Prevalence and correlates of overweight and obesity among adolescents in northeastern China:a cross-sectional study

【作者】 段睿馨； 寇长贵； 竭晶； 白微； 兰晓馨； 李媛媛； 于潇； 朱波； 袁海波；

【机构】 吉林大学第一医院呼吸科睡眠中心； 吉林大学公共卫生学院；

【摘要】 Objectives To estimate the prevalence of overweight/obesity among adolescents and evaluate the associated factors in this group in Changchun City in northeastern China.Methods A cross-sectional study of 1955 adolescents aged 11–18 years was conducted in Changchun Cityusing stratified cluster sampling.Parents and caregiversof children completed the questionnaires as requested without objection.The questionnaire included demographic characteristics and anthropometric parameters.Univariate and multivariate logistic regression analyses were performed to analyse the relationship between overweight/obesity and related factors.Results In total,the prevalence of overweight was 12.7%(male 17.4%;female 10.1%) and of obesity was 4.9%(male 8.8%;female 3.1%) in Changchun,Jilin Province.The prevalence of overweight and obesity was higherin boys than in girls(p<0.001).Multivariate logistic regression showed that overweight and obesity were significantly associated with male sex(OR=1.91,95% CI 1.48 to 2.47),eating fresh fruits more than 2 days per week(OR=1.41,95% CI 1.09 to 1.84) and eating quickly(OR=1.37,95% CI 1.06 to 1.78).Students who were not picky(OR=0.69,95% CI 0.53 to 0.90) were less likelyto be overweight,and adolescents whose father was overweight or obese(OR=0.67,95% CI 0.52 to 0.86) or whose mother was overweight or obese(OR=0.72,95% CI 0.52 to 0.99) were less likely to be overweight.Conclusion The prevalence of overweight and obesity among adolescents in Changchun has been high in recent years,and the prevalence was higher among boys than among girls.Sex,dietary habits(weekly frequency of fruit consumption,picky eating and slowness in eating) and parental weight were important factors for overweightand obesity in adolescents.Further research should be conducted on the health of adolescents in China,and further intervention measures should be implemented to reduce the prevalence of overweight/obesity.更多还原

【Abstract】 Objectives To estimate the prevalence of overweight/obesity among adolescents and evaluate the associated factors in this group in Changchun City in northeastern China.Methods A cross-sectional study of 1955 adolescents aged 11–18 years was conducted in Changchun Cityusing stratified cluster sampling.Parents and caregiversof children completed the questionnaires as requested without objection.The questionnaire included demographic characteristics and anthropometric parameters.Univariate and multivariate logistic regression analyses were performed to analyse the relationship between overweight/obesity and related factors.Results In total,the prevalence of overweight was 12.7%(male 17.4%;female 10.1%) and of obesity was 4.9%(male 8.8%;female 3.1%) in Changchun,Jilin Province.The prevalence of overweight and obesity was higherin boys than in girls(p<0.001).Multivariate logistic regression showed that overweight and obesity were significantly associated with male sex(OR=1.91,95% CI 1.48 to 2.47),eating fresh fruits more than 2 days per week(OR=1.41,95% CI 1.09 to 1.84) and eating quickly(OR=1.37,95% CI 1.06 to 1.78).Students who were not picky(OR=0.69,95% CI 0.53 to 0.90) were less likelyto be overweight,and adolescents whose father was overweight or obese(OR=0.67,95% CI 0.52 to 0.86) or whose mother was overweight or obese(OR=0.72,95% CI 0.52 to 0.99) were less likely to be overweight.Conclusion The prevalence of overweight and obesity among adolescents in Changchun has been high in recent years,and the prevalence was higher among boys than among girls.Sex,dietary habits(weekly frequency of fruit consumption,picky eating and slowness in eating) and parental weight were important factors for overweightand obesity in adolescents.Further research should be conducted on the health of adolescents in China,and further intervention measures should be implemented to reduce the prevalence of overweight/obesity.更多还原