Risk factors for obesity and overweight in Chinese children: a nationwide survey

作者全名："Chen, JingNan; Jin, Lu; Wang, FengLei; Huang, Ke; Wu, Wei; Chen, RuiMin; Maimaiti, Mireguli; Chen, ShaoKe; Cao, BingYan; Zhu, Min; Wang, ChunLin; Su, Zhe; Liang, Yan; Yao, Hui; Wei, HaiYan; Zheng, RongXiu; Du, HongWei; Luo, FeiHong; Li, Pin; Yu, YunXian; Wang, Ergang; Dorazio, Robert M.; Fu, Junfen"

作者地址："[Chen, JingNan; Jin, Lu; Huang, Ke; Wu, Wei; Dorazio, Robert M.; Fu, Junfen] Zhejiang Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth, Dept Endocrinol,Sch Med, Hangzhou, Peoples R China; [Wang, FengLei] Harvard TH Chan Sch Publ Hlth, Dept Nutr, Boston, MA USA; [Chen, RuiMin] Fuzhou Childrens Hosp, Dept Endocrinol Genet & Metab, Fuzhou, Peoples R China; [Maimaiti, Mireguli] Xinjiang Med Univ, Affiliated Hosp 1, Dept Endocrinol Genet & Metab, Urumqi, Peoples R China; [Chen, ShaoKe] Nanning Women & Childrens Hosp, Dept Pediat, Nanning, Peoples R China; [Cao, BingYan] Capital Med Univ, Beijing Childrens Hosp, Dept Endocrinol, Beijing, Peoples R China; [Zhu, Min] Chongqing Med Univ, Childrens Hosp, Dept Endocrinol, Chongqing, Peoples R China; [Wang, ChunLin] Zhejiang Univ, Affiliated Hosp 1, Sch Med, Dept Pediat, Hangzhou, Peoples R China; [Su, Zhe] Shenzhen Childrens Hosp, Dept Endocrinol, Shenzhen, Peoples R China; [Liang, Yan] Huazhong Univ Sci & Technol, Tongji Med Coll, Dept Pediat, Wuhan, Peoples R China; [Yao, Hui] Wuhan Women & Childrens Hlth Care Ctr, Dept Endocrinol, Wuhan, Peoples R China; [Wei, HaiYan] Zhengzhou Childrens Hosp, Dept Endocrinol Genet & Metab, Zhengzhou, Peoples R China; [Zheng, RongXiu] Tianjin Med Univ, Gen Hosp, Dept Pediat, Tianjin, Peoples R China; [Du, HongWei] Jilin Univ, Bethune Hosp 1, Dept Pediat, Jilin, Jilin, Peoples R China; [Luo, FeiHong] Fudan Univ, Childrens Hosp, Dept Endocrinol Genet & Metab, Shanghai, Peoples R China; [Li, Pin] Shanghai Childrens Hosp, Dept Endocrinol, Shanghai, Peoples R China; [Yu, YunXian] Zhejiang Univ, Sch Publ Hlth, Hangzhou, Peoples R China; [Wang, Ergang] Duke Univ, Dept Biomed Engn, Durham, NC 27706 USA"

通信作者："Fu, JF (通讯作者)，Zhejiang Univ, Childrens Hosp, Sch Med, 3333 Binsheng Rd, Hangzhou 310052, Peoples R China."

来源：OBESITY

ESI学科分类：BIOLOGY & BIOCHEMISTRY

WOS号：WOS:000835842600001

JCR分区：Q1

影响因子：6.9

年份：2022

卷号：30

期号：9

开始页：1842

结束页：1850

文献类型：Article

关键词：　

摘要："Objective This study aimed to analyze a comprehensive set of potential risk factors for obesity and overweight among Chinese children with a full range of ages and with wide geographical coverage. Methods In the Prevalence and Risk Factors for Obesity and Diabetes in Youth (PRODY) study (2017-2019), the authors analyzed 193,997 children aged 3 to 18 years from 11 provinces, autonomous regions, and municipalities that are geographically representative of China. All participants underwent physical examinations, and their caregivers completed questionnaires including dietary, lifestyle, familial, and perinatal information of participants. A multilevel multinomial logistic regression model was used to evaluate the potential risk factors. Results Among the actionable risk factors that were measured, higher consumption frequencies of animal offal (odds ratios [OR] for an additional time/day = 0.91, 95% CI: 0.88-0.95, same unit for OR below unless specified otherwise), dairy products (0.91, 95% CI: 0.88-0.94), freshwater products (0.94, 95% CI: 0.91-0.96), staple foods (0.94, 95% CI: 0.92-0.96), and coarse food grain (OR for every day vs. rarely = 0.92, 95% CI: 0.86-0.98) were associated with lower relative risk of obesity. However, higher restaurant-eating frequency (OR for >4 times/month vs. rarely = 1.21, 95% CI: 1.15-1.29) and longer screen-viewing duration (OR for >2 hours vs. <30 minutes = 1.16, 95% CI: 1.10-1.22) were associated with higher relative risk of obesity. Increased exercise frequency was associated with the lowest relative risk of obesity (OR for every day vs. rarely = 0.72, 95% CI: 0.68-0.77). Conclusions Changes in lifestyle and diet of Chinese children may help relieve their obesity burden."

基金机构："National Key R&D Program of China [2021YFC2701901]; National Natural Science Foundation of China [81270938]; Fundamental Research Funds for the Central Universities [2021YFC2701901, 2016YFC1305300]; Zhejiang Provincial Key Science and Technology Project [2014C03045-2]; Key Disciplines of Medicine [11-CX24]"

基金资助正文："National Key R&D Program of China, Grant/Award Number: 2021YFC2701901; National Natural Science Foundation of China, Grant/Award Number: 81270938; Fundamental Research Funds for the Central Universities, Grant/Award Numbers: 2016YFC1305300, 2021YFC2701901; Zhejiang Provincial Key Science and Technology Project, Grant/Award Number: 2014C03045-2; Key Disciplines of Medicine, Grant/Award Number: InnovationDiscipline11-CX24"