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Thibault V, Gallant F, Paiement K, Chiasson SW, Lemieux S, Nader PA, Bélanger M. A Canadian longitudinal study of the associations between weight control status and lifestyle behaviors during adolescence. Prev Med Rep 2023; 36:102498. [PMID: 38107420 PMCID: PMC10724827 DOI: 10.1016/j.pmedr.2023.102498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2023] [Revised: 10/30/2023] [Accepted: 11/05/2023] [Indexed: 12/19/2023] Open
Abstract
This study aimed to estimate associations between weight control status (trying to lose, gain or maintain weight) and lifestyle behaviors (moderate-to-vigorous physical activity (MVPA), screen time, and the consumption of breakfast, fast food, fruits and vegetables, and sugar-sweetened beverages (SSB)) in adolescents. Data from 919 adolescents in the MATCH study, in New Brunswick, Canada, who self-reported their weight control status at least once within 24 data collection cycles over 8 years (from 2011 to 2019) and from 812 who provided data at least once over the 7 cycles on eating behaviors were used. Generalized estimating equations were used. At the first cycle, mean age was 11.3 (SD = 1.2) years old and 56% were girls. Trying to gain (β = 0.47, CI = [0.15, 0.79]) and maintain weight (β = 0.35, CI = [0.12, 0.57]) were positively associated with MVPA. Trying to lose weight was negatively associated with breakfast (IRR = 0.90, CI = [0.85, 0.94]) and positively associated with screen time (β = 0.62, CI = [0.15, 1.10]), fruit and vegetable (IRR = 1.12, CI = [1.01, 1.25]) and SSB (IRR = 1.42, CI = [1.10, 1.84]). Changes from one weight control status to trying to lose weight were associated with increases in fast food consumption (β = 0.49, CI = [0.15, 0.84]). Weight control status was associated with healthy and unhealthy behaviors in adolescents. Trying to gain or maintain weight was generally associated with more favorable health-related behaviors. Education on healthy weight management behaviors is needed to improve adolescents' health.
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Affiliation(s)
- Véronique Thibault
- Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Québec J1K 2R1, Canada
- Centre de formation médicale du Nouveau-Brunswick, Moncton, New Brunswick E1A 7R1, Canada
| | - François Gallant
- Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Québec J1K 2R1, Canada
- Centre de formation médicale du Nouveau-Brunswick, Moncton, New Brunswick E1A 7R1, Canada
| | - Karine Paiement
- Faculté de médecine, Université de Montréal, Montréal, Québec H3T 1J4, Canada
| | - Stephanie Ward Chiasson
- Faculté des sciences de la santé et des services communautaires, Université de Moncton, Moncton, New Brunswick E1A 3E9, Canada
| | - Simone Lemieux
- École de nutrition, Université Laval, Québec, Québec G1V 0A6, Canada
| | - Patrick Abi Nader
- Faculté des sciences de l’activité physique, Université de Sherbrooke, Sherbrooke, Québec J1K 2R1, Canada
| | - Mathieu Bélanger
- Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Québec J1K 2R1, Canada
- Centre de formation médicale du Nouveau-Brunswick, Moncton, New Brunswick E1A 7R1, Canada
- Vitalité Health Network, Moncton, New Brunswick E1C 2Z3, Canada
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Yuan J, Jiang X, Zhu T, Zhang Y, Wang Y, Yang X, Shang L. Caregivers' feeding behaviour, children's eating behaviour and weight status among children of preschool age in China. J Hum Nutr Diet 2021; 34:807-818. [PMID: 33639028 PMCID: PMC8518084 DOI: 10.1111/jhn.12869] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Revised: 10/30/2020] [Accepted: 12/07/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND Childhood overweight and obesity have become significant public health challenges worldwide. The present study aimed to investigate whether caregivers' feeding behaviour and children's eating behaviour were associated with the weight status of preschool children in China. METHODS A cross-sectional questionnaire was administered to 912 caregivers of preschool children from April to July 2016. Caregivers' feeding behaviours were assessed by the Chinese Preschooler's Caregiver Feeding Behaviour Scale. Children's eating behaviours were evaluated using the Chinese Preschooler's Eating Behaviour Questionnaire. After controlling for demographic characteristics, multiple linear regression and logistic regression analyses were performed to evaluate the relationship between caregivers' feeding behaviour, children's eating behaviour and children's body mass index (BMI). RESULTS The results showed that weight concerns on the part of caregivers (β = 0.53) and food responsiveness on the part of children (β = 0.93) were positively correlated with children's BMI, whereas caregivers' responsibility for feeding (β = -0.68) and children's external eating (β = -0.53) were negatively correlated with BMI. Among caregiver feeding behaviours, weight concerns [odds ratio (OR) =4.54, p < 0.001] and behaviour-restricted feeding (OR =0.29, p < 0.001) were positively correlated with children's BMI. A child's food responsiveness (OR =4.04, p < 0.001) was also positively correlated with his/her BMI, whereas the child's satiety responsiveness (OR =0.42, p < 0.001) and emotional eating habits (OR =0.56, p < 0.001) were negatively correlated with overweight/obesity status. CONCLUSIONS Our study demonstrated that children's eating behaviour and caregivers' feeding behaviour were associated with weight status among preschool children in China. Behaviour interventions on caregivers and their children may prevent or reduce weight problems in preschool children.
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Affiliation(s)
- Jing Yuan
- Department of Health StatisticsSchool of Public HealthFourth Military Medical UniversityXi’anChina
- Department of Medical InformationPLA 960th HospitalJinanChina
| | - Xun Jiang
- Tangdu HospitalFourth Military Medical UniversityXi’anChina
| | - Tongyu Zhu
- Department of Obstetrics and GynecologyPLA 960th HospitalJinanChina
| | - Yuhai Zhang
- Department of Health StatisticsSchool of Public HealthFourth Military Medical UniversityXi’anChina
| | - Yue Wang
- Department of Health StatisticsSchool of Public HealthFourth Military Medical UniversityXi’anChina
| | - Xianjun Yang
- Prevention and Control Centre for DiseaseChengdu Military CommandChengduChina
| | - Lei Shang
- Department of Health StatisticsSchool of Public HealthFourth Military Medical UniversityXi’anChina
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Wang S, Sun Q, Zhai L, Bai Y, Wei W, Jia L. The Prevalence of Depression and Anxiety Symptoms among Overweight/Obese and Non-Overweight/Non-Obese Children/Adolescents in China: A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16030340. [PMID: 30691096 PMCID: PMC6388174 DOI: 10.3390/ijerph16030340] [Citation(s) in RCA: 72] [Impact Index Per Article: 14.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/02/2018] [Revised: 01/14/2019] [Accepted: 01/22/2019] [Indexed: 12/11/2022]
Abstract
With the dramatic growth of the Chinese economy, the number of children/adolescents with being overweight/having obesity is increasing, which has a certain impact on their psychology, such as depression and anxiety symptoms. Our purpose was to conduct a meta-analysis to assess the prevalence and odds ratios of depression and anxiety symptoms among overweight/obese children/adolescents and non-overweight/obese children/adolescents in China. As of July 2018, the three most comprehensive computerized academic databases in China have been systematically screened, namely China national knowledge infrastructure (CNKI) databases, Wanfang databases and Vip databases. The same operations are performed in PubMed and Web of Science (SCIE) databases without language restrictions. Case-control studies on prevalence of depression and anxiety symptoms in overweight/obese children/adolescents in China were analyzed. Study selection and evaluation were performed independently by three authors. Unweighted prevalence, pooled random-effects estimates of odds ratio (OR), and 95% confidence intervals (CI) were all calculated. A total of 11 eligible studies involving 17,894 subjects were included. The prevalence of depression and anxiety symptoms in overweight/obese children/adolescents was significantly higher than that in non-overweight/non-obese children/adolescents (depression: 21.73% vs. 17.96%, OR = 1.46, 95% CI: 1.14, 1.87, p = 0.003; anxiety: 39.80% vs. 13.99%, OR = 1.47, 95% CI: 1.21, 1.79, p < 0.001). Subgroup analyses conducted according to scale types showed that scale types have certain significance to evaluate the relationship between depression symptoms and overweight/obesity. The OR of depression symptoms between overweight/obese children/adolescents and non-overweight/non-obese children/adolescents was greatest on the Middle School Student Mental Health Scale (MSSMHS) was 2.06 (95% CI: 1.41, 3.02, I2 = 0.00%), Center for Epidemiologic Studies Depression Scale (CES-D) was 1.03 (95% CI: 0.84, 1.25, I2 = 0.00%), and Children’s Depression Inventory (CDI) was 1.21 (95% CI: 1.02, 1.42, I2 = 0.00%). We concluded that the prevalence of depression and anxiety symptoms in overweight/obese children/adolescents in China is higher than that in the non-overweight/obese children/adolescents. The results of the study indicate that the prevalence of depression and anxiety symptoms among overweight/obese children/adolescents in Chinese medical institutions should receive more attention. Physical exercise and psychological interventions should be strengthened to prevent psychological problems. However, because of some clear limitations (no clinical interview and few studies), these results should be interpreted with caution.
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Affiliation(s)
- Simeng Wang
- Department of Child and Adolescent Health, School of Public Health, China Medical University, Shenyang 110122, China.
| | - Qi Sun
- Department of Child and Adolescent Health, School of Public Health, China Medical University, Shenyang 110122, China.
| | - Lingling Zhai
- Department of Child and Adolescent Health, School of Public Health, China Medical University, Shenyang 110122, China.
| | - Yinglong Bai
- Department of Child and Adolescent Health, School of Public Health, China Medical University, Shenyang 110122, China.
| | - Wei Wei
- Department of Child and Adolescent Health, School of Public Health, China Medical University, Shenyang 110122, China.
| | - Lihong Jia
- Department of Child and Adolescent Health, School of Public Health, China Medical University, Shenyang 110122, China.
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