| Title | Ethnicity, socioeconomic status and the nutritional status of Chinese children and adolescents: Findings from three consecutive national surveys between 2005 and 2014 |
| Authors | Dong, Yanhui Ma, Yinghua Hu, Peijin Dong, Bin Zou, Zhiyong Yang, Yide Xu, Rongbin Wang, Zhenghe Yang, Zhaogeng Wen, Bo Tan, Monique He, Feng J. Song, Yi Ma, Jun Sawyer, Susan M. Patton, George C. |
| Affiliation | Peking Univ, Sch Publ Hlth, Inst Child & Adolescent Hlth, Natl Hlth Commiss,Key Lab Reprod Hlth, Beijing, Peoples R China Hunan Normal Univ, Sch Med, Changsha, Peoples R China Monash Univ, Sch Publ Hlth & Prevent Med, Dept Epidemiol & Prevent Med, Melbourne, Vic, Australia Southern Med Univ, Sch Publ Hlth, Dept Epidemiol, Guangzhou, Peoples R China Queen Mary Univ London, Barts & London Sch Med & Dent, Wolfson Inst Prevent Med, London, England Univ Melbourne, Fac Med Dent & Hlth Sci, Dept Paediat, Parkville, Vic, Australia Murdoch Childrens Res Inst, Parkville, Vic, Australia Royal Childrens Hosp, Ctr Adolescent Hlth, Parkville, Vic, Australia |
| Keywords | BODY-MASS INDEX CARDIOVASCULAR-DISEASE BLOOD-PRESSURE GLOBAL BURDEN RISK-FACTORS LOW-INCOME OVERWEIGHT PREVALENCE OBESITY HEALTH |
| Issue Date | Jun-2020 |
| Publisher | PEDIATRIC OBESITY |
| Abstract | Background Economic development has brought rapid shifts in the food environment of Chinese children and adolescents. Objectives To assess the changes in childhood nutritional status across ethnic groups and economic status from 2005 to 2014. Methods 664 094 Chinese Han and 224 151 ethnic minority children and adolescents aged 7 to 18 years were assessed in three national cross-sectional surveys (2005, 2010 and 2014). Gross domestic product (GDP) per capita of each ethnic group was categorized into four strata of socioeconomic status. To assess ethnic disparities at each time point, we used logistic regression to estimate the prevalence odds ratios (OR) for thinness, overweight and obesity in the 24 ethnic minority groups vs Han Chinese. Results Children in the two upper economic strata (over about US$4000 GDP per capita) had a high prevalence of overweight and obesity, while those in the two lower economic strata (below US$4000 GDP per capita) had a high prevalence of thinness. From 2005 to 2014, the prevalence of thinness decreased from 18.6% to 13.1% in Han children, and from 20.4% to 17.1% in ethnic minority students. At the same time, the prevalence of overweight and obesity increased from 10.4% to 17.7% in Han children, and from 4.3% to 9.2% in ethnic minority students, respectively. Conclusions A rapid nutritional transition has occurred from 2005 to 2014 with shifts from thinness to overweight and obesity in both Han and ethnic minority children and adolescents, reflecting local GDP per capita. |
| URI | http://hdl.handle.net/20.500.11897/607078 |
| ISSN | 2047-6310 |
| DOI | 10.1111/ijpo.12664 |
| Indexed | SCI(E) |
| Appears in Collections: | 公共卫生学院 |
