Prevalence and associated factors of impaired renal function in Chinese children: The China Health and Nutrition Survey

The growth status and weight status of Chinese children have experienced remarkable changes in the past decades. Using China Health and Nutrition Survey (CHNS) data, this paper examines the secular trends and disparity of the growth status and weight status in Chinese children and further investigates the impact of various family environments on children’s growth from 1991 to 2011. We found an increasing trend in standardized growth indicators (height, weight, and BMI), overweight, and obesity from 1991 to 2011. We also observed an increasing disparity in overweight and obesity over time. Family environments had a significant impact on children’s growth status and weight status. In particular, children that live in families with a small size, higher family income, better sanitary conditions, and with well-educated parents or overweight parents tended to be taller and heavier and have a higher BMI, lower risk of being underweight, and higher risk of exhibiting overweight and obesity. Further decomposition analysis showed that more than 70% of the disparity in standardized height, weight, and overweight and around 50% of the disparity in standardized BMI, underweight, and obesity could be attributed to heterogeneity in family environments. Moreover, the disparity associated with family environments tended to increase over time.

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Violencia en el hogar contra mujeres adultas durante el confinamiento por la pandemia de Covid-19 en México

Salud Pública de México ◽

10.21149/13244 ◽

2021 ◽

Vol 63 (6, Nov-Dic) ◽

pp. 782-788

Author(s):

Rosario Valdez-Santiago ◽

Aremis Litai Villalobos-Hernández ◽

Luz Arenas-Monreal ◽

Karla Flores ◽

Luciana Ramos-Lira

Keyword(s):

Domestic Violence ◽

Logistic Regression ◽

Associated Factors ◽

Logistic Regression Model ◽

Well Being ◽

Adult Women ◽

Nutrition Survey ◽

Health And Nutrition ◽

National Representation ◽

Low Levels

Objective. To analyze the prevalence of domestic violence in adult women during confinement derived from the Covid-19 pandemic and individual, familiar and communitarian associated factors. Materials and methods. A secondary analysis was carried out the 2020 National Health and Nutrition Survey on Covid-19, with national representation. A logistic regression model adjusted for the variables of interest was performed. Results. The prevalence was 5.8%. The most reported acts were shouting, insults or threats (4.3%). Most of the women who reported some type of violence in the home had already experienced it before the confinement. Low levels of well-being (OR= 1.96, 95%CI: 1.28,2.99), and living in a home where job was lost due to contingency (OR= 1.96, 95%CI: 1.41,2.73) were associated factors. Conclusions. In care interventions, it is necessary to take into account factors that deepen the vulnerability of women, such as pre-existing violence and loss of employment.

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Trends and Associated Factors of Dietary Knowledge among Chinese Older Residents: Results from the China Health and Nutrition Survey 2004–2015

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17218029 ◽

2020 ◽

Vol 17 (21) ◽

pp. 8029

Author(s):

Shizhen Wang ◽

Ying Yang ◽

Runhu Hu ◽

Hongfei Long ◽

Ni Wang ◽

...

Keyword(s):

Physical Activity ◽

Associated Factors ◽

The Elderly ◽

Healthy Weight ◽

Physical Activity Intensity ◽

Nutrition Survey ◽

Targeted Interventions ◽

Dietary Knowledge ◽

Activity Intensity ◽

Health And Nutrition

Promoting a healthy diet of the elderly is an important task in the current “Healthy China Action”. This study aimed to describe the changing trends of the dietary knowledge elderly Chinese during 2004–2015 and to examine the associated factors of dietary knowledge. Elderly people aged ≥60 years were included as study subjects from the China Health and Nutrition Survey 2004–2015. A total of 15,607 samples were involved in the analysis. The correct rate of dietary knowledge items followed upward trends over time, except for two items regarding physical activity intensity (Question 11, Cochran-Armitage χ2 = 20.05, p < 0.001) and healthy weight (Question 12, Cochran-Armitage χ2 = 43.93, p < 0.001). Four of the twelve dietary knowledge items consistently followed the lowest correct rate between 2006 and 2015, regarding physical activity intensity (Question 11, 24.5%−25.8%), staple food consumption (Question 5, 36.6%−41.5%), animal product consumption (Question 6, 45.8%−59.5%), and fatty meat and animal fat consumption (Question 7, 63.6%−64.9%). Participants who had a lower educational level or lived in rural areas or western regions, did not know about the Chinese Food Pagoda (CFP) or Dietary Guidelines for Chinese Residents (DGCR), and did not proactively look for nutrition knowledge were less likely to have adequate dietary knowledge literacy. Targeted interventions should be developed to promote dietary knowledge level of the elderly.

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Associated factors with awareness, treatment and control of hypertension among 3,579 hypertensive adults in China: data from the China Health and Nutrition Survey

10.21203/rs.3.rs-18826/v1 ◽

2020 ◽

Author(s):

junxiang Wei ◽

Bo Xin ◽

Yan Li ◽

Youfa Wang

Keyword(s):

Blood Pressure ◽

Associated Factors ◽

Eastern Region ◽

Chinese Adults ◽

Nutrition Survey ◽

Antihypertensive Medications ◽

Public Health Burden ◽

Health And Nutrition ◽

Hypertension Awareness ◽

And Control

Abstract Background: Hypertension prevalence is high and rising in China, but it is inadequately controlled. This study investigated hypertension awareness, treatment, and control and their associated factors among Chinese adults. Methods: Data collected from the 2011 China Health and Nutrition Survey (CHNS) from 12,991 Chinese adults were used. Hypertension was defined as systolic blood pressure ≥ 140 mm Hg, diastolic blood pressure ≥ 90 mm Hg, self-reported prior diagnosed hypertension, or taking antihypertensive medications. Hypertension awareness, treatment, and control were defined as a self-reported diagnosis of hypertension, current use of antihypertensive medication, and blood pressure < 140/90 mm Hg, respectively. Multivariate logistic regression was performed to examine factors associated with hypertension awareness, treatment, and control. Results: Overall, 3,579 (27.6%) of the CHNS adult participants had hypertension, of whom 55.7% were aware of their diagnosis, 46.5% were treated with antihypertensive medications, but only 20.3% had their blood pressure controlled. Rates of hypertension awareness and treatment varied across population subgroups; higher likelihood was associated with being female (OR = 1.37; 95%CI, 1.12-1.66), older age (1.57; 1.65-4.02), urban residence (1.50; 1.14-1.97), living in the Eastern region (1.52; 1.14-2.01), having overweight/obesity (1.99; 1.39-2.84), and engaging in less healthy lifestyles. Lower control rate was associated with obesity (0.56; 0.42-0.76) and minority ethnicity (0.52; 0.31-0.86). Conclusion: Hypertension is a major public health burden in China. Rates of hypertension awareness, treatment, and control are still low despite efforts that have been made. More intensive screening and treatment intervention programs are needed in the future.

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The association between urbanization and reduced renal function: findings from the China Health and Nutrition Survey

BMC Nephrology ◽

10.1186/s12882-017-0577-7 ◽

2017 ◽

Vol 18 (1) ◽

Cited By ~ 7

Author(s):

Yosuke Inoue ◽

Annie Green Howard ◽

Amanda L. Thompson ◽

Michelle A. Mendez ◽

Amy H. Herring ◽

...

Keyword(s):

Renal Function ◽

Nutrition Survey ◽

Health And Nutrition ◽

Reduced Renal Function

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RF14 Changes in trajectories for blood pressure among chinese children and adolescents: evidence from china health and nutrition survey 1991–2011

10.1136/jech-2019-ssmabstracts.129 ◽

2019 ◽

Author(s):

M Gao ◽

J Wells ◽

L Li

Keyword(s):

Blood Pressure ◽

Children And Adolescents ◽

Chinese Children ◽

Nutrition Survey ◽

Health And Nutrition ◽

Chinese Children And Adolescents

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Apolipoprotein B and renal function: across-sectional study from the China health and nutrition survey

Lipids in Health and Disease ◽

10.1186/s12944-020-01241-7 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Wenbo Zhao ◽

Junqing Li ◽

Xiaohao Zhang ◽

Xiaomei Zhou ◽

Junyi Xu ◽

...

Keyword(s):

Renal Function ◽

Apolipoprotein B ◽

Sectional Study ◽

Nutrition Survey ◽

Health And Nutrition

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Dietary patterns and their associations with childhood obesity in China

British Journal Of Nutrition ◽

10.1017/s0007114515001154 ◽

2015 ◽

Vol 113 (12) ◽

pp. 1978-1984 ◽

Cited By ~ 39

Author(s):

Jiguo Zhang ◽

Huijun Wang ◽

Youfa Wang ◽

Hong Xue ◽

Zhihong Wang ◽

...

Keyword(s):

Children And Adolescents ◽

Dietary Patterns ◽

Dietary Pattern ◽

Chinese Children ◽

Nutrition Survey ◽

Fast Foods ◽

Health And Nutrition ◽

Limited Applicability ◽

The Impact ◽

Chinese Children And Adolescents

Dietary patterns represent the combined effects of foods, and illustrate efficaciously the impact of diet on health outcomes. Some findings of previous studies have limited applicability to Chinese children due to cultural factors. The presnt study was designed to identify dietary patterns and determine their relationships with obesity among Chinese children and adolescents. Data collected from 1282 children and adolescents aged 7–17 years from the 2011 China Health and Nutrition Survey (CHNS) were used. Dietary patterns were identified using factor analysis of data from three consecutive 24-h dietary recalls. Weight and height were measured following standard methods, and BMI was calculated. Three dietary patterns were identified: modern (high intakes of milk, fast foods and eggs), traditional north (high intakes of wheat, tubers and other cereals) and traditional south (high intakes of vegetables, rice and pork). After adjusting for some confounders and total energy intake, subjects in the highest quartiles of the modern and traditional north patterns were found to have significantly greater risk of obesity (OR 3·10, 95 % CI 1·52, 6·32, and OR 2·42, 95 % CI 1·34, 4·39, respectively). In conclusion, the modern dietary pattern and the traditional north dietary pattern were associated with higher risk of obesity. Promoting healthier eating patterns could help prevent obesity in Chinese children.

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Trends and Urban-Rural Disparities of Energy Intake and Macronutrient Composition among Chinese Children: Findings from the China Health and Nutrition Survey (1991 to 2015)

Nutrients ◽

10.3390/nu13061933 ◽

2021 ◽

Vol 13 (6) ◽

pp. 1933

Author(s):

Jian Zhao ◽

Lijun Zuo ◽

Jian Sun ◽

Chang Su ◽

Huijun Wang

Keyword(s):

Energy Intake ◽

Nutrition Transition ◽

Chinese Children ◽

Nutrition Status ◽

Nutrition Survey ◽

Macronutrient Composition ◽

Nutritional Interventions ◽

Balanced Diet ◽

Health And Nutrition ◽

Urban Rural

The nutrition status of children is gaining more attention with a rapid nutrition transition. This study aimed to investigate trends and urban-rural differences in dietary energy and macronutrient composition among Chinese children. A total of 7565 participants aged 6 to 17 years were obtained from three rounds (1991, 2004 and 2015) of the Chinese Health and Nutrition Survey (CHNS). The individual diet was evaluated via three consecutive 24-hour dietary recalls and compared with the Chinese Dietary Reference Intakes (DRIs). From 1991 to 2015, there was a significant increase in children’s fat intake, the proportion of energy intake from fat, and the proportion of children with more than 30% of energy from fat and less than 50% of energy from carbohydrates (p < 0.001). Compared with the DRI, the proportion with higher fat and lower carbohydrate intakes were, respectively, 64.7% and 46.8% in 2015. The urban-rural disparities in fat and carbohydrate intake gradually narrowed, while the gap in protein intake increased notably over time (p < 0.001). Chinese children experienced a rapid transformation to a low-carbohydrate and high-fat diet. Urban-rural disparities persistently existed; further nutritional interventions and education were of great significance, so as to ensure a more balanced diet for Chinese children.

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Intraindividual Double Burden of Malnutrition in Chinese Children and Adolescents Aged 6–17 Years: Evidence from the China Health and Nutrition Survey 2015

Nutrients ◽

10.3390/nu13093097 ◽

2021 ◽

Vol 13 (9) ◽

pp. 3097

Author(s):

Xiao Hu ◽

Hongru Jiang ◽

Huijun Wang ◽

Bing Zhang ◽

Jiguo Zhang ◽

...

Keyword(s):

Children And Adolescents ◽

Overweight And Obesity ◽

Chinese Children ◽

World Health ◽

Nutrition Survey ◽

Double Burden ◽

Health And Nutrition ◽

Micronutrient Intake ◽

Double Burden Of Malnutrition ◽

Chinese Children And Adolescents

Studies on the intraindividual double burden of malnutrition (DBM) among Chinese children and adolescents were lacking. This study aimed to analyze the prevalence of intraindividual DBM defined as the coexistence of overweight/obesity and dietary micronutrient intake insufficiency and investigate dietary micronutrient intake in Chinese children and adolescents. Using data from the 2015 China Health and Nutrition Survey (CHNS), 1555 children and adolescents aged 6 to 17 years were selected as the subjects. We referred to China Food Composition to calculate the intakes of 11 selected dietary micronutrients from diet data collected by consecutive three days of 24 h recalls combined with household weighing of seasonings. We used the Chinese estimated average requirement (EARs) as a cutoff to define the dietary micronutrients deficiency, and applied the body-mass-index-for-age Z-scores (BAZ) of World Health Organization (WHO) child growth standards to define the category of body weight. Among the subjects in present study, the prevalence of overweight and obesity was 15.43% and 11.06%, respectively, and 26.24% of the subjects had undergone intraindividual DBM. The results suggest that the prevalence of intraindividual DBM and dietary micronutrients deficiency in Chinese children and adolescents is high.

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