Analysis of weight loss behavior and related factors of middle school students in Shanghai

CHEN Weili; ZHANG Zhe; ZHAI Yani; YAN Qiong; QI Yue; LUO Chunyan

doi:10.16835/j.cnki.1000-9817.2025048

Volume 46 Issue 2

Feb. 2025

Turn off MathJax

Article Contents

Abstract

References

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2025 > 46(2): 223-228

CHEN Weili, ZHANG Zhe, ZHAI Yani, YAN Qiong, QI Yue, LUO Chunyan. Analysis of weight loss behavior and related factors of middle school students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(2): 223-228. doi: 10.16835/j.cnki.1000-9817.2025048

Citation:

CHEN Weili, ZHANG Zhe, ZHAI Yani, YAN Qiong, QI Yue, LUO Chunyan. Analysis of weight loss behavior and related factors of middle school students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(2): 223-228. doi: 10.16835/j.cnki.1000-9817.2025048

Citation:

PDF( 951 KB)

Analysis of weight loss behavior and related factors of middle school students in Shanghai

doi: 10.16835/j.cnki.1000-9817.2025048

CHEN Weili^{1, 2},
ZHANG Zhe¹,
ZHAI Yani¹,
YAN Qiong¹,
QI Yue¹,
LUO Chunyan^{1
,
,}

1.
Institute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai (200336), China

Received Date: 2024-10-16
Rev Recd Date: 2024-12-06

Available Online: 2025-03-05

Publish Date: 2025-02-25

Abstract

Abstract

Objective To investigate the distribution characteristics and related factors of weight loss behavior among middle school students in Shanghai, so as to provide a reference for guiding scientific weight loss among middle school students. Methods From May to June 2021, a stratified cluster random sampling method was used to select 16 758 junior and high school students in 16 districts of Shanghai. Youth Risk Behavior Surveillance System was administered to assess the basic condition and weight loss behaviors of the students. An unordered multinomial Logistic regression model was employed to analyze the factors associated with weight loss behaviors. Results A total of 5 881 (35.09%) reported engaging in exercise for weight loss, 6 344 (37.86%) reported dieting for weight loss, and 461 (2.75%) engaged in unhealthy weight loss behaviors. The unordered multinomial Logistic regression analysis indicated that compared with the no-weight-loss behavior group, students from urban areas(OR=1.35, 95%CI=1.10-1.66), those with Internet addiction (OR=1.71, 95%CI=1.23-2.38), those with victims of bullying (OR=2.09, 95%CI=1.68-2.61), those experiencing insomnia (OR=2.33, 95%CI= 1.74-3.11), those feelings of sadness or despair (OR=3.10, 95%CI=2.42-3.97), and those who perceived their body weight as slightly heavy (OR=2.77, 95%CI= 2.17-3.55) or very heavy (OR=3.41, 95%CI=2.44-4.75) were more likely to engage in unhealthy weight loss behaviors (P<0.05). Conclusions There are significant differences in weight loss behaviors among middle school students with varying characteristics in Shanghai. Negative emotions such as insomnia and feelings of sadness or despair, Internet addiction, cognitive bias in weight and experiences of bullying are identified as related factors for unhealthy weight loss behaviors. Targeted intervention measures should be implemented to guide students towards scientific approaches to weight management.
- Weight loss,
- Behavior,
- Regression analysis,
- Students

FullText(HTML)

References(33)

References

[1]	GÜNGÖR N K. Overweight and obesity in children and adolescents[J]. J Clin Res Pediatr Endocrinol, 2014, 6(3): 129-143.
[2]	PAN X F, WANG L, PAN A. Epidemiology and determinants of obesity in China[J]. Lancet Diabetes Endocrinol, 2021, 9(6): 373-392. doi: 10.1016/S2213-8587(21)00045-0
[3]	唐富荣, 王继伟, 夏娟, 等. 上海市金山区中小学生体重自我评价及减肥行为分析[J]. 中国健康教育, 2018, 34(10): 916-919. TANG F R, WANG J W, XIA J, et al. Body image perception and weight control behaviors among primary and secondary students in Jinshan District, Shanghai[J]. Chin J Health Educ, 2018, 34(10): 916-919. (in Chinese)
[4]	STICE E, MARTI C N, DURANT S. Risk factors for onset of eating disorders: evidence of multiple risk pathways from an 8-year prospective study[J]. Behav Res Ther, 2011, 49(10): 622-627. doi: 10.1016/j.brat.2011.06.009
[5]	TRAN A, SUHARLIM C, MATTIE H, et al. Dating app use and unhealthy weight control behaviors among a sample of U.S. adults: a cross-sectional study[J]. J Eat Disord, 2019(7): 16.
[6]	HABIB A, ALI T, NAZIR Z, et al. Unintended consequences of dieting: how restrictive eating habits can harm your health[J]. Int J Surg Open, 2023, 60: 100703. doi: 10.1016/j.ijso.2023.100703
[7]	ROME E S, AMMERMAN S. Medical complications of eating disorders: an update[J]. J Adolesc Health, 2003, 33(6): 418-426. doi: 10.1016/S1054-139X(03)00265-9
[8]	MEREDITH C N, DWYER J T. Nutrition and exercise: effects on adolescent health[J]. Annu Rev Publ Health, 1991, 12: 309-333. doi: 10.1146/annurev.pu.12.050191.001521
[9]	ROSTEN A, NEWTON T. The impact of bulimia nervosa on oral health: a review of the literature[J]. Br Dent J, 2017, 223(7): 533-539. doi: 10.1038/sj.bdj.2017.837
[10]	ZHAO Y, TRAN A, MATTIE H. Unhealthy weight control behaviors and health risk behaviors in American youth: a repeated cross-sectional study[J]. J Eat Disord, 2024, 12(1): 118. doi: 10.1186/s40337-024-01081-1
[11]	唐银霜, 金凤, 蒲杨, 等. 重庆市青少年不健康减重与抑郁症状的关系[J]. 卫生研究, 2022, 51(5): 773-779. TANG Y S, JIN F, PU Y, et al. Relationship between unhealthy weight loss and depressive symptoms among adolescents in Chongqing City[J]. J Hyg Res, 2022, 51(5): 773-779. (in Chinese)
[12]	STICE E. Risk and maintenance factors for eating pathology: a Meta-analytic review[J]. Psychol Bull, 2002, 128(5): 825-848. doi: 10.1037/0033-2909.128.5.825
[13]	刘伟, 刘伟佳, 郭重山, 等. 广州市青少年体重认知及不健康减肥行为分析[J]. 中国学校卫生, 2014, 35(12): 1829-1832. http://www.cjsh.org.cn/article/id/zgxxws201412023 LIU W, LIU W J, GUO C S, et al. Self-evaluation of weight and unhealthy weight control behaviors among adolescents in Guangzhou[J]. Chin J Sch Health, 2014, 35(12): 1829-1832. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201412023
[14]	罗春燕, 彭宁宁, 朱蔚, 等. 上海市青少年危险行为现状研究(六): 减肥行为与相关因素分析[J]. 中国校医, 2003, 17(3): 200-202. LUO C Y, PENG N N, ZHU W, et al. Risk behaviors of adolescents in Shanghai: Ⅵ unhealthy weight control behaviors and relative factors analysis[J]. Chin J School Doctor, 2003, 17(3): 200-202. (in Chinese)
[15]	中国疾病预防控制中心, 北京大学儿童青少年卫生研究所. 2005年中国青少年健康危险行为调研实施方案和细则[Z]. 北京, 2005: 1-11. Chinese Center for Disease Control and Prevention, Peking University Institute of Child and Adolescent Health. 2005 China adolescent health risk behavior survey implementation plan and guidelines[Z]. Beijing, 2005: 1-11. (in Chinese)
[16]	LUO C, WANG X, YANG Y, et al. Association of health-risk behaviors with perceived academic performance among middle and high school students: a cross-sectional study in Shanghai, China[J]. PLoS One, 2023, 18(5): e0285261.
[17]	季成叶. 中国青少年健康相关/危险行为调查综合报告2005[M]. 北京: 北京大学医学出版社, 2005. JI C Y. A comprehesive report on the survey of health-related/risky behaviors among Chinese adolescents 2005[M]. Beijing: Peking University Medical Press, 2005. (in Chinese)
[18]	王绍华, 张镇权, 闫丽艳, 等. 北京市延庆县青少年健康相关危险行为调查[J]. 中国公共卫生, 2012, 28(1): 113-114. WANG S H, ZHANG Z Q, YAN L Y, et al. Investigation on health-related risk behaviors among adolescents in Yanqing County, Beijing[J]. Chin J Public Health, 2012, 28(1): 113-114. (in Chinese)
[19]	杨妍婷, 严琼, 张喆, 等. 上海市2004—2019年青少年健康危险行为特征和变化趋势[J]. 中国学校卫生, 2022, 43(8): 1148-1151. doi: 10.16835/j.cnki.1000-9817.2022.08.007 YANG Y T, YAN Q, ZHANG Z, et al. Characteristics and trends of adolescents health risk behaviors in Shanghai from 2004 to 2019[J]. Chin J Sch Health, 2022, 43(8): 1148-1151. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.08.007
[20]	刘辉, 孙照平, 刘荣. 南京市青少年减肥行为现状与相关因素分析[J]. 中国学校卫生, 2010, 31(10): 1160-1162. LIU H, SUN Z P, LIU R. Current weight control behaviors and related factors among adolescents in Nanjing[J]. Chin J Sch Health, 2010, 31(10): 1160-1162. (in Chinese)
[21]	JIANG K, ZHANG L, XIE C, et al. Understanding the knowledge, attitudes, and practices of healthy eating among adolescents in Chongqing, China: an empirical study utilizing structural equation modeling[J]. Nutrients, 2024, 16(1): 167.
[22]	LEE E Y, MYRE M, HWANG J, et al. Body weight misperception and psychological distress among young South Korean adults: the role of physical activity[J]. Glob Health Res Policy, 2017, 2: 17. http://www.socolar.com/Article/Index?aid=200201186280&jid=200000152136
[23]	SMITH S S, TEN HOOR G A, LAKHOTE N, et al. Emotion in motion: weight bias internalization, exercise avoidance, and fitness-related self-conscious emotions[J]. Healthcare (Basel, Switzerland), 2024, 12(10): 955.
[24]	SMITS J A J, OTTO M W. Enhancing treatment benefits with exercise-TG: component interventions for mood, anxiety, cognition, and resilience[M]. 2nd ed. New York: Oxford University Press, 2024: 47-56.
[25]	PLOTAS P, TSEKOURA E, SOURIS E, et al. Body-size misperception among overweight children and adolescents in greece: a cross-sectional study[J]. Nutrients, 2023, 15(8): 1814.
[26]	CHAN Y Y, AWALUDDIN S M, KUANG KUAY L, et al. Association of Internet addiction with adolescents' lifestyle: a national school-based survey[J]. Int J Environ Res Public Health, 2020, 18(1): 168. http://www.socolar.com/Article/Index?aid=100085840561&jid=100000025117
[27]	BERG C, LARSSON C. Dieting, body weight concerns and health: trends and associations in Swedish school children[J]. BMC Public Health, 2020, 20(1): 187. http://www.xueshufan.com/publication/3007064324
[28]	LEIGH GIBSON E. Emotional influences on food choice: sensory, physiological and psychological pathways[J]. Physiol Behav, 2006, 89(1): 53-61.
[29]	PARK S, LEE Y. Associations of body weight perception and weight control behaviors with problematic Internet use among Korean adolescents[J]. Psychiat Res, 2017, 251: 275-280.
[30]	ALPASLAN A H, KOÇAK U, AVCI K, et al. The association between Internet addiction and disordered eating attitudes among Turkish high school students[J]. Eat Weight Disord, 2015, 20(4): 441-448. http://www.researchgate.net/profile/Ahmet_Alpaslan/publication/277895038_The_association_between_internet_addiction_and_disordered_eating_attitudes_among_Turkish_high_school_students/links/56efb9a108ae4b8b5e757938.pdf
[31]	KIM J W, CHOCK T M. Body image 2.0: associations between social grooming on facebook and body image concerns[J]. Comput Hum Behav, 2015, 48: 331-339.
[32]	PATTE K A, LIVERMORE M, QIAN W, et al. Do weight perception and bullying victimization account for links between weight status and mental health among adolescents?[J]. BMC Public Health, 2021, 21(1): 1062.
[33]	PUHL R M, KING K M. Weight discrimination and bullying[J]. Best Pract Res Clin Endocrinol Metab, 2013, 27(2): 117-127.

Relative Articles

[1]	DU Guoping, CHEN Xiaoyan, LÜ Yumei, LI Xiaoshan, TAN Bingxin, LI Yanhui, YE Yuxiu, WEI Yixuan, ZHANG Yuncheng. Trends and associated factors in tuberculosis knowledge and behavior among freshmen from Jiangsu Province, 2019-2022[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(8): 1120-1125. doi: 10.16835/j.cnki.1000-9817.2024257
[2]	ZHANG Yan, DING Hairong, XUE Hao, QIU Dayong, ZHANG Zihao. Analysis of the current situation and related factors in physical exercise behaviors among high school students in Taizhou City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(7): 965-968. doi: 10.16835/j.cnki.1000-9817.2024207
[3]	HUANG Duoqin, CHEN Jiangqing, WANG Hong, LI Li, ZHENG Yanan, GONG Xi. Analysis of the current situation of sexting and its related factors among college students in Jiangxi Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(11): 1570-1574. doi: 10.16835/j.cnki.1000-9817.2024352
[4]	ZHANG Zhengbin, YANG Yun, LI Li, WU Jun, LI Yuehua, LIU Jing, WANG Lina, LU Zhouqin, WANG Tiantian, WU Gang. Knowledge, attitudes and practices regarding tuberculosis prevention and control: analysis of influencing factors of prevention and control behavior among college students in Wuhan, China[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(3): 361-365. doi: 10.16835/j.cnki.1000-9817.2023.03.010
[5]	WANG Yan, WANG Haijun, PENG Chang, CHENG Junhan, RONG Fajuan, YU Yizhen. Association between sexual orientation and high-risk sexual behaviors among college students in Hubei Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(6): 840-844. doi: 10.16835/j.cnki.1000-9817.2023.06.010
[6]	WANG Xumei, JIANG Wenyi, PAN Yun, HU Chenchen. Potential categories of lifestyle behavior and its relation with traditional Chinese medicine constitutions among higher vocational medical students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(10): 1513-1516. doi: 10.16835/j.cnki.1000-9817.2023.10.017
[7]	YIN Cancan, SHI Jiaojiao, WANG Yujie, LYU Pingping, YAN Yujie, SHI Huijing. Screen use behavior before and after COVID-19 among primary and middle school students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(1): 61-66. doi: 10.16835/j.cnki.1000-9817.2022.01.014
[8]	LYU Jun, ZHENG Hao, FU Lin. Relationship between bullying victimization and perpetration, academic achievement and screen time among primary and secondary school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(4): 557-561. doi: 10.16835/j.cnki.1000-9817.2022.04.018
[9]	HAN Hui, MIAO Pengcheng, WANG Yuanming, HUANG Xianfen, LIU Wei, CAO Chengbin. Relationship between parental control and aggressive behavior of middle school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2020, 41(9): 1346-1349. doi: 10.16835/j.cnki.1000-9817.2020.09.018
[10]	DU Guoping, YU Qingzhou, WANG Yaqing, ZHANG Jun, LYU Yumei, ZHANG Suqin, GAO Rong. AIDS-related knowledge among college freshmen and its influence on sexual attitudes and behaviors in Jiangsu Province[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2020, 41(11): 1661-1663,1667. doi: 10.16835/j.cnki.1000-9817.2020.11.017
[11]	LI Xue, JIANG Yuanyuan, YUAN Kun, CHANG Hongjuan. Correlation between aggression and self-acceptance, family intimacy and adaptability in college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2020, 41(8): 1180-1184. doi: 10.16835/j.cnki.1000-9817.2020.08.016
[12]	LI Yongfeng, REN Haoyang, CHEN Liru, CHEN Shanshan, CAO Leilei, WANG Yuxiang, MA Xiao, XU Wenhao, WANG Shaojie, SU Puyu. Relatioship between childhood witnessing domestic violence and injury and violence of college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2020, 41(4): 502-505,509. doi: 10.16835/j.cnki.1000-9817.2020.04.006
[13]	YU Banglin, LI Juan, LIU Wei, GAO Xin, CAO Xiujing. Associations of aggressive behavior with self-esteem with suicide risk in college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2020, 41(2): 228-231. doi: 10.16835/j.cnki.1000-9817.2020.02.018
[14]	DING Xiaoyan, HONG Ping, ZHANG Yunkun. Analysis on the current situation and influencing factors of college students' participation in physical exercise in Jiangsu[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2019, 40(2): 206-209. doi: 10.16835/j.cnki.1000-9817.2019.02.013
[15]	LI Banghai, GAO Yanhui, JIANG Yi, ZONG Yinan, LIANG Jianping, LIU Li, YANG Jiewen, YANG Yi. Analysis of dietary patterns and influencing factors among urban middle school students in Guangzhou, 2016[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2019, 40(1): 72-75. doi: 10.16835/j.cnki.1000-9817.2019.01.019
[17]	HU Jinwei, YIN Wenqiang, ZHAO Yankui, GUO Hongwei, HU Shiliang, SUN Kui. Analysis on the present situation and satisfaction of drug-using behavior among college students in Shandong[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2017, 38(7): 991-993. doi: 10.16835/j.cnki.1000-9817.2017.07.009
[18]	LUO Man, ZHANG Xiaofang. Awareness of smoking related-knowledge among Chinese and Pakistani college students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2017, 38(3): 355-357,360. doi: 10.16835/j.cnki.1000-9817.2017.03.011
[19]	YANG Chao, ZHAO Na, LAN Li, LI Cheng, ZHANG Tingting, WANG Rui. Drinking behaviors and influencing factors among middle school students in Harbin[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2016, 37(9): 1286-1289,1293. doi: 10.16835/j.cnki.1000-9817.2016.09.002
[20]	Influencing factors of bullying victimization at primary and middle schools in Hongkou district of Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2015, 36(10): 1503-1506.