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Qiu D, He J, Li Y, Ouyang F, Xiao S. Stressful Life Events, Unhealthy Eating Behaviors and Obesity among Chinese Government Employees: A Follow-Up Study. Nutrients 2023; 15:nu15112637. [PMID: 37299600 DOI: 10.3390/nu15112637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Revised: 05/25/2023] [Accepted: 05/31/2023] [Indexed: 06/12/2023] Open
Abstract
Background: The underlying mechanisms of the relationship between stressful life events and obesity among Chinese workers are unclear. Objective: This study aimed to understand the processes and mechanisms involved in stressful life events, unhealthy eating behavior, and obesity among Chinese workers. Methods: From January 2018 to December 2019, a total of 15,921 government employees were included at baseline and they were followed-up until May 2021. Stressful life events were assessed using the Life Events Scale, and unhealthy eating behavior was assessed using four items. BMI was calculated as weight (kg) divided by height (m2) using physically measured data. Results: Overeating at each mealtime (OR = 2.21, 95%CI: 1.78-2.71) at baseline led to reports of higher risk of obesity at follow up. Eating before going to bed at night sometimes (OR = 1.51, 95%CI: 1.31-1.73) or often (OR = 3.04, 95%CI: 2.28-4.05) at baseline led to reports of higher risk of obesity at follow-up. Eating out sometimes (OR = 1.74, 95%CI: 1.47-2.07) or often (OR = 1.59, 95%CI: 1.07-2.36) at baseline led to reports of higher risk of obesity at follow-up. Stressful life events were not directly associated with obesity, but unhealthy eating behaviors, including overeating at each mealtime (β = 0.010, 95%CI: 0.007-0.014; β = 0.002, 95%CI: 0.001-0.004, respectively) and irregular meal timing (β = -0.011, 95%CI: -0.015--0.008; β = -0.004, 95%CI: -0.006--0.001, respectively), significantly mediated the associations between stressful life events at baseline and obesity at both baseline and follow-up. Conclusions: Unhealthy eating behaviors mediated the relationship between stressful life events and obesity. Interventions should be provided to workers who have experienced stressful life events and unhealthy eating behaviors.
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Affiliation(s)
- Dan Qiu
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha 410078, China
| | - Jun He
- Department of Psychiatry, Yale School of Medicine, New Haven, CT 06510, USA
| | - Yilu Li
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha 410078, China
| | - Feiyun Ouyang
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha 410078, China
| | - Shuiyuan Xiao
- Mental Health Institute, Second Xiangya Hospital, Central South University, Changsha 410078, China
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Skouteris H, Green R, Chung A, Bergmeier H, Amir LH, Baidwan SK, Chater A, Chamberlain C, Emond R, Gibbons K, Gooey M, Hatzikiriakidis K, Haycraft E, Hills AP, Higgins DJ, Hooper O, Hunter S, Kappelides P, Kleve S, Krakouer J, Lumeng JC, Manios Y, Mansoor A, Marmot M, Mâsse LC, Matvienko‐Sikar K, Mchiza ZJ, Meyer C, Moschonis G, Munro ER, O'Connor TM, O'Neil A, Quarmby T, Sandford R, Schneiderman JU, Sherriff S, Simkiss D, Spence A, Sturgiss E, Vicary D, Wickes R, Wolfenden L, Story M, Black MM. Nurturing children's development through healthy eating and active living: Time for policies to support effective interventions in the context of responsive emotional support and early learning. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e6719-e6729. [PMID: 36401560 PMCID: PMC10946933 DOI: 10.1111/hsc.14106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 10/19/2022] [Accepted: 10/31/2022] [Indexed: 06/16/2023]
Abstract
Fostering the growth, development, health, and wellbeing of children is a global priority. The early childhood period presents a critical window to influence lifelong trajectories, however urgent multisectoral action is needed to ensure that families are adequately supported to nurture their children's growth and development. With a shared vision to give every child the best start in life, thus helping them reach their full developmental potential, we have formed the International Healthy Eating Active Living Matters (HEALing Matters) Alliance. Together, we form a global network of academics and practitioners working across child health and development, and who are dedicated to improving health equity for children and their families. Our goal is to ensure that all families are free from structural inequality and oppression and are empowered to nurture their children's growth and development through healthy eating and physical activity within the context of responsive emotional support, safety and security, and opportunities for early learning. To date, there have been disparate approaches to promoting these objectives across the health, community service, and education sectors. The crucial importance of our collective work is to bring these priorities for early childhood together through multisectoral interventions, and in so doing tackle head on siloed approaches. In this Policy paper, we draw upon extensive research and call for collective action to promote equity and foster positive developmental trajectories for all children. We call for the delivery of evidence-based programs, policies, and services that are co-designed to meet the needs of all children and families and address structural and systemic inequalities. Moving beyond the "what" is needed to foster the best start to life for all children, we provide recommendations of "how" we can do this. Such collective impact will facilitate intergenerational progression that builds human capital in future generations.
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Affiliation(s)
- Helen Skouteris
- Health and Social Care Unit, School of Public Health and Preventive MedicineMonash UniversityVictoriaMelbourneAustralia
- Warwick Business SchoolUniversity of WarwickCoventryUK
| | - Rachael Green
- Health and Social Care Unit, School of Public Health and Preventive MedicineMonash UniversityVictoriaMelbourneAustralia
| | - Alexandra Chung
- Health and Social Care Unit, School of Public Health and Preventive MedicineMonash UniversityVictoriaMelbourneAustralia
| | - Heidi Bergmeier
- Health and Social Care Unit, School of Public Health and Preventive MedicineMonash UniversityVictoriaMelbourneAustralia
| | - Lisa H. Amir
- Judith Lumley Centre, School of Nursing and MidwiferyLa Trobe UniversityVictoriaBundooraAustralia
| | | | - Angel Marie Chater
- Centre for Health, Wellbeing and Behaviour ChangeUniversity of BedfordshireLutonUK
| | - Catherine Chamberlain
- Judith Lumley Centre, School of Nursing and MidwiferyLa Trobe UniversityVictoriaBundooraAustralia
- Centre for Health EquityThe University of MelbourneVictoriaMelbourneAustralia
- Ngangk Yira Research Centre for Aboriginal Health and Social EquityMurdoch UniversityMurdochAustralia
- The Lowitja InstituteCollingwoodVictoriaAustralia
| | | | - Kay Gibbons
- Institute for Health & SportVictoria UniversityVictoriaMelbourneAustralia
| | - Michelle Gooey
- Health and Social Care Unit, School of Public Health and Preventive MedicineMonash UniversityVictoriaMelbourneAustralia
| | - Kostas Hatzikiriakidis
- Health and Social Care Unit, School of Public Health and Preventive MedicineMonash UniversityVictoriaMelbourneAustralia
| | - Emma Haycraft
- School of Sport, Exercise and Health SciencesLoughborough UniversityLoughboroughUK
| | - Andrew P. Hills
- School of Health SciencesUniversity of TasmaniaTasmaniaLauncestonAustralia
| | | | - Oliver Hooper
- School of Sport, Exercise and Health SciencesLoughborough UniversityLoughboroughUK
| | | | - Pam Kappelides
- Department of ManagementLa Trobe UniversityVictoriaBundooraAustralia
| | - Sue Kleve
- Department of Nutrition, Dietetics and Food, School of Clinical SciencesMonash UniversityVictoriaClaytonAustralia
| | - Jacynta Krakouer
- Health and Social Care Unit, School of Public Health and Preventive MedicineMonash UniversityVictoriaMelbourneAustralia
| | | | - Yannis Manios
- Department of Nutrition and DieteticsHarokopio University of AthensAthensGreece
- Institute of Agri‐food and Life SciencesHellenic Mediterranean University Research CentreHeraklionGreece
| | - Athar Mansoor
- The Hong Kong University of Science and TechnologyHong KongHong Kong
| | | | - Louise C. Mâsse
- BC Children's Hospital Research Institute/School of Population and Public HealthUniversity of British ColumbiaBritish ColumbiaVancouverCanada
| | | | - Zandile June‐Rose Mchiza
- Non‐communicable Disease Research Unit, South African Medical Research Council & School of Public Health, Faculty of Community and Health SciencesUniversity of the Western CapeBellvilleSouth Africa
| | - Caroline Meyer
- Executive Office, Warwick Medical SchoolUniversity of WarwickCoventryUK
| | - George Moschonis
- Department of Food, Nutrition and Dietetics, School of Allied Health, Human Services and SportLa Trobe UniversityVictoriaBundooraAustralia
| | - Emily R. Munro
- Tilda Goldberg Centre for Social Work and Social CareUniversity of BedfordshireLutonUK
| | - Teresia Margareta O'Connor
- USDA/ARS Children's Nutrition Research Center, Department of PediatricsBaylor College of MedicineTexasHoustonUSA
| | - Adrienne O'Neil
- Institute for Mental and Physical Health and Clinical Translation (IMPACT), Food & Mood Centre, School of MedicineDeakin UniversityVictoriaGeelongAustralia
| | | | - Rachel Sandford
- School of Sport, Exercise and Health SciencesLoughborough UniversityLoughboroughUK
| | - Janet U. Schneiderman
- Department of Nursing, Suzanne Dworak‐Peck School of Social WorkUniversity of Southern CaliforniaCaliforniaLos AngelesUSA
| | | | - Doug Simkiss
- Executive Office, Warwick Medical SchoolUniversity of WarwickCoventryUK
- Birmingham Community Healthcare NHS Foundation TrustBirminghamUK
- Aston UniversityBirminghamUK
| | - Alison Spence
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition SciencesDeakin UniversityGeelongVictoriaAustralia
| | - Elizabeth Sturgiss
- School of Primary and Allied Health CareMonash UniversityFrankstonVictoriaAustralia
| | | | - Rebecca Wickes
- Griffith Criminology InstituteGriffith UniversityBrisbaneQueenslandAustralia
| | - Luke Wolfenden
- School of Medicine and Public Health, College of Health, Medicine and WellbeingThe University of NewcastleCallaghanNew South WalesAustralia
| | - Mary Story
- Duke Global Health InstituteDurhamNorth CarolinaUSA
| | - Maureen M. Black
- School of MedicineUniversity of MarylandCollege ParkMarylandUSA
- Research Triangle Institute InternationalResearch Triangle ParkNorth CarolinaUSA
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