ArticleInternational journal of environmental research and public health2022
Thirty-Year Urbanization Trajectories and Obesity in Modernizing China.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Abdominal obesity among Chinese children and adolescents: a systematic review and meta-analysis of prevalence and study-level heterogeneity.Frontiers in nutrition · 2026Pooled it
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- Multilevel factors influencing parental food decision-making across childhood stages in China: a qualitative study using a socioecological framework.BMJ public health · 2026Article
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- Obesity: Prevalence, causes, consequences, management, preventive strategies and future research directions.Metabolism open · 2025Review
- Premature mortality projection for diabetes to 2030: a subnational evaluation towards the Healthy China 2030 Goals.Frontiers of medicine · 2025Article
- Obesity Kuznets Curve conjecture assessment in African economies: conditioning effects of urbanization, food, and trade using gender-based regional analysis.Globalization and health · 2025Article
- Global Trends and Cross-Country Inequalities in Stroke and Subtypes Attributable to High Body Mass Index From 1990 to 2021.Journal of the American Heart Association · 2025Article
- Doctors should choose communication strategies based on the patient's attitude toward disease and healthcare workers: a study in Jiangsu, China.Frontiers in health services · 2025Article
- Article
- Asia's Growing Contribution to Obesity Surgery Research: A 40-year Bibliometric Analysis.Obesity surgery · 2024Article
- Policy analysis of system responses to addressing and reversing the obesity trend in China: a documentary research.BMC public health · 2023Article
- Built environment as a risk factor for adult overweight and obesity: Evidence from a longitudinal geospatial analysis in Indonesia.PLOS global public health · 2022Article
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5 authors at 1 institution in 1 country.
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Abstract
The effects of long-term urbanization changes in obesity are unclear. Data were obtained from the China Health and Nutrition Survey (CHNS) 1989-2018. A multidimensional urbanicity index was used to define the urbanization level for communities. Group-based trajectory modeling was used to identify distinct urbanization change trajectories. Gender-stratified multilevel models were used to investigate the association between urbanization trajectories and weight/BMI, through the PROC MIXED procedure, as well as the risk of being overweight + obesity (OO)/obesity (OB), through the PROC GLIMMIX procedure. A total of three patterns of the trajectory of change in urbanization were identified in 304 communities (with 1862 measurements). A total of 25.8% of communities had a low initial urbanization level and continuous increase (termed "LU"), 22.2% of communities had a low-middle initial urbanization level and constant increase (termed "LMU"), and 52.0% of communities had a middle-high initial urbanization and significant increase before 2009, followed by a stable platform since then (termed "MHU"). During the 30 follow-up years, a total of 69490 visits, contributed by 16768 adult participants, were included in the analysis. In the period, weight and BMI were observed in an increasing trend in all urbanization trajectory groups, among both men and women. Compared with LU, men living in MHU were related to higher weight, BMI, and an increased risk of OO (OR: 1.46, 95%CI: 1.26 to 1.69). No significant associations were found between urbanization trajectories and OB risk in men. Among women, the associations between urbanization and all obesity indicators became insignificant after controlling the covariates. Obesity indicators increased along with urbanization in the past thirty years in China. However, the differences among urbanization trajectories narrowed over time. More urbanized features were only significantly associated with a higher risk of obesity indicators in Chinese men. The effects of urbanization on obesity among women were buffered.
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