Childhood and Adolescent Overweight/Obesity Prevalence Trends in Jiangsu, China, 2017-2021: An Age-Period-Cohort Analysis.

IF 1.7 4区 医学 Q2 NURSING
Jinxia Yu, Sunan Chen, Jie Yang, Xiyan Zhang, Hui Xue, Xiaoyan Ni, Wei Du, Lijun Fan, Fengyun Zhang, Yan Wang
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引用次数: 0

Abstract

Objectives: To investigate temporal trends in childhood and adolescent overweight/obesity in Jiangsu Province, China, evaluating the effects of age, period, and birth cohort.

Design: Cross-sectional study.

Sample: Participants were 210,168 students aged 6-17 years from the five waves of the consecutive cross-sectional Jiangsu provincial surveillance project in 2017-2021.

Measurements: Overweight/obesity was assessed according to the sex- and age-specific body mass index. We used age-period-cohort (APC) analysis to explore the temporal trends of overweight/obesity and to estimate the effects of age, period, and birth cohort on the prevalence.

Results: The overall prevalence of overweight/obesity has increased from 32.08% to 38.60% between 2017 and 2021. The 6-9-year-old group and the 10-13-year-old group were significantly associated with a higher risk of overweight/obesity, in contrast to 14-17-year-olds. The pandemic was also significantly associated with a much higher risk. The cohort 2000-2003 was associated with higher risk, and such association continued until the cohort 2012-2015, denoting a significantly lower risk.

Conclusions: Despite an increasing trend in the prevalence of overweight/obesity, especially during the COVID-19 pandemic, the latest cohort effect was significantly associated with a lower risk. We recommend continuous efforts on preventive interventions and more research about prevalence trends.

2017-2021 年中国江苏省儿童和青少年超重/肥胖患病率趋势:年龄-时期-队列分析。
目的:调查中国江苏省儿童和青少年超重/肥胖的时间趋势,评估年龄、时期和出生队列的影响。设计:横断面研究。样本:选取2017-2021年江苏省连续横断面监测项目五期6-17岁学生210168名。测量方法:根据性别和年龄特异性体重指数评估超重/肥胖。我们使用年龄-时期-队列(APC)分析来探讨超重/肥胖的时间趋势,并估计年龄、时期和出生队列对患病率的影响。结果:2017 - 2021年间,超重/肥胖的总体患病率从32.08%上升至38.60%。与14-17岁的孩子相比,6-9岁的孩子和10-13岁的孩子超重/肥胖的风险更高。大流行也与高得多的风险显著相关。2000-2003年队列与较高的风险相关,这种关联一直持续到2012-2015年队列,表明风险显著降低。结论:尽管超重/肥胖患病率呈上升趋势,特别是在2019冠状病毒病大流行期间,但最新的队列效应与较低的风险显著相关。我们建议继续努力采取预防干预措施,并对流行趋势进行更多研究。
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来源期刊
Public Health Nursing
Public Health Nursing 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.50
自引率
4.80%
发文量
117
审稿时长
6-12 weeks
期刊介绍: Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.
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