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Thirty-Year Urbanization Trajectories and Obesity in Modernizing China

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Listed:
  • Wenwen Du

    (National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China)

  • Huijun Wang

    (National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China)

  • Chang Su

    (National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China)

  • Xiaofang Jia

    (National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China)

  • Bing Zhang

    (National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China)

Abstract

The effects of long-term urbanization changes in obesity are unclear. Data were obtained from the China Health and Nutrition Survey (CHNS) 1989–2018. A multidimensional urbanicity index was used to define the urbanization level for communities. Group-based trajectory modeling was used to identify distinct urbanization change trajectories. Gender-stratified multilevel models were used to investigate the association between urbanization trajectories and weight/BMI, through the PROC MIXED procedure, as well as the risk of being overweight + obesity (OO)/obesity (OB), through the PROC GLIMMIX procedure. A total of three patterns of the trajectory of change in urbanization were identified in 304 communities (with 1862 measurements). A total of 25.8% of communities had a low initial urbanization level and continuous increase (termed “LU”), 22.2% of communities had a low–middle initial urbanization level and constant increase (termed “LMU”), and 52.0% of communities had a middle–high initial urbanization and significant increase before 2009, followed by a stable platform since then (termed “MHU”). During the 30 follow-up years, a total of 69490 visits, contributed by 16768 adult participants, were included in the analysis. In the period, weight and BMI were observed in an increasing trend in all urbanization trajectory groups, among both men and women. Compared with LU, men living in MHU were related to higher weight, BMI, and an increased risk of OO (OR: 1.46, 95%CI: 1.26 to 1.69). No significant associations were found between urbanization trajectories and OB risk in men. Among women, the associations between urbanization and all obesity indicators became insignificant after controlling the covariates. Obesity indicators increased along with urbanization in the past thirty years in China. However, the differences among urbanization trajectories narrowed over time. More urbanized features were only significantly associated with a higher risk of obesity indicators in Chinese men. The effects of urbanization on obesity among women were buffered.

Suggested Citation

  • Wenwen Du & Huijun Wang & Chang Su & Xiaofang Jia & Bing Zhang, 2022. "Thirty-Year Urbanization Trajectories and Obesity in Modernizing China," IJERPH, MDPI, vol. 19(4), pages 1-11, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:4:p:1943-:d:745434
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    References listed on IDEAS

    as
    1. Saad Siddiqui & Ngianga-Bakwin Kandala & Saverio Stranges, 2015. "Urbanisation and geographic variation of overweight and obesity in India: a cross-sectional analysis of the Indian Demographic Health Survey 2005–2006," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(6), pages 717-726, September.
    2. Jinjing Wu & Jia Chen & Zhen Li & Boshen Jiao & Peter Muennig, 2020. "Spatiotemporal Variation of the Association between Urbanicity and Incident Hypertension among Chinese Adults," IJERPH, MDPI, vol. 17(1), pages 1-17, January.
    3. Ren, Yanjun & Castro Campos, Bente & Peng, Yanling & Glauben, Thomas, 2021. "Nutrition transition with accelerating urbanization? Empirical evidence from rural China," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 13(3).
    4. Caicui Ding & Chao Song & Fan Yuan & Yan Zhang & Ganyu Feng & Zheng Chen & Ailing Liu, 2018. "The Physical Activity Patterns among Rural Chinese Adults: Data from China National Nutrition and Health Survey in 2010–2012," IJERPH, MDPI, vol. 15(5), pages 1-13, May.
    5. Youfa Wang & Liang Wang & Hong Xue & Weidong Qu, 2016. "A Review of the Growth of the Fast Food Industry in China and Its Potential Impact on Obesity," IJERPH, MDPI, vol. 13(11), pages 1-16, November.
    6. Qian Sun & Xiaoyun Li & Dil Bahadur Rahut, 2021. "Gender Differences in Nutritional Intake among Rural-Urban Migrants in China," IJERPH, MDPI, vol. 18(18), pages 1-17, September.
    7. Steven A Cohen & Mary L Greaney & Natalie J Sabik, 2018. "Assessment of dietary patterns, physical activity and obesity from a national survey: Rural-urban health disparities in older adults," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-15, December.
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