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

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),...

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Bibliographic Details
Published in:Obesity (Silver Spring, Md.) Md.), 2022-09, Vol.30 (9), p.1842-1850
Main Authors: 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
Format: Article
Language:English
Subjects:
Age groups
Birth weight
Breastfeeding & lactation
Caregivers
Children & youth
Developing countries
Diabetes
Family income
Food
Gestational age
LDCs
Legumes
Lifestyles
Obesity
Overweight
Questionnaires
Regions
Restaurants
Risk factors
Teenagers
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Summary: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.
ISSN:1930-7381
1930-739X
DOI:10.1002/oby.23515