Skip to main content
Top
Published in: European Journal of Pediatrics 2/2012

01-02-2012 | Original Paper

Prevalence and risk factors of obesity among school-aged children in Xi’an, China

Authors: Xiaoqing Yi, Chunyan Yin, Ming Chang, Yanfeng Xiao

Published in: European Journal of Pediatrics | Issue 2/2012

Login to get access

Abstract

The purpose of this study was to examine the prevalence and the risk factors associated with obesity among school-aged children in Xi'an city. The body mass index of 6,740 children aged 7–18 years was compared with the Working Group on Obesity in China cut-off value to estimate the prevalence of obesity. A case–control study of obese and non-obese children was carried out to study risk factors for obesity. A standardized questionnaire was used to collect information on possible risk factors causing obesity. Univariate analysis was performed first to compare the distribution of risk factors between cases and controls. Conditional logistic regression analysis was used to assess independent risk factors of obesity. The results showed that the overall prevalence of obesity among school-aged children was 4.11% (4.63% for males and 3.57% for females). A total of 516 subjects (258 pairs of cases and controls) were included in the final analysis. High maternal education and a longer sleeping time were shown to be protective factors against obesity (odds ratio [OR] 0.148, 95% confidence interval [CI] 0.074–0.296 and OR 0.472, 95% CI 0.342–0.652, respectively). Whereas family history of diabetes (OR 5.498, 95% CI 2.606–11.600), parental overweight (OR 3.720, 95% CI 2.068–6.689), and watching television, playing video games, and using computers (OR 1.564, 95% CI 1.133–2.159) were associated with a higher obesity risk. Conclusion: the prevalence of childhood obesity in Xi'an has become a concern, and sleeping time, sedentary behavior, and family factors have pronounced effects on the prevalence of obesity.
Literature
1.
go back to reference Al-Saeed WY, Al-Dawood KM, Bukhari IA, Bahnassy A (2007) Prevalence and socioeconomic risk factors of obesity among urban female students in Al-Khobar city, Eastern Saudi Arabia, 2003. Obes Rev 8:93–99PubMedCrossRef Al-Saeed WY, Al-Dawood KM, Bukhari IA, Bahnassy A (2007) Prevalence and socioeconomic risk factors of obesity among urban female students in Al-Khobar city, Eastern Saudi Arabia, 2003. Obes Rev 8:93–99PubMedCrossRef
2.
go back to reference Bramhagen AC, Axelsson I, Hallstrom I (2006) Mothers' experiences of feeding situations—an interview study. J Clin Nurs 15:29–34PubMedCrossRef Bramhagen AC, Axelsson I, Hallstrom I (2006) Mothers' experiences of feeding situations—an interview study. J Clin Nurs 15:29–34PubMedCrossRef
3.
go back to reference Chaput JP, Després JP, Bouchard C, Tremblay A (2007) Short sleep duration is associated with reduced leptin levels and increased adiposity: results from the Québec Family Study. Obesity 15:253–261PubMedCrossRef Chaput JP, Després JP, Bouchard C, Tremblay A (2007) Short sleep duration is associated with reduced leptin levels and increased adiposity: results from the Québec Family Study. Obesity 15:253–261PubMedCrossRef
4.
go back to reference Daniels SR (2009) Complications of obesity in children and adolescents. Int J Obes 33(Suppl 1):60–65CrossRef Daniels SR (2009) Complications of obesity in children and adolescents. Int J Obes 33(Suppl 1):60–65CrossRef
5.
go back to reference Giugliano R, Carneiro EC (2004) Factors associated with obesity in school children. J Pediatr 80:17–22CrossRef Giugliano R, Carneiro EC (2004) Factors associated with obesity in school children. J Pediatr 80:17–22CrossRef
6.
go back to reference He Q, Ding ZY, Fong DYT, Karlberg J (2000) Risk factors of obesity in preschool children in China: a population-based case-control study. Int J Obes Relat Metab Disord 24:1528–1536PubMedCrossRef He Q, Ding ZY, Fong DYT, Karlberg J (2000) Risk factors of obesity in preschool children in China: a population-based case-control study. Int J Obes Relat Metab Disord 24:1528–1536PubMedCrossRef
7.
go back to reference Ji CY, Cheng TO (2009) Epidemic increase in overweight and obesity in Chinese children from 1985 to 2005. Int J Cardiol 132:1–10PubMedCrossRef Ji CY, Cheng TO (2009) Epidemic increase in overweight and obesity in Chinese children from 1985 to 2005. Int J Cardiol 132:1–10PubMedCrossRef
8.
go back to reference Jiang JX, Xing GR, Wang HS et al (2007) Family risk factors of overweight and obesity in preschool children. Zhong Hua Er Ke Za Zhi 45:172–175 Jiang JX, Xing GR, Wang HS et al (2007) Family risk factors of overweight and obesity in preschool children. Zhong Hua Er Ke Za Zhi 45:172–175
9.
go back to reference Jiang JX, Rosenqvist U, Wang HS, Koletzko B, Lian GL, Huang J, Greiner T (2009) Relationship of parental characteristics and feeding practices to overweight in infants and young children in Beijing, China. Public Health Nutr 12:973–978CrossRef Jiang JX, Rosenqvist U, Wang HS, Koletzko B, Lian GL, Huang J, Greiner T (2009) Relationship of parental characteristics and feeding practices to overweight in infants and young children in Beijing, China. Public Health Nutr 12:973–978CrossRef
10.
go back to reference Ji CY (2008) Prevalence of overweigh and obesity in chinese students and its socioeconomic differences. Chin J Sch Health 29:106–108 Ji CY (2008) Prevalence of overweigh and obesity in chinese students and its socioeconomic differences. Chin J Sch Health 29:106–108
11.
go back to reference Ji CY, Cooperative Study on Childhood Obesity, Working Group on Obesity in China (WGOC) (2005) Report on childhood obeisty in China (1)—body mass index reference for screening overweight and obesity in Chinese school-age children. Biomed Environ Sci 18:390–400 Ji CY, Cooperative Study on Childhood Obesity, Working Group on Obesity in China (WGOC) (2005) Report on childhood obeisty in China (1)—body mass index reference for screening overweight and obesity in Chinese school-age children. Biomed Environ Sci 18:390–400
12.
go back to reference Kim HM, Park J, Kim HS, Kim DH, Park SH (2006) Obesity and cardiovascular risk factors in Korean children and adolescents aged 10–18 years from the Korean National Health and Nutrition Examination Survey, 1998 and 2001. Am J Epidemiol 164:787–793PubMedCrossRef Kim HM, Park J, Kim HS, Kim DH, Park SH (2006) Obesity and cardiovascular risk factors in Korean children and adolescents aged 10–18 years from the Korean National Health and Nutrition Examination Survey, 1998 and 2001. Am J Epidemiol 164:787–793PubMedCrossRef
13.
go back to reference Li M, Yan H, Dibley MJ, Chang SY, Sibbritt D (2006) Prevalence of overweight and obesity and its associated risk factors in students aged 11–17 in Xi'an in 2004. Acta Acad Med Sin 28:234–239 Li M, Yan H, Dibley MJ, Chang SY, Sibbritt D (2006) Prevalence of overweight and obesity and its associated risk factors in students aged 11–17 in Xi'an in 2004. Acta Acad Med Sin 28:234–239
14.
go back to reference Lioret S, Maire B, Volatier JL, Charles MA (2007) Child overweight in France and its relationship with physical activity, sedentary behaviour and socioeconomic status. Eur J Clin Nutr 61:509–516PubMed Lioret S, Maire B, Volatier JL, Charles MA (2007) Child overweight in France and its relationship with physical activity, sedentary behaviour and socioeconomic status. Eur J Clin Nutr 61:509–516PubMed
15.
go back to reference Murray R, Battista M (2009) Managing the risk of childhood overweight and obesity in primary care practice. Curr Probl Pediatr Adolesc Health Care 39:146–165PubMedCrossRef Murray R, Battista M (2009) Managing the risk of childhood overweight and obesity in primary care practice. Curr Probl Pediatr Adolesc Health Care 39:146–165PubMedCrossRef
16.
go back to reference Maffeis C (2000) Aetiology of overweight and obesity in children and adolescents. Eur J Pediatr 159(Suppl 1):35–44CrossRef Maffeis C (2000) Aetiology of overweight and obesity in children and adolescents. Eur J Pediatr 159(Suppl 1):35–44CrossRef
17.
go back to reference Maddah M (2010) Association of parental diabetes with overweight in Iranian children and adolescents. Int J Cardiol 144:126–128PubMedCrossRef Maddah M (2010) Association of parental diabetes with overweight in Iranian children and adolescents. Int J Cardiol 144:126–128PubMedCrossRef
18.
go back to reference Maddah M, Nikooyeh B (2010) Factors associated with overweight in children in Rasht, Iran: gender, maternal education, skipping breakfast and parental obesity. Public Health Nutr 13:196–200PubMedCrossRef Maddah M, Nikooyeh B (2010) Factors associated with overweight in children in Rasht, Iran: gender, maternal education, skipping breakfast and parental obesity. Public Health Nutr 13:196–200PubMedCrossRef
19.
go back to reference Nagaya T, Yoshida H, Takahashi H, Kawai M (2005) Increases in body mass index, even within non-obese levels, raise the risk for type 2 diabetes mellitus: a follow-up study in a Japanese population. Diabet Med 22:1107–1111PubMedCrossRef Nagaya T, Yoshida H, Takahashi H, Kawai M (2005) Increases in body mass index, even within non-obese levels, raise the risk for type 2 diabetes mellitus: a follow-up study in a Japanese population. Diabet Med 22:1107–1111PubMedCrossRef
20.
go back to reference Nagel G, Wabitsch M, Galm C, Berg S, Brandstetter S, Fritz M, Klenk J, Peter Richard P, Prokopchuk D, Steiner R (2009) Determinants of obesity in the Ulm Research on Metabolism, Exercise and Lifestyle in Children (URMEL-ICE). Eur J Pediatr 168:1259–1267PubMedCrossRef Nagel G, Wabitsch M, Galm C, Berg S, Brandstetter S, Fritz M, Klenk J, Peter Richard P, Prokopchuk D, Steiner R (2009) Determinants of obesity in the Ulm Research on Metabolism, Exercise and Lifestyle in Children (URMEL-ICE). Eur J Pediatr 168:1259–1267PubMedCrossRef
21.
go back to reference Papandreou D, Malindretos P, Rousso L (2010) Risk factors for childhood obesity in Greek paediatric population. Public Health Nutr 13:1535–1539PubMedCrossRef Papandreou D, Malindretos P, Rousso L (2010) Risk factors for childhood obesity in Greek paediatric population. Public Health Nutr 13:1535–1539PubMedCrossRef
23.
go back to reference Patel SR, Hu FB (2008) Short sleep duration and weight gain: a systematic review. Obesity 16:643–653PubMedCrossRef Patel SR, Hu FB (2008) Short sleep duration and weight gain: a systematic review. Obesity 16:643–653PubMedCrossRef
24.
go back to reference Rey-López JP, Vicente-Rodríguez G, Biosca M, Moreno LA (2008) Sedentary behaviour and obesity development in children and adolescents. Nutr Metab Cardiovasc Dis 18:242–251PubMedCrossRef Rey-López JP, Vicente-Rodríguez G, Biosca M, Moreno LA (2008) Sedentary behaviour and obesity development in children and adolescents. Nutr Metab Cardiovasc Dis 18:242–251PubMedCrossRef
25.
go back to reference Shan XY, Xi B, Cheng H, Hou DQ, Wang YF, Mi J (2010) Prevalence and behavioral risk factors of overweight and obesity among children aged 2–18 in Beijing, China. Int J Pediatr Obes 5:383–389PubMedCrossRef Shan XY, Xi B, Cheng H, Hou DQ, Wang YF, Mi J (2010) Prevalence and behavioral risk factors of overweight and obesity among children aged 2–18 in Beijing, China. Int J Pediatr Obes 5:383–389PubMedCrossRef
26.
go back to reference Thibault H, Contrand B, Saubusse E, Baine M, Maurice-Tison S (2010) Risk factors for overweight and obesity in French adolescents: physical activity, sedentary behavior and parental characteristics. Nutrition 26:192–200PubMedCrossRef Thibault H, Contrand B, Saubusse E, Baine M, Maurice-Tison S (2010) Risk factors for overweight and obesity in French adolescents: physical activity, sedentary behavior and parental characteristics. Nutrition 26:192–200PubMedCrossRef
27.
go back to reference Taheri S, Lin L, Austin D, Young T, Mignot E (2004) Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med 1:210–217CrossRef Taheri S, Lin L, Austin D, Young T, Mignot E (2004) Short sleep duration is associated with reduced leptin, elevated ghrelin, and increased body mass index. PLoS Med 1:210–217CrossRef
28.
go back to reference Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH (1997) Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 337:869–873PubMedCrossRef Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH (1997) Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 337:869–873PubMedCrossRef
29.
go back to reference Wang H, Ran YC, Cao L, Li W, Zhang J, Chen J (2008) Epidemiological investigation of obesity in children and adolescents aged 0–18 years in Chengdu. Xian Dai Yu Fang Yi Xue 35:460–462 Wang H, Ran YC, Cao L, Li W, Zhang J, Chen J (2008) Epidemiological investigation of obesity in children and adolescents aged 0–18 years in Chengdu. Xian Dai Yu Fang Yi Xue 35:460–462
30.
go back to reference Yoshinaga M, Ichiki T, Tanaka Y, Hazeki D, Horigome H, Takahashi H, Kashima K (2010) Prevalence of childhood obesity from 1978 to 2007 in Japan. Pediatr Int 52:213–217PubMedCrossRef Yoshinaga M, Ichiki T, Tanaka Y, Hazeki D, Horigome H, Takahashi H, Kashima K (2010) Prevalence of childhood obesity from 1978 to 2007 in Japan. Pediatr Int 52:213–217PubMedCrossRef
31.
Metadata
Title
Prevalence and risk factors of obesity among school-aged children in Xi’an, China
Authors
Xiaoqing Yi
Chunyan Yin
Ming Chang
Yanfeng Xiao
Publication date
01-02-2012
Publisher
Springer-Verlag
Published in
European Journal of Pediatrics / Issue 2/2012
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-011-1566-7

Other articles of this Issue 2/2012

European Journal of Pediatrics 2/2012 Go to the issue