Determinants of childhood obesity in China

Changzheng Yuan1, Yanhui Dong2, Hui Chen1

  • 1School of Public Health, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

The Lancet. Public Health
|November 23, 2024
PubMed

Insights

China faces a significant childhood obesity epidemic, with the largest global child population affected. This review examines the causes and risk factors for childhood obesity in China, emphasizing school-aged children and multilevel determinants.

Area of Science:

  • Public Health
  • Epidemiology
  • Nutrition Science

Background:

  • China has undergone a significant nutritional transition over the last 40 years.
  • This transition is marked by a growing burden of overnutrition among children.
  • China now has the world's largest population of children experiencing obesity.

Purpose of the Study:

  • To review the epidemiology of childhood obesity in China.
  • To identify the determinants and risk factors contributing to this epidemic.
  • To focus specifically on school-aged children and multilevel factors.

Main Methods:

  • Literature review of epidemiological data on childhood obesity in China.
  • Analysis of variations across age, gender, and region.
  • Description of multilevel obesogenic determinants (macro, meso, micro levels).

Main Results:

  • Substantial variations in childhood obesity prevalence exist across age, gender, and geographic regions in China.
  • Multilevel factors, including social, cultural, environmental, school, community, family, and individual influences, contribute to obesity.
  • The primary drivers are macro-level socio-economic and technological environments, coupled with obesogenic school, community, and family settings, and unhealthy behavior adoption.

Conclusions:

  • Understanding the complex, multilevel drivers of childhood obesity in China is crucial.
  • Effective prevention and intervention strategies require tailored, scalable approaches.
  • Addressing the root causes within the broader environment is imperative for controlling childhood obesity.

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