ArticlePublic health nutrition2020
The associations of specific school- and individual-level characteristics with obesity among primary school children in Beijing, China.
Article in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Screen time increases overweight and obesity risk among adolescents: a systematic review and dose-response meta-analysis.BMC primary care · 2022Pooled it
- Screen Time and Body Mass Index Among Children and Adolescents: A Systematic Review and Meta-Analysis.Frontiers in pediatrics · 2022Pooled it
- Moderating Role of Multiple Screen Addiction on High Body Mass.Food science & nutrition · 2025Article
- Sleep quality moderated the mediating effect of BMI and waist circumference on the relationship between screen time and mental health in Chinese adolescents.Frontiers in pediatrics · 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
- The impact of perceived school climate on exercise behavior engagement among obese adolescents: a dual mediation effect test of exercise benefits and perseverance qualities.Frontiers in psychology · 2023Article
- Global relationship between parent and child obesity: a systematic review and meta-analysis.Clinical and experimental pediatrics · 2022Article
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Authors and funding
7 authors.
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Abstract
objectiveWe aimed to investigate the associations between school-level characteristics and obesity among Chinese primary school children with consideration of individual-level characteristics.
designThis cross-sectional study was conducted in 2015/2016. School-level characteristics were assessed using an interviewer-administered school questionnaire, and a 'school-based obesity prevention index' was further developed. Individual-level characteristics were collected by self-administered questionnaires. Objectively measured height and weight of students were collected, and obesity status was classified according to the International Obesity Task Force criteria for Asian children. Generalised linear mixed models were used to estimate the associations among the school- and individual-level characteristics and obesity of students.
settingThirty-seven primary schools from an urban and a rural district of Beijing, China.
participantsSchool staffs, 2201 students and their parents.
resultsThe school-based obesity prevention index involved the number of health professionals, availability of students' health records, monitoring students' nutrition status, frequency of health education activities, reporting achievements of obesity prevention activities to parents, duration of physical activity during school time and availability of playground equipment. The prevalence of obesity was lower in schools with the higher index value compared with that in schools with the lower index value (OR 0·56; 95 % CI 0·40, 0·79). Some individual-level characteristics were negatively associated with childhood obesity: liking sports, duration of screen time ≤2 h/d, perceived lower eating speed, parental non-overweight/obesity.
conclusionsIrrespective of individual-level characteristics, the specific school-level characteristics had a cumulative effect on obesity among Chinese primary school children. Further school-based obesity intervention should consider these characteristics simultaneously.
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