Mismatch in Children's Weight Assessment, Ideal Body Image, and Rapidly Increased Obesity Prevalence in China: A 10-Year, Nationwide, Longitudinal Study.

Mismatch in Children's Weight Assessment, Ideal Body Image, and Rapidly Increased Obesity Prevalence in China: A 10-Year, Nationwide, Longitudinal Study.
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DOI:
10.1002/oby.22310
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发表时间:
2018-11
期刊:
Obesity (Silver Spring, Md.)
影响因子:
--
通讯作者:
Wang Y
Wang Y
中科院分区:
其他
文献类型:
--
作者:
Min J;Fang Yan A;Wang Y

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本研究考察了儿童体重状况评估、测量体重状况和理想身体形象的长期趋势,以及它们与随后BMI变化的关系,并探讨了中国社会人口统计学群体之间的差异。使用2000-2011年间收集的4605名6-17岁儿童的中国健康和国家调查纵向数据,并拟合到混合模型中。2000年至2011年间,超重/肥胖患病率从6.5%上升至16.8%,但儿童对肥胖身体的认知仍保持在2.0%左右;49.0%的儿童低估了他们的基线体重状况。大多数参与者的自我形象在随访期间被跟踪。在随访期间,基线时认为自己肥胖的儿童的BMI随时间增长高于身体形象正常的儿童(β[SE] =0.99[0.14]kg/m2/年,p <0.001)。男孩、年轻、新近出生的儿童和农村儿童的体重指数增幅高于同龄儿童。随着时间的推移,苗条的身材轮廓变得更受欢迎(p高出8.4%,p<0.001)。中国儿童的体重状况评估、理想身体形象和实际体重状况之间存在很大的不一致。健康促进计划应检查其在帮助儿童发展健康身体形象和获得更大的自我激励以促进健康生活方式方面的作用。
This study examined secular trends in children’s weight status assessment, measured weight status and ideal body image, and their associations with subsequent changes in BMI, and it explored the differences between sociodemographic groups in China. Longitudinal data from the China Health and National Survey of 4,605 children aged 6-17 collected during 2000-2011 were used and fitted to mixed models. Overweight/obesity prevalence increased from 6.5% to 16.8%, but children’s fat body perception remained around 2.0% between the years 2000 and 2011; 49.0% of children underestimated their weight status at baseline. Self-body image of most participants was tracked during follow-up. Children who perceived themselves as being fat at baseline had a higher BMI increase over time during follow-ups than those with an average body image (β[SE] =0.99[0.14]kg/m2/year, p <0.001). Boys, young, recent cohort, and rural children had higher BMI increases than their counterparts. Over time, thin body silhouette became more desirable (8.4% p higher, p<0.001). Chinese children experience a large incongruence between their weight status assessment, ideal body image, and actual weight status. Health promotion programs should examine their role in assisting children in developing healthy body images and gaining greater self-motivation towards promoting a healthy lifestyle.
中国儿童和青少年的肥胖症患病率和趋势,1985- 2010年。
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