IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i16p9921-d885825.html
   My bibliography  Save this article

Interactions between Self-Perceived Weight Status and Lifestyle Behaviors and Their Associations with Childhood Obesity: Results from the Childhood Obesity Study in China Mega-Cities

Author

Listed:
  • Liwang Gao

    (Center for Non-Communicable Disease Management, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China
    Global Health Institute, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, China)

  • Jiang Zhu

    (Global Health Institute, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, China)

  • Liang Wang

    (Department of Public Health, Robbins College of Health and Human Sciences, Baylor University, Waco, TX 76798, USA)

  • Li Ming Wen

    (School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney 2006, Australia)

  • Zhuo Chen

    (Department of Health Policy and Management, College of Public Health, University of Georgia, Athens, GA 30602, USA
    School of Economics, Faculty of Humanities and Social Sciences, University of Nottingham Ningbo, Ningbo 315199, China)

  • Bingtong Zhao

    (Global Health Institute, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, China)

  • Weidong Wang

    (Department of Sociology, School of Sociology and Population Studies, Renmin University of China, Beijing 100034, China)

  • Youfa Wang

    (Global Health Institute, School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, China)

Abstract

This study investigated the interactions between self-perceived weight status and lifestyle behaviors, and their associations with childhood obesity among school children. Methods : Cross-sectional study data from a nationwide sample of 3258 participants (aged 8–15 years old) during 2015–2017 were used. Self-perceived weight status and lifestyle factors (dietary intake and physical activity) were assessed using self-administered questionnaires. Multivariable mixed-effects models tested the effect of interactions between weight self-perception and behavioral factors on overweight and obesity (ow/ob). Results : Overall ow/ob prevalence based on BMI was 30.9% (38.5% for boys, 23.0% for girls). Based on self-perceived weight status, ow/ob prevalence was 37.7% (35.8% for boys, 39.7% for girls). 41.2% of boys and 25.9% of girls underestimated their actual weight status. The interaction between self-perceived weight status and meat consumption was associated with ow/ob in boys, while the interaction between self-assessed weight status and protein foods and sedentary lifestyle were associated with ow/ob in girls. The attributable proportions of these three factors were 39.8%, 48.2%, and 34.6%, respectively. Conclusions : The self-perceived weight status was different from their actual weight status in children. The interactions between self-perceived weight status and lifestyle behaviors were associated with ow/ob. Health promotion programs that empower children to have appropriate self-awareness of weight status, eating, and physical activity behaviors need to be developed and implemented.

Suggested Citation

  • Liwang Gao & Jiang Zhu & Liang Wang & Li Ming Wen & Zhuo Chen & Bingtong Zhao & Weidong Wang & Youfa Wang, 2022. "Interactions between Self-Perceived Weight Status and Lifestyle Behaviors and Their Associations with Childhood Obesity: Results from the Childhood Obesity Study in China Mega-Cities," IJERPH, MDPI, vol. 19(16), pages 1-12, August.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:9921-:d:885825
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/16/9921/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/16/9921/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Peng Jia & Hong Xue & Ji Zhang & Youfa Wang, 2017. "Time Trend and Demographic and Geographic Disparities in Childhood Obesity Prevalence in China—Evidence from Twenty Years of Longitudinal Data," IJERPH, MDPI, vol. 14(4), pages 1-9, March.
    2. Abdelhamid Kerkadi & Abdelmonem H. Sadig & Hiba Bawadi & Al Anoud Mohammed Al Thani & Walaa Al Chetachi & Hammad Akram & Hazzaa M. Al-Hazzaa & Abdulrahman O. Musaiger, 2019. "The Relationship between Lifestyle Factors and Obesity Indices among Adolescents in Qatar," IJERPH, MDPI, vol. 16(22), pages 1-15, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ibrahim Alasqah & Ilias Mahmud & Leah East & Nada Alqarawi & Kim Usher, 2021. "Dietary Behavior of Adolescents in the Qassim Region, Saudi Arabia: A Comparison between Cities with and without the Healthy Cities Program," IJERPH, MDPI, vol. 18(18), pages 1-13, September.
    2. Lu Ma & Zeping Fang & Liwang Gao & Yaling Zhao & Hong Xue & Ke Li & Youfa Wang, 2020. "A 3-year Longitudinal Study of Pocket Money, Eating Behavior, Weight Status: The Childhood Obesity Study in China Mega-Cities," IJERPH, MDPI, vol. 17(23), pages 1-13, December.
    3. Abeer Ahmad Bahathig & Hazizi Abu Saad & Nor Baizura Md Yusop & Nurul Husna Mohd Shukri & Maha M. Essam El-Din, 2021. "Relationship between Physical Activity, Sedentary Behavior, and Anthropometric Measurements among Saudi Female Adolescents: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
    4. Sohaila Cheema & Amit Abraham & Katie G. El-Nahas & Rasha Abou-Amona & Abdulla O. Al-Hamaq & Patrick Maisonneuve & Karima Chaabna & Albert B. Lowenfels & Ravinder Mamtani, 2022. "Assessment of Overweight, Obesity, Central Obesity, and Type 2 Diabetes among Adolescents in Qatar: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(21), pages 1-12, November.
    5. Esraa Burahmah & Sivaramkumar Shanmugam & Ben Stansfield, 2023. "Full-Day Physical Activity and Sedentary Behaviour Levels of Typically Developing Children and Adolescents in the Middle East: A Systematic Review," IJERPH, MDPI, vol. 20(20), pages 1-29, October.
    6. Fan Li & Yaqun Yuan & Xinming Xu & Jingsi Chen & Jiaxuan Li & Gengsheng He & Bo Chen, 2019. "Nutrition Education Practices of Health Teachers from Shanghai K-12 Schools: The Current Status, Barriers and Willingness to Teach," IJERPH, MDPI, vol. 17(1), pages 1-16, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:9921-:d:885825. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.