气候变化领域集成服务门户(CCPortal): Obesogenic environmental factors of adult obesity in China: A nationally representative cross-sectional study

CCPortal

DOI	10.1088/1748-9326/ab6614
	Obesogenic environmental factors of adult obesity in China: A nationally representative cross-sectional study
	Zhang X.; Zhang M.; Zhao Z.; Huang Z.; Deng Q.; Li Y.; Pan A.; Li C.; Chen Z.; Zhou M.; Yu C.; Stein A.; Jia P.; Wang L.
发表日期	2020
ISSN	17489318
卷号	15 期号:4
英文摘要	The prevalence of obesity is still rising among Chinese adults and may be attributed to environmental factors, which, however, has only been examined in western countries before. This study aimed to estimate associations between obesogenic environments and adult obesity in China, on the basis of the official 2013-4 nationally representative survey. General and abdominal obesity were defined by body mass index and waist circumference, respectively, according to both the Chinese and international criteria. The mean summer/winter temperature in provinces, the mean fine particulate matter (PM2.5) concentration, gross domestic product per capita, and education level in districts/counties, and the densities of fast-food restaurants, full-service restaurants, grocery stores, and supermarkets in subdistricts/towns were calculated. Five-level logistic regression models were used to estimate their associations with obesity, also in urban and rural regions separately. Both general and abdominal obesity in men were associated with the highest PM2.5 concentration, summer temperature, and density of full-service restaurants and grocery stores, as well as the lowest winter temperature. These associations were also observed in women except for summer temperature and density of full-service restaurants with abdominal obesity. Some associations varied by urban-rural regions. Also, the higher regional education level was associated with general and abdominal obesity in men. Additionally, obesity was associated with the increasing number of coexisting obesogenic environmental factors. Our findings call for more attention to citizens living in certain environments in China, such as cold winters and with more full-service restaurants and grocery stores. This is the first national, comprehensive obesogenic environment study in China, which generated evidence-based hypotheses for future longitudinal research and interventions on obesogenic environments in China. © 2020 The Author(s). Published by IOP Publishing Ltd.
英文关键词	Adult; Built environment; Food environment; Obesity; Physical environment; Socioeconomic environment
语种	英语
scopus关键词	Logistic regression; Cross-sectional study; Environmental factors; Fast-food restaurants; Fine particulate matter (PM2.5); Gross domestic products; Logistic regression models; Longitudinal research; PM2.5 concentration; Nutrition; adult; body mass; concentration (composition); cross section; disease prevalence; environmental factor; obesity; particulate matter; seasonal variation; China
来源期刊	Environmental Research Letters
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/154088
作者单位	National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China; School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; State Key Laboratory of Remote Sensing Science, Institute of Remote Sensing and Digital Earth, Chinese Academy of Sciences, Beijing, China; Faculty of Geo-Information Science and Earth Observation, University of Twente, Enschede, Netherlands; International Initiative on Spatial Lifecourse Epidemiology (ISLE), Hong Kong; Department of Land Surveying and Geo-Informatics, Hong Kong Polytechnic University, Hong Kong
推荐引用方式 GB/T 7714	Zhang X.,Zhang M.,Zhao Z.,et al. Obesogenic environmental factors of adult obesity in China: A nationally representative cross-sectional study[J],2020,15(4).
APA	Zhang X..,Zhang M..,Zhao Z..,Huang Z..,Deng Q..,...&Wang L..(2020).Obesogenic environmental factors of adult obesity in China: A nationally representative cross-sectional study.Environmental Research Letters,15(4).
MLA	Zhang X.,et al."Obesogenic environmental factors of adult obesity in China: A nationally representative cross-sectional study".Environmental Research Letters 15.4(2020).