Trend of diet-related behaviors among secondary school students in Shanghai, 2008-2019

YUE Guizhen; SUN Lijing; YANG Dongling; YAN Qiong; YANG Yanting; LUO Chunyan

doi:10.16835/j.cnki.1000-9817.2023.06.011

Volume 44 Issue 6

Jun. 2023

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(6): 845-849

YUE Guizhen, SUN Lijing, YANG Dongling, YAN Qiong, YANG Yanting, LUO Chunyan. Trend of diet-related behaviors among secondary school students in Shanghai, 2008-2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(6): 845-849. doi: 10.16835/j.cnki.1000-9817.2023.06.011

Citation:

YUE Guizhen, SUN Lijing, YANG Dongling, YAN Qiong, YANG Yanting, LUO Chunyan. Trend of diet-related behaviors among secondary school students in Shanghai, 2008-2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(6): 845-849. doi: 10.16835/j.cnki.1000-9817.2023.06.011

Citation:

PDF( 410 KB)

Trend of diet-related behaviors among secondary school students in Shanghai, 2008-2019

doi: 10.16835/j.cnki.1000-9817.2023.06.011

Institute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai(200336), China

Received Date: 2023-02-23
Rev Recd Date: 2023-05-08

Available Online: 2023-06-28

Publish Date: 2023-06-25

Abstract

Abstract

Objective To understand the prevalence and trend of diet-related behaviors among secondary school students in Shanghai, and to provide a scientific basis for developing appropriate health education strategies. Methods Anonymous questionnaire surveys were conducted among 71 291 students selected by multi-stage stratified cluster sampling method from junior high schools, senior high schools and vocational schools in Shanghai in the year of 2008, 2012, 2015, 2017, 2019. The questionnaire adopted was "Shanghai adolescent health-related behavior questionnaire". Test for trend test were applied for the analysis of the prevalence of their dietary behaviors. Results The proportion of middle school students' nutritional status within the normal range in each survey year were 73.40%, 72.60%, 68.06%, 68.73%, 67.53%, respectively, while the rate of overweight and obesity increased from 13.17% in 2008 to 23.73% in 2019. The proportion of "eating fried food" decreased significantly by year, from 12.05% to 4.23% (male, APC=-7.94%, t=-4.33, female, APC= -9.29%, t=-7.71, P < 0.05) respectively. And the proportion of "eating dessert" also decreased significantly by year, from 31.66% to 11.14% (male, APC=-8.41%, t=-6.37, female, APC=-8.67%, t=-6.96, P < 0.05). In the five surveys, the percentages of healthy diet-related behaviors of secondary school students were 12.81%-21.82%, no significant upward trend was observed in the whole(P>0.05). The proportion of diet-related behaviors of nutrition unbalance and easily leading to obesity decreased significantly from 35.47% to 17.00%(APC=-6.71%, t=-5.00, P < 0.05). The proportion of diet-related behavior of nutrition unbalance and not easily leading to obesity increased significantly from 39.15% to 60.16%(APC=3.46%, t=6.18, P < 0.05). Conclusion Overweight and obesity among secondary school students in Shanghai are increasing during the past decade, and the proportion of healthy dietary behaviors is low. The knowledge of rational diet should be publicized among these students in order to develop healthy dietary behaviors.
- Food habits,
- Behavior,
- Obesity,
- Students

FullText(HTML)

References(25)

References

[1]	HAINES J, HAYCRAFT E, LYTLE L, et al. Nurturing children's healthy eating: position statement[J]. Appetite, 2019, 137: 124-133. doi: 10.1016/j.appet.2019.02.007
[2]	李丽, 王惠君, 欧阳一非, 等. 中国九省儿童青少年2000—2018年营养状况[J]. 中国学校卫生, 2021, 42(12): 1789-1792. doi: 10.16835/j.cnki.1000-9817.2021.12.008 LI L, WANG H J, OUYANG Y F, et al. Nutritional status of children and adolescents in 9 provinces of China from 2000 to 2018[J]. Chin J Sch Health, 2021, 42(12): 1789-1792. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.12.008
[3]	付志聪, 张静. 易致儿童肥胖的不健康食品市场限制政策研究[J]. 中国学校卫生, 2020, 41(9): 1427-1432. doi: 10.16835/j.cnki.1000-9817.2020.09.043 FU Z C, ZHANG J. Study on market restriction policy of unhealthy food lead to childhood obesity[J]. Chin J Sch Health, 2020, 41(9): 1427-1432. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.09.043
[4]	LANGE S J, MOORE L V, HARRIS D M, et al. Percentage of adolescents meeting federal fruit and vegetable intake recommendations-youth risk behavior surveillance system, United States, 2017[J]. Morb Mortal Wkly Rep, 2021, 70(3): 69-74. doi: 10.15585/mmwr.mm7003a1
[5]	杨亚洁, 石劢, 热依拉·吐尔逊, 等. 北京市房山区某初中果蔬类食物摄入调查与分析[J]. 中国食物与营养, 2020, 26(6): 85-89. doi: 10.3969/j.issn.1006-9577.2020.06.020 YANG Y J, SHI M, REYILA T E X, et al. Investigation and analysis on fruit and vegetable food intake of one junior middle school students in Fangshan District of Beijing City[J]. Food Nutr Chin, 2020, 26(6): 85-89. (in Chinese) doi: 10.3969/j.issn.1006-9577.2020.06.020
[6]	林琳, 刘伟佳, 刘伟, 等. 广州市青少年2008年与2013年饮食行为比较[J]. 中国学校卫生, 2015, 36(9): 1306-1309. http://www.cjsh.org.cn/article/id/zgxxws201509009 LIN L, LIU W J, LIU W, et al. Comparative analysis of dietary behaviorsamong adolescents in 2008 and 2013 in Guangzhou[J]. Chin J Sch Health, 2015, 36(9): 1306-1309. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201509009
[7]	叶佩玉, 陈芳芳, 米杰. 儿童期肥胖的健康危害: 来自中国人群的证据[J]. 中华预防医学杂志, 2016, 50(1): 97-100. https://www.cnki.com.cn/Article/CJFDTOTAL-XHYX202301007.htm YE P Y, CHEN F F, MI J. Health hazards of childhood obesity: evidence base on Chinese population[J]. Chin J Prev Med, 2016, 50(1): 97-100. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XHYX202301007.htm
[8]	Centers For Disease Control Prevention. YRBS Questionnaire Content 1991-2019[EB/OL]. (2020-11-17)[2022-01-24]. https://www.cdc.gov/healthyyouth/data/yrbs/pdf/2019/YRBS_questionnaire_content_1991-2019.pdf.
[9]	中华人民共和国国家卫生和计划生育委员会. 学龄儿童青少年超重与肥胖筛查: WS/T 586—2018[S]. 2018-08-01. National Health and Family Planning Commission of the PRC. Screening for overweight and obesity in school-age children and adolescents: WS/T 586-2018[S]. 2018-08-01. (in Chinese)
[10]	中华人民共和国国家卫生和计划生育委员会. 学龄儿童青少年营养不良筛查: WS/T 456—2014[S]. 2014-12-15. National Health and Family Planning Commission of the PRC. Screening for malnutrition in school-age children and adolescents: WS/T 456-2014[S]. 2014-12-15. (in Chinese)
[11]	邓艳红, 王明. 云南省部分地区学校青少年饮食行为调查[J]. 卫生软科学, 2021, 35(12): 82-88. doi: 10.3969/j.issn.1003-2800.2021.12.016 DENG Y H, WANG M. Investigation on dietary behavior of school adolescents in some area of Yunnan[J]. Soft Sci Health, 2021, 35(12): 82-88. (in Chinese) doi: 10.3969/j.issn.1003-2800.2021.12.016
[12]	郭丽. 安阳市学生饮食行为及影响因素[J]. 公共卫生与预防医学, 2015, 26(5): 75-77. https://www.cnki.com.cn/Article/CJFDTOTAL-FBYF201505022.htm GUO L. Students' dietary behavior and influencing factors in Anyang[J]. J Public Health Prev Med, 2015, 26(5): 75-77. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-FBYF201505022.htm
[13]	中华人民共和国教育部体育卫生与艺术教育司. 第八次全国学生体质与健康调研结果发布[J]. 中国学校卫生, 2021, 42(9): 1281-1282. doi: 10.16835/j.cnki.1000-9817.2021.09.001 Department of Physical Health and Arts Education Ministry of Education of the PRC. Release report of the eighth national survey on student physical fitness and health[J]. Chin J Sch Health, 2021, 42(9): 1281-1282. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.09.001
[14]	张丹, 赵正言, 林穗青, 等. 上海市10~17岁青少年超重肥胖检出率及相关因素研究[J]. 中国儿童保健杂志, 2012, 20(8): 703-705, 724. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201208014.htm ZHANG D, ZHAO Z Y, LIN S Q, et al. Incidence of overweight and obesity of 10-17 years old teenagers and the influencing factors in Shanghai[J]. Chin J Child Health Care, 2012, 20(8): 703-705, 724. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201208014.htm
[15]	谭亚菲, 辛秀红, 蚁金瑶, 等. 我国中学生超重肥胖的流行特征分析[J]. 中国临床心理学杂志, 2015, 23(5): 919-922. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201505037.htm TAN Y F, XIN X H, YI J Y, et al. Prevalence and characteristic study on overweight and obesity in Chinese secondary school students[J]. Chin J Clin Psychol, 2015, 23(5): 919-922. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201505037.htm
[16]	范娅娜, 刘德云, 王宁玲. 安徽省2010-2019年9~18岁中小学生超重与肥胖流行趋势分析[J]. 现代预防医学, 2022, 48(23): 4272-4275. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202123011.htm FAN Y N, LIU D Y, WANG N L. Trend analysis of overweight and obesity among primary and secondary school students during 2010-2019 in Anhui Province[J]. Mod Prev Med, 2022, 48(23): 4272-4275. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202123011.htm
[17]	GUO Y, YIN X, WU H, et al. Trends in overweight and obesity among children and adolescents in China from 1991 to 2015: a Meta-analysis[J]. Int J Environ Res Public Health, 2019, 16(23): 4656.
[18]	薛红妹, 刘言, 段若男, 等. 中国儿童青少年超重肥胖流行趋势及相关影响因素[J]. 中国学校卫生, 2014, 35(8): 1258-1262. http://www.cjsh.org.cn/article/id/zgxxws201408051 XUE H M, LIU Y, DUAN R N, et al. Prevalence of overweight and obesity among Chinese children and adolescents and its related influencing factors[J]. Chin J Sch Health, 2014, 35(8): 1258-1262. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201408051
[19]	高利旺, 赵莉, 孙晓敏, 等. 中国初中生超重与肥胖流行趋势及危险因素研究[J]. 中华疾病控制杂志, 2019, 23(9): 1041-1045. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201909006.htm GAO L W, ZHAO L, SUN X M, et al. Trends and risk factors of overweight and obesity among Chinese middle school students[J]. Chin J Dis Control Prev, 2019, 23(9): 1041-1045. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201909006.htm
[20]	DELLA C K, FIFE J, GARDNER A, et al. World trends in sugar-sweetened beverage and dietary sugar intakes in children and adolescents: a systematic review[J]. Nutr Rev, 2021(3): 274-288.
[21]	姚映澄, 伍晓艳. 合肥市某中学高中生含糖饮料消费情况随访调查[J]. 安徽预防医学杂志, 2019, 25(2): 139-141. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYF201902017.htm YAO Y C, WU X Y. Survey of sugar-sweetened beverage consumption among a senior high school students in Hefei City[J]. Anhui J Prev Med, 2019, 25(2): 139-141. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-AHYF201902017.htm
[22]	景方圆, 李迎君, 范春红. 中国儿童青少年含糖饮料消费与肥胖的相关性研究[J]. 预防医学, 2018, 30(5): 494-497. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX201805017.htm JING F Y, LI Y J, FAN C H. Association between sweetened beverages consumption and obesity in Chinese children and adolescents[J]. Prev Med, 2018, 30(5): 494-497. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX201805017.htm
[23]	GAN Q, XU P, YANG T, et al. Sugar-sweetened beverage consumption status and its association with childhood obesity among Chinese children aged 6-17 years[J]. Nutrients, 2021, 13(7): 2211.
[24]	何炜. 富阳区学龄期儿童肥胖现状调查及影响因素分析[J]. 中国妇幼保健, 2019, 34(1): 160-162. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201901053.htm HE W. Investigation and analysis of influencing factors of school-age childhood obesity in Fuyang District[J]. Matern Child Health Care Chi, 2019, 34(1): 160-162. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201901053.htm
[25]	赵芳芳, 甄国新, 赵瑞兰, 等. 北京市顺义区中小学生饮食行为与超重肥胖的相关性分析[J]. 医学信息, 2019, 32(9): 138-139. https://www.cnki.com.cn/Article/CJFDTOTAL-YXXX201909045.htm ZHAO F F, ZHEN G X, ZHAO R L, et al. Correlation between eating behaviors and overweight and obesity among primary and middle school students in Shunyi District, Beijing[J]. Med Inf, 2019, 32(9): 138-139. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YXXX201909045.htm