Why do some overweight children remain overweight, whereas others do not
Bibliographic Data
| ID | 15095993 |
|---|---|
| Authors | Youfa Wang (0000-0002-6041-6011, University of Illinois Chicago, corresponding author), Keyou Ge (Taiwan Centers for Disease Control), Barry M Popkin (0000-0001-9495-9324, University of North Carolina at Chapel Hill) |
| Year | 2003 |
| Volume | 6 |
| Issue | 6 |
| Pages | 549-558 |
| Publication date | 2003-09-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1079/phn2003470 |
| PMID | 14690036 |
| OpenAlex | W2020947596 |
| Language | EN |
| Citations received | 10 |
| References cited | 48 |
Objective: To study the dynamics of childhood overweight and the influence of dietary intake on tracking of overweight. Design and setting: A follow-up study conducted in China. Subjects: Ninety-five overweight children, 6–13 years old, identified from 1455 children at baseline, were followed over a 2-year period. Methods: Data on anthropometry and 3-day dietary intake were collected at baseline and during follow-up. Overweight was defined using the International Obesity Task Force reference of body mass index (BMI)-for-age. Differences between groups were tested using analysis of variance and Cochran-Mantel-Haenszel tests. Results: Of the 95 overweight children, 36.8% remained overweight 2 years later (‘tracking group’). Urban boys were the three times more likely than rural boys to remain overweight (63.2% vs. 21.9%). At baseline, the tracking group had higher BMI, body weight and fat intake (% of energy), and lower carbohydrate intake (% of energy), than the non-tracking group (who shifted from overweight to not overweight); they were more likely to have a high-fat or high-meat diet, but less likely to have a diet high in carbohydrate or vegetables and fruit. During the follow-up, the tracking group increased fat intake and reduced carbohydrate intake while the non-tracking group did not; and they also grew slower in height but faster in weight. Tracking of overweight seemed to be related to tracking of high-meat (relative risk (RR) 2.4, 95% confidence interval (CI) 1.0–5.6, P P Conclusion: Considerable changes in children's overweight status during childhood and adolescence were observed in China, a transitional society. Dietary patterns, particularly dietary composition, seemed to influence the tracking patterns of overweight
Environmental health · Obesity · Overweight · Birth, Development, and Health · Medicine · Obesity and Health Practices · Obesity, Physical Activity, Diet · Psychology · Endocrinology
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| Citations per year | 0.53 |
|---|---|
| Citation span | 2007 - 2026 (20) |
| Highly cited | No |