Volume 43 Issue 11
Nov.  2022
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HUANG Shan, GUI Zhaohuan, ZHANG Shuxin, JIANG Nan, HUANG Shaoyi, PU Xueya, CHEN Yajun. Incidence of abdominal obesity among primary and middle school students and its association with parental weight-related knowledge, attitude and practice[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1613-1617. doi: 10.16835/j.cnki.1000-9817.2022.11.004
Citation: HUANG Shan, GUI Zhaohuan, ZHANG Shuxin, JIANG Nan, HUANG Shaoyi, PU Xueya, CHEN Yajun. Incidence of abdominal obesity among primary and middle school students and its association with parental weight-related knowledge, attitude and practice[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(11): 1613-1617. doi: 10.16835/j.cnki.1000-9817.2022.11.004

Incidence of abdominal obesity among primary and middle school students and its association with parental weight-related knowledge, attitude and practice

doi: 10.16835/j.cnki.1000-9817.2022.11.004
  • Received Date: 2022-01-07
  • Rev Recd Date: 2022-03-02
  • Available Online: 2022-11-30
  • Publish Date: 2022-11-25
  •   Objective  To investigate the association of parental weight-related knowledge, attitude and practice (KAP) with abdominal obesity among primary and middle school students and to provide evidence for related intervention measures.  Methods  In September 2013, the multistage random sampling method was used to select 17 307 primary and secondary school students with normal waist circumference in seven provinces/municipalities in China. After nine-month follow-up, 14 118 students aged 6-18 years were included in the final analysis. Questionnaires were used to assess parental weight-related KAP, and students' waist circumference was measured objectively at baseline and follow-up. Multiple linear regression and multivariate Logistic regression were conducted to analyze the relationship between parents' KAP with the change of students' waist circumference and abdominal obesity, respectively.  Results  The nine-month cumulative incidence of pre-and abdominal obesity among students was 6.67% and 0.85%, respectively. The scoring rates of parents' knowledge, attitude and practice were 80.17%, 78.17%, 50.50%, respectively. The score of parents' weight-related attitude was inversely associated with the changes of waist circumference (β=-0.18, 95%CI=-0.26--0.10) and cumulative incidence of pre-and abdominal obesity (OR=0.90, 95%CI=0.82-0.98)(P < 0.05).  Conclusion  Parental positive and correct weight-related attitude is inversely associated with the incidence of abdominal obesity among children and adolescents. Interventions targeting establishing parents' correct beliefs may be an effective way to prevent abdominal obesity in children and adolescents.
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  • [1]
    GBD O C, AFSHIN A, FOROUZANFAR M H, et al. Health effects of overweight and obesity in 195 countries over 25 years[J]. New Engl J Med, 2017, 377(1): 13-27. doi: 10.1056/NEJMoa1614362
    [2]
    侯亚苹, 李智贤, 羊柳, 等. 儿童期腹型肥胖与成年期腹型肥胖的关联[J]. 中华流行病学杂志, 2020, 41(3): 385-388. doi: 10.3760/cma.j.issn.0254-6450.2020.03.020

    HOU Y P, LI Z X, YANG L, et al. Effect of abdominal obesity in childhood on abdominal obesity in adulthood[J]. Chin J Epidemiol, 2020, 41(3): 385-386. (in Chinese) doi: 10.3760/cma.j.issn.0254-6450.2020.03.020
    [3]
    MORRISON J A, FRIEDMAN L A, WANG P, et al. Metabolic syndrome in childhood predicts adult metabolic syndrome and type 2 diabetes mellitus 25 to 30 years later[J]. J Pediatr, 2008, 152(2): 201-206. doi: 10.1016/j.jpeds.2007.09.010
    [4]
    NG M, FLEMING T, ROBINSON M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013[J]. Lancet, 2014, 384(9945): 766-781. doi: 10.1016/S0140-6736(14)60460-8
    [5]
    杨招庚, 董彦会, 王西婕, 等. 中国2014年7~18岁中小学生腹型肥胖流行现状[J]. 中国学校卫生, 2018, 39(6): 810-813. doi: 10.16835/j.cnki.1000-9817.2018.06.003

    YANG Z G, DONG Y H, WANG X J, et al. Prevalence of abdominal obesity among students aged 7-18 years in China in 2014[J]. Chin J Sch Health, 2018, 39(6): 810-813. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2018.06.003
    [6]
    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 of 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
    [7]
    PAN X, WANG L, PAN A. Epidemiology and determinants of obesity in China[J]. Lancet Diabetes Endocrinol, 2021, 2021(9): 373-392.
    [8]
    MA L, CAI L, DENG L, et al. Waist circumference is better than other anthropometric indices for predicting cardiovascular disease risk factors in Chinese children: a cross-sectional study in Guangzhou[J]. J Atheroscl Thromb, 2016, 23(3): 320-329. doi: 10.5551/jat.31302
    [9]
    汪笛, 梁黎. 腹型肥胖对儿童、青少年代谢的影响及评价标准的确立[J]. 临床儿科杂志, 2010, 28(12): 1113-1116. doi: 10.3969/j.issn.1000-3606.2010.12.004

    WANG D, LIANG L. Influence of visceral obesity on metabolism and its evaluation in children and adolescents[J]. J Clin Pediatr, 2010, 28(12): 1113-1116. (in Chinese) doi: 10.3969/j.issn.1000-3606.2010.12.004
    [10]
    LI B, ADAB P, CHENG K K. The role of grandparents in childhood obesity in China: evidence from a mixed methods study[J]. Int J Behav Nutr Phys Act, 2015, 12: 91. doi: 10.1186/s12966-015-0251-z
    [11]
    REN H, ZHOU Z, LIU W K, et al. Excessive homework, inadequate sleep, physical inactivity and screen viewing time are major contributors to high paediatric obesity[J]. Acta Paediatr, 2017, 106(1): 120-127. doi: 10.1111/apa.13640
    [12]
    KUMAR S, RAJU M, GOWDA N. Influence of parental obesity on school children[J]. Indian J Pediatr, 2010, 77(3): 255-258. doi: 10.1007/s12098-010-0015-3
    [13]
    CHEN Y, MA L, MA Y, et al. A national school-based health lifestyles interventions among Chinese children and adolescents against obesity: rationale, design and methodology of a randomized controlled trial in China[J]. BMC Public Health, 2015, 15: 210. doi: 10.1186/s12889-015-1516-9
    [14]
    FISHER J D, AMICO K R, FISHER W A, et al. The information-motivation-behavioral skills model of antiretroviral adherence and its applications[J]. Curr HIV/AIDS Rep, 2008, 5(4): 193-203. doi: 10.1007/s11904-008-0028-y
    [15]
    CAI L, ZHANG T, MA J, et al. Self-perception of weight status and its association with weight-related knowledge, attitudes, and behaviors among Chinese children in Guangzhou[J]. J Epidemiol, 2017, 27(7): 338-345. doi: 10.1016/j.je.2016.08.011
    [16]
    国家卫生健康委员会. 学生健康检查技术规范: GB/T 26343—2010[S]. 北京: 中国标准出版社, 2011.

    National Health Commission of the PRC. Technical for physical examination for students: GB/T 26343—2010[S]. Beijing: China Standard Press, 2011. (in Chinese)
    [17]
    XI B, ZONG X, KELISHADI R, et al. International waist circumference percentile cutoffs for central obesity in children and adolescents aged 6 to 18 years[J]. J Clin Endocrinol Metabol, 2020, 105(4): e1569-e1583. doi: 10.1210/clinem/dgz195
    [18]
    国家卫生和计划生育委员会. 7岁~18岁儿童青少年高腰围筛查界值: WS/T 611—2018[S]. 北京: 中国标准出版社, 2018.

    National Health and Family Planning Commission of the PRC. High waist circumference screening threshold among children and adolescents aged 7-18 years: WS/T 611-2018[S]. Beijing: China Standard Press, 2018. (in Chinese)
    [19]
    刘嫚, 席波, 王奇娟, 等. 1993-2009年7~18岁中国学龄儿童超重肥胖和腹型肥胖率变化趋势[J]. 中国儿童保健杂志, 2012, 20(2): 117-123.

    LIU M, XI B, WANG Q J, et al. Trends in the prevalence of over-weight and abdominal obesity among Chinese children aged 7-18 years from 1993 to 2009[J]. Chin J Child Health Care, 2012, 20(2): 117-119, 123. (in Chinese)
    [20]
    季成叶, 宋银子, 马冠生, 等. 中国学龄儿童青少年腰围的地区分布和人群特征[J]. 中华流行病学杂志, 2010, 31(6): 603-608. doi: 10.3760/cma.j.issn.0254-6450.2010.06.002

    JI C Y, SONG Y Z, MA G S, et al. Waist circumference distribution of Chinese school-age children and adolescents[J]. Chin J Epidemiol, 2010, 31(6): 603-608. (in Chinese) doi: 10.3760/cma.j.issn.0254-6450.2010.06.002
    [21]
    付红. 中小学生家长肥胖相关知信行与子女超重肥胖关系的研究[D]. 天津: 天津医科大学, 2016.

    FU H. The study on the relationship between parents' knowledge-attitude-practice about obesity and children's overweight/obesity in primary and middle schools[D]. Tianjin: Tianjin Medical University, 2016. (in Chinese)
    [22]
    张军, 杨国俊, 李友炳, 等. 农村学龄前儿童肥胖发生率及家长肥胖知信行现况调查[J]. 中国妇幼保健, 2015, 30(31): 5324-5326. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201531009.htm

    ZHANG J, YANG G J, LI Y B, et al. A survey on obesity among rural preschool children and their parents, knowledge, attitude and practice[J]. Chin Matern Child Health Care, 2015, 30(31): 5324-5326. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201531009.htm
    [23]
    李云, 张越, 黄俊, 等. 家庭环境对学龄前儿童肥胖的影响[J]. 中国儿童保健杂志, 2013, 21(11): 1201-1203. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201311030.htm

    LI Y, ZHANG Y, HUANG J, et al. Analysis on the effect of family relating to the obesity of pre-school children[J]. Chin J Child Health Care, 2013, 21(11): 1201-1203. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201311030.htm
    [24]
    FREDRICKS J A, ECCLES J S. Family socialization, gender, and sport motivation and involvement[J]. J Sport Exerc Psychol, 2005, 27(1): 3-31. doi: 10.1123/jsep.27.1.3
    [25]
    LOPEZ-DICASTILLO O, GRANDE G, CALLERY P. Parents' contrasting views on diet versus activity of children: implications for health promotion and obesity prevention[J]. Patient Educ Couns, 2010, 78(1): 117-123. doi: 10.1016/j.pec.2009.05.019
    [26]
    SAID L, GUBBELS J S, KREMERS S. Dietary knowledge, dietary adherence, and BMI of Lebanese adolescents and their parents[J]. Nutrients, 2020, 12(8): 2398.
    [27]
    HESKETH K. Healthy eating, activity and obesity prevention: a qualitative study of parent and child perceptions in Australia[J]. Health Promot Int, 2005, 20(1): 19-26.
    [28]
    徐卫华, 徐赛君, 李强. 健康信念、自我效能感、社会支持: 促进大学生锻炼行为的路径[J]. 山东体育科技, 2018, 40(4): 77-85. https://www.cnki.com.cn/Article/CJFDTOTAL-STKJ201804015.htm

    XU W H, XU S J, LI Q. Health belief, self efficacy, and social support: a path to promote college students' exercise behavior[J]. Shandong Sport Sci Technol, 2018, 40(4): 77-85. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-STKJ201804015.htm
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