Study on the association of macronutrients intake with overweight and obesity among children and adolescents aged 7-17 years in China

SONG Wei-qi; NAN Ying; SUN Yu; WANG Jin-dong; LIANG Fen; ZHANG Wen-ting; LIU Dan; MAO Chen

doi:10.16462/j.cnki.zhjbkz.2021.05.006

Volume 25 Issue 5

Jun. 2021

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SONG Wei-qi, NAN Ying, SUN Yu, WANG Jin-dong, LIANG Fen, ZHANG Wen-ting, LIU Dan, MAO Chen. Study on the association of macronutrients intake with overweight and obesity among children and adolescents aged 7-17 years in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(5): 521-527. doi: 10.16462/j.cnki.zhjbkz.2021.05.006

Citation:

SONG Wei-qi, NAN Ying, SUN Yu, WANG Jin-dong, LIANG Fen, ZHANG Wen-ting, LIU Dan, MAO Chen. Study on the association of macronutrients intake with overweight and obesity among children and adolescents aged 7-17 years in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(5): 521-527. doi: 10.16462/j.cnki.zhjbkz.2021.05.006

Citation:

SONG Wei-qi, NAN Ying, SUN Yu, WANG Jin-dong, LIANG Fen, ZHANG Wen-ting, LIU Dan, MAO Chen. Study on the association of macronutrients intake with overweight and obesity among children and adolescents aged 7-17 years in China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(5): 521-527. doi: 10.16462/j.cnki.zhjbkz.2021.05.006

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Study on the association of macronutrients intake with overweight and obesity among children and adolescents aged 7-17 years in China

doi: 10.16462/j.cnki.zhjbkz.2021.05.006

1.
Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, China
2.
School of Nursing, Southern Medical University, Guangzhou 510515, China

Funds:

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

Young Elite Scientists Sponsorship Program by CAST 2019QNRC001

More Information

Corresponding author: MAO Chen, E-mail: maochen9@smu.edu.cn
Received Date: 2021-03-16
Rev Recd Date: 2021-04-26

Available Online: 2021-06-16

Publish Date: 2021-05-10

Abstract

Abstract

Objective To analyze the association of macronutrients intake with overweight and obesity among children and adolescents aged 7-17 years in China. Methods Children and adolescents aged 7-17 years who participated in China Health and Nutrition Survey from 1997 to 2011 with complete dietary and BMI data were included. Overweight and obesity were judged by experts from the Group of China Obesity Task Force. The Logistic regression method was applied to assess the association of macronutrients intake with overweight and obesity. Results A total of 6 360 Chinese children and adolescents were included, including 3 529 (55.5%) aged 7- < 12 years and 3 360 (52.8%) boys. Among them, 1 060 (16.7%) were overweight and obese. After controlling for potential confounders, when compared with fat energy supply ratio < 25%, the risk of overweight and obesity appeared an increase of 20% (OR=1.20, 95% CI: 1.03-1.41, P=0.023) with fat energy supply ratio ≥30%. Compared with protein energy supply ratio < 10%, it increased of 61% (OR=1.61, 95% CI: 1.25-2.04, P < 0.001) with protein energy supply ratio ≥15%. Compared with carbohydrate energy supply ratio < 55%, it decreased of 20% (OR=0.80, 95% CI: 0.68-0.95, P=0.011) and 21% (OR=0.79, 95% CI: 0.66-0.94, P=0.010) with carbohydrate energy supply ratio between 55%- < 65%, ≥65%, respectively. The higher energy supply ratios of fat and protein, and lower carbohydrate energy supply ratio had a stronger association with overweight and obesity (P < 0.05). For overweight and obesity, the association seemed to be stronger among boys with excessive intake of protein (P=0.034). Conclusion Excessive intakes of fat and protein may lead to overweight and obesity in children and adolescents.
- Children,
- Adolescents,
- Macronutrients,
- Obesity

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References(41)

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