Influencing factors of overweight and obesity among children and adolescents in Zhejiang province

BAO Hongsheng; SUN Yuanfang; TANG Liyan; GUO Yingjie

doi:10.11852/zgetbjzz2022-0470

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Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (3) : 341-345. DOI: 10.11852/zgetbjzz2022-0470

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Influencing factors of overweight and obesity among children and adolescents in Zhejiang province

BAO Hongsheng¹, SUN Yuanfang¹, TANG Liyan², GUO Yingjie³

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Abstract

Objective To investigate the current quo and influencing factors of overweight and obesity among children and adolescents in Zhejiang province, so as to provide basis for making strategies for comprehensive prevention and treatment of overweight and obesity. Method Using stratified random cluster sampling method, a total of 4 577 primary and junior high school students of 6 cities in Zhejiang province were enrolled in this study to take physical examination and fill out the questionnaire in October 2021. Results The detection rates of overweight and obesity of children and adolescents in Zhejiang province were 14.2% and 8.3%, respectively.The detection rates of overweight and obesity in boys were higher than those in girls (χ²=58.31,20.09, P＜0.01).The detection rates of overweight and obesity in urban students were slightly higher than those in rural students, but the difference was not significant (χ²=0.135, 0.713, P>0.05). The detection rates of overweight and obesity in junior middle school students were slightly lower than those in primary school students, and there were statistically significant differences in overweight rate in different stages (χ²= 6.21,1.99, P<0.05), but there was no significant difference in obesity rate (P>0.05). Multivariate Logistic regression analysis showed that in terms of demography, the risk factors of overweight and obesity of children andadolescents in Zhejiang province were boys(OR=2.001, 95%CI:1.728 - 2.317), primary school students (OR=1.741, 95%CI:1.314 - 2.308), family monthly income ≥15 000 yuan (OR=3.617, 95%CI:2.498 - 5.237), taking physical activity ≤ 4 days/weeks (OR=5.462, 95%CI:4.193 - 7.115),taking fried food more than once a day (OR=23.453, 95%CI:16.790 - 32.761) (P<0.01). Conclusions The situation of overweight and obesity among children and adolescents in Zhejiang Province is serious. It is suggested that a cooperative governance mechanism should be carried out with the joint efforts of society, school and family for comprehensive prevention and control.

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adolescent / child / overweight / obesity / Zhejiang province

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BAO Hongsheng, SUN Yuanfang, TANG Liyan, GUO Yingjie. Influencing factors of overweight and obesity among children and adolescents in Zhejiang province[J]. Chinese Journal of Child Health Care. 2023, 31(3): 341-345 https://doi.org/10.11852/zgetbjzz2022-0470

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