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Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Research article

Effect of socioeconomic characteristics and lifestyle on BMI distribution in the Chinese population: a population-based cross-sectional study

Authors: Weihua Wang, Lin Qiu, Rina Sa, Shaonong Dang, Feng Liu, Xiang Xiao

Published in: BMC Public Health | Issue 1/2021

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Abstract

Background

Body mass index (BMI) is an accepted measurement that is widely used to quantify overweight and obesity at the population level. Previous studies have described the distribution variation of BMI through applying common statistical approaches, such as multiple linear or logistic regression analyses. This study proposed that associations between BMI and socioeconomic characteristics, diet, and lifestyle factors varied across the conditional BMI distribution.

Methods

This study was based on a sample of 10,023 Chinese adults who participated in the monitoring of chronic diseases and associated risk factors in Shaanxi Province, Northwest China, in 2013. Cross-quantile factors were observed in the relationships between major risk factors and BMI through quantile regression (QR) and ordinary least squares (OLS) regression.

Results

Participants’ mean BMI was 24.19 ± 3.51 kg/m2 (range 14.33–52.82 kg/m2). The QR results showed that living in urban areas was associated with BMI in the low and central quantiles (10th–60th). Participants with 6–9 years of education were 0.23–0.38 BMI units higher in the first half of the BMI quantiles compared with those with ≤6 years of education. There was a positive association between consumption of red meat and BMI; however, the association diminished from the 10th to the 50th quantile. Intake of oil and alcohol were positively associated with all BMI quantiles. Cigarette smoking per day was negatively associated with BMI, which showed a U-shaped distribution. The above results were also observed in the OLS.

Conclusion

This study implies that in addition to socioeconomic characteristics, limiting oil and alcohol intake may decrease BMI score. Consuming more red meat could be a strategy to increase BMI.
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Metadata
Title
Effect of socioeconomic characteristics and lifestyle on BMI distribution in the Chinese population: a population-based cross-sectional study
Authors
Weihua Wang
Lin Qiu
Rina Sa
Shaonong Dang
Feng Liu
Xiang Xiao
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-11405-4

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