Volume 44 Issue 9
Sep.  2023
Turn off MathJax
Article Contents
HUANG Feifei, ZHANG Jiguo, LI Yuan, GUO Chunlei, WANG Huijun. Snack consumption of children and adolescents in China and its correlation with overweight and obesity[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1319-1323. doi: 10.16835/j.cnki.1000-9817.2023.09.009
Citation: HUANG Feifei, ZHANG Jiguo, LI Yuan, GUO Chunlei, WANG Huijun. Snack consumption of children and adolescents in China and its correlation with overweight and obesity[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1319-1323. doi: 10.16835/j.cnki.1000-9817.2023.09.009

Snack consumption of children and adolescents in China and its correlation with overweight and obesity

doi: 10.16835/j.cnki.1000-9817.2023.09.009
  • Received Date: 2023-03-23
  • Rev Recd Date: 2023-06-14
  • Available Online: 2023-09-28
  • Publish Date: 2023-09-25
  •   Objective  To understand the current situation of snack consumption among children and adolescents in China and its relationship with overweight and obesity, so as to provide a basis for formulating strategies of preventing and controlling overweight and obesity in children and adolescents in China.  Methods  A total of 1 882 children and adolescents aged 6-17 years old, choosed from 15 provinces, autonomous regions and municipalities according to China Health and Nutrition Survey in 2018, were selected. Snack consumption was investigated by the 24-hour dietary retrospective method for three consecutive days. The pattern of snack consumption was explored by cluster analysis, and the relationship between snack consumption and overweight and obesity was analyzed by Logistic regression.  Results  The snack consumption rate was 60.6%, and the percentage of daily energy intake from snacks was 2.4%. Snack consumption characteristics could be divided into four modes. Mode 1 was characterized by daily intake of medium amount of fruit, Mode 2 was characterized by daily intake of small amount of fruit and baked goods, Mode 3 was characterized by daily intake of small amount of fruit, and Mode 4 was characterized by daily intake of medium amount of milk and small amount of fruit. After adjusting the relevant covariates such as energy intake, compared with those who did not eat snacks, the OR(95%CI) values of the risk of overweight and obesity in different snack consumption patterns were 1.56(0.93-2.58), 0.81(0.51-1.24), 1.24(0.94-1.63) and 1.00(0.60-1.63), respectively; the OR(95%CI) values of percentage of daily energy intake from snacks from low to high quartiles were 1.17(0.81-1.68), 1.32(0.92-1.89), 1.12(0.77-1.61) and 1.00(0.69-1.45), respectively. There was no statistically significant difference(P>0.05).  Conclusion  The proportion of Chinese children and adolescents consuming snacks is relatively high, mainly including fruit and its products, milk and its products and baked goods. No association between snack consumption and overweight and obesity has been found.
  • loading
  • [1]
    中华人民共和国国家卫生健康委疾病预防控制局. 中国居民营养与慢性病状况报告(2020年)[M]. 北京: 人民卫生出版社, 2021: 44.

    Bureau for Disease Control and Prevention of National Health Commission of the PRC. Report on Chinese residents' chronic diseases and nutrition (2020)[M]. Beijing: People's Medical Publishing House, 2021: 44. (in Chinese)
    [2]
    SERAVALLE G, GRASSI G. Obesity and hypertension[J]. Pharmacol Res, 2017, 122: 1-7. doi: 10.1016/j.phrs.2017.05.013
    [3]
    BECHARD L J, ROTHPLETZ-PUGLIA P, TOUGER-DECKER R, et al. Influence of obesity on clinical outcomes in hospitalized children: a systematic review[J]. JAMA Pediatr, 2013, 167(5): 476-482. doi: 10.1001/jamapediatrics.2013.13
    [4]
    杜文雯, 王惠君, 王丹彤, 等. 中国十二省市儿童青少年三餐及零食消费状况研究[J]. 卫生研究, 2016, 45(6): 876-881. doi: 10.19813/j.cnki.weishengyanjiu.2016.06.031

    DU W W, WANG H J, WANG D T, et al. Meal and snack consumption among Chinese children and adolescents in twelve provinces[J]. J Hyg Res, 2016, 45(6): 876-881. (in Chinese) doi: 10.19813/j.cnki.weishengyanjiu.2016.06.031
    [5]
    WANG Z, ZHAI F, ZHANG B, et al. Trends in Chinese snacking behaviors and patterns and the social-demographic role between 1991 and 2009[J]. Asia Pac J Clin Nutr, 2012, 21(2): 253-262.
    [6]
    于冬梅, 张兵, 赵丽云, 等. 中国3~17岁儿童青少年零食消费状况[J]. 卫生研究, 2008, 37(6): 710-713. doi: 10.3969/j.issn.1000-8020.2008.06.021

    YU D M, ZHANG B, ZHAO L Y, et al. Snacks consumption in Chinese children and adolescents at the ages of 3-17 years[J]. J Hyg Res, 2008, 37(6): 710-713. (in Chinese) doi: 10.3969/j.issn.1000-8020.2008.06.021
    [7]
    李艳红, 吕全军, 王惠君, 等. 中国九省学龄儿童青少年零食消费行为变化趋势分析[J]. 卫生研究, 2008, 37(5): 621-622. doi: 10.3969/j.issn.1000-8020.2008.05.035

    LI Y H, LYU Q J, WANG H J, et al. Analysis on the changing trends of snack consumption behavior among school age children and adolescents in nine provinces of China[J]. J Hyg Res, 2008, 37(5): 621-622. (in Chinese) doi: 10.3969/j.issn.1000-8020.2008.05.035
    [8]
    JOHNSON G H, ANDERSON G H. Snacking definitions: impact on interpretation of the literature and dietary recommendations[J]. Crit Rev Food Sci Nutr, 2010, 50(9): 848-871. doi: 10.1080/10408390903572479
    [9]
    TAILLIE L S, AFEICHE M C, ELDRIDGE A L, et al. Increased snacking and eating occasions are associated with higher energy intake among Mexican children aged 2-13 years[J]. J Nutr, 2015, 145(11): 2570-2577. doi: 10.3945/jn.115.213165
    [10]
    LARSON N, STORY M. A review of snacking patterns among children and adolescents: what are the implications of snacking for weight status?[J]. Child Obes, 2013, 9(2): 104-115. doi: 10.1089/chi.2012.0108
    [11]
    SEBASTIAN R S, CLEVELAND L E, GOLDMAN J D. Effect of snacking frequency on adolescents' dietary intakes and meeting national recommendations[J]. J Adolesc Health, 2008, 42(5): 503-511. doi: 10.1016/j.jadohealth.2007.10.002
    [12]
    杨月欣, 王光亚, 潘兴昌. 中国食物成分表[M]. 2版. 北京: 北京大学医学出版社, 2009.

    YANG Y X, WANG G Y, PAN X C. Chinese food composition table[M]. 2th ed. Beijing: Peking University Medical Press, 2009. (in Chinese)
    [13]
    中国疾病预防控制中心营养与健康所, 中国营养学会. 中国儿童青少年零食指南2018[M]. 北京: 人民卫生出版社, 2018.

    National Institute for Nutrition and Health of Chinese Center for Disease Control and Prevention, Chinese Nutrition Society. Guidelines on snacks for Chinese children and adolescents 2018[M]. Beijing: People's Medical Publishing House, 2018. (in Chinese)
    [14]
    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 among school-age children and adolescents: WS/T 586-2018[S]. Beijing: Standards Press of China, 2018. (in Chinese)
    [15]
    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]. 北京: 中国标准出版社, 2014.

    National Health and Family Planning Commission of the PRC. Screening standard for malnutrition of school-age children and adolescents: WS/T 456-2014[S]. Beijing: Standards Press of China, 2014. (in Chinese)
    [16]
    NJIKE V Y, SMITH T M, SHUVAL O, et al. Snack food, satiety, and weight[J]. Adv Nutr, 2016, 7(5): 866-878. doi: 10.3945/an.115.009340
    [17]
    MURAKAMI K, LIVINGSTONE M B E. Associations between meal and snack frequency and overweight and abdominal obesity in US children and adolescents from National Health and Nutrition Examination Survey (NHANES) 2003-2012[J]. Br J Nutr, 2016, 115(10): 1819-1829. doi: 10.1017/S0007114516000854
    [18]
    ROBLIN L. Childhood obesity: food, nutrient, and eating-habit trends and influences[J]. Appl Physiol Nutr Metabol, 2007, 32(4): 635-645. doi: 10.1139/H07-046
    [19]
    BO S, DE CARLI L, VENCO E, et al. Impact of snacking pattern on overweight and obesity risk in a cohort of 11- to 13-year-old adolescents[J]. J Pediatr Gastroenterol Nutr, 2014, 59(4): 465-471. doi: 10.1097/MPG.0000000000000453
    [20]
    TRIER C, FONVIG C E, BJSØE C, et al. No influence of sugar, snacks and fast food intake on the degree of obesity or treatment effect in childhood obesity[J]. Pediatr Obes, 2016, 11(6): 506-512. doi: 10.1111/ijpo.12094
    [21]
    AZADBAKHT L, HAJISHAFIEE M, GOLSHAHI J, et al. Snacking behavior and obesity among female adolescents in Isfahan, Iran[J]. J Am Coll Nutr, 2016, 35(5): 405-412. doi: 10.1080/07315724.2015.1030474
    [22]
    KEAST D R, NICKLAS T A, O NEIL C E. Snacking is associated with reduced risk of overweight and reduced abdominal obesity in adolescents: national Health and Nutrition Examination Survey (NHANES) 1999-2004[J]. Am J Clin Nutr, 2010, 92(2): 428-435. doi: 10.3945/ajcn.2009.28421
    [23]
    刘爱玲, 尚现文, 张倩, 等. 小学生零食消费种类与肥胖及代谢异常的关系[J]. 中国学校卫生, 2012, 33(6): 644-647. doi: 10.16835/j.cnki.1000-9817.2012.06.003

    LIU A L, SHANG X W, ZHANG Q, et al. Association of snacks consumption with the prevalence of obesity and related metabolic abnormalities among Chinese children[J]. Chin J Sch Health, 2012, 33(6): 644-647. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2012.06.003
    [24]
    EVANS E W, JACQUES P F, DALLAL G E, et al. The role of eating frequency on relative weight in urban school-age children[J]. Pediatr Obes, 2015, 10(6): 442-447. doi: 10.1111/ijpo.12004
    [25]
    JODKOWSKA M, OBLACINSKA A, TABAK I, et al. Differences in dietary patterns between overweight and normal-weight adolescents[J]. Med Wieku Rozwoj, 2011, 15(3): 266-273.
    [26]
    OELLINGRATH I M, SVENDSEN M V, BRANTSAETER A L. Tracking of eating patterns and overweight-a follow-up study of Norwegian schoolchildren from middle childhood to early adolescence[J]. Nutr J, 2011, 10: 106. doi: 10.1186/1475-2891-10-106
    [27]
    TUCKER W J, JARRETT C L, D'LUGOS A C, et al. Effects of indulgent food snacking, with and without exercise training, on body weight, fat mass, and cardiometabolic risk markers in overweight and obese men[J]. Physiol Rep, 2021, 9(22): e15118.
    [28]
    VISKAAL-VAN D M, KOK F J, DE GRAAF C. Effects of snack consumption for 8 weeks on energy intake and body weight[J]. Int J Obes (Lond), 2010, 34(2): 319-326. doi: 10.1038/ijo.2009.243
    [29]
    戎芬. 出生体重与环境因素对儿童青少年超重肥胖影响的队列研究[D]. 上海: 复旦大学, 2012.

    RONG F. Cohort study on influence of birth weight and environmental factors on overweight and obesity for children and adolescents[D]. Shanghai: Fudan University, 2012. (in Chinese)
    [30]
    CHAPELOT D. The role of snacking in energy balance: a biobehavioral approach[J]. J Nutr, 2011, 141(1): 158-162. doi: 10.3945/jn.109.114330
    [31]
    HARTMANN C, SIEGRIST M, VAN DER HORST K. Snack frequency: associations with healthy and unhealthy food choices[J]. Public Health Nutr, 2013, 16(8): 1487-1496. doi: 10.1017/S1368980012003771
    [32]
    DUFFEY K J, RIVERA J A, POPKIN B M. Snacking is prevalent in Mexico[J]. J Nutr, 2014, 144(11): 1843-1849. doi: 10.3945/jn.114.198192
    [33]
    YOUNGINER N A, BLAKE C E, DAVISON K K, et al. "What do you think of when I say the word 'snack'?" Towards a cohesive definition among low-income caregivers of preschool-age children[J]. Appetite, 2016, 98: 35-40. doi: 10.1016/j.appet.2015.12.002
    [34]
    DE CASTRO J M. Genetic influences on daily intake and meal patterns of humans[J]. Physiol Behav, 1993, 53(4): 777-782. doi: 10.1016/0031-9384(93)90188-L
    [35]
    BERNSTEIN I L, ZIMMERMAN J C, CZEISLER C A, et al. Meal patterns in "free-running" humans[J]. Physiol Behav, 1981, 27(4): 621-623. doi: 10.1016/0031-9384(81)90232-8
    [36]
    HESS J M, JONNALAGADDA S S, SLAVIN J L. What is a snack, why do we snack, and how can we choose better snacks?A review of the definitions of snacking, motivations to snack, contributions to dietary intake, and recommendations for improvement[J]. Adv Nutr, 2016, 7(3): 466-475. doi: 10.3945/an.115.009571
    [37]
    GREGORI D, MAFFEIS C. Snacking and obesity: urgency of a definition to explore such a relationship[J]. J Am Diet Assoc, 2007, 107(4): 562-563.
    [38]
    周瑾, 王颜, 于冬梅, 等. 我国五省一市城乡学龄儿童青少年预包装食品消费现况[EB/OL]. (2021-05-26)[2023-08-15]. https://www.cnsoc.org/acadconfn/6521202051.html.

    ZHOU J, WANG Y, YU D M, et al. Consumption status of prepackaged food for school-age children and adolescents in urban and rural areas of five provinces and one city in China[EB/OL]. (2021-05-26)[2023-08-15]. https://www.cnsoc.org/acadconfn/6521202051.html. (in Chinese)
    [39]
    张曼, 闫心语, 李亦斌, 等. 中国城市高年级小学生零食消费现况[J]. 中国学校卫生, 2019, 40(2): 171-174. doi: 10.16835/j.cnki.1000-9817.2019.02.004

    ZHANG M, YAN X Y, LI Y B, et al. Snack food consumption among grade four and grade five primary school students in six cities of China[J]. Chin J Sch Health, 2019, 40(2): 171-174. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.02.004
  • 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(2)

    Article Metrics

    Article views (364) PDF downloads(55) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return