Associations between caregivers’ health behaviours and overweight/obesity among children aged 2–6 years in Beijing, China: a cross-sectional study

Objective To investigate the correlation between caregivers’ health-related behaviours and the prevalence of overweight/obesity among children aged 2–6 years in Beijing city in China.Design Cross-sectional study.Setting Two kindergartens and two community health service centres in Beijing city, Chin...

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Main Authors: Yan Hu, Juan Du, Wenjing Ji, Xueling Li, Aimin Liang, Xiwei Xu
Format: Article
Language:English
Published: BMJ Publishing Group 2025-02-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/2/e086470.full
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author Yan Hu
Juan Du
Wenjing Ji
Xueling Li
Aimin Liang
Xiwei Xu
author_facet Yan Hu
Juan Du
Wenjing Ji
Xueling Li
Aimin Liang
Xiwei Xu
author_sort Yan Hu
collection DOAJ
description Objective To investigate the correlation between caregivers’ health-related behaviours and the prevalence of overweight/obesity among children aged 2–6 years in Beijing city in China.Design Cross-sectional study.Setting Two kindergartens and two community health service centres in Beijing city, China.Participants A total of 1967 children aged 2–6 years were included.Primary and secondary outcome measures Children’s height and weight were measured and body mass index was computed. The caregivers’ exercise health behaviours and dietary health behaviours were assessed using a questionnaire, encompassing the frequency of exercise and the duration of each exercise session, as well as the frequency of consumption of desserts, late-night snacks, and fast food, regular eating habits, and the proportion of meat and vegetables consumed daily. Logistic regression analysis was performed to identify relationships between caregivers’ health-related behaviours and overweight/obesity in children.Results Having caregivers who exercised ≥3 times/week (OR 0.643, 95% CI 0.417 to 0.990) was a protective factor against childhood overweight/obesity compared with having caregivers who exercised <1 time/week; caregivers’ frequent encouragement of children’s participation in physical activity was also a protective factor (OR 0.513, 95% CI 0.352 to 0.749). Additionally, children whose caregivers consumed sweets 2–3 times/week (OR 1.535, 95% CI 1.133 to 2.081) or ≥4 times/week (OR 1.916, 95% CI 1.258 to 2.918), as well as children whose caregivers consumed fast food ≥4 times/week (OR 2.298, 95% CI 1.349 to 3.914), were more likely to be overweight and obesity than children whose caregivers consumed these foods ≤1 time/week. Furthermore, caregivers’ irregular eating habits were positively associated with the occurrence of overweight and obesity in children (OR 1.485, 95% CI 1.056 to 2.089).Conclusion Caregivers’ health-related behaviours were significantly associated with overweight/obesity among children in China. Substantial measures should be implemented to address caregivers’ health-related behaviours to prevent and control childhood overweight/obesity.
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spelling doaj-art-affd63f08e77439e8f1178960ddeeb672025-02-04T05:10:11ZengBMJ Publishing GroupBMJ Open2044-60552025-02-0115210.1136/bmjopen-2024-086470Associations between caregivers’ health behaviours and overweight/obesity among children aged 2–6 years in Beijing, China: a cross-sectional studyYan Hu0Juan Du1Wenjing Ji2Xueling Li3Aimin Liang4Xiwei Xu5Department of Child Health Care, Beijing Children`s Hospital, Capital Medical University, National Center for Children`s Health, Beijing, ChinaDepartment of Child Health Care, Beijing Children`s Hospital, Capital Medical University, National Center for Children`s Health, Beijing, ChinaDepartment of Child Health Care, Beijing Children`s Hospital, Capital Medical University, National Center for Children`s Health, Beijing, ChinaBeijing Shunyi District Maternal and Child Health Hospital, Beijing, ChinaDepartment of Child Health Care, Beijing Children`s Hospital, Capital Medical University, National Center for Children`s Health, Beijing, ChinaDepartment of Gastroenterology, Beijing Children`s Hospital, Capital Medical University, National Center for Children`s Health, Beijing, ChinaObjective To investigate the correlation between caregivers’ health-related behaviours and the prevalence of overweight/obesity among children aged 2–6 years in Beijing city in China.Design Cross-sectional study.Setting Two kindergartens and two community health service centres in Beijing city, China.Participants A total of 1967 children aged 2–6 years were included.Primary and secondary outcome measures Children’s height and weight were measured and body mass index was computed. The caregivers’ exercise health behaviours and dietary health behaviours were assessed using a questionnaire, encompassing the frequency of exercise and the duration of each exercise session, as well as the frequency of consumption of desserts, late-night snacks, and fast food, regular eating habits, and the proportion of meat and vegetables consumed daily. Logistic regression analysis was performed to identify relationships between caregivers’ health-related behaviours and overweight/obesity in children.Results Having caregivers who exercised ≥3 times/week (OR 0.643, 95% CI 0.417 to 0.990) was a protective factor against childhood overweight/obesity compared with having caregivers who exercised <1 time/week; caregivers’ frequent encouragement of children’s participation in physical activity was also a protective factor (OR 0.513, 95% CI 0.352 to 0.749). Additionally, children whose caregivers consumed sweets 2–3 times/week (OR 1.535, 95% CI 1.133 to 2.081) or ≥4 times/week (OR 1.916, 95% CI 1.258 to 2.918), as well as children whose caregivers consumed fast food ≥4 times/week (OR 2.298, 95% CI 1.349 to 3.914), were more likely to be overweight and obesity than children whose caregivers consumed these foods ≤1 time/week. Furthermore, caregivers’ irregular eating habits were positively associated with the occurrence of overweight and obesity in children (OR 1.485, 95% CI 1.056 to 2.089).Conclusion Caregivers’ health-related behaviours were significantly associated with overweight/obesity among children in China. Substantial measures should be implemented to address caregivers’ health-related behaviours to prevent and control childhood overweight/obesity.https://bmjopen.bmj.com/content/15/2/e086470.full
spellingShingle Yan Hu
Juan Du
Wenjing Ji
Xueling Li
Aimin Liang
Xiwei Xu
Associations between caregivers’ health behaviours and overweight/obesity among children aged 2–6 years in Beijing, China: a cross-sectional study
BMJ Open
title Associations between caregivers’ health behaviours and overweight/obesity among children aged 2–6 years in Beijing, China: a cross-sectional study
title_full Associations between caregivers’ health behaviours and overweight/obesity among children aged 2–6 years in Beijing, China: a cross-sectional study
title_fullStr Associations between caregivers’ health behaviours and overweight/obesity among children aged 2–6 years in Beijing, China: a cross-sectional study
title_full_unstemmed Associations between caregivers’ health behaviours and overweight/obesity among children aged 2–6 years in Beijing, China: a cross-sectional study
title_short Associations between caregivers’ health behaviours and overweight/obesity among children aged 2–6 years in Beijing, China: a cross-sectional study
title_sort associations between caregivers health behaviours and overweight obesity among children aged 2 6 years in beijing china a cross sectional study
url https://bmjopen.bmj.com/content/15/2/e086470.full
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