Risk factors for obesity in preschool‐aged children in China

Chen, Jyu‐Lin; Howie-Esquivel, Jill; Guo, Jia; Chesla, Catherine A.; Tang, Siyuan

doi:10.1111/inr.12371

Cited by 19 publications

(18 citation statements)

References 30 publications

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“…A study by Chen et al. () also reported that maternal belief about their child's risk for obesity is associated with higher child BMI. Existing literature states that parents who accurately perceive their child's weight are more likely to be motivated to change their health‐related behaviours (Kaufman‐Shriqui et al.…”

Section: Discussionmentioning

confidence: 95%

“…Children whose parents perceived their child as overweight/obese had higher BMI z-scores than those with parents who perceived their child's weight as normal. A study by Chen et al (2017) also reported that maternal belief about their child's risk for obesity is associated with higher child BMI. Existing literature states that parents who accurately perceive their child's weight are more likely to be motivated to change their health-related behaviours (Kaufman-Shriqui et al 2012;Mareno 2014).…”

Section: Discussionmentioning

confidence: 96%

“…Also, mothers who have a skewed perception of their child's weight and those who use restrictive/controlling feeding practices tend to have children with higher BMI scores (Chen et al. ; Shloim et al. ).…”

Section: Introductionmentioning

confidence: 99%

“…Children from low SES households experience higher obesity rates than children from affluent families (Tester et al 2018). Also, mothers who have a skewed perception of their child's weight and those who use restrictive/controlling feeding practices tend to have children with higher BMI scores (Chen et al 2017;Shloim et al 2015).…”

Section: Introductionmentioning

confidence: 99%

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Factors influencing obesity among preschoolers: multilevel approach

Park

Bahorski

et al. 2019

International Nursing Review

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Background Childhood obesity is a complex and multifaceted problem involving interactions among child, family and community environment. Aim The purpose of this study was to examine the contributing factors to early childhood obesity within a multilevel context, including child and family, childcare setting and community. Methods A cross‐sectional, quantitative research design was employed. A total of 129 preschoolers and their parents in northwest Florida participated in this study. Child height and weight were measured, and body mass index (BMI) was calculated. Parents and directors of preschools completed survey questionnaires to assess child/family, childcare setting and community factors, respectively. Hierarchical multiple regression was used to evaluate the association of each level of factors with child BMI z‐score. Results Twenty‐one per cent of children were overweight or obese (≥85th BMI percentile). In hierarchical multiple regression, household income, parent beliefs, attitudes and practices for child feeding, family obesogenic environment, child routines (screen time on weekends, sleep hours, bedtime) and physical activity environment were significantly related to child BMI z‐score. Conclusions The findings of this study provide a broader understanding of factors that influence child BMI z‐score. Shaping a non‐obesogenic environment by establishing healthy routines for children in the home, childcare setting and community is essential in childhood obesity prevention. Implications for nursing practice and health policy Paediatric nurses should routinely assess accurate parental perception of child weight, feeding style and child routines in well‐child care visits. Healthcare professionals and health policymakers should enact policies that build a healthy environment for preschoolers in their childcare setting and community.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Factors influencing obesity among preschoolers: multilevel approach

Park

Bahorski

et al. 2019

International Nursing Review

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“…Children at this age have not yet formed a personal pattern of health-related habits or preferences, which means that they are most likely to be affected by a nurturing environment (Lee, Park, & Lee, 2018). Particularly, the parenting or behavior of a mother who is a primary caregiver correlates significantly with childhood obesity; thus, a strategy where mothers are included in the intervention is relevant (Chen, Esquivel, Guo, Chesla, & Tang, 2018).…”

Section: Introductionmentioning

confidence: 99%

Ecological Correlates of Preschooler Obesity: A Multilevel Study

Park¹

2019

GJHS

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BACKGROUND: The risk factors for preschooler obesity at various levels have been identified, but little is known about the organizational-level factors of environments in which preschoolers spend long periods of time. METHODS: This study focused on factors at the organizational level and attempted multilevel modeling to appropriately estimate the effects with individual-level factors controlled. In 2013 and 2019, data from 295 and 112 preschoolers aged 2–5 years were collected, combined, and analyzed. RESULTS: At the individual level, mother’s sedentary behavior was a significant factor, while at the organizational level, teacher’s sedentary behavior was a significant factor. CONCLUSION: Focus should be placed on developing obesity risk reduction intervention for this population group. Although there no statistical significance was observed, there is a need to improve the organizational environment such as reducing screen time and shortening the duration of study-focused programs. Moreover, further investigation in a prospective study is required to determine the evidence of these proposed interventions.

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Risk factors for obesity and overweight in Chinese children: a nationwide survey

Chen

Jin

Wang

et al. 2022

Obesity

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Objective: This study aimed to analyze a comprehensive set of potential risk factors for obesity and overweight among Chinese children with a full range of ages and with wide geographical coverage. Methods: In the Prevalence and Risk Factors for Obesity and Diabetes in Youth (PRODY) study (2017-2019), the authors analyzed 193,997 children aged 3 to 18 years from 11 provinces, autonomous regions, and municipalities that are JingNan Chen and Lu Jin contributed equally to this work.

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Risk factors for obesity in preschool‐aged children in China

Abstract: Understanding factors associated with childhood obesity can assist researchers and clinicians to develop culturally sensitive and evidence-based programmes and policy to reduce this global epidemic.

Cited by 19 publications

References 30 publications

Factors influencing obesity among preschoolers: multilevel approach

Factors influencing obesity among preschoolers: multilevel approach

Ecological Correlates of Preschooler Obesity: A Multilevel Study

Risk factors for obesity and overweight in Chinese children: a nationwide survey

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