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Risk factors for overweight in 2- to 6-year-old children in Beijing, China
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
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2006 (English)In: International Journal of Pediatric Obesity, ISSN 1747-7166, Vol. 1, no 2, 103-108 p.Article in journal (Refereed) Published
Abstract [en]

Objective. To assess the prevalence of overweight among Chinese preschool children and to explore risk factors of childhood obesity focusing on parental characteristics, feeding practice and lifestyle. Methods. Data on 930 families with 2- to 6-year-old children in five kindergartens were obtained in a cross sectional study. Families were randomly selected from two of all six urban districts in Beijing, China. Information on parental characteristics, dietary habits, lifestyle habits, and feeding practice was collected by parental self-report questionnaires. The children's stature and weight were measured in light clothing and without shoes. Overweight and obesity were defined according to international cut-off values, as proposed by the International Obesity Task Force. Multivariate regression analysis was used to explore risk factors of child overweight. Results. The overall prevalence of overweight and obesity was 10.7% and 4.2%, respectively, and increased with age. The prevalence of child overweight was 14.1% and 7.5% in obese and non-obese families, respectively. Significant associations were observed between child and parent characteristics for overweight, frequency of eating in restaurant, television hours, and hours of physical activity. Child overweight was associated with parental overweight (Odds Ratio [OR] 2.43, 95% CI 0.78, 6.59), low maternal education level (OR 2.22, 95% CI 1.39, 3.55), food restriction (OR 2.68, 95% CI 1.64, 4.29), and television watching>2h/d (OR 1.56, 95% CI 1.17, 2.09), after adjusting for sex, age, family income and kindergarten (for cluster study design). Conclusions. Overweight prevalence among Chinese preschool children in Beijing is comparable to some European countries. Prevention strategies should include identified lifestyle risk factors.

Place, publisher, year, edition, pages
2006. Vol. 1, no 2, 103-108 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-94895DOI: 10.1080/17477160600699391ISI: 000245083900006OAI: oai:DiVA.org:uu-94895DiVA: diva2:168910
Available from: 2006-10-04 Created: 2006-10-04 Last updated: 2011-02-11Bibliographically approved
In thesis
1. Intervention for Childhood Obesity in Beijing, China
Open this publication in new window or tab >>Intervention for Childhood Obesity in Beijing, China
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Childhood obesity appears to be increasing throughout the world. China has joined the global epidemic. Childhood obesity is not only a chronic disease which is associated with lifestyle, but also a public health problem in children. Obesity intervention should become a public health priority in China. This thesis reports on intervention to treat and prevent childhood obesity. The field work was implemented in Beijing, China.

This thesis is based on four papers: Paper I evaluated the feasibility and impact of family-based behavior treatment on obese children. Two years of intervention resulted in obese children with improvements in body mass index, total cholesterol, triglycerides, and blood pressure.

Paper II assessed the effects of a school-based intervention on obesity among primary school children. After a three-year intervention, the prevalence of overweight and obesity were significantly lower in the intervention schools than in the control schools. Fewer non-obese children became obese in the intervention schools than in the control schools.

Paper III explored the family related factors of overweight in 2- to 6-year-old children. Significant associations were observed between children’s overweight and parent characteristics for frequency of eating in restaurants, daily time spent viewing television, and engaging in physical activity. Child overweight was associated with parental overweight, low maternal education level and television watching >2h/d.

Paper IV investigated how grandparents influence their young grandchildren’s eating behaviors in Chinese three-generation families, using qualitative method. Three domains identified through the seven themes included: (1) Grandparents as primary caretakers of children in the three-generation family, (2) Grandparents' attitudes to child nutrition and healthy eating habits, and (3) The role of food as an educational and emotional tool. The results showed that nutrition education involving grandparents is thus a potential framework for improving healthy dietary behaviors in young children.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2006. 49 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 173
Keyword
Public health, Obesity, intervention, childhood, behavior modification, risk factors, family influence, Folkhälsomedicin
Identifiers
urn:nbn:se:uu:diva-7159 (URN)91-554-6662-1 (ISBN)
Public defence
2006-10-17, Fåhreussalen, Rudbecklaboratoriet, C5, Uppsala Science Park, Uppsala, 09:00
Opponent
Supervisors
Available from: 2006-10-04 Created: 2006-10-04Bibliographically approved

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