Correlation of dietary patterns with overweight and obesity among elementary and secondary school students in Urumqi City, China

CAI Wenping; GUO Niya

doi:10.11852/zgetbjzz2022-0648

PDF(601 KB)

Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (4) : 433-437. DOI: 10.11852/zgetbjzz2022-0648

Correlation of dietary patterns with overweight and obesity among elementary and secondary school students in Urumqi City, China

CAI Wenping, GUO Niya

Author information +

History +

Abstract

Objective To investigate the dietary patterns of elementary and secondary students in Urumqi city, and to analyze its correlation with overweight and obesity. Methods From March 2020 and December 2021, a total of 674 students from eight primary and secondary schools in the new urban area, Tianshan district, Shaeback district and the Hydromologue district of Urumqi city were recruited in this study by stratified cluster sampling. General characteristics and dietary data of the participants were collected by questionnaires. Dietary frequency and factor analysis were used to extract dietary patterns. Three-dimensional modeling body composition analyzer was used to measure the body composition data of the students. Then the BMI-Z value was calculated and overweight and obesity were assessed. Multivariate Logistic regression model was used to analyze the association of dietary patterns with overweight and obesity. Results Three dietary patterns of students from Urumqi city were extracted in this study:The sweet processed group (which was associated with a high intake of beverages, ice cream, hamburgers, biscuits, etc.), The health conscious group (which was based on milk, vegetables, fruits, cereals, etc.) and the staple meat group (which was based on foods related to beef, pork, lamb, etc.). After stratified by age, the BMI, body fat, basal metabolic rate and percentage body fat of 7- to 11-year-old students in the health conscious group were significantly lower compared with the 12- to 17-year-old students in sweet processed group (P<0.05). Compared with sweet processed group and staple meat group, 12- to 17-year-old students in the healthy conscious group had lower muscle mass, basal metabolic rate and body fat percentage (P<0.05). Logistic regression model analysis showed that after adjustment for confounders, higher scores in the health awareness group were associated with a lower risk of developing overweight and obesity among students (OR=0.59, 95%CI:0.39 - 0.92). Conclusion Dietary patterns are correlated with overweight and obesity among primary and secondary school students in Urumqi City, and changing dietary patterns is beneficial for healthy growth of students.

Key words

dietary patterns / overweight / obesity / adolescents

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

CAI Wenping, GUO Niya. Correlation of dietary patterns with overweight and obesity among elementary and secondary school students in Urumqi City, China[J]. Chinese Journal of Child Health Care. 2023, 31(4): 433-437 https://doi.org/10.11852/zgetbjzz2022-0648

References

[1] 刘朝明,杨树荣,方敬秋,等.1985—2014 年中国中小学生生长发育长期趋势分析[J].现代预防医学,2017,44(18):3321-3325.
Liu CM, Yang SR, Fang JQ, et al.Long-term trend analysis of growth and development of primary and middle school students in China from 1985 to 2014 [J]. Modern Preventive Medicine,2017,44(18):3321-3325.
[2] 高迪,董彦会,尹杨,等.中国 2005-2014 年中小学生身高体重变化趋势分析[J].中国学校卫生,2018,39(2):252-255,259.
Gao D, Dong YH, Yin Y, et al. Analysis on the trend of height and weight of middle school students in China from 2005 to 2014 [J]. Chin J School Health,2018, 39(2) :252-255,259.
[3] 姑丽克孜·买买提热夏提,刘晓静,李榕.2014-2018年乌鲁木齐市中小学生健康状况分析[J].职业与健康,2021,37(12):1675-1679,1683.
Gulikizz·M, Liu XJ, Li R. Health status analysis of primary and middle school students in Urumqi, 2014-2018 [J]. Occupational and Health,2021,37(12):1675-1679,1683.
[4] 方虹霁,韩明慧,王园平,等. 上海市长宁区学龄儿童消化不良症状发生情况及其与膳食模式的关联研究[J]. 复旦学报(医学版),2021,48(5):697-702.
Fang HJ, Han MH, Wang YP, et al. Prevalence of dyspepsia and its association with dietary patterns in school-age children in Changning District, Shanghai [J]. Journal of Fudan University(Medical Sciences),2021,48(5):697-702.
[5] 杨春,邢杨,李菁菁,等. 中小学生膳食模式与视力不良相关性研究[J]. 中国食物与营养,2020,26(11):74-79.
Yang C, Xing Y, Li JJ, et al. Relationship between dietary patterns and poor vision in primary and secondary school students [J]. Chinese Journal of Food and Nutrition,2020,26(11):74-79.
[6] 孟凡顺,谌丁艳,吴宇,等. 深圳市学龄女童膳食模式和性早熟的相关性研究[J]. 中华流行病学杂志,2020,41(5):738-742.
Meng FS, Chen DY, Wu Y, et al. Relationship between dietary patterns and precocious puberty in school-age girls in Shenzhen [J]. Chin J Epidemiol,2020,41(5):738-742.
[7] 陈梦雪,熊静远,赵莉,等. 儿童膳食模式与健康关系的流行病学研究进展[J]. 中华预防医学杂志,2022,56(2):139-145.
Chen MX, Xiong JY, Zhao L, et al. Study on the relationship between dietary patterns and health in children [J]. Chin J Preventive Med,2022,56(2):139-145.
[8] 王云涛,施美莉. 澳门超重、肥胖儿童青少年体质特征及影响因素研究[J]. 中国体育科技,2019,55(12):59-67.
Wang YT, Shi ML. Study on physical characteristics and influencing factors of overweight and obese children and adolescents in Macao [J]. China Sports Science and Technology,2019,55(12):59-67.
[9] Rocha NP,Milagresa LC,Longo GZ,et al.Association between dietary pattern and cardiometabolic risk in children and adoles-cents:A systematic review[J]. J Pediatr,2017,93(3):214-222.
[10] 李凯凯,尚艾莉,刘秀英,等.银川市儿童青少年体脂百分比腰围与心血管病危险因素的关联[J].中国学校卫生,2019,40(6):888-892.
Li KK, Shang AL, Liu XY, et al. Association between body fat percentage waist circumference and risk factors of cardiovascular disease in children and adolescents in Yinchuan city [J]. Chin J School Health,2019,40(6):888-892.
[11] Krishnan S,Anderson MP,Fields D,et al.Abdominal obesi- ty adversely affects bone mass inchildren[J].World J Clin Pediatr,2018,7(1):43-48.
[12] 高冰,郭宇帆,徐薇,等.某市7～13岁蒙古族超重肥胖儿童体成分及血脂水平分析[J].包头医学院学报,2021,37(7):55-58,73.
Gao B, Guo YF, Xu W, et al. Analysis of body composition and lipid levels in overweight and obese Mongolian children aged 7 - 13 years in a city [J]. Journal of Baotou Medical College,2021,37(7):55-58,73.
[13] 李娟,谢小莲,刘尚红,等. 儿童青少年膳食知识水平及饮食模式与超重肥胖的关系[J]. 中国学校卫生,2018,39(11):1609-1612.
Li J, Xie XL, Liu SH, et al. Relationship between dietary knowledge level and dietary pattern and overweight and obesity in children and adolescents [J]. Chin J Sch Health, 2018,39(11):1609-1612.
[14] Liu D,Zhao LY,Yu DM, et al. Dietary patterns and association with obesity of children aged 6~17 years in medium and small cities in China:Findings from the CNHS 2010—2012[J]. Nutrients,2018,11(1):3.
[15] Aranceta-Bartrina J,Partearroyo T,López-Sobaler AM,et al. Updating the food-based dietary guidelines for the Spanish population:The Spanish Society of Community Nutrition (SENC) Proposal[J]. Nutrients, 2019,11(11):2675.
[16] 曹霞,周淑伊,杨斌芳,等. 长沙地区部分健康体检人群饮食模式与睡眠障碍的关系[J]. 中南大学学报(医学版),2020,45(10):1204-1214.
Cao X, Zhou SY, Yang BF, et al. Relationship between dietary patterns and sleep disorders in some healthy people in changsha area [J]. Journal of Central South University (Medical Science),2020,45(10):1204-1214.
[17] Zhen SH,Ma YN,Zhao ZY,et al. Dietary pattern is associated with obesity in Chinese children and adolescents:Data from China Health and Nutrition Survey (CHNS)[J].Nutr J,2018,17(1):68.