Volume 45 Issue 8
Aug.  2024
Turn off MathJax
Article Contents
LIU Zhonghui, ZHAO Saisai, XIAO Yingchen, SUN Zhiying, ZHANG Xianwei, XU Ke, GAO Lei, DONG Yanhui, SONG Yi, CHEN Lu. Trends and factors associated with overweight and obesity among primary and secondary school students in Tianjin from 2019 to 2023[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(8): 1176-1180. doi: 10.16835/j.cnki.1000-9817.2024234
Citation: LIU Zhonghui, ZHAO Saisai, XIAO Yingchen, SUN Zhiying, ZHANG Xianwei, XU Ke, GAO Lei, DONG Yanhui, SONG Yi, CHEN Lu. Trends and factors associated with overweight and obesity among primary and secondary school students in Tianjin from 2019 to 2023[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(8): 1176-1180. doi: 10.16835/j.cnki.1000-9817.2024234

Trends and factors associated with overweight and obesity among primary and secondary school students in Tianjin from 2019 to 2023

doi: 10.16835/j.cnki.1000-9817.2024234
  • Received Date: 2024-04-18
  • Rev Recd Date: 2024-05-28
  • Available Online: 2024-08-31
  • Publish Date: 2024-08-25
  •   Objective  To understand trends and related factors influencing overweight and obesity among primary and secondary school students in Tianjin, so as to provide a basis for formulating overweight and obesity prevention and control strategies.  Methods  In September of each year from 2019 to 2023, a survey was conducted among 197 707 primary and secondary school students in 16 districts of Tianjin through a stratified random cluster sampling method. Physical examination was carried out in accordance with the Technical Standard for Physical examination for Student, and overweight and obesity survey was carried out. Basic information, smoking, drinking, diet, physical exercise, and sleep status were collected through questionnaire surveys.  Results  The detection rates of overweight and obesity among primary and secondary school students in Tianjin from 2019 to 2023 were 39.07%, 43.33%, 41.54%, 43.92%, and 40.24%, respectively, showing an increasing trend(χtrend2=7.96, P < 0.01). The detection rates of overweight increased in both vocational high schools and suburban counties (χtrends2=9.08, 47.18, P < 0.01). The detection rates of obesity increased among both male and female students, in primary and vocational high schools and suburban counties (χtrends2=108.34, 15.99, 7.32, 10.95, 14.75, P < 0.01). Multivariate Logistic regression analysis showed that smoking, drinking, unhealthful diet, and lack of proper physical exercise had a higher risk of obesity among primary and secondary school students (OR=1.26, 1.13, 1.08, 1.21, P < 0.05). Stratified analysis showed that the risk of obesity was higher among boys with unhealthful and moderate lifestyle habits, as well as primary school students with unhealthful lifestyle habits (OR=1.15, 1.11, 1.27, P < 0.05). Boys, girls and primary school students with unhealthful lifestyle habits, girls and ordinary high school students with moderate lifestyle habits had higher risk of being overweight (OR=1.14, 1.32, 1.21, 1.18, 1.40, P < 0.05).  Conclusions  The detection rates of overweight and obesity among primary and secondary school students in Tianjin shows an increasing trend. Comprehensive lifestyle should be implemented to better prevent and control the risk of overweight and obesity.
  • loading
  • [1]
    AHMED M, SEID A, KEMAL A, et al. Does the frequency of watching television matters on overweight and obesity among reproductive age women in Ethiopia?[J]. J Obes, 2020(1): 9173075.
    [2]
    LANDI F, CALVANI R, PICCA A, et al. Body mass index is strongly associated with hypertension: results from the longevity check-up 7+ study[J]. Nutrients, 2018, 10(12): 1976. doi: 10.3390/nu10121976
    [3]
    WANG S, SUN Q, ZHAI L, et al. The prevalence of depression and anxiety symptoms among overweight/obese and non-overweight/non-obese children/adolescents in China: a systematic review and Meta-analysis[J]. Int J Environ Res Public Health, 2019, 16(3): 340. doi: 10.3390/ijerph16030340
    [4]
    KANG C, LEROITH D, GALLAGHER E J. Diabetes, obesity, and breast cancer[J]. Endocrinology, 2018, 159(11): 3801-3812. doi: 10.1210/en.2018-00574
    [5]
    LOBSTEIN T, BRINSDEN H. Atlas of childhood obesity[M]. London: World Obesity Federation, 2019.
    [6]
    董彦会, 陈力, 刘婕妤, 等. 1985—2019年中国7~18岁儿童青少年超重与肥胖的流行趋势及预测研究[J]. 中华预防医学杂志, 2023, 57(4): 461-469.

    DONG Y H, CHEN L, LIU J Y, et al. Epidemiology and prediction of overweight and obesity among children and adolescents aged 7-18 years in China from 1985 to 2019[J]. Chin J Prev Med, 2023, 57(4): 461-469. (in Chinese)
    [7]
    中华人民共和国卫生部. 学生健康检查技术规范: GB/T 26343—2010[S]. 2011-05-01.

    Ministry of Health of the PRC. Technical standard for physical examination for students: GB/T 26343-2010[S]. 2011-05-01. (in Chinese)
    [8]
    中华人民共和国国家卫生健康委员会办公厅关于印发2019年全国学生常见病和健康影响因素监测与干预工作方案的通知[EB/OL]. (2019-03-26)[2024-07-05]. http://www.nhc.gov.cn/jkj/s5898bm/201903/1bcbac21e1864377ad24984fac01c7d.shtml.

    Circular of the General Office of the National Health Commission of the PRC on issuing the 2019 national monitoring and intervention of common diseases and health influencing factors among students[EB/OL]. (2019-03-26)[2024-07-05]. http://www.nhc.gov.cn/jkj/s5898bm/201903/1bcbac21e1864377ad24984fac01c7d.shtml. (in Chinese)
    [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]. 北京: 中国标准出版社, 2018.

    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]. Beijing: Standards Press of China, 2018. (in Chinese)
    [10]
    张依航, 袁雯, 党佳佳, 等. 内蒙古地区2021年中小学生近视与肥胖共患现状及生活方式的调节作用[J]. 中国学校卫生, 2023, 44(9): 1299-1303. doi: 10.16835/j.cnki.1000-9817.2023.09.005

    ZHANG Y H, YUAN W, DANG J J, et al. Co-morbidity of myopia and obesity and the moderating role of lifestyle among primary and secondary school students in Inner Mongolia Autonomous Region in 2021[J]. Chin J Sch Health, 2023, 44(9): 1299-1303. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.005
    [11]
    中华人民共和国卫生部. 中小学生一日学习时间卫生要求: GB/T 17223—2012[S]. 2013-05-01.

    Ministry of Health of the PRC. Hygienic requirements for daily learning time for secondary and elementary school students: GB/T 17223-2012[S]. 2013-05-01. (in Chinese)
    [12]
    LLOYD-JONES D M, HONG Y, LABARTHE D, et al. Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association's Strategic Impact Goal through 2020 and beyond[J]. Circulation, 2010, 121(4): 586-613. doi: 10.1161/CIRCULATIONAHA.109.192703
    [13]
    中华人民共和国国家卫生健康委员会. 关于印发儿童青少年肥胖防控实施方案的通知[EB/OL]. (2020-10-23)[2023-06-01]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=9357ae09af9f4ba8850dacac5093e250.

    National Health Commission of the PRC. Notice on issuing the implementation plan for obesity prevention and control in children and adolescents[EB/OL]. (2020-10-23)[2023-06-01]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=9357ae09af9f4ba8850dacac5093e250. (in Chinese)
    [14]
    国务院新闻办就《中国居民营养与慢性病状况报告(2020年)》有关情况举行发布会[EB/OL]. (2020-12-24)[2022-04-01]. http://www.gov.cn/xinwen/2020-12/24/content_5572983.htm.

    State Council Information Office of the PRC held a press conference on the Report on the Nutrition and Chronic Disease Status of Chinese Residents (2020)[EB/OL]. (2020-12-24)[2022-04-01]. http://www.gov.cn/xinwen/2020-12/24/content_5572983.htm. (in Chinese)
    [15]
    林恒娜, 董立雪, 杨会棉. 2011—2021年北京市门头沟区中小学生超重肥胖流行趋势分析[J]. 首都公共卫生, 2024, 18(1): 46-49. https://www.cnki.com.cn/Article/CJFDTOTAL-SDGW202401011.htm

    LIN H N, DONG L X, YANG H M. Trend analysis on prevalence of overweight and obesity among primary and middle school students in Mentougou District of Beijing, 2011-2021[J]. Cap J Public Health, 2024, 18(1): 46-49. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SDGW202401011.htm
    [16]
    周潇潇, 张祥, 姜叶, 等. 台州市2013—2020年中小学生超重肥胖流行特征分析[J]. 中国学校卫生, 2022, 43(12): 1885-1888, 1892. doi: 10.16835/j.cnki.1000-9817.2022.12.030

    ZHOU X X, ZHANG X, JIANG Y, et al. Epidemiological characteristics of overweight and obesity among primary and secondary school students in Taizhou from 2013 to 2020[J]. Chin J Sch Health, 2022, 43(12): 1885-1888, 1892. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.12.030
    [17]
    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, 2021, 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 aged 9-18 during 2010-2019 in Anhui Province[J]. Mod Prev Med, 2021, 48(23): 4272-4275. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202123011.htm
    [18]
    张慧, 赵海萍, 黄子睿, 等. 宁夏汉族中小学生2000—2019年超重与肥胖变化趋势[J]. 中国学校卫生, 2021, 42(11): 1712-1716. doi: 10.16835/j.cnki.1000-9817.2021.11.025

    ZHANG H, ZHAO H P, HUANG Z R, et al. Trends of overweight and prevalence among Ningxia Han ethnic students during 2000-2019[J]. Chin J Sch Health, 2021, 42(11): 1712-1716. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.11.025
    [19]
    杨彦玲, 张强, 闵向东, 等. 2016—2017年云南省6~17岁儿童青少年超重肥胖现状及相关因素[J]. 卫生研究, 2023, 52(3): 369-374. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ202303004.htm

    YANG Y L, ZHANG Q, MIN X D, et al. Status and related factors of overweight and obesity among children and adolescents aged 6-17 in Yunnan Province during 2016-2017[J]. J Hyg Res, 2023, 52(3): 369-374. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ202303004.htm
    [20]
    姜娜娜, 刘佳慧, 田亚兰, 等. 济南市2021年儿童青少年超重肥胖的中国和国际标准比较[J]. 中国学校卫生, 2023, 44(9): 1403-1408. doi: 10.16835/j.cnki.1000-9817.2023.09.028

    JIANG N N, LIU J H, TIAN Y L, et al. Overweight and obesity among children and adolescents in Jinan City in 2021 and comparison with Chinese and international standards[J]. Chin J Sch Health, 2023, 44(9): 1403-1408. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.028
    [21]
    王转, 杜向东, 李忻, 等. 2017—2021年贵州省9~18岁儿童青少年超重与肥胖流行趋势分析[J]. 中国健康教育, 2023, 39(5): 393-397. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202305002.htm

    WANG Z, DU X D, LI X, et al. Trend analysis of overweight and obesity among children and adolescents aged 9-18 years old in Guizhou Province from 2017 to 2021[J]. Chin J Health Educ, 2023, 39(5): 393-397. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202305002.htm
    [22]
    MALIK V S, WILLETT W C, HU F B. Global obesity: trends, risk factors and policy implications[J]. Nat Rev Endocrinol, 2013, 9(1): 13-27. doi: 10.1038/nrendo.2012.199
    [23]
    CHENG T O. The current state of cardiology in China[J]. Int J Cardiol, 2004, 96(3): 425-439. doi: 10.1016/j.ijcard.2003.10.011
    [24]
    REYNOLDS K, GU D, WHELTON P K, et al. Prevalence and risk factors of overweight and obesity in China[J]. Obesity (Silver Spring), 2007, 15(1): 10-18. doi: 10.1038/oby.2007.527
    [25]
    BJÖRNTORP P. Visceral obesity: a "civilization syndrome"[J]. Obes Res, 1993, 1(3): 206-222. doi: 10.1002/j.1550-8528.1993.tb00614.x
    [26]
    WADDEN T A, WEBB V L, MORAN C H, et al. Lifestyle modification for obesity: new developments in diet, physical activity, and behavior therapy[J]. Circulation, 2012, 125(9): 1157-1170. doi: 10.1161/CIRCULATIONAHA.111.039453
    [27]
    HEBDEN L, CHEY T, ALLMAN-FARINELLI M. Lifestyle intervention for preventing weight gain in young adults: a systematic review and Meta-analysis of RCTs[J]. Obes Rev, 2012, 13(8): 692-710. doi: 10.1111/j.1467-789X.2012.00990.x
    [28]
    WULFF H, DUAN Y, WAGNER P. Physical activity and social network use of adolescents in overweight and obesity treatment[J]. Int J Environ Res Public Health, 2021, 18(13): 6938. doi: 10.3390/ijerph18136938
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (108) PDF downloads(36) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return