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BMC Public Health
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

School environment factors were associated with BMI among adolescents in Xi'an City, China

Authors: Ming Li, Michael J Dibley, Hong Yan

Published in: BMC Public Health | Issue 1/2011

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Abstract

Background

School environment influences students' behaviours. The purpose of this research was to identify school environment factors associated with BMI.

Methods

A cross-sectional study was conducted among 1792 school-aged adolescents from 30 schools in six districts in Xi'an City in 2004. Height and weight were taken from students by trained field staff. School environment characteristics such as physical factors (school facilities, school shops and fast food outlets in school area), school curricula and policies were collected from school doctors using school environment questionnaire. School environment factors were identified in linear mixed effect models with BMI as outcome and adjusted for socio-demographic factors.

Results

After adjusted for socio-demographic factors, BMI was associated with the availability of soft drinks at school shops, the availability and the number of western food outlet in the school vicinity. School curricula such as sports-meeting and health education session were also associated with BMI.

Conclusions

Urgent actions are needed to address the obesogenic elements of school environments. Community and school policy makers should make efforts for students to avoid exposure to fast food outlet in school area and soft drinks at school shops, and to improve school curricula to promote healthy behaviours.
Literature
1.
Wang L: National Nutritional and Health Survey Report One-Overall Report. 2005, Beijing People's Health Publishing House
2.
Li M, Dibley M, Sibbritt D, Yan H: An assessment of adolescent overweight and obesity in Xi'an City, China. In J Pediatric Obes. 2006, 1: 50-58. 10.1080/17477160500538046.CrossRef
3.
Swinburn B, Egger G, Raza F: Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med. 1999, 29: 563-570. 10.1006/pmed.1999.0585.CrossRefPubMed
4.
Davison KK, Birch LL: Childhood overweight: a contextual model and recommendations for future research. Obes Rev. 2001, 2: 159-171. 10.1046/j.1467-789x.2001.00036.x.CrossRefPubMedPubMedCentral
5.
Summerbell CD, Waters E, Edmunds LD, Kelly S, Brown T, Campbell KJ: Interventions for preventing obesity in children. 2005, Cochrane Database Syst Rev, CD001871-
6.
Li M, Li S, Baur LA, Huxley RR: A systematic review of school-based intervention studies for the prevention or reduction of excess weight among Chinese children and adolescents. Obes Rev. 2008, 9: 548-559. 10.1111/j.1467-789X.2008.00495.x.CrossRefPubMed
7.
Howard PH, Fitzpatrick M, Bulfrost B: Proximity of food retailers to schools and rates of overweight ninth grade students: an ecological study in California. BMC Public Health. 2011, 11: 68-10.1186/1471-2458-11-68.CrossRefPubMedPubMedCentral
8.
Davis B, Carpenter C: Proximity of fast-food restaurants to schools and adolescent obesity. Am J Public Health. 2009, 99: 505-510. 10.2105/AJPH.2009.174318.CrossRefPubMedPubMedCentral
9.
Laska MN, Hearst MO, Forsyth A, Pasch KE, Lytle L: Neighbourhood food environments: are they associated with adolescent dietary intake, food purchase and weight status. Public Health Nutr. 2010, 13: 1757-1763. 10.1017/S1368980010001564.CrossRefPubMedPubMedCentral
10.
Li M, Dibley M, Sibbritt D, Yan H: Factors associated with adolescents overweight and obesity at community, school, and household levels in Xi'an City, China - results of hierarchical analysis. Eur J Clin Nut. 2008, 62: 635-643. 10.1038/sj.ejcn.1602757.CrossRef
11.
Li M, Dibley M, Sibbritt D, Yan H: Factors Associated with Adolescents' Physical Inactivity in Xi'an City, China. Med Sci Sports Exerc. 2006, 38: 2075-2085. 10.1249/01.mss.0000233802.54529.87.CrossRefPubMed
12.
de Vet E, de Ridder DTD, de Wit JBF: Environmental correlates of physical activity and dietary behaviours among young people: a systematic review of reviews. Obes Rev. 2011, 12: e130-e142. 10.1111/j.1467-789X.2010.00784.x.CrossRefPubMed
13.
Lohman TG, Roche AF, Martorell R: Anthropometric standardization reference manual. Edited by: Abridged. 1991, Champaign: Human Kinetics
14.
Filmer D, Pritchett L: Estimating wealth effects without expenditure data-or tears: An application to educational enrolments in States of India. World Bank Policy Research Working Paper No. 1994. 1998, World Bank, Washington
15.
Cole T, Bellizzi M, Flegal K, Dietz W: Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000, 320: 1240-1243. 10.1136/bmj.320.7244.1240.CrossRefPubMedPubMedCentral
16.
Singer JD: Using SAS PROC MIXED to fit multilevel models, Hierarchical models, and individual growth models. J Educ Behav Stat. 1998, 24: 323-355.CrossRef
17.
Hosmer D, Lemeshow S: Model-building strategies and methods for logistic regression. Applied logistic regression. Edited by: Hosmer D, Lemeshow S. 1989, New York City: John Wiley & Sons, Inc, 82-126.
18.
Currie J, DellaVigna S, Moretti E, Pathania V: The effect of fast food restaurants on obesity and weight gain. Am Econ J Econ Policy. 2010, 2: 32-63. 10.1257/pol.2.3.32.CrossRef
19.
Bowman SA, Gortmaker SL, Ebbeling CB, Pereira MA, Ludwig DS: Effects of fast-food consumption on energy intake and diet quality among children in a national household survey. Pediatrics. 2004, 113: 112-118. 10.1542/peds.113.1.112.CrossRefPubMed
20.
Li M, Dibley M, Sibbritt D, Yan H: Dietary habits and its association with overweight/obesity among Chinese adolescents. Asia Pac J Clin Nutr. 2010, 19: 76-82.PubMed
21.
22.
Kestens Y, Daniel M: Social inequalities in food exposure around schools in an urban area. Am J Pre Med. 2010, 39: 33-40. 10.1016/j.amepre.2010.03.014.CrossRef
23.
Day PL, Pearce J: Obesity-promoting food environments and the spatial clustering of food outlets around schools. Am J Pre Med. 2011, 40: 113-121. 10.1016/j.amepre.2010.10.018.CrossRef
24.
Powell LM, Han E, Chaloupka FJ: Economic contextual factors, food consumption, and obesity among U.S. adolescents. J Nutr. 2010, 140: 1175-1180. 10.3945/jn.109.111526.CrossRefPubMed
25.
Ludwig D, Peterson K, Gortmaker S: Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet. 2001, 357: 505-508. 10.1016/S0140-6736(00)04041-1.CrossRefPubMed
26.
Nicklas TA, Yang S, Baranowski T, Zakeri I, Berenson G: Eating pattern and obesity in children: The Bogalusa Heart Study. Am J Pre Med. 2003, 25: 9-16. 10.1016/S0749-3797(03)00098-9.CrossRef
27.
Hesketh T, Ding Q, Tomkins AM: Disparities in economic development in Eastern China: impact on nutritional status of adolescents. Public Health Nutr. 2002, 5: 313-318.CrossRefPubMed
28.
Briefel RR, Crepinsek MK, Cabili C, Wilson A, Gleason PM: School food environments and practices affect dietary behaviours of US public school children. J Am Diet Assoc. 2009, 109: S91-S107. 10.1016/j.jada.2008.10.059.CrossRefPubMed
29.
30.
Li M, Dibley M, Sibbritt D, Yan H: Physical activity and sedentary behavior among Xi'an adolescents. J Adolesc Health. 2007, 41: 99-101. 10.1016/j.jadohealth.2007.02.005.CrossRefPubMed
31.
32.
Li Y, Hu X, Zhang Q, Liu A, Fang H, Hao L, Duan Y, Xu H, Shang X, Ma Jun, et al: The nutrition-based comprehensive intervention study on childhood obesity in China (NISCOC): a randomised cluster controlled trial. BMC Public Health. 2010, 10: 229-10.1186/1471-2458-10-229.CrossRefPubMedPubMedCentral
33.
Metadata
Title
School environment factors were associated with BMI among adolescents in Xi'an City, China
Authors
Ming Li
Michael J Dibley
Hong Yan
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-792

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