Childhood obesity in modern China

Cheng, Tsung O.

doi:10.1016/j.ijcard.2012.03.003

Cited by 12 publications

(7 citation statements)

References 36 publications

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“…From 1989 to 2011, adults' daily vegetable oil consumption increased from 30 to 37 g , pork consumption increased from 48 to 69 g, and cereal consumption decreased from 600 to 420 g. With these food consumption changes, the daily adult fat intake increased from 76 to 81 g, and the percentage of energy coming from fat increased from 23.6 to 35.9% . Children like to drink sugar‐sweetened beverages (SSBs) and eat fast food . In 2002, SSBs were consumed regularly by 46.1% of Chinese children .…”

Section: Explaining the Rapid Increase In Overweight And Obesitymentioning

confidence: 99%

“…Although China's rapid economic growth has led to changes in dietary and physical activity (PA) patterns , large inequalities remain as the burden of obesity has shifted markedly to the lower‐educated population , and it is common to see problems of underweight, stunting and micronutrient deficiencies, even with the prevalence of overweight and obesity increasing . In the past decades, obesity has increased dramatically in all age groups.…”

Section: Introductionmentioning

confidence: 99%

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Programme and policy options for preventing obesity in China

2013

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By 2002, China’s prevalence of overweight and obesity among adults was 18.9 percent and 2.9 percent, respectively. The Chinese traditional diet has been replaced by the “Western diet” and major declines in all phases of activity and increased sedentary activity as the main reasons explaining the rapid increase in overweight and obesity, bring major economic and health costs. The Nutrition Improvement Work Management Approach was released in 2010. Overweight and obesity prevention-related policies were added to national planning for disease prevention and control. The Guidelines for Prevention and Control of Overweight and Obesity of Chinese Adults and the School-age Children and Teenagers Overweight and Obesity Prevention and Control Guidelines in China were promulgated in 2003 and 2007, respectively. Few education programs have been implemented. Selected academic intervention research projects dominate with a focus on reducing child obesity and promoting healthier diets; increasing physical activity and reducing sedentary time; and facilitating changes in family, school, social, and cultural environments. Intervention samples are small and have not addressed the increasing rates of obesity throughout the entire population. Government provision of effective policy measures, multisectoral cooperation and increasing corporate social responsibility are keys to curb the trend toward overweight and obesity in China.

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Section: Explaining the Rapid Increase In Overweight And Obesitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Programme and policy options for preventing obesity in China

2013

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“…Obesity is a global public health concern not only for Western countries but also for emerging countries like China (Cheng, 2012). In China, obesity among children and adolescents is increasing sharply, with a quadrupling of obesity and a 28 fold increase in overweight among 7-to 18-year-olds within just 15 years (1985)(1986)(1987)(1988)(1989)(1990)(1991)(1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000) (China Daily, 2008).…”

Section: Introductionmentioning

confidence: 99%

Peer effects on childhood and adolescent obesity in China

Wang

Sousa‐Poza

2015

China Economic Review

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. www.econstor.eu The Institute for the Study of Labor (IZA) in Bonn is a local and virtual international research center and a place of communication between science, politics and business. IZA is an independent nonprofit organization supported by Deutsche Post Foundation. The center is associated with the University of Bonn and offers a stimulating research environment through its international network, workshops and conferences, data service, project support, research visits and doctoral program. IZA engages in (i) original and internationally competitive research in all fields of labor economics, (ii) development of policy concepts, and (iii) dissemination of research results and concepts to the interested public. Terms of use: Documents in D I S C U S S I O N P A P E R S E R I E SIZA Discussion Papers often represent preliminary work and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be available directly from the author.IZA Discussion Paper No. 8528 October 2014 ABSTRACT Peer Effects on Childhood and Adolescent Obesity in ChinaUsing data from the China Health and Nutrition Survey (CHNS), this study analyzes peer effects on obesity in a sample of 3-to 18-year-old children and adolescents in China. Even after a rich set of covariates and unobserved individual heterogeneity are controlled for, it is evident that such peer effects do indeed exist. These effects are stronger in rural areas, among individuals at the upper end of the BMI distribution, and especially among females. All else being equal, female adolescents whose peers have a higher BMI are less likely to consider themselves overweight, suggesting that peer effects may be working through changed societal bodyweight norms.JEL Classification: I10, I15, J13, C14

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“…Globally, underweight prevalence decreased from 25% in 1990 to 15% in 2012, which remains insufficient to meet Millennium Development Goal of halving the 1990 prevalence by 2015; and 67% of all underweight children lived in Asia [ 5 ]. China is undergoing sharp economic development during the past 30 years and childhood nutrition has been improved greatly, accompanied by an increased prevalence of obesity [ 6 , 7 ]. However, the prevalence of malnutrition problems such as anemia, vitamin A deficiency and growth and development retardation among children in rural areas are much greater than those in urban, especially in western China [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of School-Based Quasi-Experimental Nutrition and Food Safety Health Education for Primary School Students in Two Poverty-Stricken Counties of West China

Shen

Sun

2015

PLoS ONE

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BackgroundFew studies on nutrition and food safety education intervention for students in remote areas of China were reported. The study aimed to assess the questionnaire used to measure the knowledge, attitude and behavior with respect to nutrition and food safety, and to evaluate the effectiveness of a quasi-experimental nutrition and food safety education intervention among primary school students in poverty-stricken counties of west China.MethodsTwelve primary schools in west China were randomly selected from Zhen’an of Shaanxi province and Huize of Yunnan province. Six geographically dispersed schools were assigned to the intervention group in a nonrandom way. Knowledge, attitude and behavior questionnaire was developed, assessed, and used for outcome measurement. Students were investigated at baseline and the end of the study respectively without follow-up. Students in intervention group received targeted nutrition and food safety lectures 0.5 hour per week for two semesters. Item response theory was applied for assessment of questionnaire, and a two-level difference-in-differences model was applied to assess the effectiveness of the intervention.ResultsThe Cronbach’s alpha of the original questionnaire was 0.84. According to item response model, 22 knowledge items, 6 attitude items and 8 behavior items showed adequate discrimination parameter and were retained. 378 and 478 valid questionnaires were collected at baseline and the end point. Differences of demographic characteristics were statistically insignificant between the two groups. Two-level difference-in-differences models showed that health education improved 2.92 (95% CI: 2.06–3.78) and 2.92 (95% CI: 1.37–4.47) in knowledge and behavior scores respectively, but had no effect on attitude.ConclusionThe questionnaire met the psychometric standards and showed good internal consistence and discrimination power. The nutrition and food safety education was effective in improving the knowledge and behavior of primary school students in the two poverty-stricken counties of China.

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Childhood obesity in modern China

Cited by 12 publications

References 36 publications

Programme and policy options for preventing obesity in China

Programme and policy options for preventing obesity in China

Peer effects on childhood and adolescent obesity in China

Assessment of School-Based Quasi-Experimental Nutrition and Food Safety Health Education for Primary School Students in Two Poverty-Stricken Counties of West China

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