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Huang XY, Chen JX, Ren Y, Luo HL, Xiang W, He XJ, Li TY. Postnatal feeding with high-fat combined with high-glucose diet induces precocious puberty in Sprague‒Dawley rat pups. Biochem Biophys Res Commun 2024; 693:149199. [PMID: 38118311 DOI: 10.1016/j.bbrc.2023.149199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 10/23/2023] [Accepted: 10/30/2023] [Indexed: 12/22/2023]
Abstract
With economic development and overnutrition, including high-fat diets (HFD) and high-glucose diets (HGD), the incidence of obesity in children is increasing, and thus, the incidence of precocious puberty is increasing. Therefore, it is of great importance to construct a suitable animal model of overnutrition-induced precocious puberty for further in-depth study. Here, we fed a HFD, HGD, or HFD combined with a HGD to pups after P-21 weaning, while weaned pups fed a normal diet served as the control group. The results showed that HFD combined with a HGD increased the body weight (BW) of weaned rat pups. In addition, a HFD, HGD, and HFD combined with a HGD lowered the age at which vaginal opening occurred and accelerated the vaginal cell cycle. Furthermore, a HFD combined with a HGD increased the weight of the uterus and ovaries of weaned rat pups. Additionally, a HFD combined with a HGD promoted the development of reproductive organs in weaned female rat pups. Ultimately, a HFD combined with a HGD was found to elevate the serum levels of gonadotropin-releasing hormone (GnRH), luteinizing hormone (LH), follicle stimulating hormone (FSH), leptin, adiponectin, and oestradiol (E2) and increase hypothalamic GnRH, Kiss-1, and GPR54 expression levels in weaned female rat pups. The current study found that overnutrition, such as that through a HFD combined with HGD, could induce precocious puberty in weaned female rat pups. In addition, a rat model of overnutrition-induced precocious puberty was established.
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Affiliation(s)
- Xiao-Yan Huang
- Chongqing Key Laboratory of Child Nutrition and Health, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China; Department of Genetics, Metabolism and Endocrinology, Hainan Women and Children's Medical Center, Haikou, Hainan, China
| | - Ji-Xiong Chen
- Department of Medical Care Center, Hainan Provincial People's Hospital, Haikou, Hainan, China
| | - Yi Ren
- Department of Paediatrics, Haikou Maternal and Child Health Hospital, Haikou, China
| | - Hai-Ling Luo
- Department of Genetics, Metabolism and Endocrinology, Hainan Women and Children's Medical Center, Haikou, Hainan, China
| | - Wei Xiang
- Department of Genetics, Metabolism and Endocrinology, Hainan Women and Children's Medical Center, Haikou, Hainan, China.
| | - Xiao-Jie He
- Department of Paediatrics, The Second Xiangya Hospital, Central South University, Changsha, China.
| | - Ting-Yu Li
- Chongqing Key Laboratory of Child Nutrition and Health, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.
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Yang Y, Dai J, Huang S, Li T, Song Z, Zha S, Ma C, Chang L, Zhang S, Liu H, Wei D, Yang F, Dai L, Tang M, Zhang X, Liu Y, Kang J. Secular trends of the prevalence of emaciation, overweight, and obesity among school-aged children in Yunnan province, 1985–2019: A serial cross-sectional surveillance study in China. Front Nutr 2022; 9:1037188. [DOI: 10.3389/fnut.2022.1037188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2022] [Accepted: 10/31/2022] [Indexed: 12/04/2022] Open
Abstract
ObjectiveTo understand the trends of nutrition in children and adolescents, which may further help to prevent and control chronic diseases in younger ages.MethodsThe Chinese National Surveys on Students' Constitution and Health (CNSSCH) in Yunnan is a survey of growth conditions, physical fitness, and health status of students in Yunnan and uses a series of complex multistage stratified sampling of seven prefectures consisting of 16 counties. Sampling schools were held constant over 35 years. The participants were randomly selected among 7–18 aged students. We used data from 1985, 1991, 2000, 2005, 2010, 2014, and 2019 CNSSCH of Yunnan. According to body mass index (BMI) criteria of National Working Group for Obesity in China (WGOC-BMI criteria), a participant's nutrition (emaciation, overweight or obesity) was defined. This study is based on survey data from 129,520 participants in 1985 (n = 14,683), 1991 (n = 4,894), 1995 (n = 6,673), 2000 (n = 9,751), 2005 (n = 23,461), 2010 (n = 22,889), 2014 (n = 23,003) and 2019 (24,166).ResultsSince 1985, the trends of emaciation over 35 years were decreasing. Regardless of gender, area, and age, the prevalence of obesity and overweight were increased. The average annual growth rate of overweight and obesity was quicker in rural areas and boys than in urban areas and girls. In Yunnan, emaciation, overweight, and obesity disparity in children were common phenomena, with differences in areas and gender.ConclusionChildren in Yunnan faced the triple burden of malnutrition (emaciation, overweight, and obesity). We should take comprehensive policies and effective intervention measures to decrease the rate of nutrition deficiencies in school-aged children.
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Duan R, Wang X, Shan S, Zhao L, Xiong J, Libuda L, Cheng G. The Chinese Adolescent Cohort Study: Design, Implementation, and Major Findings. Front Nutr 2021; 8:747088. [PMID: 34805242 PMCID: PMC8604082 DOI: 10.3389/fnut.2021.747088] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2021] [Accepted: 10/15/2021] [Indexed: 12/14/2022] Open
Abstract
The importance of diet quality on children's growth is being increasingly recognized. The Chinese Adolescent Cohort (CAC) is a longitudinal cohort study to comprehensively investigate the health impacts of nutritional factors on child growth. From 2013 to 2018, 6,967 children aged 6-8 years have been recruited from 23 primary schools in Sichuan, Guizhou, and Chongqing, which have been planned to be followed up annually until their age of 15 years. Regular assessments included the measurement of height, weight, waist circumference, and skinfold thicknesses; pubertal development was examined by trained investigators according to Tanner stages; dietary intake was obtained by three 24-h recalls and food frequency questionnaire; validated questionnaires were used to estimate socio-demographic characteristics, physical activity, and sedentary behaviors. Findings from the CAC baseline and the first follow-up data suggested that higher protein intake among girls and unhealthy eating habits among children might increase the risk for childhood obesity. Also, higher intakes of grain and meat and lower overall diet quality and intakes of dietary fiber and tuber might be associated with advanced pubertal development. Those results indicated that the CAC study could contribute to the development of strategies for optimizing Chinese children's health.
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Affiliation(s)
- Ruonan Duan
- Laboratory of Molecular Translational Medicine, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Department of Pediatrics, Center for Translational Medicine, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, China
| | - Xiaoyu Wang
- Laboratory of Molecular Translational Medicine, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Department of Pediatrics, Center for Translational Medicine, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, China
| | - Shufang Shan
- Laboratory of Molecular Translational Medicine, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Department of Pediatrics, Center for Translational Medicine, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, China
| | - Li Zhao
- Healthy Food Evaluation Research Center, Sichuan University, Chengdu, China
| | - Jingyuan Xiong
- Healthy Food Evaluation Research Center, Sichuan University, Chengdu, China
| | - Lars Libuda
- Faculty of Natural Sciences, Institute of Nutrition, Consumption and Health, Nutrition Sciences, Paderborn University, Paderborn, Germany
| | - Guo Cheng
- Laboratory of Molecular Translational Medicine, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Department of Pediatrics, Center for Translational Medicine, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, China
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Ma S, Hou D, Zhang Y, Yang L, Sun J, Zhao M, Magnussen CG, Xi B. Trends in abdominal obesity among Chinese children and adolescents, 1993-2015. J Pediatr Endocrinol Metab 2021; 34:163-169. [PMID: 33544542 DOI: 10.1515/jpem-2020-0461] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Accepted: 11/04/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVES The prevalence of general overweight and obesity defined by body mass index criteria has greatly increased in Chinese children and adolescents in recent decades. However, few studies have considered the trend in abdominal obesity in Chinese children and adolescents. This study aimed to examine the secular trends in waist circumference (WC), waist-to-height ratio (WHtR) and the prevalence of abdominal obesity among Chinese children and adolescents aged 6-17 years from 1993 to 2015. METHODS A total of 11,985 children and adolescents aged 6-17 years participated in the China Health and Nutrition Survey, a continuous cross-sectional survey, conducted from 1993 to 2015. Abdominal obesity was defined as WC≥age- and sex-specific 90th percentile based on the reference from Chinese children and adolescents or WHtR≥0.50. RESULTS After adjustment for age, sex and region, mean WC increased from 60.27 cm in 1993 to 64.31 cm in 2015 (p for trend <0.001), and mean WHtR increased from 0.430 to 0.434 (p for trend <0.05). The prevalence of abdominal obesity defined by WC reference increased from 5.0% in 1993 to 19.3% in 2015 and defined by WHtR reference increased from 6.4% in 1993 to 14.5% in 2015 (p for trend <0.001). CONCLUSIONS The prevalence of abdominal obesity among Chinese children and adolescents aged 6-17 years has increased between 1993 and 2015.
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Affiliation(s)
- Shujing Ma
- Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Dongqing Hou
- Department of Epidemiology, Capital Institute of Pediatrics, Beijing, China
| | - Yanqing Zhang
- Zibo Center for Disease Control and Prevention, Zibo, China
| | - Liu Yang
- Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Jiahong Sun
- Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Min Zhao
- Department of Nutrition and Food Hygiene, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Costan G Magnussen
- Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia.,Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.,Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland
| | - Bo Xi
- Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
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Prevalence of thinness, overweight and obesity among Tibetan adolescents aged 12-17 years. Public Health Nutr 2021; 24:4017-4022. [PMID: 33472721 DOI: 10.1017/s1368980021000215] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To estimate the prevalence of thinness, overweight and obesity among Tibetan adolescents aged 12-17 years. DESIGN Cross-sectional survey. SETTING Shigatse City of Tibet municipality, with an average altitude of more than 4000 m. PARTICIPANTS Study participants included 2642 adolescents aged 12-17 years selected from six schools using a convenient cluster sampling method. RESULTS The prevalence of thinness/overweight/obesity among Tibetan adolescents was 9·4 %/5·4 %/1·4 % (China definition), 14·7 %/4·4 %/0·7 % (International Obesity Task Force (IOTF) definition), and 2·8 %/5·7 %/0·9 % (WHO definition). The prevalence of thinness and overweight was significantly different between both sexes based on each of three BMI classification criteria (P < 0·001). There was no significant difference in the prevalence of obesity between both sexes according to each of three BMI criteria. There was no clear trend in the prevalence of thinness across ages according to the China or IOTF definition (both P > 0·05), whereas an upward trend was observed for thinness in boys according to the IOTF definition (Pfor trend <0·05). In contrast, the prevalence of thinness tended to decrease with increasing age in girls according to the IOTF definition and in total sample according to the WHO definition (Pfor trend <0·05). CONCLUSIONS Among Tibetan adolescents, the prevalence of overweight and obesity is relatively low, while the prevalence of thinness is high, especially in boys. These data suggest urgent attention is needed to control adolescent thinness in Tibet.
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Liu R, Mi B, Zhao Y, Li Q, Dang S, Yan H. Gender-specific association between carbohydrate consumption and blood pressure in Chinese adults. BMJ Nutr Prev Health 2021; 4:80-89. [PMID: 34308115 PMCID: PMC8258083 DOI: 10.1136/bmjnph-2020-000165] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Revised: 12/19/2020] [Accepted: 12/23/2020] [Indexed: 01/30/2023] Open
Abstract
Background The association between dietary carbohydrate consumption and blood pressure (BP) is controversial. The present study aimed to evaluate the possible gender-specific association of carbohydrate across the whole BP distribution. Method Cross-sectional survey including 2241 rural adults was conducted in northwestern China in 2010. BP was measured by trained medical personnel. Dietary information was collected by semiquantitative Food-Frequency Questionnaire. Multivariate quantile regression model was used to estimate the association between total carbohydrates consumption and systolic BP (SBP) and diastolic BP (DBP) at different quantiles. Gender-specific β coefficient and its 95% CI was calculated. Results The average carbohydrate intake was 267.4 (SD 112.0) g/day in males and 204.9 (SD 90.7) g/day in females, with only 10.6% of males and 6.5% females consumed at least 65% of total energy from carbohydrates. And more than 80% carbohydrates were derived from refined grains. In females, increased total carbohydrates intake was associated with adverse SBP and DBP. An additional 50 g carbohydrates per day was positively associated with SBP at low and high quantiles (10th-20th and 60th-80th) and with DBP almost across whole distribution (30th-90th), after adjusting for age, fortune index, family history of hypertension, body mass index, physical activity level, alcohol intake and smoke, energy, two nutrient principal components, protein and sodium intake. Both relatively low and high carbohydrate intake were associated with increased SBP, with minimum level observed at 130-150 g carbohydrate intake per day from restricted cubic splines. However, no significant associations were observed in males. Conclusions Higher total carbohydrates consumption might have an adverse impact on both SBP and DBP in Chinese females but not males. Additionally, the positive association varies across distribution of BP quantiles. Further research is warranted to validate these findings and clarify the causality.
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Affiliation(s)
- Ruru Liu
- Department of Epidemiology and Biostatistics, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China.,Department of Disinfection, Xi'an Center for Disease Control and Prevention, Xi'an, Shaanxi Province, China
| | - Baibing Mi
- Department of Epidemiology and Biostatistics, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
| | - Yaling Zhao
- Department of Epidemiology and Biostatistics, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
| | - Qiang Li
- Department of Epidemiology and Biostatistics, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
| | - Shaonong Dang
- Department of Epidemiology and Biostatistics, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
| | - Hong Yan
- Department of Epidemiology and Biostatistics, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China
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Liu M, Cao B, Liu M, Liang X, Wu D, Li W, Su C, Chen J, Gong C. High Prevalence of Obesity but Low Physical Activity in Children Aged 9-11 Years in Beijing. Diabetes Metab Syndr Obes 2021; 14:3323-3335. [PMID: 34321899 PMCID: PMC8312620 DOI: 10.2147/dmso.s319583] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Accepted: 07/06/2021] [Indexed: 12/26/2022] Open
Abstract
OBJECTIVE To investigate the prevalence and associated factors of childhood overweight/obesity in the Shunyi district of Beijing, China. METHODS This study adopted a cross-sectional survey and included 10,855 children aged 6-18 years in the Shunyi district of Beijing, China. Analyses were stratified by age group (6-8, 9-11, 12-14, and 15-18 years). RESULTS The prevalence of overweight and obesity among children aged 6-18 years was high with 17.62% and 29.05% in boys, 17.57% and 18.04% in girls, respectively. Both boys and girls aged 9-11 years had the highest rate of obesity in comparison with the other age groups, though the differences in children aged 9-11 years and 12-14 years were not statistically significant. Compared with age 6-8 years, age 9-11 years (OR=1.59, 95% CI 1.41-1.79, P<0.01) and 12-14 years (OR=1.26, 95% CI 1.48-1.73, P<0.01) were independently positively associated with obesity. Importantly, in all subjects, the percentages of being physically active (exercise time ≥120 minutes/week) were lower in children aged 9-11 years in comparison to children in other age groups. This phenomenon remained when this comparison was performed respectively in the normal-weight, overweight, and obesity groups. Even after adjustment for other potential confounders, the probability of being physically active (exercise time ≥120 minutes/week) was lower in children aged 9-11 years (OR=0.86, 95% CI 0.78-0.94, P<0.01), but higher in children aged 12-14 years (OR=1.91, 95% CI 1.69-2.17, P<0.01) and aged 15-18 years (OR=2.22, 95% CI 1.85-2.66, P<0.01), when compared with children aged 6-8 years. CONCLUSION Children aged 9-11 years had a higher prevalence of obesity, but a lower percentage of being physically active. Targeted intervention programs in this key group are needed to address this problem in China.
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Affiliation(s)
- Meijuan Liu
- Department of Endocrinology, Genetics and Metabolism, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, People’s Republic of China
| | - Bingyan Cao
- Department of Endocrinology, Genetics and Metabolism, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, People’s Republic of China
| | - Min Liu
- Department of Endocrinology, Genetics and Metabolism, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, People’s Republic of China
| | - Xuejun Liang
- Department of Endocrinology, Genetics and Metabolism, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, People’s Republic of China
| | - Di Wu
- Department of Endocrinology, Genetics and Metabolism, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, People’s Republic of China
| | - Wenjing Li
- Department of Endocrinology, Genetics and Metabolism, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, People’s Republic of China
| | - Chang Su
- Department of Endocrinology, Genetics and Metabolism, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, People’s Republic of China
| | - Jiajia Chen
- Department of Endocrinology, Genetics and Metabolism, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, People’s Republic of China
| | - Chunxiu Gong
- Department of Endocrinology, Genetics and Metabolism, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, People’s Republic of China
- Correspondence: Chunxiu Gong Department of Endocrinology, Genetics and Metabolism, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing, 100045, People’s Republic of ChinaTel +86-10-59616161 Email
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Overweight and obesity among Vietnamese school-aged children: National prevalence estimates based on the World Health Organization and International Obesity Task Force definition. PLoS One 2020; 15:e0240459. [PMID: 33044981 PMCID: PMC7549813 DOI: 10.1371/journal.pone.0240459] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 09/28/2020] [Indexed: 01/22/2023] Open
Abstract
Background Overweight and obesity is a severe global health issue in both developed and developing nations. This study aims to estimate the national prevalence of overweight and obesity among school-aged children in Vietnam. Method We conducted a national cross-sectional study on 2788 children aged from 11–14 years old from September to November 2018. We applied the WHO 2007 and IOTF criteria to estimate the prevalence of overweight and obesity among participants. Poison regression analysis with cluster sampling adjustment was employed to assess associated factors with obesity and overweight. Metadata on sociodemographic characteristics, physical measurements, and lifestyle behaviors were also extracted to investigate these factors in association with overweight and obesity prevalence. Results The prevalences of overweight and obesity in Vietnamese children were 17.4% and 8.6%, respectively by WHO Z-score criteria, and 17.1% and 5.4%, according to the IOTF reference. Using WHO Z-score yielded a higher prevalence of obesity than the IOTF and CDC criteria of all ages and both sexes. The proportions of overweight and obesity were substantially higher among boys than girls across ages. Parental BMI was shown to be a significant factor associated with overweight/obesity status in both girls and boys. Only for boys, age (PR = 0.83, 95% CI 0.76–0.90) and belonging to ethnic minorities (PR = 0.43, 95% CI 0.24–0.76) were significant risk factors for overweight/obesity. Conclusion Our findings indicate a high prevalence of childhood overweight and obesity in Vietnam, especially in boys.
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Bao Y, Meng S, Sun Y, Jie S, Lu L. Healthy China Action plan empowers child and adolescent health and wellbeing. LANCET PUBLIC HEALTH 2020; 4:e448. [PMID: 31493841 DOI: 10.1016/s2468-2667(19)30164-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2019] [Accepted: 08/05/2019] [Indexed: 11/17/2022]
Affiliation(s)
- Yanping Bao
- Peking University Health Science Center, Peking University, Beijing 100191, China
| | - Shiqiu Meng
- Peking University Health Science Center, Peking University, Beijing 100191, China
| | - Yankun Sun
- Institute of Mental Health, Peking University Sixth Hospital, Peking University, Beijing 100191, China; National Clinical Research Center for Mental Disorders, Peking University, Beijing 100191, China
| | - Shi Jie
- Peking University Health Science Center, Peking University, Beijing 100191, China
| | - Lin Lu
- Institute of Mental Health, Peking University Sixth Hospital, Peking University, Beijing 100191, China; National Clinical Research Center for Mental Disorders, Peking University, Beijing 100191, China; Peking-Tsinghua Center for Life Sciences, Peking University, Beijing 100191, China; IDG/McGovern Institute for Brain Research, Peking University, Beijing 100191, China.
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Abstract
Chronic diseases are the leading cause of death worldwide with increasing prevalence in all age groups, genders, and ethnicities. Most chronic disease deaths occur in middle-to low-income countries but are also a significant health problem in developed nations. Multiple chronic diseases now affect children and adolescents as well as adults. Being physically inactive is associated with increased chronic disease risk. Global societies are being negatively impacted by the increasing prevalence of chronic disease which is directly related to rising healthcare expenditures, workforce complications regarding attendance and productivity, military personnel recruitment, and academic success. However, increased physical activity (PA) and exercise are associated with reduced chronic disease risk. Most physiologic systems in the body benefit positively from PA and exercise by primary disease prevention and secondary disease prevention/treatment. The purpose of this brief review is to describe the significant global problem of chronic diseases for adults and children, and how PA and exercise can provide a non-invasive means for added prevention and treatment.
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Guo C, Wang H, Feng G, Li J, Su C, Zhang J, Wang Z, Du W, Zhang B. Spatiotemporal predictions of obesity prevalence in Chinese children and adolescents: based on analyses of obesogenic environmental variability and Bayesian model. Int J Obes (Lond) 2019; 43:1380-1390. [PMID: 30568273 PMCID: PMC6584073 DOI: 10.1038/s41366-018-0301-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 11/03/2018] [Accepted: 11/30/2018] [Indexed: 01/22/2023]
Abstract
OBJECTIVE To find variations in Chinese obesogenic environmental priorities from 2000 to 2011, predict spatiotemporal distribution of obesity prevalence aged 7-17 years in 31 provinces, and provide foundations for policy-makers to reduce obesity in children and adolescents. METHODS Based on data examination of provincial obesity prevalence aged 7-17 years from three rounds of China Health and Nutrition Surveys (in 9 [2000], 9 [2006], and 12 [2011] provinces) and corresponding years' environments in 31 provinces from China Statistical Yearbooks and other sources, 12 predictors were selected. We used 30 surveyed provinces in three rounds as training samples to fit three analytic models with partial least-square regressions and prioritized predictors by variable importance projection to find variations. And fitted a spatiotemporal prediction model with Bayesian analysis to infer in space-time. RESULTS Variations of obesogenic environmental priorities were found at different times. A Bayesian spatiotemporal prediction model with deviance information criterion of 155.60 and statistically significant (P < 0.05) parameter estimates of intercept (-717.0400, 95% confidence intervals [CI]: -1186.0300, -248.0480), year (0.3584, CI: 0.1245, 0.5924), square of food industry level (0.0003, CI: 0.0002, 0.0004), and log (healthcare) (5.3742, CI: 2.5138, 8.2347) was optimized. Totally inferred average obesity prevalence among children and adolescents were 2.23%, 5.11%, 10.77%, 12.20%, 13.99%, and 17.58% in 31 provinces in China in 2000, 2006, 2011, 2015, 2020, and 2030, respectively. Obesity in north and east of China clusters on predicted maps. CONCLUSIONS Obesity prevalence in children and adolescents in China is rapidly increasing, growing at 0.3584% annually from 2000 to 2011. From longitudinal observation, prevalence was significantly influenced by food industry ("Amplifier") and healthcare service ("Balancer"). Targeted interventions in north and east of China are pressing. Further researches on the mechanisms underlying the influence of food industry, healthcare service, and so on in children and adolescents are needed.
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Affiliation(s)
- C Guo
- National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, Xicheng District, Beijing, 100050, China
| | - H Wang
- National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, Xicheng District, Beijing, 100050, China
| | - G Feng
- Center for Clinical Epidemiology & Evidence-based Medicine of Beijing Children Hospital, Capital Medical University, National Center for Children's Health, No. 56 Nanlishi Road, Xicheng District, Beijing, 100045, China
| | - J Li
- School of Statistics, Shanxi University of Finance and Economics, No. 696 Wucheng Road, Taiyuan, 030006, Shanxi, China
| | - C Su
- National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, Xicheng District, Beijing, 100050, China
| | - J Zhang
- National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, Xicheng District, Beijing, 100050, China
| | - Z Wang
- National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, Xicheng District, Beijing, 100050, China
| | - W Du
- National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, Xicheng District, Beijing, 100050, China
| | - B Zhang
- National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, Xicheng District, Beijing, 100050, China.
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Lu C, Wiersma R, Shen T, Huang G, Corpeleijn E. Physical activity patterns by objective measurements in preschoolers from China. CHILD AND ADOLESCENT OBESITY 2019. [DOI: 10.1080/2574254x.2019.1585178] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Affiliation(s)
- Congchao Lu
- Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
- Tianjin Key Laboratory of Environment, Nutrition and Public Health, Centre for International Collaborative Research on Environment, Nutrition and Public Health, School of Public Health, Tianjin Medical University, Tianjin, China
| | - Rikstje Wiersma
- Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
- Center for Human Movement Sciences Groningen, University of Groningen, Groningen, the Netherlands
| | - Tong Shen
- Tianjin University kindergarten, Tianjin University, Tianjin, China
| | - Guowei Huang
- Tianjin Key Laboratory of Environment, Nutrition and Public Health, Centre for International Collaborative Research on Environment, Nutrition and Public Health, School of Public Health, Tianjin Medical University, Tianjin, China
- Department of Nutrition and Food Science, School of Public Health, Tianjin Medical University, Tianjin, China
| | - Eva Corpeleijn
- Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
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Liu S, Ding T, Liu H, Jian L. GPER was Associated with Hypertension in Post-Menopausal Women. Open Med (Wars) 2018; 13:338-343. [PMID: 30155521 PMCID: PMC6110139 DOI: 10.1515/med-2018-0051] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2018] [Accepted: 07/04/2018] [Indexed: 02/07/2023] Open
Abstract
Objective To explore the relationship between G protein-coupled estrogen receptor (GPER) and hypertension in post-menopausal women. Methods Using a matched case-control design, clinical and laboratory data were collected. Conditional logistic regression with stratified analysis was conducted to identify the association between GPER and hypertension. Results The GPER level was significantly lower in the case group than in the control group (126.3 ± 21.6 vs. 133.6 ± 27.3, P=0.000). The GPER levels of the hypertension cases with and those without menopause were significant (120.5 ± 11.8 and 127.2 ± 12.1, P=0.000). No significant difference in the GPER level between the controls with and those without menopause was observed (P=0.241). Logistic regression revealed that the GPER quartile was related to hypertension (odds ratio [OR]: 0.63, 95% confidence interval [CI]: 0.13–0.93, P=0.018) after adjusting for potential confounding factors. Stratified analysis revealed that the GPER quartile was not associated with hypertension in premenopausal women, and the fourth GPER quartile showed a predictive association with hypertension (OR: 0.43, 95% CI: 0.29–0.90) in menopausal women. Conclusions GPER level is associated with hypertension and is a protective factor for hypertension in menopausal women but not premenopausal women. Further research is required due to study limitations.
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Affiliation(s)
- Shichao Liu
- Department of Cardiovascular, the Second Affiliated Hospital of Zhengzhou University, Zhengzhou City, Henan Province 450014 China
| | - Tongbin Ding
- Department of Cardiovascular, the Second Affiliated Hospital of Zhengzhou University, Zhengzhou City, Henan Province 450014 China
| | - Hang Liu
- Department of Cardiovascular, the Second Affiliated Hospital of Zhengzhou University, Zhengzhou City, Henan Province 450014 China
| | - Liguo Jian
- Department of Cardiovascular, the Second Affiliated Hospital of Zhengzhou University, NO. 2, Jing-ba Road, Jinshui District, Zhengzhou City, Henan Province 4500014 China
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14
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Yu HJ, Li F, Hu YF, Li CF, Yang XH, Yuan S, Huang Y, Tang BW, Gong J, He QQ. Associations of physical activity and fruit and vegetable intake with well-being and depressive symptoms among obese schoolchildren in Wuhan, China: a cross-sectional study. BMC Public Health 2018; 18:986. [PMID: 30089451 PMCID: PMC6083616 DOI: 10.1186/s12889-018-5779-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Accepted: 06/28/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The prevalence of childhood obesity is increasing and psychological disorder is a common comorbidity of obesity. We investigated the associations of physical activity (PA) and fruit and vegetable (FV) intake with well-being and depressive symptoms among obese schoolchildren. METHODS Participants included 188 obese children aged 9.8 ± 0.7 years living in Wuhan, China. Self-administered questionnaires were used to collect the children's PA and FV intake information. PA was considered to be high if the child participated in sport and/or vigorous free play at least 3 days per week with 60 min per day, while sufficient FV intake was defined as consuming FV 5 times per day. Children's well-being and depressive symptoms were assessed by standard questionnaires. Multiple logistic regression was performed to determine the odds ratios (ORs) and 95% confidence intervals (CIs) of the relationships of PA and FV intake with well-being and depressive symptoms. RESULTS High PA and sufficient FV intake were independently associated with significantly decreased risks for depressive symptoms (for PA, OR: 0.39, 95% CI: 0.16-0.92; for FV, OR: 0.21, 95% CI: 0.08-0.55) and poor well-being (for PA, OR: 0.35, 95% CI: 0.16-0.74), respectively. Furthermore, interactive inverse associations were observed between combined high PA and sufficient FV intake with poor well-being and depressive symptoms. Compared to their counterparts, children with high PA and sufficient FV intake had significantly reduced risk for poor well-being (OR: 0.16, 95%CI: 0.05-0.55) and depressive symptoms (OR: 0.12, 95% CI: 0.03-0.48). CONCLUSIONS High PA and sufficient FV intake are inversely associated with the risks of poor well-being and depressive symptoms among obese Chinese schoolchildren.
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Affiliation(s)
- Hong-jie Yu
- School of Health Sciences, Wuhan University, Donghu Road 185#, Wuhan, People’s Republic of China
| | - Fang Li
- Wuhan Centers for Disease Prevention and Control, Hanbei Road 24#, Wuhan, People’s Republic of China
| | - Yong-feng Hu
- Xinzhou Centers for Disease Prevention and Control, Wuhan, People’s Republic of China
| | - Chang-feng Li
- Wuhan Centers for Disease Prevention and Control, Hanbei Road 24#, Wuhan, People’s Republic of China
| | - Xu-hao Yang
- School of Health Sciences, Wuhan University, Donghu Road 185#, Wuhan, People’s Republic of China
| | - Shuai Yuan
- School of Health Sciences, Wuhan University, Donghu Road 185#, Wuhan, People’s Republic of China
| | - Yao Huang
- School of Health Sciences, Wuhan University, Donghu Road 185#, Wuhan, People’s Republic of China
| | - Bo-wen Tang
- School of Health Sciences, Wuhan University, Donghu Road 185#, Wuhan, People’s Republic of China
| | - Jie Gong
- Wuhan Centers for Disease Prevention and Control, Hanbei Road 24#, Wuhan, People’s Republic of China
| | - Qi-qiang He
- School of Health Sciences, Wuhan University, Donghu Road 185#, Wuhan, People’s Republic of China
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15
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Aly R, Viswanathan B, Mangroo G, Gedeon J, Bovet P. Trends in Obesity, Overweight, and Thinness in Children in the Seychelles Between 1998 and 2016. Obesity (Silver Spring) 2018; 26:606-612. [PMID: 29400004 DOI: 10.1002/oby.22112] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2017] [Revised: 11/30/2017] [Accepted: 12/11/2017] [Indexed: 12/18/2022]
Abstract
OBJECTIVE This study assessed trends in the prevalence of children and adolescents with obesity, overweight, and thinness in the Seychelles, a rapidly developing nation in the Indian Ocean, and changes in the distribution of BMI over time. METHODS Between 1998 and 2016, examination surveys were conducted every year in all students of four selected school grades (kindergarten, primary 4, secondary 1, and secondary 4) in all schools. We categorized BMI by using the International Obesity Task Force criteria. RESULTS Based on 70,187 observations, the prevalence of combined overweight or obesity increased largely and monotonically between 1998 and 2016, from 8.9% to 20.0% in boys and from 12.3% to 23.6% in girls, but the prevalence of underweight did not decrease. BMI increased mostly in the upper range of the BMI population distribution: percentile 5 (P5), -1.7%; P10, -0.8%; P25, 0.3%; P50, 2.5%; P75, 7.4%; P90, 12.7%; and P95, 13.3%. CONCLUSIONS The distribution of BMI was increasingly skewed, with a rising prevalence of obesity, a modest or null increase in BMI in a substantial proportion of the population, and a continued burden of underweight. Further studies should assess child growth trajectories and their underlying determinants, which may bear significance for weight control strategies.
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Affiliation(s)
- Rim Aly
- Institute of Social and Preventative Medicine (IUMSP), Lausanne, Switzerland
- Faculty of Medicine, University of Manchester, Manchester, UK
| | | | | | - Jude Gedeon
- Ministry of Health, Mont Fleuri, Republic of Seychelles
| | - Pascal Bovet
- Institute of Social and Preventative Medicine (IUMSP), Lausanne, Switzerland
- Ministry of Health, Mont Fleuri, Republic of Seychelles
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Zhu X, Haegele JA, Tang Y, Wu X. Prevalence and Demographic Correlates of Overweight, Physical Activity, and Screen Time Among School-Aged Children in Urban China: The Shanghai Study. Asia Pac J Public Health 2018; 30:118-127. [PMID: 29457497 DOI: 10.1177/1010539518754538] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This study reports the prevalence and demographic correlates of overweight, as well as meeting physical activity and screen time guidelines, in Chinese children. A representative sample of school-aged children ( n = 49 549) in Shanghai were participants. Children's anthropometrics were objectively measured; their physical activity and screen time, and demographic variables including age, sex, skill proficiency, sport affiliation, and transportation mode were self-reported. Multivariate logistic regression analyses were conducted. The prevalence of overweight was 24.9%, meeting physical activity guidelines was 20.5%, and meeting screen time guidelines was 73.5%. Boys (odds ratio [OR] = 1.60, 95% confidence interval [CI] = 1.50-1.71) had higher overweight prevalence than girls. Girls (OR = 0.91, 95% CI = 0.85-0.97) and those without sport affiliation (OR = 0.48, 95% CI = 0.42-0.54) were less likely to meet physical activity recommendations than their counterparts. Girls were more likely than boys to meet screen time recommendations (OR = 1.29, 95% CI = 1.22-1.37). Children's sex, sport affiliation, and skill proficiency are factors that policymakers can use to improve body weight status, physical activity participation, and screen time.
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Affiliation(s)
- Xihe Zhu
- 1 Old Dominion University, Norfolk, VA, USA.,2 Shanghai University of Sport, Shanghai, People's Republic of China
| | | | - Yan Tang
- 2 Shanghai University of Sport, Shanghai, People's Republic of China
| | - Xueping Wu
- 2 Shanghai University of Sport, Shanghai, People's Republic of China
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