ArticleInternational journal of obesity (2005)2017
School environment and policies, child eating behavior and overweight/obesity in urban China: the childhood obesity study in China megacities.
Article in International journal of obesity (2005), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 35 papers, 3 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- "Competitive" food and beverage policies and weight status: A systematic review of the evidence among sociodemographic subgroups.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2024Pooled it
- Association between access to convenience stores and childhood obesity: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- Impact of neighbourhood food environment on diet and obesity in China: a systematic review.Public health nutrition · 2020Pooled it
- Impact of short-term change of adiposity on risk of high blood pressure in children: Results from a follow-up study in China.PloS one · 2021Trial
- Cost-utility and cost-benefit analyses of school-based obesity prevention program.BMC public health · 2020Trial
- Children's insights into nutritional culture and habits in Abu Dhabi.Frontiers in public health · 2026Article
- Article
- Childhood obesity: The threatening apprentice of the adiposity empire.Reviews in endocrine & metabolic disorders · 2025Review
- [Strategies for Weight Management in Children and Adolescents: Self-Regulated Nutrition, Family-School Collaboration, and Social Environment Optimization].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025Article
- Epidemiology of overweight and obesity in school children and adolescents in Cameroon: a comparative study in urban and semi-urban settings.The Pan African medical journal · 2025Article
- Ecological system theory and community participation to promote healthy food environments for obesity and non-communicable diseases prevention among school-age children.Public health nutrition · 2023Article
- A 3-Year Longitudinal Study of Effects of Parental Feeding Practices on Child Weight Status: The Childhood Obesity Study in China Mega-Cities.Nutrients · 2022Article
- Analysis of association between eating behaviours and childhood obesity among pre-school children: A cross-sectional study.Frontiers in pediatrics · 2022Article
- Article
- School nutrition laws in the US: do they influence obesity among youth in a racially/ethnically diverse state?International journal of obesity (2005) · 2021Article
- Parent-child resemblance in BMI and obesity status and its correlates in China.Public health nutrition · 2021Article
- Unfavorable progression of obesity in children and adolescents due to COVID-19 pandemic: A school-based survey in China.Obesity (Silver Spring, Md.) · 2021Article
- A longitudinal study of sleep, weight status, and weight-related behaviors: Childhood Obesity Study in China Mega-cities.Pediatric research · 2021Article
- Eating-out behaviors, associated factors and associations with obesity in Chinese school children: findings from the childhood obesity study in China mega-cities.European journal of nutrition · 2021Article
- Effects of School-Based Interventions on Reducing Sugar-Sweetened Beverage Consumption among Chinese Children and Adolescents.Nutrients · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
Abstract
objectivesChildhood obesity is rising rapidly in China, especially in urban areas. Knowledge about how school environment and policies (SEPs) may have contributed to the epidemic remains limited. We examined SEP and their associations with students' eating behaviors and overweight/obesity in urban China.
methodsData were collected from 1648 students (plus their parents and schools) in 16 primary and middle schools (4 schools per city) in four megacities across China: Beijing, Shanghai, Nanjing and Xi'an. We examined nutrition-related SEP such as unhealthy food restriction, healthy food promotion, price control and nutrition guideline in school cafeterias (SCs), campus food stores (CFS), school vicinity food stalls (SVFS); SEP on physical activity, physical education (PE) and physical examination. Cluster robust regression models were fit to assess associations of SEP with child eating behaviors and overweight/obesity (defined based on body mass index, from measured weight and height).
resultsAll 16 schools had regular PE classes and annual physical examination. Most schools (n=12; 75%) had food policies in SC; few had policies on CFS (n=1; 6.25%) or SVFS (n=4; 25%). Local governments had a major role in regulating food prices, setting nutrition guidelines and regulating SVFS. Policies on CFS and SVFS were associated with less frequent intake of sugary beverage (odds ratio (OR)=0.54 (0.47-0.61); OR=0.70 (0.61-0.80)), snack (OR=0.84 (0.74-0.95); OR=0.78 (0.67-0.92)) and fast food (OR=0.58 (0.42-0.81); OR=0.56 (0.39-0.80)). The associations were stronger for boys. Policies on SC, CFS and SVFS were associated with lower likelihood for overweight/obesity (OR=0.60 (0.46-0.79); OR=0.74 (0.62-0.90); OR=0.51 (0.35-0.73)) and central obesity (OR=0.79 (0.70-0.89); OR=0.67 (0.48-0.92); OR=0.63 (0.48-0.84)) in boys. Policies on SC were associated with lower overweight/obesity odds (OR=0.48 (0.28-0.82)) for girls.
conclusionsSEP are heterogeneous in the four Chinese megacities, high-income areas. They affect child unhealthy eating and overweight/obesity, and are critical for fighting childhood obesity in China.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.