with thinness, while 13–15 years, walking to school, large family size, and paternal age at childbirth older than 30 years old were positively associated with thinness; 10–12/13–15/16–18 years, boarding at school, medium and large family sizes, and mother's education at junior middle school/junior high school and above were negatively associated with overweight/obesity, while time (years), boys were positively associated with overweight/obesity in the multivariate model by adjusting for the statistically significant factors (all p < 0.05). CONCLUSION: Chinese children and adolescents are facing a double burden of malnutrition. Future public health policies and interventions should prioritize high-risk groups specifically young age groups, boys, larger family sizes and so on. Frontiers Media S.A. 2023-05-04 /pmc/articles/PMC10192611/ /pubmed/37213615 http://dx.doi.org/10.3389/fpubh.2023.1128552 Text en Copyright © 2023 Li, Zhang, Tarken, Cao, Li and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Li, Chengyue Zhang, Mingxuan Tarken, Alimujiang Yimiti Cao, Yuping Li, Qian Wang, Hao Secular trends and sociodemographic determinants of thinness, overweight and obesity among Chinese children and adolescents aged 7–18 years from 2010 to 2018 |
title | Secular trends and sociodemographic determinants of thinness, overweight and obesity among Chinese children and adolescents aged 7–18 years from 2010 to 2018 |
title_full | Secular trends and sociodemographic determinants of thinness, overweight and obesity among Chinese children and adolescents aged 7–18 years from 2010 to 2018 |
title_fullStr | Secular trends and sociodemographic determinants of thinness, overweight and obesity among Chinese children and adolescents aged 7–18 years from 2010 to 2018 |
title_full_unstemmed | Secular trends and sociodemographic determinants of thinness, overweight and obesity among Chinese children and adolescents aged 7–18 years from 2010 to 2018 |
title_short | Secular trends and sociodemographic determinants of thinness, overweight and obesity among Chinese children and adolescents aged 7–18 years from 2010 to 2018 |
title_sort | secular trends and sociodemographic determinants of thinness, overweight and obesity among chinese children and adolescents aged 7–18 years from 2010 to 2018 |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10192611/ https://www.ncbi.nlm.nih.gov/pubmed/37213615 http://dx.doi.org/10.3389/fpubh.2023.1128552 |
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