Abstract
OBJECTIVE: To identify the risk factors of obesity in preschool children in China.
DESIGN: A nationwide case—control study in eight cities in China.
SUBJECTS: A total of 748 boys and 574 girls (age 0.1–6.9 y), including the obese and non-obese. One obese child was matched with one non-obese child by sex and age.
MEASUREMENTS: Weight, height and other measurements were taken for all the subjects. The information on child activity, feeding pattern and family background was collected by our study team from the parents and the kindergarten teacher.
RESULTS: Birth weight ≥ 4.0 kg, high eating speed, obesity among the child's relatives ≥ 25%, mother's body mass index (BMI)>25 kg/m2 and father's BMI>25 kg/m2 were identified as the major significant (P<0.05) risk factors of obesity in preschool children in China.
CONCLUSION: Family history of obesity, high birth weight and eating speed were identified as the risk factors of obesity in preschool children in China. Our results show the need for family therapy as part of an intervention program for childhood obesity, which includes behavior modification.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Chu NF, Rimm EB, Wang DJ, Liou HS, Shieh SM . Clustering of cardiovascular disease risk factors among obese schoolchildren: the Taipei Children Heart Study Am J Clin Nutr 1998 67: 1141–1146.
Dietz WH . Therapeutic strategies in childhood obesity Horm Res 1993 39 (Suppl 3): 86–90.
Dietz WH . Childhood weight affects adult morbidity and mortality J Nutr 1998 128 (Suppl 2): 411S–414S.
Schonfeld WN, Warden CH . Pediatric obesity. An overview of etiology and treatment Pediatr Clin North Am 1997 44: 339–361.
Wolfe WS, Campbell CC, Frongillo EA Jr, Haas JD, Melnik TA . Overweight schoolchildren in New York State: prevalence and characteristics Am J Public Health 1994 84: 807–813.
Melink TA, Rhoades SJ, Wales KR, Cowell C, Wolfe WS . Overweight school children in New York City: prevalence estimates and characteristics Int J Obes Relat Metab Disord 1998 22: 7–13.
Delpeuch F, Maire B . Obesity and developing countries of the south Med Trop Mars 1997 57: 380–388.
Ding ZY, He Q, Fan ZH, Du LR, Jiang JX, Lu XY, Zheng DY, Zheng HL, Yao KN, Xie P, Guan FQ, Li JH, Shi SH, Gao QX, Shi WF, Liu WS . National epidemiological study on obesity of children aged 0–7 y in China 1996 Natl Med J China 1998 78: 121–123.
National Center for Health Statistics, Centers for Disease Control . Normalized NCHS/CDC anthropometric reference 1990, pp 1–100.
Cameron N . The method of auxological anthropometry. In: Falkner F, Tanner JM (eds) Human Growth—A Comprehensive Treatise, Vol 3: Plenum Press: Londan 1986, pp 24–27.
Matsuura M, Okubo Y, Toru M, Kojima T, He Y, Hou Y, Shen Y, Lee CK . A cross-national EEG study of children with emotional and behavioral problems: a WHO collaborative study in the Western Pacific Region Biol Psychiat 1993 1–15, 34 (1–2): 59–65.
Shimouchi A, Yaohua D, Zhonghan Z, Rabukawaqa VB . Effectiveness of control programs for pneumonia among children in China and Fiji Clin Infect Dis 1995 21 (Suppl 3): S213–S217.
Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH . Predicting obesity in young adulthood from childhood and parental obesity New Engl J Med 1997 337: 869–873.
SAS Institute Inc . SAS series, Version 6.10 SAS Institute Cary, NC 1996.
He Q, Albertsson-Wikland K, Karlberg J . Population based body mass index reference values from Goteborg, Sweden: birth to 18 y of age Acta Paediatr 2000 89: 582–592.
Hammer LD, Kraemer HC, Wilson DM, Ritter PL, Dornbusch SM . Standardized percentile curves of body mass index for children and adolescents Am J Dis Child 1991 145: 259–263.
Locard E, Mamelle N, Munoz F, Miginiac M, Billette A, Rey S . Life style of children and obesity in a population of 5-year-old children Rev Epidemiol Sante Publique 1992 40: 460–466.
Mo-suwan L, Geater AF . Risk factors for childhood obesity in a transitional society in Thailand Int J Obes Relat Metab Disord 1996 20: 697–703.
Hernandez B, Uphold CR, Graham MV, Singer L . Prevalence and correlates of obesity in preschool children J Pediatr Nurs 1998 13: 68–76.
Gortmaker SL, Must A, Sobol AM, Peterson K, Colditz GA, Dietz WH . Television viewing as a cause of increasing obesity among children in the United States, 1986–1990 Arch Pediatr Adolesc Med 1996 150: 356–362.
Locard E, Gemelli J . The environment of the obese children. Comparison with a reference population Pediatrie 1989 44: 35–39.
Burns TL, Moll PP, Lauer RM . The relation between ponderosity and coronary risk factors in children and their relatives. The Muscatine Ponderosity Family Study Am J Epidemiol 1989 129: 973–987.
Guillaume M, Lapidus L, Beckers F, Lambert A, Bjorntorp P . Familial trends of obesity through three generations: the Belgian-Luxembourg child study Int J Obes Relat Metab Disord 1995 19 (Suppl 3): S5–S9.
Mo-suwan L, Pongprapai S, Junjana C, Puetpaiboon A . Effects of a controlled trial of a school-based exercise program on the obesity indexes of preschool children Am J Clin Nutr 1998 68: 1006–1011.
Melnik TA, Rhoades SJ, Wales KR, Cowell C, Wolfe WS . Overweight school children in New York City: prevalence estimates and characteristics Int J Obes Relat Metab Disord 1998 22: 7–13.
Mo-suwan L, Junjana C, Puetpaiboon A . Increasing obesity in school children in a transitional society and the effect of the weight control program Southeast Asian J Trop Med Public Health 1993 24: 590–594.
Leung SS, Ng MY, Lau TF . Prevalence of obesity in Hong Kong children and adolescents aged 3–18 y Chung Hua Yu Fang I Hsueh Tsa Chih 1995 29: 270–272.
Rosner B, Prineas R, Loggie J, Daniels SR . Percentiles for body mass index in US children 5 to 17 y of age J Pediatr 1998 132: 211–222.
Must A, Dallal GE, Dietz WH . Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and triceps skinfold thickness Am J Clin Nutr 1991 53: 839–846.
Agras WS, Kraemer HC, Berkowitz RI, Korner AF, Hammer LD . Does a vigorous feeding style influence early develop of adiposity? J Pediatr 1987 110: 799–804.
Drabman RS, Cordua GD, Hammer D, Jarvie GJ, Horton W . Developmental trends in eating rates of normal and overweight preschool children Child Dev 1979 50: 211–216.
Marston AR, London P, Cooper LM . A note on the eating behavior of children varying in weight J Child Psychol Psychiat 1976 17: 221–224.
Barkeling B, Ekman S, Rossner S . Eating behaviour in obese and normal weight 11-year-old children Int J Obes Relat Metab Disord 1992 16: 355–360.
Rolland-Cachera MF, Deheeger M, Bellisle F, Sempe M, Guilloud-Bataille M, Patois E . Adiposity rebound in children: a simple indicator for predicting obesity Am J Clin Nutr 1984 39: 129–135.
Acknowledgements
This study was supported by the Faculty of Medicine, The University of Hong Kong, Hong Kong SAR and Beijing Children's Hospital, Beijing, PR China. We greatly appreciate the efforts of the staff who worked on the data collection, and Mr James Thorburn for his comments on the English of this paper.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
He, Q., Ding, Z., Fong, D. et al. Risk factors of obesity in preschool children in China: a population-based case–control study. Int J Obes 24, 1528–1536 (2000). https://doi.org/10.1038/sj.ijo.0801394
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.ijo.0801394
Keywords
This article is cited by
-
The impact of maternal influences on childhood obesity
Scientific Reports (2022)
-
Childhood overweight and obesity among the Saudi population: a case-control study among school children
Journal of Health, Population and Nutrition (2021)
-
Epidemiology of childhood overweight, obesity and their related factors in a sample of preschool children from Central Iran
BMC Pediatrics (2019)
-
Association between fetal macrosomia and risk of obesity in children under 3 years in Western China: a cohort study
World Journal of Pediatrics (2019)
-
Childhood obesity prevention through a community-based cluster randomized controlled physical activity intervention among schools in china: the health legacy project of the 2nd world summer youth olympic Games (YOG-Obesity study)
International Journal of Obesity (2018)