Associations of community, famliy and early individual factors with body mass index z-scores trajectories among Chinese children and adolescents

Abstract The prevalence of childhood overweight and obesity is increasing. This study aimed to examine trajectories of BMI z-scores among Chinese children and the potential determinants including early individual, family and community factors. Group-based trajectory modeling was employed to identify...

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Autores principales:	Jing Liang, Si Zheng, Xuyang Li, Dianmin Xiao, Peigang Wang
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bdcc0f2d2b2b4262872bab7bda643b14
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spelling	oai:doaj.org-article:bdcc0f2d2b2b4262872bab7bda643b142021-12-02T16:14:16ZAssociations of community, famliy and early individual factors with body mass index z-scores trajectories among Chinese children and adolescents10.1038/s41598-021-93949-42045-2322https://doaj.org/article/bdcc0f2d2b2b4262872bab7bda643b142021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93949-4https://doaj.org/toc/2045-2322Abstract The prevalence of childhood overweight and obesity is increasing. This study aimed to examine trajectories of BMI z-scores among Chinese children and the potential determinants including early individual, family and community factors. Group-based trajectory modeling was employed to identify BMI z-scores trajectories of children aged 2–18 years using the five waves data (2010, 2012, 2014, 2016, and 2018) of the China Family Panel Studies (CFPS). Multivariate logistic regression was conducted to determine the association between early individual, family, community factors and BMI z-scores trajectories of children. We identified three trajectories for boys and girls, named Class 1 as “not-overweight”, Class 2 as “persistent rapid descending but overweight during pre-school age”, and Class 3 as “rapid rising up to school age and then become-overweight” class. Macrosomia (OR 1.772; 95% CI 1.188–2.644) and being a single child (OR 2.038; 95% CI 1.453–2.859) were more likely to belong in Class 3 among boys. Girls living in the advantaged communities (OR 1.539; 95% CI 1.052–2.252), rural-living (OR 1.558; 95% CI 1.133–2.142) and with none social integration (OR 1.496; 95% CI 1.07–2.091) were more likely to belong in Class 2. There are heterogeneous BMI z-scores trajectories of children aged 2–18, and pre-school age is a critical window that could predict the long-term growth patterns. BMI z-scores trends need to be monitored during pre-school age, focusing on those at higher risk of later overweight obesity status, and targeted interventions at the early individual, family, community levels are essential.Jing LiangSi ZhengXuyang LiDianmin XiaoPeigang WangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jing Liang Si Zheng Xuyang Li Dianmin Xiao Peigang Wang Associations of community, famliy and early individual factors with body mass index z-scores trajectories among Chinese children and adolescents
description	Abstract The prevalence of childhood overweight and obesity is increasing. This study aimed to examine trajectories of BMI z-scores among Chinese children and the potential determinants including early individual, family and community factors. Group-based trajectory modeling was employed to identify BMI z-scores trajectories of children aged 2–18 years using the five waves data (2010, 2012, 2014, 2016, and 2018) of the China Family Panel Studies (CFPS). Multivariate logistic regression was conducted to determine the association between early individual, family, community factors and BMI z-scores trajectories of children. We identified three trajectories for boys and girls, named Class 1 as “not-overweight”, Class 2 as “persistent rapid descending but overweight during pre-school age”, and Class 3 as “rapid rising up to school age and then become-overweight” class. Macrosomia (OR 1.772; 95% CI 1.188–2.644) and being a single child (OR 2.038; 95% CI 1.453–2.859) were more likely to belong in Class 3 among boys. Girls living in the advantaged communities (OR 1.539; 95% CI 1.052–2.252), rural-living (OR 1.558; 95% CI 1.133–2.142) and with none social integration (OR 1.496; 95% CI 1.07–2.091) were more likely to belong in Class 2. There are heterogeneous BMI z-scores trajectories of children aged 2–18, and pre-school age is a critical window that could predict the long-term growth patterns. BMI z-scores trends need to be monitored during pre-school age, focusing on those at higher risk of later overweight obesity status, and targeted interventions at the early individual, family, community levels are essential.
format	article
author	Jing Liang Si Zheng Xuyang Li Dianmin Xiao Peigang Wang
author_facet	Jing Liang Si Zheng Xuyang Li Dianmin Xiao Peigang Wang
author_sort	Jing Liang
title	Associations of community, famliy and early individual factors with body mass index z-scores trajectories among Chinese children and adolescents
title_short	Associations of community, famliy and early individual factors with body mass index z-scores trajectories among Chinese children and adolescents
title_full	Associations of community, famliy and early individual factors with body mass index z-scores trajectories among Chinese children and adolescents
title_fullStr	Associations of community, famliy and early individual factors with body mass index z-scores trajectories among Chinese children and adolescents
title_full_unstemmed	Associations of community, famliy and early individual factors with body mass index z-scores trajectories among Chinese children and adolescents
title_sort	associations of community, famliy and early individual factors with body mass index z-scores trajectories among chinese children and adolescents
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/bdcc0f2d2b2b4262872bab7bda643b14
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Associations of community, famliy and early individual factors with body mass index z-scores trajectories among Chinese children and adolescents

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