A Scan of Obesogenic Environments and a Spatial Inference of Obesity Prevalence in Chinese Children and Adolescents: Based on the Chinese Health and Nutrition Survey 2011 Data
机构:[1]National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China[2]Center for Clinical Epidemiology & Evidence-based Medicine of Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China职能科室临床流行病与循证医学中心首都医科大学附属北京儿童医院[3]School of Statistics, Shanxi University of Finance and Economics, Taiyuan 030006, Shanxi, China
Objective To identify the characteristics of Chinese obesogenic environments at a provincial level, infer a spatial distribution map of obesity prevalence in 31 provinces, and provide a foundation for development of policy to reduce obesity in children and adolescents. Methods After scanning obesity data on subjects aged 7-17 years from 12 provinces in the China Health and Nutrition Survey 2011 and environmental data on 31 provinces from the China Statistical Yearbook 2011 and other sources, we selected 12 predictors. We used the 12 surveyed provinces as a training sample to fit an analytical model with partial least squares regression and prioritized the 12 predictors using variable importance in projection. We also fitted a predictive model with Bayesian analysis. Results We identified characteristics of obesogenic environments. We fitted the predictive model with a deviance information criterion of 61.96 and with statistically significant (P < 0.05) parameter estimates of intercept [95% confidence interval (CI): 329.10, 963.11], log(oil) (CI: 13.11, 20.30), log(GDP) (CI: 3.05, 6.93), log(media) (CI: -234.95, -89.61), and log(washing-machine) (CI: 0.92, 5.07). The total inferred average obesity prevalence among those aged 7-17 was 9.69% in 31 Chinese provinces in 2011. We also found obvious clustering in occurrences of obesity in northern and eastern provinces in the predicted map. Conclusion Given complexity of obesity in children and adolescents, concerted efforts are needed to reduce consumption of edible oils, increase consumption of vegetables, and strengthen nutrition, health, and physical activity education in Chinese schools. The northern and eastern regions are the key areas requiring intervention.
基金:
National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention; Carolina Population Center, University of North Carolina at Chapel Hill; US National Institutes of HealthUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USA [R01-HD30880, DK056350, R24-HD050924, R01-HD38700]
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2017]版:
大类|3 区环境科学与生态学
小类|3 区环境科学3 区公共卫生、环境卫生与职业卫生
最新[2023]版:
大类|3 区医学
小类|4 区环境科学4 区公共卫生、环境卫生与职业卫生
JCR分区:
出版当年[2016]版:
Q2ENVIRONMENTAL SCIENCESQ2PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
第一作者机构:[1]National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China
通讯作者:
通讯机构:[1]National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China
推荐引用方式(GB/T 7714):
Guo Chun Lei,Zhang Bing,Wang Hui Jun,et al.A Scan of Obesogenic Environments and a Spatial Inference of Obesity Prevalence in Chinese Children and Adolescents: Based on the Chinese Health and Nutrition Survey 2011 Data[J].BIOMEDICAL AND ENVIRONMENTAL SCIENCES.2018,31(10):729-739.doi:10.3967/bes2018.098.
APA:
Guo Chun Lei,Zhang Bing,Wang Hui Jun,Feng Guo Shuang,Li Jun Ming...&Du Wen Wen.(2018).A Scan of Obesogenic Environments and a Spatial Inference of Obesity Prevalence in Chinese Children and Adolescents: Based on the Chinese Health and Nutrition Survey 2011 Data.BIOMEDICAL AND ENVIRONMENTAL SCIENCES,31,(10)
MLA:
Guo Chun Lei,et al."A Scan of Obesogenic Environments and a Spatial Inference of Obesity Prevalence in Chinese Children and Adolescents: Based on the Chinese Health and Nutrition Survey 2011 Data".BIOMEDICAL AND ENVIRONMENTAL SCIENCES 31..10(2018):729-739