Objective To understand the obesity status of Kazakh children and adolescents in the agricultural and pastoral areas of Xinjiang and its association with lifestyle, so as to provide reference and help for maintaining good body shape and health intervention for Kazakh children and adolescents in agricultural and pastoral areas. Methods From April to June 2022, 6 242 Kazakh children and adolescents aged 10 - 20 years were tested for obesity and surveyed by lifestyle questionnaires using stratified whole-group sampling in the farming and herding areas of Yili Kazakh Autonomous Prefecture and Altay Region, Xinjiang. χ2 test and Logistic regression analysis were used to analyze data. Results The obesity detection rate of Kazakh children and adolescents in Xinjiang farming and herding areas was 18.71%, with higher rates in boys (22.24%) compared to girls (15.12%), and the difference was statistically significant (χ2 =52.04, P<0.01). Significant differences were observed in the obesity rates based on grade level, fruit consumption frequency, screen time of television, feeling hopeful for the future, fatigue, loneliness, and sadness (χ2 =24.29, 4.61, 694.51, 7.15, 10.33, 6.51, 8.07, P＜0.01). Logistic regression analysis showed that female students (OR=0.63, 95%CI: 0.56 - 0.69) and students who felt hopeful about the future (OR=0.96, 95%CI: 0.94 - 0.99) were protective factors against obesity (P<0.05); while high school and lower grades (senior high school OR=1.38, 95%CI: 1.24 - 1.57; junior high school OR=1.82, 95%CI: 1.58 - 2.06; primary school OR=2.67, 95%CI: 2.33 - 2.99), fruit consumption ≥1time/d (OR=1.07, 95%CI: 1.03 - 1.16), watching TV ≥2h/d (OR=1.07, 95%CI: 1.02 - 1.17), frequent feeling of fatigue (OR=1.07, 95%CI: 1.03 - 1.12), loneliness (OR=1.08, 95%CI: 1.02~1.19) and sadness (OR= 1.09, 95%CI: 1.04 - 1.14) of students were risk factors for the development of obesity (P<0.05). Conclusions The obesity rate of Kazakh children and adolescents in the agricultural and pastoral areas of Xinjiang is high and closely associated with lifestyle. Therefore, it is crucial to improve unhealthy lifestyles in order to reduce obesity and promote the physical and mental well-being of this population.
Key words
Kazakh /
children and adolescents /
obesity /
lifestyle
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References
[1] 袁金娜, 金冰涵, 斯淑婷, 等. 2009至2019年6~15岁中国儿童超重和肥胖趋势分析[J]. 中华儿科杂志, 2021, 59(11):7.
Yuan JN, Jin BH, Shi ST, et al. Analysis of overweight and obesity trends in Chinese children aged 6-15 years from 2009 to 2019[J]. Chin J Pediatrics, 2021, 59(11):7.(in Chinese)
[2] Zhang Z, Dong B, Chen G, et al.Ambient air pollution and obesity in school-aged children and adolescents: A multicenter study in China[J]. Sci Total Environ, 2021, 771(7):144583.
[3] Li Y, Xie X, Lei X, et al. Global prevalence of obesity, overweight and underweight in children, adolescents and adults with autism spectrum disorder, attention-deficit hyperactivity disorder: A systematic review and Meta-analysis[J]. Obes Rev, 2020, 21(12):13123.
[4] 中华人民共和国国家卫生健康委员会.学龄儿童青少年超重与肥胖筛查 WS/T 586-2018[S].2018.
State Health Commission of the People's Republic of China. Screening of overweight and obesity in school-age children and adolescentsWS/T 586-2018[S].2018.(in Chinese)
[5] 中华人民共和国教育部.2019年全国学生体质与健康调研及国家学生体质健康标准抽查复核实施方案[EB/OL].[2019-07-10].http://www.moe.gov.cn/2019-07-12.
Ministry of Education of the People's Republic of China.Implementation plan of national student physique and health survey and national student physique health standard spot check in 2019[EB/OL].[2019-07-10].http://www.moe.gov.cn/2019-07-12.(in Chinese)
[6] 霍家康,杨招庚,董彬,等. 母乳喂养与儿童青少年肥胖类型的关联[J]. 中国学校卫生, 2020, 41(11):117-121.
Huo JK, Yang ZG, Dong B, et al. Association between breastfeeding and obesity in children and adolescents[J]. Chin J Sch Health, 2020, 41(11):117-121.(in Chinese)
[7] 李艳辉, 陶然, 高迪,等. 我国儿童青少年睡眠不足与肥胖的关联性研究[J]. 中华流行病学杂志, 2020, 41(6):845-849.
Li YH, Tao R, Gao D, et al. Study on the relationship between insufficient sleep and obesity in children and adolescents in my country[J]. Chin J Epidemiol, 2020, 41(6):845-849.(in Chinese)
[8] Balgobind BA, Finelt N, Strunk MA, et al. Association between obesity and hidradenitis suppurativa among children and adolescents: A population-based analysis in the United States[J]. J Am Acad Dermatol, 2020, 82(2):502-504.
[9] Catan L, Elena A, Onofrei RR, et al. The impact of overweight and obesity on plantar pressure in children and adolescents: A systematic review[J]. Int J Environ Res Public Health, 2020, 17(8):6600.
[10] 袁甜,包艳,张梦洁,等.包头市小学生超重/肥胖影响因素分析[J].包头医学院学报,2017,33(9):86-88.
Yuan T,Bao Y,Zhang MJ,et al. Analysis of influencing factors of overweight/obesity among primary school students in Baotou[J]. J Baotou Med Coll,2017,33(9):86-88.(in Chinese)
[11] Jia RM,Yan XN, Sun J. Evaluate the effects of metabolic syndrome in adolescents and children[J]. Frontiers of Nursing, 2020, 7(3):287-292.
[12] 张莹,焦怡琳,陆凯,等.中国成年人超重肥胖影响因素Meta 分析[J].中国公共卫生,2015,31(2):232-235.
Zhang Y,Jiao YL,Lu K,et al. Meta-analysis on the influencing factors of overweight and obesity in Chinese adults[J]. Public Health Chin,2015,31(2):232-235.(in Chinese)
[13] Adda O, Aissa K. Associations between obesity, asthma and physical activity in children and adolescents[J].Apunts Sports Medicine, 2020, 55(205):39-48.
[14] Karda F, Yücel AD, Kendirci M, et al. Evaluation of micronutrient levels in children and adolescents with obesity and their correlation with the components of metabolic syndrome[J]. Turk J Pediatr, 2021, 63(1):48-58.
[15] Kerns J, Fisher M. Evaluation and management of overweight and obesity in children and adolescents - Current problems in pediatric and adolescent health care[J]. Curr Probl Pediatr Adolesc Health Care, 2020, 50(9):100869.
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