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Family-related risk factors of obesity among preschool children: results from a series of national epidemiological surveys in China

Overview of attention for article published in BMC Public Health, September 2015
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Title
Family-related risk factors of obesity among preschool children: results from a series of national epidemiological surveys in China
Published in
BMC Public Health, September 2015
DOI 10.1186/s12889-015-2265-5
Pubmed ID
Authors

Xin-Nan Zong, Hui Li, Ya-Qin Zhang

Abstract

Family-based child obesity prevention and control strategy has not yet established in many countries or regions, including China, thus what it needs to do now is to continuously develop and improve the strategies. The purpose of this study were to describe a wider spectrum of risk factors of obesity among preschool children and add to the mounting evidence for further improving suggested intervention measures in future family-based programs. Data was collected as part of a series of national epidemiological surveys in childhood conducted in 9 Chinese cities. A population-based, 1:1 matched case-control design was employed to examine risk factors of obesity by means of conditional logistic regression. Obesity was defined as the International Obesity Task Force (IOTF) BMI-for-age cut offs. Eligible subjects were 1234 boys and 610 girls aged 3-7 years in 1996 and 2290 boys and 1008 girls in 2006, including obese and non-obese. High birth weight, gestational hypertension and parents' BMI were closely associated with childhood obesity. Breast feeding in the first 4 months was a protective factor in univariate model in 2006 (OR = 0.834, P = 0.0234), but the association was not seen in multivariate. Appetite, eating speed, daily time and intensity for outdoor activities, night sleep time, and time for TV viewing were identified statistically by multivariate model. Those children brought up in extended family or mainly raised by their grandparents or lived in high income or low education families might have an increased risk of becoming obese. Parents' attitudes on weight control of their children significantly differed between obese and non-obese groups. A wider spectrum of risk factors and an empirical aggregation of family-related risk factors are discussed to further improve future family-based child obesity prevention and control strategies. Most of the risk factors identified by this study presented ranked or quantitative characteristics which might be transformed from unhealthy threshold to healthy range by behavior modification. Some variables are likely to interact each other, such as appetite and eating speed, or outdoor activity and TV viewing, or BMI and income, but which needs to be further explored in future surveys. The family-related risk factors were summarized from our identified risk factors of obesity among preschool children which strongly supported the further development of family-based programs in preschool period.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 208 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 208 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 37 18%
Student > Bachelor 28 13%
Student > Ph. D. Student 20 10%
Researcher 16 8%
Student > Postgraduate 12 6%
Other 29 14%
Unknown 66 32%
Readers by discipline Count As %
Medicine and Dentistry 47 23%
Nursing and Health Professions 33 16%
Sports and Recreations 14 7%
Social Sciences 13 6%
Psychology 10 5%
Other 19 9%
Unknown 72 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 September 2015.
All research outputs
#18,427,608
of 22,829,083 outputs
Outputs from BMC Public Health
#12,856
of 14,871 outputs
Outputs of similar age
#196,556
of 273,246 outputs
Outputs of similar age from BMC Public Health
#245
of 287 outputs
Altmetric has tracked 22,829,083 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
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