The association of grandparental co-residence and dietary knowledge with excess body weight among children aged 7–15 years in China
-
Yaxin Zhu
Abstract
Objectives
To investigate the impact of grandparent’s co-residence and dietary knowledge on the overweight and obesity risk among school-age children in China.
Methods
Data of 790 children aged 7–15 years were retrieved from the China Health and Nutrition Survey (CHNS). Co-residential status was evaluated using household and individual ID. Dietary knowledge was assessed using 17 dietary statements, which was scored by participants. Three principal factors were extracted by factor analysis. Logistic regression analysis was applied to examine the influence of grandparent’s co-residence and dietary knowledge on the weight status of the child.
Results
The overweight and obesity incidence of the children increased significantly when they co-reside with two grandparents (OR=1.447, 95CI: 1.001–2.090, p=0.049). Mother’s dietary knowledge regarding to protein-related food choices (PT) scored higher was associated with the increased risk (OR=1.270, 95CI: 1.059–1.523, p=0.010). For grandmother’s dietary knowledge, the higher score in balanced food consumption (BF) was associated with the decreased overweight and obesity risk (OR=0.456, 95CI: 0.294–0.706, p<0.001). Grandfather’s dietary knowledge in BF showed the similar result (OR=0.454, 95CI: 0.271–0.759, p=0.003).
Conclusions
Living with two grandparents is associated with higher overweight and obesity risk, but grandparents with an adequate knowledge in the balanced food consumption may decrease the risk.
-
Research funding: None declared.
-
Author contributions: YXZ and WY designed the study. YXZ wrote the manuscript. WW and YL collected, analyzed and interpreted the data. WY critically reviewed, edited and approved the manuscript. All authors read and approved the final manuscript.
-
Competing interests: Authors state no conflict of interest.
-
Informed consent: Not applicable.
-
Ethical approval: Not applicable.
References
1. World Health Orgnization. WHO | New global estimates of child and adolescent obesity released on World Obesity Day. Geneva, Switzerland: WHO; 2017. Available from: http://www.who.int/end-childhood-obesity/news/new-estimate-child-adolescent-obesity/en/ [Accessed 12 Apr 2021].Suche in Google Scholar
2. Quek, Y-H, Tam, WWS, Zhang, MWB, Ho, RCM. Exploring the association between childhood and adolescent obesity and depression: a meta-analysis. Obes Rev 2017;18:742–54, https://doi.org/10.1111/obr.12535.Suche in Google Scholar PubMed
3. Kumar, S, Kelly, AS. Review of childhood obesity: from epidemiology, etiology, and comorbidities to clinical assessment and treatment. Mayo Clin Proc 2017;92:251–65, https://doi.org/10.1016/j.mayocp.2016.09.017.Suche in Google Scholar PubMed
4. Berardis, S, Sokal, E. Pediatric non-alcoholic fatty liver disease: an increasing public health issue. Eur J Pediatr 2014;173:131–9, https://doi.org/10.1007/s00431-013-2157-6.Suche in Google Scholar PubMed PubMed Central
5. Cook, S, Kavey, REW. Dyslipidemia and pediatric obesity. Pediatr Clin North Am 2011;58:1363–73. ix, https://doi.org/10.1016/j.pcl.2011.09.003.Suche in Google Scholar PubMed PubMed Central
6. Pulgaron, ER, Delamater, AM. Obesity and type 2 diabetes in children: epidemiology and treatment. Curr Diab Rep 2014;14:508, https://doi.org/10.1007/s11892-014-0508-y.Suche in Google Scholar PubMed PubMed Central
7. Maximova, K, Kuhle, S, Davidson, Z, Fung, C, Veugelers, PJ. Cardiovascular risk-factor profiles of normal and overweight children and adolescents: insights from the Canadian Health Measures Survey. Can J Cardiol 2013;29:976–82, https://doi.org/10.1016/j.cjca.2012.08.013.Suche in Google Scholar PubMed
8. Weihrauch-Blüher, S, Wiegand, S. Risk factors and implications of childhood obesity. Curr Obes Rep 2018;7:254–9.10.1007/s13679-018-0320-0Suche in Google Scholar PubMed
9. Lee, EY, Yoon, K-H. Epidemic obesity in children and adolescents: risk factors and prevention. Front Med 2018;12:658–66, https://doi.org/10.1007/s11684-018-0640-1.Suche in Google Scholar PubMed
10. Hemmingsson, E. Early childhood obesity risk factors: socioeconomic adversity, family dysfunction, offspring distress, and junk food self-medication. Curr Obes Rep 2018;7:204–9, https://doi.org/10.1007/s13679-018-0310-2.Suche in Google Scholar PubMed PubMed Central
11. Scaglioni, S, De Cosmi, V, Ciappolino, V, Parazzini, F, Brambilla, P, Agostoni, C. Factors influencing children’s eating behaviours. Nutrients 2018;10:706, https://doi.org/10.3390/nu10060706.Suche in Google Scholar PubMed PubMed Central
12. Ash, T, Agaronov, A, Young, T, Aftosmes-Tobio, A, Davison, KK. Family-based childhood obesity prevention interventions: a systematic review and quantitative content analysis. Int J Behav Nutr Phys Act 2017;14, https://doi.org/10.1186/s12966-017-0571-2.Suche in Google Scholar PubMed PubMed Central
13. Gicevic, S, Aftosmes-Tobio, A, Manganello, JA, Ganter, C, Simon, CL, Newlan, S, et al.. Parenting and childhood obesity research: a quantitative content analysis of published research 2009-2015. Off J Int Assoc Study Obes 2016;17:724–34, https://doi.org/10.1111/obr.12416.Suche in Google Scholar PubMed
14. Pilkauskas, NV, Amorim, M, Dunifon, RE. Historical trends in children living in multigenerational households in the United States: 1870–2018. Demography 2020;57:2269–96, https://doi.org/10.1007/s13524-020-00920-5.Suche in Google Scholar PubMed
15. Wang, Y. Institution and its influence on family members living together or dividing in Chinese history. Soc Sci China 2013;2013:72–84.Suche in Google Scholar
16. Zhou, P. Measurement of intergeneration upbringing: current status, dilemma, and improvement---a research from the perspective of the fertility rate in China. Beijing, China: Population Development Studies Center; 2019. Available from: http://pdsc.ruc.edu.cn/xsdt/a86461e7f21d40baae293897327ccbb4.htm# [Accessed 14 Apr 2021].Suche in Google Scholar
17. An, R, Xiang, X, Xu, N, Shen, J. Influence of grandparental child care on childhood obesity: a systematic review and meta-analysis. Child Obes Print 2020;16:141–53, https://doi.org/10.1089/chi.2019.0246.Suche in Google Scholar PubMed
18. Li, B, Adab, P, Cheng, KK. Family and neighborhood correlates of overweight and obesogenic behaviors among Chinese children. Int J Behav Med 2014;21:700–9, https://doi.org/10.1007/s12529-013-9333-y.Suche in Google Scholar PubMed
19. Pulgaron, ER, Marchante, AN, Agosto, Y, Lebron, CN, Delamater, AM. Grandparent involvement and children’s health outcomes: the current state of the literature. J Collab Fam Healthc 2016;34:260–9, https://doi.org/10.1037/fsh0000212.Suche in Google Scholar PubMed PubMed Central
20. He, Q, Li, X, Wang, R. Childhood obesity in China: does grandparents’ coresidence matter? Econ Hum Biol 2018;29:56–63, https://doi.org/10.1016/j.ehb.2018.02.001.Suche in Google Scholar PubMed
21. Lau, JD, Au, LY, Chao, E, Elbaar, L, Tse, R. The association of grandparent care with childhood overweight and obesity in Chinese American families. Child Obes Print 2019;15:14–20, https://doi.org/10.1089/chi.2018.0113.Suche in Google Scholar PubMed
22. China Health and Nutrition Survey – China Health and Nutrition Survey (CHNS). Project description. Available from: https://www.cpc.unc.edu/projects/china [Accessed 15 Apr 2021].Suche in Google Scholar
23. Li, H, Zong, X, Ji, C, Mi, J. Body mass index cut-offs for overweight and obesity in Chinese children and adolescents aged 2–18 years. Zhonghua Liu Xing Bing Xue Za Zhi Zhonghua Liuxingbingxue Zazhi 2010;31:616–20.Suche in Google Scholar
24. Zhao, G. Grandparent raising and obesity among migrant preschoolers. Chin J Sch Health 2018;39:57–9.Suche in Google Scholar
25. Morita, A, Ochi, M, Isumi, A, Fujiwara, T. Association between grandparent coresidence and weight change among first-grade Japanese children. Pediatr Obes 2019;14:e12524, https://doi.org/10.1111/ijpo.12524.Suche in Google Scholar PubMed
26. Li, B, Adab, P, Cheng, KK. The role of grandparents in childhood obesity in China - evidence from a mixed methods study. Int J Behav Nutr Phys Act 2015;12, https://doi.org/10.1186/s12966-015-0251-z.Suche in Google Scholar PubMed PubMed Central
27. Liberali, R, Kupek, E, de Assis, MAA. Dietary patterns and childhood obesity risk: a systematic review. Child Obes Print 2020;16:70–85, https://doi.org/10.1089/chi.2019.0059.Suche in Google Scholar PubMed
© 2022 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Review Article
- Nephrogenic diabetes insipidus: a comprehensive overview
- Original Articles
- Prevalence of type 2 diabetes mellitus, metabolic syndrome, and related morbidities in overweight and obese children
- Impact of sports participation on components of metabolic syndrome in adolescents: ABCD growth study
- Expected or unexpected clinical findings in liver glycogen storage disease type IX: distinct clinical and molecular variability
- Evaluation of patients with phenylalanine metabolism disorder: a single center experience
- The association of grandparental co-residence and dietary knowledge with excess body weight among children aged 7–15 years in China
- Clinical characteristics of polyglandular autoimmune syndromes in pediatric age: an observational study
- Serum kisspeptin, leptin, neuropeptide Y, and neurokinin B levels in adolescents with polycystic ovary syndrome
- Ultrasonographic measurements of the testicular volume in Turkish boys aged 0–8 years and comparison with international references
- Fructose 1,6 bisphosphatase deficiency: outcomes of patients in a single center in Turkey and identification of novel splice site and indel mutations in FBP1
- Benefits of metformin add-on insulin therapy (MAIT) for HbA1c and lipid profile in adolescents with type 1 diabetes mellitus: preliminary report from a double-blinded, placebo-controlled, randomized clinical trial
- Evaluation of efficacy and safety of long-acting PEGylated recombinant human growth hormone (Jintrolong) for patients with growth hormone deficiency
- Evaluation of endocrinological involvement and metabolic status in patients with Gaucher disease Type 1 and Fabry disease under enzyme replacement therapy
- Letter to the Editor
- Correspondence on “Obesity after the Covid-19 pandemic”
- Case Reports
- An unusual presentation of primary adrenal insufficiency with new onset type 1 diabetes: case report and review of the literature
- Niemann–Pick type C disease with a novel intronic mutation: three Turkish cases from the same family
- Weight management in youth with rapid-onset obesity with hypothalamic dysregulation, hypoventilation, autonomic dysregulation, and neural crest tumor (ROHHAD-NET): literature search and case report
- Successful use of cinacalcet monotherapy in the management of siblings with homozygous calcium-sensing receptor mutation
Artikel in diesem Heft
- Frontmatter
- Review Article
- Nephrogenic diabetes insipidus: a comprehensive overview
- Original Articles
- Prevalence of type 2 diabetes mellitus, metabolic syndrome, and related morbidities in overweight and obese children
- Impact of sports participation on components of metabolic syndrome in adolescents: ABCD growth study
- Expected or unexpected clinical findings in liver glycogen storage disease type IX: distinct clinical and molecular variability
- Evaluation of patients with phenylalanine metabolism disorder: a single center experience
- The association of grandparental co-residence and dietary knowledge with excess body weight among children aged 7–15 years in China
- Clinical characteristics of polyglandular autoimmune syndromes in pediatric age: an observational study
- Serum kisspeptin, leptin, neuropeptide Y, and neurokinin B levels in adolescents with polycystic ovary syndrome
- Ultrasonographic measurements of the testicular volume in Turkish boys aged 0–8 years and comparison with international references
- Fructose 1,6 bisphosphatase deficiency: outcomes of patients in a single center in Turkey and identification of novel splice site and indel mutations in FBP1
- Benefits of metformin add-on insulin therapy (MAIT) for HbA1c and lipid profile in adolescents with type 1 diabetes mellitus: preliminary report from a double-blinded, placebo-controlled, randomized clinical trial
- Evaluation of efficacy and safety of long-acting PEGylated recombinant human growth hormone (Jintrolong) for patients with growth hormone deficiency
- Evaluation of endocrinological involvement and metabolic status in patients with Gaucher disease Type 1 and Fabry disease under enzyme replacement therapy
- Letter to the Editor
- Correspondence on “Obesity after the Covid-19 pandemic”
- Case Reports
- An unusual presentation of primary adrenal insufficiency with new onset type 1 diabetes: case report and review of the literature
- Niemann–Pick type C disease with a novel intronic mutation: three Turkish cases from the same family
- Weight management in youth with rapid-onset obesity with hypothalamic dysregulation, hypoventilation, autonomic dysregulation, and neural crest tumor (ROHHAD-NET): literature search and case report
- Successful use of cinacalcet monotherapy in the management of siblings with homozygous calcium-sensing receptor mutation
