Volume 45 Issue 7
Jul.  2024
Turn off MathJax
Article Contents
MA Qi, CHEN Manman, MA Ying, GAO Di, LI Yanhui, DONG Yanhui, MA Jun, XING Yi. Association between lifestyle and fat mass index in different positions of children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 1021-1025. doi: 10.16835/j.cnki.1000-9817.2024201
Citation: MA Qi, CHEN Manman, MA Ying, GAO Di, LI Yanhui, DONG Yanhui, MA Jun, XING Yi. Association between lifestyle and fat mass index in different positions of children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 1021-1025. doi: 10.16835/j.cnki.1000-9817.2024201

Association between lifestyle and fat mass index in different positions of children and adolescents

doi: 10.16835/j.cnki.1000-9817.2024201
  • Received Date: 2024-03-05
  • Rev Recd Date: 2024-05-06
  • Available Online: 2024-07-27
  • Publish Date: 2024-07-25
  •   Objective  To explore the association between lifestyle and fat mass index (FMI) in different positions of children and adolescents aged 7-18, so as to provide a scientific basis for health promotion in children and adolescents.  Methods  A total of 1 531 students aged 7-18 was selected by intentional sampling from 4 schools in Tongzhou District, Beijing from September to December in 2020 and August in 2022. Questionnaire survey was used to collect lifestyle including dietary behavior, moderate to vigorous physical activity, smoke and drink behaviors, sleep time and sleep quality. Dual energy X-ray absorptiometry was employed to assess fat mass, and calculated total, android, trunk, hip, gynoid and leg fat mass index (FMI). The t-test and Chi-square test were used to compare the differences of different lifestyle. Logistic regression was used to analysis association between lifestyle and body composition in different positions.  Results  Compared with healthy lifestyle, unhealthy lifestyle had higher risk for high-trunk FMI (OR=1.40, P < 0.05). After adjusted for sex and age, unhealthy lifestyle had higher risk for high-total FMI, high-android FMI, high-trunk FMI (OR=1.37, 1.37, 1.50, P < 0.05), compared with healthy lifestyle. Stratified analysis found the associations between unhealthy lifestyle and high-total FMI, high-android FMI, high-trunk FMI, and high-thigh FMI were only significant in girls with 7-12 years old (OR=2.13, 2.46, 2.13, 2.13, P < 0.05).  Conclusions  Unhealthy lifestyle is associated with high-total FMI, high-android FMI and high-trunk FMI. A healthy lifestyle should be maintained during puberty, especially before puberty, to help children and adolescents reduce body fat and promote a balanced distribution of body composition.
  • loading
  • [1]
    WHO. Obesity and overweight[EB/OL]. (2021-06-09)[2024-02-05]. https://www.who.int/health-topics/obesity#tab=tab_1.
    [2]
    NEELAND I J, POIRIER P, DESPRÉS J P. Cardiovascular and metabolic heterogeneity of obesity: clinical challenges and implications for management[J]. Circulation, 2018, 137(13): 1391-1406. doi: 10.1161/CIRCULATIONAHA.117.029617
    [3]
    FRÜHBECK G, BUSETTO L, DICKER D, et al. The ABCD of obesity: an EASO position statement on a diagnostic term with clinical and scientific implications[J]. Obes Facts, 2019, 12(2): 131-136. doi: 10.1159/000497124
    [4]
    YAN Y, LIU J, ZHAO X, et al. Regional adipose compartments confer different cardiometabolic risk in children and adolescents: the China child and adolescent cardiovascular health study[J]. Mayo Clin Proceed, 2019, 94(10): 1974-1982. doi: 10.1016/j.mayocp.2019.05.026
    [5]
    YAN Y, LIU J, ZHAO X, et al. Abdominal visceral and subcutaneous adipose tissues in association with cardiometabolic risk in children and adolescents: the China Child and Adolescent Cardiovascular Health (CCACH) study[J]. BMJ Open Diabetes Res Amp Care, 2019, 7(1): e000824. doi: 10.1136/bmjdrc-2019-000824
    [6]
    HAN E, LEE Y H, LEE B W, et al. Anatomic fat depots and cardiovascular risk: a focus on the leg fat using nationwide surveys (KNHANES 2008-2011)[J]. Cardiovasc Diabetol, 2017, 16(1): 54. doi: 10.1186/s12933-017-0536-4
    [7]
    FOSTER-SCHUBERT K E, ALFANO C M, DUGGAN C R, et al. Effect of diet and exercise, alone or combined, on weight and body composition in overweight-to-obese postmenopausal women[J]. Obesity (Silver Spring), 2012, 20(8): 1628-1638. doi: 10.1038/oby.2011.76
    [8]
    黄逸. 3~6岁幼儿身体成分发育特征及其与身体活动和睡眠的关联性分析[D]. 北京: 北京体育大学, 2019.

    HUANG Y. Body composition characteristics of children aged 3-6 years and its correlation with physical activity and sleep[D]. Beijing: Beijing Sport University, 2019. (in Chinese)
    [9]
    HYDE E T, GAHAGAN S, MARTINEZ S M, et al. Adolescent sedentary behavior and body composition in early adulthood: results from a cohort study[J]. Pediatr Res, 2023, 94(3): 1209-1215. doi: 10.1038/s41390-023-02616-z
    [10]
    中国学生体质健康研究组. 2014年中国学生体质与健康调研报告[M]. 北京: 高等教育出版社, 2016: 7-9.

    Group of Chinese School Students Physical Health Research. Report on the physical fitness and health research of Chinese school students[M]. Beijing: Higher Education Press, 2016: 7-9. (in Chinese)
    [11]
    屈宁宁, 李可基. 国际体力活动问卷中文版的信度和效度研究[J]. 中华流行病学杂志, 2004, 25(3): 265-268. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHLX200403030.htm

    QU N N, LI K J. Study on the reliability and validity of International Physical Activity Questionnaire (Chinese Version, IPAQ)[J]. Chin J Epidemiol, 2004, 25(3): 265-268. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZHLX200403030.htm
    [12]
    刘贤臣, 唐茂芹, 胡蕾, 等. 匹兹堡睡眠质量指数的信度和效度研究[J]. 中华精神科杂志, 1996, 29(2): 103-107. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHMA199602018.htm

    LIU X C, TANG M Q, HU L, et al. Reliability and validity of the Pittsburgh Sleep Quality Index[J]. Chin J Psychiatry, 1996, 29(2): 103-107. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZHMA199602018.htm
    [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]
    ZHOU Y, HÖGLUND P, CLYNE N. Comparison of DEXA and bioimpedance for body composition measurements in nondialysis patients with CKD[J]. J Ren Nutr, 2019, 29(1): 33-38. doi: 10.1053/j.jrn.2018.05.003
    [15]
    LI H, HUANG T, LIU J, et al. Body fat indicators perform better than body mass index in identifying abnormal lipid profiles in boys but not in girls[J]. Pediatr Res, 2019, 85(5): 617-624. doi: 10.1038/s41390-019-0287-x
    [16]
    中国营养学会. 中国居民膳食指南(2022)[EB/OL]. (2022-05-05)[2024-02-05]. http://dg.cnsoc.org/article/2016b.html.

    Chinese Nutrition Society. The Chinese dietary guidelines(2022): [EB/OL]. (2022-05-05)[2024-02-05]. http://dg.cnsoc.org/article/2016b.html. (in Chinese)
    [17]
    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
    [18]
    《中国人群身体活动指南》编写委员会. 中国人群身体活动指南(2021)[J]. 中华流行病学杂志, 2022, 43(1): 5-6. https://www.cnki.com.cn/Article/CJFDTOTAL-YASY202204028.htm

    Editorial Board of Physical Activity Guidelines for Chinese. Physical activity guidelines for Chinese (2021)[J]. Chin J Epidemiol, 2022, 43(1): 5-6. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YASY202204028.htm
    [19]
    LIU Z, GAO P, GAO A Y, et al. Effectiveness of a multifaceted intervention for prevention of obesity in primary school children in China: a cluster randomized clinical trial[J]. JAMA Pediatr, 2022, 176(1): e214375. doi: 10.1001/jamapediatrics.2021.4375
    [20]
    GONZÁLEZ-MUNIESA P, MÁRTINEZ-GONZÁLEZ M A, HU F B, et al. Obesity[J]. Nat Rev Dis Primers, 2017, 3(1): 17034. doi: 10.1038/nrdp.2017.34
    [21]
    LISTER N B, BAUR L A, FELIX J F, et al. Child and adolescent obesity[J]. Nat Rev Dis Primers, 2023, 9(1): 24. doi: 10.1038/s41572-023-00435-4
    [22]
    MAI J, WU Q, WU H, et al. Assessment of whole-body and regional body fat using abdominal quantitative computed tomography in Chinese women and men[J]. Lipids Health Dis, 2024, 23(1): 47. doi: 10.1186/s12944-024-02034-y
    [23]
    PONTI F, SANTORO A, MERCATELLI D, et al. Aging and imaging assessment of body composition: from fat to facts[J]. Front Endocrinol (Lausanne), 2019, 10: 861.
    [24]
    DONG H, YAN Y, LIU J, et al. Reference centiles for evaluating total body fat development and fat distribution by dual-energy X-ray absorptiometry among children and adolescents aged 3-18 years[J]. Clin Nutr, 2021, 40(3): 1289-1295. doi: 10.1016/j.clnu.2020.08.012
    [25]
    陶芳标, 武丽杰, 马军, 等. 儿童青少年卫生学[M]. 8版. 北京: 人民卫生出版社, 2017.

    TAO F B, WU L J, MA J, et al. Child and adolecent health[M]. 8th ed. Beijing: People's Medical Publishing House, 2017. (in Chinese)
    [26]
    ZHU Y, GUO P, ZOU Z, et al. Status of cardiovascular health in Chinese children and adolescents[J]. JACC Asia, 2022, 2(1): 87-100. doi: 10.1016/j.jacasi.2021.09.007
    [27]
    ROBSON S M, COUCH S C, PEUGH J L, et al. Parent diet quality and energy intake are related to child diet quality and energy intake[J]. J Acad Nutr Diet, 2016, 116(6): 984-990. doi: 10.1016/j.jand.2016.02.011
    [28]
    XU H, WEN L M, RISSEL C. Associations of parental influences with physical activity and screen time among young children: a systematic review[J]. J Obes, 2015, 2015: 546925.
    [29]
    LAWLER M, HEARY C, NIXON E. Peer support and role modelling predict physical activity change among adolescents over twelve months[J]. J Youth Adolesc, 2020, 49(7): 1503-1516. doi: 10.1007/s10964-019-01187-9
    [30]
    FITZGERALD A, FITZGERALD N, AHERNE C. Do peers matter? A review of peer and/or friends' influence on physical activity among American adolescents[J]. J Adolesc, 2012, 35(4): 941-958. doi: 10.1016/j.adolescence.2012.01.002
  • 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 (261) PDF downloads(31) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return