ArticleBMJ open2016
25-year trends in gender disparity for obesity and overweight by using WHO and IOTF definitions among Chinese school-aged children: a multiple cross-sectional study.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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41 citing papers in PubMed, 66 citations in OpenAlex.
- Improving Physical Fitness and Cognitive Functions in Middle School Students: Study Protocol for the Chinese Childhood Health, Activity and Motor Performance Study (Chinese CHAMPS).International journal of environmental research and public health · 2018Trial
- Gender-related perceptions among healthcare providers and mothers in a pregnancy and early childhood obesity prevention intervention in Shanghai, China.International journal for equity in health · 2026Article
- Rising prevalence of stunting and obesity in Iranian schoolchildren: a three-year cohort study.BMC public health · 2026Article
- Metabolic Multimorbidity and Risk of All-Cause and Cause-Specific Mortality: A Retrospective Cohort Study of 123,791 Chinese Adults.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026Article
- Ultra-processed food consumption and body mass index from adolescence to early adulthood: multi-trajectory analysis using data from the 1993 Pelotas (Brazil) birth cohort.Cadernos de saude publica · 2026Article
- Association between visual impairment and body mass index in students from rural China.Singapore medical journal · 2025Article
- Early Life Determinants of Overweight and Obesity in a Sample of Mexico City Preschoolers.Nutrients · 2025Article
- Prevalence of childhood overweight and obesity in Malaysia: a systematic review and meta-analysis.Clinical and experimental pediatrics · 2025Article
- Prevalence and associated factors of overweight in Chinese adolescents: A cross-sectional study.Health science reports · 2024Article
- The Prevalence and Associated Factors of Impaired Fasting Glucose among Children and Adolescents in Urban China: A Large-Scale Cross-Sectional Study.Pediatric diabetes · 2024Article
- Trends of obesity and overweight among children and adolescents in China.World journal of pediatrics : WJP · 2023Review
- Association between Dietary Behavior and Overweight and Obesity among Chinese Students: A Cross-Sectional Study.Children (Basel, Switzerland) · 2023Article
- Article
- Prevalence of Overweight and Obesity and Associated Diet-Related Behaviours and Habits in a Representative Sample of Adolescents in Greece.Children (Basel, Switzerland) · 2022Article
- Lower fitness levels, higher fat-to-lean mass ratios, and lower cardiorespiratory endurance are more likely to affect the body mass index of Saudi children and adolescents.Frontiers in public health · 2022Article
- Trends of overweight and obesity prevalence in school-aged children among Henan Province from 2000 to 2019.Frontiers in public health · 2022Article
- The Influence of a School Social Network Intervention on Adolescent's Health Behaviors: A Gender-Specific Agent-Based Model.Frontiers in public health · 2022Article
- The Gender Gap in Life Expectancy in Urban and Rural China, 2013-2018.Frontiers in public health · 2022Article
- Trends of dental caries in permanent teeth among 12-year-old Chinese children: evidence from five consecutive national surveys between 1995 and 2014.BMC oral health · 2021Article
- Growth and Weight Status in Chinese Children and Their Association with Family Environments.Children (Basel, Switzerland) · 2021Article
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe sought to explore 25-year trends of gender disparity in the prevalence of obesity and overweight both in urban and rural areas among Chinese children from 1985 to 2010.
methodsData included 1 280 239 children aged 7-18 years enrolled in the Chinese National Survey on Students's Constitution and Health (CNSSCH), which is the largest nationally representative sample of school-aged children in China. Obesity and overweight were defined according to both WHO and the International Obesity Task Force (IOTF) definitions. Logistic regression was used to estimate the prevalence OR (POR) of gender for obesity and overweight prevalence in different surveys.
resultsThe prevalence of obesity increased (WHO definition: from 0.10% to 4.3%; IOTF definition: from 0.03% to 2.2%) over the past 25 years in urban and rural areas among Chinese children and it was much higher among boys than girls at each survey point (p<0.01). The increasing trend was significant in all age subgroups (p<0.01). Although the prevalence of obesity continuously increased in boys and girls, the changing pace was more rapid in boys than in girls. PORs of boys versus girls for obesity also increased over time, and the estimates of PORs were higher in urban areas than in rural areas at each survey point.
conclusionsThe gradually increasing gender disparity in urban and rural areas suggests that the prevalence of obesity and overweight in boys, and especially in urban boys, contributes to a large and growing proportion of obese and overweight children.
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