Abstract

Objective: There is a remarkable growth in sugar-sweetened (SSB) production and obesity prevalence among school-aged children in China. This paper describes SSB consumption and its association with obesity among Chinese children aged 6–17 years in 2012. Methods: in total, 25,553 children aged 6~17 years enrolled in the China Nutrition and Health Surveillance 2010–2013 were included in this study. Data of SSB consumption frequency and quantity were obtained from a food frequency questionnaire, and the children’s nutritional status was assessed. Multivariate logistic regression was used to evaluate the association between SSB consumption and obesity status. Results: SSB intake was estimated as 181.0 g/day, occurring 2.2 times/week. Older children, males, children from urban areas, and children with higher socioeconomic status were more likely to consume SSBs. Children who consumed SSBs 1~<5 times/week (11.7%) and >5 times/week (12.9%) were more likely to be overweight/obesity than those who consumed SSBs less than once/week. Conclusion: SSB consumption was common among Chinese school-aged children, especially among males, older children, and children from urban areas. High consumption of SSBs was associated with a higher prevalence of overweight/obesity. Actions and plans are required to reduce SSB consumption and control childhood obesity in China.

Highlights

  • Accepted: 23 June 2021Childhood obesity became an increasingly serious public health problem worldwide.According to a report by the World Health Organization, from 1975 to 2016, the prevalence of overweight or obesity children and adolescents aged 5~19 years increased more than fourfold from 4% to 18% globally [1]

  • The China Nutrition and Health Surveillance (CHNHS) was a cross-sectional survey conducted by the National Institute for Nutrition and Health (NINH) from 2010 to 2013

  • This paper described SSB consumption and its association with obesity among Chinese children aged 6~17 years in 2012, which was highly representative of the national population

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Summary

Introduction

According to a report by the World Health Organization, from 1975 to 2016, the prevalence of overweight or obesity children and adolescents aged 5~19 years increased more than fourfold from 4% to 18% globally [1]. In United States, the prevalence of obesity among children and adolescents aged 2~19 years increased from 10% in 1988–1994 to 17.2% in 2013~2014 [2]. Once common only in high-income countries, obesity is prevalent in low- and middle-income countries. Diseases and Nutrition Surveillance, the prevalence of overweight/obesity among Chinese children aged 6~17 years was 15% in 2012 [3]. Overweight/obesity prevalence increased by 9.2% during the ten-year period from 2002 to 2012 and increased to 19% in 2016 [3,4]

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