Abstract

BackgroundNational and international child health surveys have indicated an increase in childhood obesity in China. The increase has been attributed to a rising standard of living, increasing availability of unhealthy foods, and a lack of knowledge about healthy diet. The objective of this study was to assess the effect of selected socio-demographic characteristics on the BMI, nutrition knowledge, and eating behavior of elementary school children.MethodsMultistage stratified cluster sampling was used. Information on demographics, nutrition knowledge, and eating behavior was gathered by means of questionnaires. The schools’ doctors provided the height and weight data. The study was set in one economically advantaged and one economically disadvantaged province in China. The participants were Grade 3 students, ages 8–10 years (N = 3922).ResultsA cluster analysis identified four socio-demographic variables distinguished by parental education and family living arrangement. A one-way ANOVA compared differences among the clusters in BMI, child nutrition knowledge, and child eating behavior. Students in the cluster with lowest parent education level had the lowest nutrition knowledge scores and eating behavior scores. There was no significant benefit from college education versus high school education of parents in the other three clusters. BMI was not affected by parent education level.ConclusionThe nutrition status of elementary school age children will benefit most by increasing the general level of education for those adults who are presently least educated.

Highlights

  • National and international child health surveys have indicated an increase in childhood obesity in China

  • This review suggested that family socio-demographic characteristics contributed to obesity, nutrition knowledge, and eating behaviors of primary school children

  • Study design The data used in this analysis were collected at the baseline for the evaluation of an innovative educational program designed to improve nutritional well-being of elementary school children

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Summary

Introduction

National and international child health surveys have indicated an increase in childhood obesity in China. The objective of this study was to assess the effect of selected sociodemographic characteristics on the BMI, nutrition knowledge, and eating behavior of elementary school children. In 2010, Song et al estimated the prevalence of obesity for urban Chinese children was 8.1% [3]. A metaanalysis of 20 studies published between 2009 – 2014 estimated China’s child obesity rate to be 10.4% [4]. In urban areas in China, the diet of children has. A search of the two largest Chinese research databases—China National Knowledge Infrastructure (CNKI) [8] and Wei’pu (VIP) [9] —yielded 27 papers describing primary school children’s eating behavior and nutrition knowledge published in the last 15 years. Two studies used the World Health Organization’s (WHO) Global School Health Status Survey instrument [10, 11], three studies used an instrument designed by the

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