scholarly journals Geographical variation and urban-rural disparity of overweight and obesity in Chinese school-aged children between 2010 and 2014: two successive national cross-sectional surveys

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e025559 ◽  
Author(s):  
Yanhui Dong ◽  
Yinghua Ma ◽  
Bin Dong ◽  
Zhiyong Zou ◽  
Peijin Hu ◽  
...  
Keyword(s):  
Rural Areas ◽  
Childhood Overweight ◽  
Overweight And Obesity ◽  
Chinese Children ◽  
Western China ◽  
Obesity Prevalence ◽  
Cross Sectional ◽  
Childhood Overweight And Obesity ◽  
Urban Rural ◽  
Urban And Rural Areas

PurposeThe urban-rural disparity for childhood overweight and obesity shows different patterns in most countries. This study aimed to examine the recent trend of urban-rural disparity for childhood overweight and obesity at national and subnational levels in Chinese children from 2010 to 2014.DesignTwo successive national cross-sectional studies. Overweight and obesity were classified using Chinese national age-specific and sex-specific body mass index reference. The prevalence of overweight and obesity was compared between urban and rural areas at national and subnational levels.SettingThirty-one provinces in China.ParticipantsData were obtained from the Chinese National Survey on Students’ Constitution and Health in 2010 and 2014 with 215 214 (107 741 in 2010 and 107 473 in 2014) children aged 7–12 years.ResultsThe overweight and obesity prevalence increased from 17.1% in 2010 to 22.5% in 2014. The overweight and obesity prevalence in both urban and rural areas was higher in the eastern provinces but lower in the western provinces. The urban-rural disparity in overweight and obesity decreased steadily from 2010 to 2014 (1.79 to 1.42 for prevalence OR). There was greater urban-rural disparity in western China than eastern China. A reversal occurred in 2014 in several eastern provinces where the overweight and obesity prevalence in rural children surpassed that of their urban peers.ConclusionsA narrowing urban-rural disparity and the reversal signal between urban and rural areas in overweight and obesity would contribute to a growing proportion of obese children in rural areas. Therefore, urgent region-specific policies and interventions with a forward-looking approach should be considered for Chinese children, especially in rural areas.

scholarly journals Risk Factor Analysis of Overnutrition Among Elementary School Children in Pekanbaru: An Urban-rural Perspective

2019 ◽  
Vol 13 (4) ◽  
pp. 184
Author(s):  
Arfianti Arfianti
Keyword(s):  
Risk Factors ◽  
Elementary Students ◽  
Rural Areas ◽  
Sampling Technique ◽  
Overweight And Obesity ◽  
Rural Students ◽  
Cross Sectional ◽  
Urban Rural ◽  
Urban And Rural Areas ◽  
Main Meal

The prevalence of childhood overnutrition is increasing  in many parts of the world including Indonesia. National basic health research (RISKESDAS) 2010 showed that over-nutrition in urban children (10.4%) was greater than in rural areas (8.1%). The purpose of this study was to analyse risk factors for overnutrition on elementary students in urban and rural areas in Pekanbaru. This was an observasional analytical study with cross-sectional design. This study involved 137 urban and 113 rural students from six elementary schools in Pekanbaru recruited by quota sampling technique. This study was conducted between April-May 2018. The results showed that the proportions of overweight and obesity in urban Pekanbaru were 16.1% and 16.8% respectively, while in rural areas were 12.4% and 9.7%, respectively. Furthermore, outdoor activity and snacking habit were significant contributors of childhood overnutrition in urban area whereas frequency of main meal was associated with childhood overnutrition in rural area. In conclusion, there was no difference in the incidence of overnutrition among elementary students in urban and rural areas in Pekanbaru. This study indicated that obesity risk factors may be different between urban and rural areas in Pekanbaru.

scholarly journals The Prevalence and Awareness of Cardiovascular Diseases Risk Factors among the Lebanese Population: A Prospective Study Comparing Urban to Rural Populations

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Iqbal Fahs ◽  
Zainab Khalife ◽  
Diana Malaeb ◽  
Mohammad Iskandarani ◽  
Pascale Salameh
Keyword(s):  
Risk Factors ◽  
Rural Areas ◽  
Overweight And Obesity ◽  
Undiagnosed Diabetes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Undiagnosed Hypertension ◽  
Lebanese Population ◽  
Urban And Rural Areas ◽  
A Prospective Study

Introduction. CVDs are largely driven by modifiable risk factors. This study sought to determine the awareness and prevalence of the modifiable CVDs risk factors among the Lebanese population.Methods. In a cross-sectional survey, 1000 participants aged ≥ 45 years were randomly selected from pharmacies and interviewed. The data was analyzed with SPSS version 21.0 software.Results. Differences between urban and rural areas include alcohol consumption (2.8% versus 1.7%;p=0.0001), cardioprotective vegetable servings (6.1% versus 2.3%;p=0.016), sedentary hours per day (18.6% versus 15.1%;p=0.002), and hypertension (38.5% versus 25.4%;p=0.001). The prevalence of overweight and obesity (77.3% versus 75.2%;p=0.468), smoking (39.3% versus 43.3%;p=0.232), diabetes (25.4% versus 21.4%;p=0.173), and dyslipidemia (25 versus 21.2%) was reported. Measurements revealed 19.3% of undiagnosed hypertension (12.4% versus 22.4%,p=0.001), 61.7% of hypertension (59.8% versus 62.6%;p=0.203), and 7.9% of undiagnosed diabetes (6.6% versus 8.6%;p=0.323). The declared awareness of CVDs risk factors was highest for smoking (91.5% versus 89.7%;p=0.339) and lowest for diabetes (54.4 versus 55.7%;p=0.692).Conclusion. This study has shown a high prevalence of modifiable CVDs risk factors in the Lebanese population ≥ 45 years, among which hypertension is the most prominent.

scholarly journals The nutrition transition in Mexico 1988–2016: the role of wealth in the social patterning of obesity by education

2018 ◽  
Vol 21 (13) ◽  
pp. 2394-2401 ◽  
Author(s):  
Carolina Pérez-Ferrer ◽  
Anne McMunn ◽  
Paola Zaninotto ◽  
Eric J Brunner
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Prevalence Ratio ◽  
Household Wealth ◽  
Education Level ◽  
Obesity Prevalence ◽  
Cross Sectional ◽  
The Social ◽  
Lower Education ◽  
Urban And Rural Areas

AbstractObjectiveThe present study investigates whether the reversal of the social gradient in obesity, defined as a cross-over to higher obesity prevalence among groups with lower education level, has occurred among men and women in urban and rural areas of Mexico.DesignCross-sectional series of nationally representative surveys (1988, 1999, 2006, 2012 and 2016). The association between education and obesity was investigated over the period 1988–2016. Effect modification of the education–obesity association by household wealth was tested.SettingMexico.SubjectsWomen (n 54 816) and men (n 20 589) aged 20–49 years.ResultsIn both urban and rural areas, the association between education and obesity in women varied by level of household wealth in the earlier surveys (1988, 1999 and 2006; interaction P<0·001). In urban areas in 1988, one level lower education was associated (prevalence ratio; 95 % CI) with 45 % higher obesity prevalence among the richest women (1·45; 1·24, 1·69), whereas among the poorest the same education difference was protective (0·84; 0·72, 0·99). In the latest surveys (2012, 2016), higher education was protective across all wealth groups. Among men, education level was not associated with obesity in urban areas; there was a direct association in rural areas. Wealth did not modify the association between education and obesity.ConclusionThe reversal of the educational gradient in obesity among women occurred once a threshold level of household wealth was reached. Among men, there was no evidence of a reversal of the gradient. Policies must not lose sight of the populations most vulnerable to the obesogenic environment.

scholarly journals Trends, prevalence and risk factors of overweight and obesity among women of reproductive age in Bangladesh: a pooled analysis of five national cross-sectional surveys

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e018468 ◽  
Author(s):  
Muhammad Abdul Baker Chowdhury ◽  
Md Mohiuddin Adnan ◽  
Md Zakiul Hassan
Keyword(s):  
Risk Factors ◽  
Rural Areas ◽  
Low Cost ◽  
Wealth Index ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Demographic And Health Surveys ◽  
Obesity Prevalence ◽  
Women Of Reproductive Age ◽  
Cross Sectional

ObjectiveTo determine the trends, prevalence and risk factors of overweight and obesity among Bangladeshi women of reproductive age from 1999 to 2014.DesignWe analysed nationally representative data from the 1999, 2004, 2007, 2011 and 2014 cross-sectional Bangladesh Demographic and Health Surveys.SettingBangladesh.ParticipantsWomen aged 15–49 years.Primary outcomeOverweight/obesity.ResultsA total of 58 192 women were included in the analysis. The prevalence of overweight and obesity among women of reproductive age increased significantly from 7.53% (95% CI 6.83 to 8.29) and 1.82% (95% CI 1.48 to 2.24) in 1999 to 28.37% (95% CI 27.49 to 29.28) and 10.77% (95% CI 10.22 to 11.35) in 2014, respectively. Age, education, wealth index, watching television and contraceptive use were associated with overweight and obesity in both urban and rural areas.ConclusionsOverweight and obesity prevalence increased significantly among Bangladeshi women of reproductive age between 1999 and 2014. Development of effective low-cost strategies to address the increasing burden of obesity should be a high priority.

Attitudes to childhood overweight and obesity: The limits of cultural explanations

2011 ◽  
Vol 71 (6) ◽  
pp. 670-677 ◽  
Author(s):  
Suparna Chakrabarti ◽  
Stephen Abbott
Keyword(s):  
Health Promotion ◽  
Weight Status ◽  
English Language ◽  
Qualitative Interviews ◽  
Childhood Overweight ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Cross Sectional ◽  
Childhood Overweight And Obesity ◽  
Majority Population

Objectives: To explore attitudes to and beliefs about childhood overweight and obesity among Bangladeshi mothers and to check maternal perceptions of their children’s weight status. Design: Mixed methods cross-sectional study. Setting: A general practice in East London, UK. Methods: Qualitative interviews with 14 mothers; weighing and measuring 22 children. Results: Mothers were generally aware of broad health promotion messages about diet and exercise, but many tended to under-estimate their children’s weight status. Differences in view did not reflect in any simple way English language skills, and the range of views reflected those in the majority population. Conclusion: Health promotion initiatives should assess individual needs; membership of a Bangladeshi community does not necessarily predict knowledge, beliefs or behaviour, and assumptions that this community is different from others are misleading.

scholarly journals The Association between Frequency of Eating Out with Overweight and Obesity Among Children Aged 6-17 in China: A National Cross-Sectional Study

2020 ◽  
Author(s):  
Yanning Ma ◽  
Weiyan Gong ◽  
Caicui Ding ◽  
Chao Song ◽  
Fan Yuan ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Chinese Children ◽  
Rural Children ◽  
Nutrition And Health ◽  
Cross Sectional ◽  
Childhood Overweight And Obesity ◽  
Income Family ◽  
Eating Out ◽  
Positive Effect

Abstract Background: In parallel with the increased prevalence of childhood overweight and obesity, the rate of eating out in China has increased dramatically in recent years. The purpose of the study was to explore the association between frequency of eating out with overweight and obesity among Chinese children.Methods: The representative sample of Chinese children aged 6-17 years (7685 boys; 7576 girls) was recruited from Chinese National Nutrition and Health Survey (CNNHS) in 2010-2012. Frequency of eating out was collected by interview-administered questionnaire and categorized as: less than once per week, once and twice per week, and three times or more per week. Height and weight were measured (body mass index was consequently calculated). Results：The prevalence of eating out among Chinese children aged 6-17 years old was 23.2%. Children who ate out 0, 1-2, ≥3 times per week were accounted for 76.8%, 10.9% and 12.3% respectively. Findings revealed that eating out three times per week or more was statistically significant associated with higher prevalence of overweight and obesity among boys (OR=1.20,95CI:1.04-1.38) compared with those ate out less than three times per week. However, no significantly association was observed among girls (OR=0.91, 95CI:0.78-1.01). In additional, Younger children, rural children, children from high income family, those with leisure exercises, leisure SB(>2h/d) were relatively more likely to eat out.Conclusions: The results illustrated that eating out three times or more had a significantly positive effect on overweight and obesity among boys in China.

scholarly journals The association between frequency of eating out with overweight and obesity among children aged 6-17 in China: A National Cross-sectional Study

2020 ◽  
Author(s):  
Yanning ma ◽  
Weiyan Gong ◽  
Caicui Ding ◽  
Chao Song ◽  
Fan Yuan ◽  
...  
Keyword(s):  
Low Income ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Chinese Children ◽  
Rural Children ◽  
Sedentary Behaviors ◽  
Cross Sectional ◽  
Childhood Overweight And Obesity ◽  
Eating Out ◽  
Positive Effect

Abstract Background: In parallel with the increased prevalence of childhood overweight and obesity, the rate of eating out in China has increased dramatically in recent years. The purpose of the study was to explore the association between frequency of eating out with overweight and obesity among Chinese children.Methods: The representative sample of Chinese children aged 6-17 years (7685 boys; 7576 girls) was recruited from Chinese National Nutrition and Health Survey (CNNHS) in 2010-2012. Frequency of eating out was collected by interview-administered questionnaire and categorized as: less than once per week, once and twice per week, and three times or more per week. Height and weight were measured (body mass index was consequently calculated). Results：The prevalence of eating out among Chinese children aged 6-17 years old was 23.2%. Children who ate out 0, 1-2, ≥3 times per week were accounted for 76.8%, 10.9% and 12.3% respectively. Findings revealed that eating out three times per week or more was statistically significant associated with higher prevalence of overweight and obesity among boys (OR=1.20,95CI:1.04-1.38) compared with those ate out less than three times per week. However, no significantly association was observed among girls (OR=0.91, 95CI:0.78-1.01). In additional, Younger children, rural children, children from low income family, those with leisure exercises (certain physical activities regularly carried out such as swimming, walking, running, equipment fitness), leisure time sedentary behaviors (LTSB)(>2h/d) were relatively more likely to eat out. Conclusions: The results illustrated that eating out three times or more had a significantly positive effect on overweight and obesity among boys in China.

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