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Modes of Transport to School and Their Associations with Weight Status: A Cross-Sectional Survey of Students in Shanghai, China

Background: Over the past two decades, both transport modes as well as overweight/obesity have changed dramatically among students in China, but their relationships are not clear. This study aimed to investigate modes of transport to school and their associations with the weight status of Chinese st...

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Autores principales: Zhu, Yuan-Shen, Sun, Zhuo, Ke, Dan-Dan, Yang, Jia-Qi, Li, Wen-Yun, Deng, Ze-Qun, Li, Yong-Zhen, Wu, Min, Wen, Li-Ming, He, Geng-Sheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8124258/
https://www.ncbi.nlm.nih.gov/pubmed/33924870
http://dx.doi.org/10.3390/ijerph18094687
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author Zhu, Yuan-Shen
Sun, Zhuo
Ke, Dan-Dan
Yang, Jia-Qi
Li, Wen-Yun
Deng, Ze-Qun
Li, Yong-Zhen
Wu, Min
Wen, Li-Ming
He, Geng-Sheng
author_facet Zhu, Yuan-Shen
Sun, Zhuo
Ke, Dan-Dan
Yang, Jia-Qi
Li, Wen-Yun
Deng, Ze-Qun
Li, Yong-Zhen
Wu, Min
Wen, Li-Ming
He, Geng-Sheng
author_sort Zhu, Yuan-Shen
collection PubMed
description Background: Over the past two decades, both transport modes as well as overweight/obesity have changed dramatically among students in China, but their relationships are not clear. This study aimed to investigate modes of transport to school and their associations with the weight status of Chinese students. Methods: A cross-sectional study was conducted with non-resident students aged 6 to 17 years from all 16 districts across Shanghai, China in October and November 2019. Information about sociodemographic characteristics and the models of travel to school among students was investigated using an online, self-administered, structured questionnaire (or those assisted by their parents). Weight and height were measured by school health workers, and the Chinese standard age adjusted BMI (weight/height(2)) was used to classify students’ weight status. Cumulative logistic regression modelling was used to examine the relationships. Results: The main mode of transport to school was an active mode (46.5%, defined as walking, bicycling, or public transport), followed by an inactive mode of transport (30.5%, defined as a car or bicycle as a passenger), and a combination of both modes (23%). About one-third of the students were overweight or obese and 5% were underweight. No statistically significant association between transport modes and weight status was found in this study. Conclusions: In Shanghai, close to one-third of children travel to school by an inactive mode of transport. The findings of this study did not support the notion that an active mode to school could be beneficial for preventing overweight/obesity in students in China.
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spelling pubmed-81242582021-05-17 Modes of Transport to School and Their Associations with Weight Status: A Cross-Sectional Survey of Students in Shanghai, China Zhu, Yuan-Shen Sun, Zhuo Ke, Dan-Dan Yang, Jia-Qi Li, Wen-Yun Deng, Ze-Qun Li, Yong-Zhen Wu, Min Wen, Li-Ming He, Geng-Sheng Int J Environ Res Public Health Article Background: Over the past two decades, both transport modes as well as overweight/obesity have changed dramatically among students in China, but their relationships are not clear. This study aimed to investigate modes of transport to school and their associations with the weight status of Chinese students. Methods: A cross-sectional study was conducted with non-resident students aged 6 to 17 years from all 16 districts across Shanghai, China in October and November 2019. Information about sociodemographic characteristics and the models of travel to school among students was investigated using an online, self-administered, structured questionnaire (or those assisted by their parents). Weight and height were measured by school health workers, and the Chinese standard age adjusted BMI (weight/height(2)) was used to classify students’ weight status. Cumulative logistic regression modelling was used to examine the relationships. Results: The main mode of transport to school was an active mode (46.5%, defined as walking, bicycling, or public transport), followed by an inactive mode of transport (30.5%, defined as a car or bicycle as a passenger), and a combination of both modes (23%). About one-third of the students were overweight or obese and 5% were underweight. No statistically significant association between transport modes and weight status was found in this study. Conclusions: In Shanghai, close to one-third of children travel to school by an inactive mode of transport. The findings of this study did not support the notion that an active mode to school could be beneficial for preventing overweight/obesity in students in China. MDPI 2021-04-28 /pmc/articles/PMC8124258/ /pubmed/33924870 http://dx.doi.org/10.3390/ijerph18094687 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zhu, Yuan-Shen
Sun, Zhuo
Ke, Dan-Dan
Yang, Jia-Qi
Li, Wen-Yun
Deng, Ze-Qun
Li, Yong-Zhen
Wu, Min
Wen, Li-Ming
He, Geng-Sheng
Modes of Transport to School and Their Associations with Weight Status: A Cross-Sectional Survey of Students in Shanghai, China
title Modes of Transport to School and Their Associations with Weight Status: A Cross-Sectional Survey of Students in Shanghai, China
title_full Modes of Transport to School and Their Associations with Weight Status: A Cross-Sectional Survey of Students in Shanghai, China
title_fullStr Modes of Transport to School and Their Associations with Weight Status: A Cross-Sectional Survey of Students in Shanghai, China
title_full_unstemmed Modes of Transport to School and Their Associations with Weight Status: A Cross-Sectional Survey of Students in Shanghai, China
title_short Modes of Transport to School and Their Associations with Weight Status: A Cross-Sectional Survey of Students in Shanghai, China
title_sort modes of transport to school and their associations with weight status: a cross-sectional survey of students in shanghai, china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8124258/
https://www.ncbi.nlm.nih.gov/pubmed/33924870
http://dx.doi.org/10.3390/ijerph18094687
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