Advanced Search

CN 34-1304/RISSN 1674-3679

Volume 25 Issue 5
Jun.  2021
Turn off MathJax
Article Contents
LIANG Fen, NAN Ying, SONG Wei-qi, WANG Jin-dong, SUN Yu, ZHANG Wen-ting, LIU Dan, MAO Chen. Study on the association between macronutrients intake and abdominal obesity in Chinese children and adolescents aged 7-17 years[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(5): 515-520, 546. doi: 10.16462/j.cnki.zhjbkz.2021.05.005
Citation: LIANG Fen, NAN Ying, SONG Wei-qi, WANG Jin-dong, SUN Yu, ZHANG Wen-ting, LIU Dan, MAO Chen. Study on the association between macronutrients intake and abdominal obesity in Chinese children and adolescents aged 7-17 years[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(5): 515-520, 546. doi: 10.16462/j.cnki.zhjbkz.2021.05.005

Study on the association between macronutrients intake and abdominal obesity in Chinese children and adolescents aged 7-17 years

doi: 10.16462/j.cnki.zhjbkz.2021.05.005
Funds:

Young Elite Scientists Sponsorship Program by CAST 2019QNRC001

Guangdong Province Universities and Colleges Pearl River Scholar Funded Scheme 2019

The Construction of High-level University of Guangdong G820332010

The Construction of High-level University of Guangdong G618339167

The Construction of High-level University of Guangdong G618339164

More Information
  • Corresponding author: MAO Chen, E-mail: maochen9@smu.edu.cn
  • Received Date: 2021-03-16
  • Rev Recd Date: 2021-04-06
  • Available Online: 2021-06-16
  • Publish Date: 2021-05-10
  •   Objective  To explore the effect of macronutrient energy supply ratios on precentral obesity/central obesity in children and adolescents.  Methods  A cross-sectional study was conducted on children and adolescents aged 7-17 year. Dietary and waist circumference data were collected from the six rounds of the China Health and Nutrition Survey (CHNS) during 1997 to 2011. According to the research criteria of National Institute of Nutrition and Food Safety of Chinese Center for Disease Control and Prevention, precentral obesity/central obesity in children and adolescents was determined. Multivariate Logistic regression was used to analyze the relationship between macronutrient energy supply ratios and precentral obesity/central obesity.  Results  After adjusting confounders, the group with more than 30% fat supply increased the risk of precentral obesity/central obesity (OR=1.29, 95% CI: 1.12-1.48) compared with the group with fat energy supply less than 25%. Compared with the protein energy ratio less than 10% group, the ratio greater than or equal to 15% group increased the risk of precentral obesity/central obesity (OR=1.47, 95% CI: 1.19-1.82). The risk ofprecentral obesity/central obesity were both decreased in the 55% to 65% group (OR=0.75, 95% CI: 0.64-0.87) and ratio greater than or equal to 65% group (OR=0.68, 95% CI: 0.58-0.80) compared with the group with a carbohydrate energy supply ratio of less than 55%. The increased risk of precentral obesity/central obesity was greater in boys with protein energy ratio greater than or equal to 15% than in girls (OR=1.78, 95% CI: 1.31-2.41, interaction P=0.011).  Conclusion  Dietary structure of children and adolescents with lower carbohydrate energy ratio and higher fat and protein energy ratio increase the risk of precentral obesity/central obesity.
  • loading
  • [1]
    Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013[J]. Lancet, 2014, 384(9945): 766-781. DOI: 10.1016/s0140-6736(14)60460-8.
    [2]
    Han JC, Lawlor DA, Kimm SY. Childhood obesity[J]. Lancet, 2010, 375(9727): 1737-1748. DOI: 10.1016/S0140-6736(10)60171-7.
    [3]
    Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public-health crisis, common sense cure[J]. Lancet, 2002, 360(9331): 473-482. DOI: 10.1016/S0140-6736(02)09678-2.
    [4]
    Després JP. Is visceral obesity the cause of the metabolic syndrome?[J]. Ann Med, 2006, 38(1): 52-63. DOI: 10.1080/07853890500383895.
    [5]
    Després JP, Lemieux I. Abdominal obesity and metabolic syndrome[J]. Nature, 2006, 444(7121): 881-887. DOI: 10.1038/nature05488.
    [6]
    Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public-health crisis, common sense cure[J]. Lancet, 2002, 360(9331): 473-482. DOI: 10.1016/S0140-6736(02)09678-2.
    [7]
    Morales LS, Flores YN, Leng M, et al. Risk factors for cardiovascular disease among Mexican-American adults inthe United States and Mexico: a comparative study[J]. Salud Publica Mex, 2014, 56: 197-205. DOI: 10.21149/spm.v56i2.7335.
    [8]
    Ford ES, Maynard LM, Li C. Trends in mean waist circumference and abdominal obesity among US adults, 1999-2012[J]. JAMA, 2014, 312(11): 1151-1153. DOI: 10.1001/jama.2014.8362.
    [9]
    Després JP, Lemieux I. Abdominal obesity and metabolic syndrome[J]. Nature, 2006, 444(7121): 881-887. DOI: 10.1038/nature05488.
    [10]
    Daniels SR, Khoury PR, Morrison JA. Utility of different measures of body fat distribution in children and adolescents[J]. Am J Epidemiol, 2000, 152(12): 1179-1184. DOI: 10.1093/aje/152.12.1179.
    [11]
    Rathnayake KM, Roopasingam T, Dibley MJ. High carbohydrate diet and physical inactivity associated with central obesity among premenopausal housewives in Sri Lanka[J]. BMC Res Notes, 2014, 7: 564. DOI: 10.1186/1756-0500-7-564.
    [12]
    Carolina Population Center at the University of North Carolina. China Health and Nutrition Survey[EB/OL]. (2020-12-07)[2021-02-20]. https://www.cpc.unc.edu/projects/china.
    [13]
    中国疾病预防控制中心营养与食品安全所, 湖北省疾病预防控制中心, 首都儿科研究所, 等. WS/T 424-2013人群健康监测人体测量方法[S]. 北京: 中华人民共和国卫生部, 2013.

    Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Hubei Provincial Center for Disease Control and Prevention, Children's Hospital Affiliated to Capital Institute of Pediatrics, et al. WS/T 424-2013 Anthropometric measurements method in health surveillance[S]. Beijing: Ministry of Health of the People's Republic of China, 2013.
    [14]
    Ma GS, Ji CY, Ma J, et al. Waist circumference reference values for screening cardiovascular risk factors in Chinese children and adolescents aged 7-18 years[J]. Chin J Epidemiol, 2010, 31(6): 609-615. http://www.cqvip.com/qk/83601a/201004/34169352.html
    [15]
    中国营养学会. 中国居民膳食营养素参考摄入量[J]. 营养学报, 2001, (3): 193-196. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXX201404004.htm

    Chinese Society for Nutrition. Chinese Dietary Reference Intakes[J]. Acta Nutrimenta Sinica, 2001, (3): 193-196. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXX201404004.htm
    [16]
    Emmett PM, Jones LR. Diet, growth, and obesity development throughout childhood in the Avon Longitudinal Study of Parents and Children[J]. Nutr Rev, 2015, 73(Suppl 3): 175-206. DOI: 10.1093/nutrit/nuv054.
    [17]
    Gupta N, Goel K, Shah P, et al. Childhood obesity in developing countries: epidemiology, determinants, and prevention[J]. Endocr Rev, 2012, 33(1): 48-70. DOI: 10.1210/er.2010-0028.
    [18]
    中华人民共和国国家卫生和计划生育委员会. WS/T 428—2013成人体重判定[S]. 北京: 中国标准出版社, 2013.

    National Health and Family Planning Commission of the People's Republic of China. WS/T 428—2013 Criteria of weight for adults[S]. Beijing: Standards Press of China, 2013.
    [19]
    Rubin DB. Missing Data, Imputation, and the Bootstrap: Comment[J]. J Am Stat Assoc, 1994, 89(426): 478. DOI: 10.1080/01621459.1994.10476768.
    [20]
    Zhu ZN, Yang XG, Fang YH, et al. Trends and Disparities of Energy Intake and Macronutrient Composition in China: A Series of National Surveys, 1982-2012[J]. Nutrients, 2020, 12(8): 2168. DOI: 10.3390/nu12082168.
    [21]
    葛可佑. 中国人群膳食结构的变化[J]. 卫生研究, 1996, 25(S1): 28-32. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ6S1.004.htm

    Ge KY. The change of dietary pattern of Chinese populations[J]. J Hyg Res, 1996, 25(S1): 28-32. https://www.cnki.com.cn/Article/CJFDTOTAL-WSYJ6S1.004.htm
    [22]
    张琪, 潘晓群, 杨婕, 等. 中国成年女性能量及宏量营养素摄入与超重肥胖关系的研究[J]. 中华疾病控制杂志, 2014, 18(4): 296-300. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201404007.htm

    Zhang Q, Pan XQ, Yang J, et al. Study on the associations of energy and macronutrients intake with overweight and obesity in Chinese female adults[J]. Chin J Dis Control Prev, 2014, 18(4): 296-300. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ201404007.htm
    [23]
    Mohammadbeigi A, Asgarian A, Moshir E, et al. Fast food consumption and overweight/obesity prevalence in students and its association with general and abdominal obesity[J]. J Prev Med Hyg, 2018, 59(3): E236-E240. DOI: 10.15167/2421-4248/jpmh2018.59.3.830.
    [24]
    Cui Z, Hardy LL, Dibley MJ, et al. Temporal trends and recent correlates in sedentary behaviours in Chinese children[J]. Int J Behav Nutr Phys Act, 2011, 8: 93. DOI: 10.1186/1479-5868-8-93.
    [25]
    Grigorakis DA, Georgoulis M, Psarra G, et al. Prevalence and lifestyle determinants of central obesity in children[J]. Eur J Nutr, 2016, 55(5): 1923-1931. DOI: 10.1007/s00394-015-1008-9.
    [26]
    Tudor-Locke C, Ainsworth BE, Adair LS, et al. Physical activity and inactivity in Chinese school-aged youth: the China Health and Nutrition Survey[J]. Int J Obes Relat Metab Disord, 2003, 27(9): 1093-1099. DOI: 10.1038/sj.ijo.0802377.
    [27]
    Aparicio A, Rodríguez-Rodríguez EE, Aranceta-Bartrina J, et al. Differences in meal patterns and timing with regard to central obesity in the ANIBES (Anthropometric data, macronutrients and micronutrients intake, practice of physical activity, socioeconomic data and lifestyles in Spain) Study[J]. Public Health Nutr, 2017, 20(13): 2364-2373. DOI: 10.1017/s1368980017000635.
    [28]
    Tzotzas T, Kapantais E, Tziomalos K, et al. Epidemiological survey for the prevalence of overweight and abdominal obesity in Greek adolescents[J]. Obesity (Silver Spring), 2008, 16(7): 1718-1722. DOI: 10.1038/oby.2008.247.
    [29]
    Lobstein T, Baur L, Uauy R, et al. Obesity in children and young people: a crisis in public health[J]. Obes Rev, 2004, 5(Suppl 1): 4-104. DOI: 10.1111/j.1467-789x.2004.00133.x.
    [30]
    de Moraes AC, Fadoni RP, Ricardi LM, et al. Prevalence of abdominal obesity in adolescents: a systematic review[J]. Obes Rev, 2011, 12(2): 69-77. DOI: 10.1111/j.1467-789x.2010.00753.x.
    [31]
    Zhang M, Zhao X, Li M, et al. Abnormal adipokines associated with various types of obesity in Chinese children and adolescents[J]. Biomed Environ Sci, 2011, 24(1): 12-21. DOI: 10.3967/0895-3988.2011.01.002.
    [32]
    Wibaek R, Vistisen D, Girma T, et al. Associations of fat mass and fat-free mass accretion in infancy with body composition and cardiometabolic risk markers at 5 years: The Ethiopian iABC birth cohort study[J]. PLoS Med, 2019, 16(8): e1002888. DOI: 10.1371/journal.pmed.1002888.
    [33]
    Ashwell M, Gunn P, Gibson S. Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis[J]. Obes Rev, 2012, 13(3): 275-286. DOI: 10.1111/j.1467-789x.2011.00952.x.
    [34]
    Umer A, Kelley GA, Cottrell LE, et al. Childhood obesity and adult cardiovascular disease risk factors: a systematic review with meta-analysis[J]. BMC Public Health, 2017, 17(1): 683. DOI: 10.1186/s12889-017-4691-z.
    [35]
    Hu L, Huang X, You C, et al. Prevalence of overweight, obesity, abdominal obesity and obesity-related risk factors in Southern China[J]. PLoS One, 2017, 12(9): e0183934. DOI: 10.1371/journal.pone.0183934.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)  / Tables(2)

    Article Metrics

    Article views (832) PDF downloads(100) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return