Correlation of body mass index with family status and feeding conditions among preschool children in Jingzhou City

WANG Tiantian, ZHAO Bing

Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (4) : 451-455.

PDF(615 KB)
PDF(615 KB)
Chinese Journal of Child Health Care ›› 2024, Vol. 32 ›› Issue (4) : 451-455. DOI: 10.11852/zgetbjzz2023-0491
Clinical Research

Correlation of body mass index with family status and feeding conditions among preschool children in Jingzhou City

  • WANG Tiantian1, ZHAO Bing2
Author information +
History +

Abstract

Objective To investigate the distribution of body mass index(BMI) among preschool children in Jingzhou City and its correlation with family conditions and feeding practices, so as to provide scientific basis for the health management of overweight and obesity in children. Methods In August 2022, a cross-sectional study was conducted in Jingzhou City using stratified cluster random sampling. Data on the height, weight, family conditions and feeding practices of children aged 3 - 6 years attending kindergartens were collected. Then BMI was calculated, and multivariate linear regression analysis was performed for data analysis. Results A total of 14 237 preschool children were surveyed. The overall average BMI was (16.40±3.40) kg/m2. Among them, the porpotion of children whose BMI were in lower, lower-middle, middle, upper-middle and upper range was 0.05%, 1.95%, 86.49%, 4.83% and 6.67%, respectively. Multivariate linear regression analysis revealed that factors such as cesarean birth(β=0.17), paternal smoking(β=0.13), maternal smoking(β=0.39), being female(β=-0.22), total pre-tax family income(β=-0.13), private kindergartens (β=0.22)and a diet pattern primarily consisting of fried chicken, burgers, fries, carbonated drinks, and fruit juices (β=0.46) were linearly correlated with children's BMI(P<0.05). Conclusions Overweight and obesity are prevalent among preschool children in Jingzhou City, with a higher proportion of BMI in the upper-middle and upper ranges. Parents and society should collaborate and take appropriate measures to ensure the healthy growth of children.

Key words

preschool children / body mass index / family conditions / feeding conditions

Cite this article

Download Citations
WANG Tiantian, ZHAO Bing. Correlation of body mass index with family status and feeding conditions among preschool children in Jingzhou City[J]. Chinese Journal of Child Health Care. 2024, 32(4): 451-455 https://doi.org/10.11852/zgetbjzz2023-0491

References

[1] Lek D, Haveman-Nies A, Bezem J, et al. Two-year effects of the community-based overweight and obesity intervention program GezondOnderweg!(GO!) in children and adolescents living in a low socioeconomic status and multi-ethnic district on Body Mass Index-Standard Deviation Score and quality of life[J]. E ClinicalMedicine, 2021, 42: 101217.
[2] Wang Y, Zhao L, Gao L, et al. Health policy and public health implications of obesity in China[J]. Lancet Diabetes Endocrinol, 2021, 9(7): 446-461.
[3] 吴琳清,屠蕾.不同出生体重对0~6岁儿童超重或肥胖的影响[J].中国妇幼健康研究,2020,31(6):727-731.
Wu LQ, Tu L. Effect of different birth weight on incidence of overweight or obesity in pre‐school aged children[J]. Chinese Journal of Woman and Child Health Research,2020,31(6):727-731.(in Chinese)
[4] 邓贞志,刘峥.儿童肥胖与心理健康关联的研究进展[J].中国妇幼健康研究,2023,34(1):21-25.
Deng ZZ, Liu Z. Relationship between childhood obesity and mental health[J]. Chinese Journal of Woman and Child Health Research,2023,34(1):21-25.(in Chinese)
[5] 中国居民营养与慢性病状况报告(2020年)[J].营养学报,2020,42(6):521.
Report on nutrition and chronic disease status of Chinese residents(2020)[J]. Acta Nutrimenta Sinica,2020,42(6):521.(in Chinese)
[6] Engel R, Assis MAA, Lobo AS, et al. Validation of the online version of the previous day food questionnaire for schoolchildren[J]. Revista de Nutrição, 2017, 30: 627-637.
[7] 万学红,卢雪峰.诊断学[M]. 9版. 北京: 人民卫生出版社, 2018: 50-53.
Wan XH, Lu XF.Diagnostics[M]. 9th ed.Beijing: People's Health Publishing House, 2018: 50-53.(in Chinese)
[8] 卫生部办公厅.儿童健康检查服务技术规范[EB/OL]. Http://baike.so.com/doc/6703135.html.2012-04-20/2022-04-01.
[9] 范雪瑾, 岑江杰, 柯雪琴. 儿童少年营养状况评价中人体测量三种方法的比较[J]. 浙江预防医学, 2000, 12(5):3.
Fan XJ, Cen JJ, Ke XQ. Comparison of three anthropometric methods for evaluating the nutritional status of children and adolescents[J]. Zhejiang Preventive Medicine, 2000, 12(5):3.(in Chinese)
[10] Ogden CL, Carroll MD, Lawman HG, et al. Trends in obesity prevalence among children and adolescents in the United States, 1988—1994 through 2015-2016[J]. JAMA, 2018, 319(16): 1723-1725.
[11] 胡鑫, 宾晓亮, 姜桂萍. 疫情防控常态下北京市3~6岁幼儿居家身体活动和体质现状分析及对策研究[J]. 南京体育学院学报, 2022, 21(9):52-56.
Hu X, Bin XL, Jiang GP. Analysis andcountermeasure research on the physical activity and physical fitness status of 3-6 year old children at home in Beijing under the normal situation of epidemic prevention and control[J]. Journal of Nanjing Sports Institute, 2022, 21(9):52-56.(in Chinese)
[12] 雷军,周小燕,何建勇,等.丽水市城区学龄前儿童体重指数与体质健康的相关性研究[J].中国儿童保健杂志,2022,30(9):1033-1036.
Lei J, Zhou XY, He JY, et al.Correlation between body mass index and physical health of preschool Children in Lishui City[J]. Chin J Child Health Care,2022,30(9):1033-1036.(in Chinese)
[13] Skinner AC,Ravanbakht SN, Skelton JA, et al. Prevalence of obesity and severe obesity in US children, 1999—2016[J]. Pediatrics, 2018:e20173459.
[14] Pan XF, Wang L, Pan A. Epidemiology and determinants of obesity in China[J]. Lancet Diabetes Endo, 2021, 9(6): 373-392.
[15] Buoncristiano M, Spinelli A, Williams J, et al. Childhood overweight and obesity in Europe: Changes from 2007 to 2017[J]. Obes Rev, 2021, 22: e13226.
[16] Mueller NT, Shin H, Pizoni A, et al. Birth mode-dependent association between pre-pregnancy maternal weight status and the neonatal intestinal microbiome[J]. Sci Rep, 2016, 6(1): 23133.
[17] Mitchell CM, Mazzoni C, Hogstrom L, et al. Delivery mode affects stability of early infant gut microbiota[J]. Cell Reports Medicine, 2020, 1(9): 100156.
[18] Yuan C, Gaskins AJ, Blaine AI, et al. Association between cesarean birth and risk of obesity in offspring in childhood, adolescence, and early adulthood[J]. JAMA Pediatr, 2016, 170(11): e162385-e162385.
[19] 唐雯,李晓松,潘杰.中国儿童超重和低体重与家庭社会经济特征相关性研究[J].卫生研究,2014,43(2):219-223.
Tang W, Li XS, Pan J. Study on the prevalence of childhood overweight and underweight, and the association with family socio-economic status(SES)[J].Journal of Hygiene Research,2014,43(2):219-223.(in Chinese)
[20] Mauz E, Lange M, Houben R, et al. Cohort profile: KiGGS cohort longitudinal study on the health of children, adolescents and young adults in Germany[J]. Int J Epidemiol, 2020, 49(2): 375-375.
[21] 温勃,杨招庚,李艳辉,等.父亲吸烟与儿童青少年肥胖的关系[J].中国学校卫生,2019,40(3):330-332.
Wen B, Yang ZG, Li YH, et al. Association between paternal smoking and obesity among children and adolescents[J]. Chin J Sch Health,2019,40(3):330-332.(in Chinese)
[22] Sun D, Zhou T, Li X, et al. Maternal smoking, genetic susceptibility, and birth-to-adulthood body weight[J]. Int J Obes(Lond), 2020, 44(6): 1330-1340.
[23] Oken E, Levitan EB, Gillman MW. Maternal smoking during pregnancy and child overweight: Systematic review and meta-analysis[J]. Int J Obes(Lond), 2008, 32(2): 201-210.
PDF(615 KB)

Accesses

Citation

Detail

Sections
Recommended

/