Top

International Journal of Behavioral Medicine

Published in:

01-09-2012

Associated Trends in Sedentary Behavior and BMI Among Chinese School Children and Adolescents in Seven Diverse Chinese Provinces

Authors: Juan Zhang, Dong-Chul Seo, Lloyd Kolbe, Susan Middlestadt, Wenhua Zhao

Published in: International Journal of Behavioral Medicine | Issue 3/2012

Abstract

Background

Overweight and obesity is becoming a public health concern in China.

Objective

We examined associated trends in sedentary behavior and body mass index (BMI) among school children and adolescents from seven diverse Chinese provinces from 1997 to 2004.

Method

Sequential multiple regressions were conducted with combined cross-sectional data derived from the China Health and Nutrition Survey (N = 5,497) to assess relationships between sedentary behavior and BMI.

Results

Between 1997 and 2004, the amount of time children (6- to 11-year-olds) spent engaging in sedentary behavior increased from 1.71 to 3.14 h/day (p < 0.05), while the amount of time adolescents (12- to 18-year-olds) spent engaging in sedentary behavior increased from 1.71 to 3.50 h/day (p < 0.05). Studying before and after school and watching TV/videos each accounted for about half the increase in sedentary behavior. Both watching TV/videos and studying before and after school were significantly and positively associated with BMI in males, but not in females.

Conclusion

With the growing amount of time Chinese school children and adolescents study outside of school and watch TV/videos, Chinese youth are increasingly likely to become more overweight unless population-based prevention actions are taken.

Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. IJPO. 2006;1(1):11–25.PubMed

Lobstein T, Baur L, Uauy R, IASO International Obesity Taskforce. Obesity in children and young people: a crisis in public health. Obes Res. 2004;5(s1):4–85.CrossRef

Gordon-Larsen P, Adair LS, Popkin BM. Ethnicity differences in physical activity and inactivity patterns and overweight status. Obes Res. 2002;10:141–9.PubMedCrossRef

McMurray RG, Harrell JS, Deng S, Bradley CB, Cox LM, Banddiwala SI. The influence of physical activity, socioeconomic status, and ethnicity on the weight of adolescents. Obes Res. 2000;8:130–9.PubMedCrossRef

Anderson RE, Crespo CJ, Bartlett SJ, Cheskin LJ, Pratt M. Relationship of physical activity and television watching with body weight and level of fatness among children. JAMA. 1998;279:938–42.CrossRef

Hill JO, Peters JC. Environmental contributions to the obesity epidemic. Science. 1998;280(5368):1371–4.PubMedCrossRef

Owen N, Leslie E, Salmon J, Fotheringham MJ. Environmental determinants of physical activity and sedentary behavior. Exerc Sport Sci Rev. 2000;28:153–8.PubMed

Ainsworth BE, Haskell WL, Leon AS, Jacobs DRJ, Montoye HJ, Sallis JF, et al. Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc. 1993;25:71–80.PubMedCrossRef

Must A, Tybor DJ. Physical activity and sedentary behavior: a review of longitudinal studies of weight and adiposity in youth. Int J Obes. 2005;29:s84–96.CrossRef

10.

American Academy of Pediatrics Committee on Public Education. Children, adolescents, and television. Pediatrics. 2001;107(2):423–6.CrossRef

11.

Australian Government Department of Health and Ageing. Australia's physical activity recommendations for children and young people. Canberra: Department of Health and Ageing; 2004.

12.

Van Der Horst K, Paw MJCA, Twisk JWR, Van Mechelen W. A brief review on correlates of physical activity and sedentariness in youth. Med Sci Sports Exerc. 2007;39(8):1241–50.CrossRef

13.

Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32(5):963–75.PubMedCrossRef

14.

CDC. Trends in the prevalence of physical activity. National YRBS: 1991–2007. http://www.cdc.gov/HealthyYouth/yrbs/trends.htm. Accessed September 2008.

15.

Samdal O, Tynjala J, Roberts C, Sallis JF, Villberg J, Wold B. Trends in vigorous physical activity and TV watching of adolescents from 1986 to 2002 in seven European Countries. Eur J Public Health. 2007;17(3):242–8.PubMedCrossRef

16.

Li YP, Schouten EG, Hu XQ, Cui ZH, Luan DC, Ma GH. Obesity prevalence and time trends among youngsters in China, 1992–2002. Asia Pac J Clin Nutr. 2008;17(1):131–7.PubMed

17.

Ji CY. The prevalence of childhood overweight/obesity and the epidemic changes in 1985–2000 for Chinese school-age children and adolescents. Obes Rev. 2008;9(1):78–81.PubMedCrossRef

18.

Luo J, Hu FB. Time trends of obesity in pre-school children in China from 1989 to 1997. Int J Obes. 2002;26(4):553–8.CrossRef

19.

Wang YF, Monteiro C, Popkin BM. Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. Am J Clin Nutr. 2002;75:971–7.PubMed

20.

Tudor-Locke C, Ainsworth BE, Adair LS, Du S, Popkin BM. Physical activity and inactivity in Chinese school-aged youth: the China Health and Nutrition Survey. Int J Obes. 2003;27:1093–2099.CrossRef

21.

Wei H. Growing up under pressure. Beijing Rev. 2000;43:18–21.

22.

Shi Z, Lien N, Kumar BN, Holmboe-Ottesen G. Physical activity and associated socio-demographic factors among school adolescents in Jiangsu Province, China. Preventive Medicine. 2006;43:218–21.PubMedCrossRef

23.

Xu F, Li J, Ware RS, Owen N. Association of television viewing time with excess body weight among urban and rural high-school students in regional mainland China. Public Health Nutrition. 2007;11(9):891–6.PubMed

24.

Ma GS, Li YP, Hu XQ, Ma WJ, Wu J. Effect of television viewing on pediatric obesity. Biomedical and Environmental Sciences. 2002;15:291–7.PubMed

25.

CHNS. China Health and Nutrition Survey: Design and methods. http://www.cpc.unc.edu/projects/china/design/design.html. Accessed 2008, May 1st.

26.

Popkin BM, Ge KY, Zhai FY, Guo X, Ma H, Zohoori N. The nutrition transition in China: a cross-sectional analysis. Eur J Clin Nutr. 1993;47(5):333–46.PubMed

27.

Popkin BM, Paeratakul S, Zhai FY, Ge KY. Dietary and environmental correlates of obesity in a population study in China. Obes Res. 1995;3(s2):135s–42s.PubMed

28.

China Health and Nutrition Survey. Data collection. http://www.cpc.unc.edu/projects/china/design/datacoll. Accessed 22 November, 2010.

29.

Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1240–3.PubMedCrossRef

30.

Du S, Mroz TA, Zhai F, Popkin BM. Rapid income growth adversely affects diet quality in China—particularly for the poor! Social Science & Medicine. 2004;59:1505–15.CrossRef

31.

Chinese Nutrition Association. China diet recommendation guideline. Beijing: Tibet Publishing House; 2008.

32.

Dearth-Wesley T, Wang H, Popkin BM. Under- and overnutrition dynamics in Chinese children and adults (1991–2004). Eur J Clin Nutr. 2008;62:1302–7.PubMedCrossRef

33.

Waller CE, Du SF, Popkin BM. Patterns of overweight, inactivity, and snacking in Chinese children. Obes Res. 2003;11:957–61.PubMedCrossRef

34.

Granitsas A. Murdoch’s new signal to China: bringing U.S.-style TV fare to world’s biggest market. Wall Street J. 04/08/2002. p. A17.

35.

Atkin AJ, Gorely T, Biddle SJH, Cavill N, Foster C. Interventions to promote physical activity in young people conducted in the hours immediately after school: a systematic review. Int J Behav Med. 2010 Jul 25. doi:10.1007/s12529-010-9111-z.

36.

Hu FB, Leitzmann MF, Stampfer MU, Colditz GA, Willett WC, Rimm EB. Physical activity and television watching in relation to risk of type 2 diabetes mellitus in men. Arch Intern Med. 2001;161:1542–8.PubMedCrossRef

37.

Carlson SA, Fulton JE, Lee SM, Maynard LM, Brown DR, Kohl III HW, et al. Physical education and academic achievement in elementary school: data from the early childhood longitudinal study. Am J Public Health. 2008;98(4):721–7.PubMedCrossRef

38.

Lazarou C, Soteriades ES. Children’s physical activity, TV watching and obesity in Cyprus: the CYKIDS Study. Eur J Public Health. 2009;20(1):70–7.PubMedCrossRef

39.

Crespo CJ, Smit E, Troiano RP, et al. Television watching, energy intake, and obesity in US children: results from the third National Health and Nutrition Examination Survey, 1988–1994. Arch Pediatr Adolesc Med. 2001;155:360–5.PubMed

40.

Zhang J, Middlestadt SE, Ji CY. Psychosocial factors underlying physical activity. Int J Behav Nutr Phys Act. 2007;4:38.PubMedCrossRef

41.

Wijndaele K, Duvigneaud D, Matton L, Duquet W, Delecluse C, Thomis M, et al. Sedentary behavior, physical activity and a continuous metabolic syndrome risk score in adults. Eur J Clin Nutr. 2009;63:421–9.PubMedCrossRef

42.

Biddle SJ, Marshall SJ, Gorely T, Cameron N. Temporal and environmental patterns of sedentary and active behaviors during adolescents’ leisure time. Int J Behav Med. 2009;16:278–86.PubMedCrossRef

43.

Boynton-Jarrett R, Thomas TN, Peterson KE, et al. Impact of television viewing patterns on fruit and vegetable consumption among adolescents. Pediatrics. 2003;112:1321–6.PubMedCrossRef

44.

Parvanta SA, Brown JD, Du S, Zimmer CR, Zhao X, Zhai F. Television use and snacking behaviors among children and adolescents in China. J Adoles Health. 2010;46(4):339–45.CrossRef

45.

DeMattia L, Lemont L, Meurer L. Do interventions to limit sedentary behaviors change behavior and reduce childhood obesity? A critical review of the literature. Obes Rev. 2007;8:69–81.PubMedCrossRef

46.

Epstein LH, Paluch RA, Gordy CC, Dorn J. Decreasing sedentary behaviors in treating pediatric obesity. Arch Pediatr Adolesc Med. 2000;154:220–6.PubMed

47.

China National Bureau of Statistics. China statistical yearbook 1999. Beijing: China Statistical Publishing House; 1999.

48.

Ge K, Zhai F, Yan H. The dietary and nutritional status of the Chinese population: 1992 National Nutrition Survey. Beijing: People's Medical Publishing House; 1999.

49.

Ge K, Zhai F, Yan H. The dietary and nutritional status of the Chinese population: 1992 National Nutrition Survey. Beijing: People's Medical Publishing House; 1996.

Title: Associated Trends in Sedentary Behavior and BMI Among Chinese School Children and Adolescents in Seven Diverse Chinese Provinces
Authors: Juan Zhang
Dong-Chul Seo
Lloyd Kolbe
Susan Middlestadt
Wenhua Zhao
Publication date: 01-09-2012
Publisher: Springer US
Published in: International Journal of Behavioral Medicine / Issue 3/2012
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-011-9177-2

At a glance: The STEP trials

Springer Medicine

Associated Trends in Sedentary Behavior and BMI Among Chinese School Children and Adolescents in Seven Diverse Chinese Provinces

Abstract

Background

Objective

Method

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Objective

Method

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 3/2012

Dyadic Adjustment, Family Coping, Body Image, Quality of Life and Psychological Morbidity in Patients with Psoriasis and Their Partners

Dyadic Goal Appraisal During Treatment for Infertility: How Do Different Perspectives Relate to Partners' Adjustment?

Effects of Pain Controllability and Discrepancy in Social Support on Depressed Mood Among Patients with Chronic Pain

Measuring Engagement at Work: Validation of the Chinese Version of the Utrecht Work Engagement Scale

Quantification of Adverse Events Associated with Functional MRI Scanning and with Real-Time fMRI-Based Training

An Exploratory Analysis of Fear of Recurrence among African-American Breast Cancer Survivors