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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

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  • 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
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    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.
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