The status and childcare management of overweight and obesity among preschool children in Hangzhou.


Journal

Journal of pediatric endocrinology & metabolism : JPEM
ISSN: 2191-0251
Titre abrégé: J Pediatr Endocrinol Metab
Pays: Germany
ID NLM: 9508900

Informations de publication

Date de publication:
26 Sep 2023
Historique:
received: 23 05 2023
accepted: 25 07 2023
medline: 6 9 2023
pubmed: 9 8 2023
entrez: 9 8 2023
Statut: epublish

Résumé

This study aims to investigate the prevalence of overweight and obesity in preschool children in Hangzhou and assess the impact of childcare management. By examining the characteristics and predicting the trends of overweight and obesity, we hope to emphasize the significance of childcare management in primary community health service centers and the use of Electronic Health-care System in kindergartens. This study also seeks to provide evidence for intervention measures and effective prevention and control management of childhood obesity. From 2020 to 2022, kindergarten children aged 3-6 years old were selected as the research objects in kindergartens in Hangzhou. The Electronic Health-care System will be utilized to facilitate the management of childhood obesity and provide guidance and training to pediatricians and Primary Care Physicians. The overall detection rates of overweight and obesity were 7.27 % and 3.55 %, respectively, among children aged 3-6 years in Hangzhou. The rates of simple obesity in Hangzhou preschool children aged 3-6 years were 4.25 , 3.42, and 3.04 % from 2020 to 2022, respectively; the overweight detection rates of children were 8.27 , 7.28, and 6.34 %, respectively, and the difference was statistically significant (p<0.05). The detection rates of overweight and obesity in 2022 were significantly lower than those in 2020 (p<0.05). The prevalence of obesity in children increased with age. Boys had a significantly higher incidence rate of obesity than girls (p<0.05). The proportion of children with moderate and severe obesity showed a downward trend. Intervention measures for childhood obesity in primary community health service centers and kindergartens are constantly being implemented. The prevalence of obesity in preschool children aged 3-6 years in Hangzhou exhibited a decreasing tendency. This research has identified that child care administration, particularly the implementation of the Electronic Health-care System, demonstrates effectiveness in handling overweight and obesity amongst children.

Identifiants

pubmed: 37553860
pii: jpem-2023-0248
doi: 10.1515/jpem-2023-0248
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

859-864

Informations de copyright

© 2023 Walter de Gruyter GmbH, Berlin/Boston.

Références

Afshin, A, Forouzanfar, MH, Reitsma, MB, Sur, P, Estep, K, Lee, A, et al.. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med 2017;377:13–27. https://doi.org/10.1056/nejmoa1614362 .
doi: 10.1056/nejmoa1614362
Ng, M, Fleming, T, Robinson, M, Thomson, B, Graetz, N, Margono, C, 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. Lancet 2014;384:766–81. https://doi.org/10.1016/s0140-6736(14)60460-8 .
doi: 10.1016/s0140-6736(14)60460-8
Abarca-Gómez, L, Abdeen, ZA, Hamid, ZA, Abu-Rmeileh, NM, Acosta-Cazares, B, Acuin, C, et al.. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults – Science Direct. Lancet 2017;390:2627–42. https://doi.org/10.1016/s0140-6736(17)32129-3 .
doi: 10.1016/s0140-6736(17)32129-3
Cayon, A. Tenfold increase in childhood and adolescent obesity in four decades: new study by Imperial College London and WHO . PAHO WHO; 2017.
Disease Prevention and Control Bureau, National Health and Family Planning Commission . China Nutrition and Chronic disease status report (2015) [M] . Beijing: People’s Medical Publishing House; 2016. p. 27–8.
Freedman, DS, Mei, Z, Srinivasan, SR, Berenson, GS, Dietz, WH. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr 2007;150:12–17.e12. https://doi.org/10.1016/j.jpeds.2006.08.042 .
doi: 10.1016/j.jpeds.2006.08.042
Chung, ST, Onuzuruike, AU, Magge, SN. Cardiometabolic risk in obese children. Ann N. Y Acad Sci 2018;1411:166–83. https://doi.org/10.1111/nyas.13602 .
doi: 10.1111/nyas.13602
Kyrgiou, M, Kalliala, I, Markozannes, G, Gunter, MJ, Paraskevaidis, E, Gabra, H, et al.. Adiposity and cancer at major anatomical sites: umbrella review of the literature. BMJ 2017;356:j477. https://doi.org/10.1136/bmj.j477 .
doi: 10.1136/bmj.j477
Black, L, Matvienko-Sikar, K, Kearney, PM. The association between childcare arrangements and risk of overweight and obesity in childhood: a systematic review. Obes Rev 2017;18:1170–90. https://doi.org/10.1111/obr.12575 .
doi: 10.1111/obr.12575
Hughes, AR, Sherriff, A, Ness, AR, Reilly, JJ. Timing of adiposity rebound and adiposity in adolescence. Pediatrics 2014;134:e1354–61. https://doi.org/10.1542/peds.2014-1908 .
doi: 10.1542/peds.2014-1908
WHO Multicentre Growth Reference Study Group . WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Geneva: WHO; 2006.
Yang, X, He, H, Yun, Q, Li, Y, Chang, C. Trends in malnutrition, overweight and obesity among preschool children in Beijing, 2000–2020 [J]. Chin J Child Health Care 2023;01:21–6.
Hu, N, Wang, R, Li, Y, Yang, J, Li, W, Lin, S. Prevalence and related factors of overweight and obesity among preschool children in Urumqi, China [J]. Chin Sch Health 2021;06:920–4.
Su, L, Su, J, Zhao, M, Wang, T-T, Liu, K-K. Prevalence of overweight and obesity among preschool children aged 3–6 years in Henan province, 2000–2020 [J]. Fujian Sports Sci Technol 2021;03:23–7.
Wagner, KC, Byrd, GD. Evaluating the effectiveness of clinical medical librarian programs: a systematic review of the literature. J Med Libr Assoc 2004;92:14–33.
Chen-chen, Y, Xue, K, Hong-wei, G. Prevalence and influencing factors of overweight and obesity in children around the world [J]. Chin J Health Res 2020;03:506–10.
Capital Institute of Pediatrics, Coordinating Study Group of Nine Cities on the Physical G, Development of C: [A national epidemiological survey on obesity of children under seven years of age in nine cities of China in 2016]. Zhonghua Er Ke Za Zhi 2018;56:745–52.
Askie, LM, Espinoza, D, Martin, A, Daniels, LA, Mihrshahi, S, Taylor, R, et al.. Interventions commenced by early infancy to prevent childhood obesity-The EPOCH Collaboration: an individual participant data prospective meta-analysis of four randomized controlled trials. Pediatr Obes 2020;15:e12618. https://doi.org/10.1111/ijpo.12618 .
doi: 10.1111/ijpo.12618
Liu, Z, Gao, P, Gao, AY, Lin, Y, Feng, XX, Zhang, F, et al.. Effectiveness of a multifaceted intervention for prevention of obesity in primary school children in China: a cluster randomized clinical trial. JAMA Pediatr 2022;176:e214375. https://doi.org/10.1001/jamapediatrics.2021.4375 .
doi: 10.1001/jamapediatrics.2021.4375
Kassari, P, Papaioannou, P, Billiris, A, Karanikas, H, Eleftheriou, S, Thireos, E, et al.. Electronic registry for the management of childhood obesity in Greece. Eur J Clin Invest 2018;48.
Avis, JL, Holt, NL, Maximova, K, van Mierlo, T, Fournier, R, Padwal, R, et al.. The development and refinement of an e-health screening, brief intervention, and referral to treatment for parents to prevent childhood obesity in primary care. Telemed J E Health 2016;22:385–94. https://doi.org/10.1089/tmj.2015.0128 .
doi: 10.1089/tmj.2015.0128
Delisle, C, Sandin, S, Forsum, E, Henriksson, H, Trolle-Lagerros, Y, Larsson, C, et al.. A web- and mobile phone-based intervention to prevent obesity in 4-year-olds (MINISTOP): a population-based randomized controlled trial. BMC Publ Health 2015;15:95. https://doi.org/10.1186/s12889-015-1444-8 .
doi: 10.1186/s12889-015-1444-8

Auteurs

Ye Hu (Y)

Department of Child Health Care, Hangzhou Women's Hospital (Hangzhou Maternity and Child Care Hospital), Hangzhou, P.R. China.

Xia Qian (X)

Department of Child Health Care, Hangzhou Women's Hospital (Hangzhou Maternity and Child Care Hospital), Hangzhou, P.R. China.

Jinqing Chen (J)

Department of Child Health Care, Hangzhou Women's Hospital (Hangzhou Maternity and Child Care Hospital), Hangzhou, P.R. China.

Dan Huang (D)

Department of Child Health Care, Hangzhou Women's Hospital (Hangzhou Maternity and Child Care Hospital), Hangzhou, P.R. China.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH