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      Prevalence of eating out and its association with overweight and obesity among children and adolescents in Hebei Province


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          Objective To investigate the prevalence and associated factors of eating out among children and adolescents aged 6-17 in Hebei Province, and to explore the association between eating out and overweight/obesity.

          Methods Data came from Children and Nurse Nutrition Health Monitoring of China during 2016-2017. Questionnaire surveys and anthropometric measures was conducted among 3 330 children aged 6-17 in 12 survey sites. Multivariate Logistics stepwise regression model was used to analyze the influencing factors of eating out and the relationship between eating out and overweight/obesity.

          Results The proportion of eating out was 16.19%, and the rate of overweight and obesity was 29.43%. Multivariate analysis showed that the older children (junior high school students: OR = 1.36; high school students: OR = 3.57, both P<0.05) and adolescents from high-income families (10 000~<20 000 CNY: OR = 1.48; ≥20 000 CNY: OR = 2.93, both P<0.05) were more likely to eat out. Children and adolescents living in rural areas ( OR = 0.20, P<0.01), non-only-child ( OR = 0.76, P = 0.02), day school students ( OR = 0.21, P<0.01), and the primary caregivers of the elderly ( OR = 0.69, P = 0.03) were less likely to eat out. In addition, eating out was statistically associated with an increased risk of overweight and obesity ( OR = 1.31, P<0.01).

          Conclusion Eating out is common among children and adolescents aged 6-17 in Hebei Province. Residency, age, household income, one-child family, boarding and and eating out behaviors of primary caregivers are associated with eating out among children and adolescents. Eating out may increase the risk of overweight/obesity in children.


          【摘要】 目的 分析河北省 6~17 岁儿童青少年在外就餐现状及其与超重肥胖的关系, 为指导儿童青少年建立健康的饮 食习惯和遏制肥胖流行趋势提供参考。 方法 调査数据来自 2016—2017 年中国儿童与乳母营养健康状况监测, 通过问卷 调査和体格检査收集河北省 12 个监测点 3 330 名 6~17 岁儿童青少年最近 1 周的就餐情况、家庭基本情况和体检信息等 资料。采用多因素 Logistic 逐步回归的方法, 对调査对象在外就餐情况, 在外就餐影响因素及与超重肥胖的关系进行分析。 结果 河北省 6~17 岁儿童青少年在外就餐率为 16.19%, 超重肥胖率为 29.43%。多因素 Logistic 回归分析显示, 年龄较大 (初中生: OR = 1.36, 髙中生 OR = 3.57, P 值均<0.05) 和家庭人均收人髙的儿童青少年 (1~ <2 万元: OR = 1.48, ≥2 万元: OR = 2.93, P 值均<0.05) 在外就餐的可能性更髙;居住地为农村 ( OR = 0.20)、非独生子女 ( OR = 0.76)、走读生 ( OR = 0.21) 以及 主要抚养人为老人的儿童青少年 ( OR = 0.69) 在外就餐的可能性更低 ( P 值均<0.05)。在外就餐与超重肥胖风险增髙存在 统计学关联 ( OR = 1.31, P<0.01)。 结论 河北省 6~17 岁儿童青少年在外就餐现象较为普遍。居住地、年龄段、人均年收 人、是否为独生子女、是否住校、主要抚养人是在外就餐的相关因素, 在外就餐可能会增加儿童青少年超重肥胖的风险。

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          Author and article information

          Chinese Journal of School Health
          Chinese Journal of School Health (China )
          01 August 2021
          01 August 2021
          : 42
          : 8
          : 1257-1260
          [1] 1Institute for Nutrition and Food Safety, Hebei Province Center for Disease Control and Prevention, Shijiazhuang (050021), China
          Author notes
          *Corresponding author: LIU Changqing, E-mail: lcq93@ 123456126.com
          © 2021 Chinese Journal of School Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

          Self URI (journal-page): http://www.cjsh.org.cn
          Journal Article

          Ophthalmology & Optometry,Pediatrics,Nutrition & Dietetics,Clinical Psychology & Psychiatry,Public health
          Regression analysis,Food habits,Overweight,Adolescent,Child,Obesity


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