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Comparison of dietary and non-dietary risk factors in overweight and normal-weight Chinese adults

Published online by Cambridge University Press:  09 March 2007

Gang Hu ,
Heikki Pekkarinen ,
Osmo Hänninen ,
Huiguang Tian  and
Rongpei Jin
Gang Hu*
Affiliation:
Department of Physiology, University of Kuopio, Kuopio, Finland
Heikki Pekkarinen
Affiliation:
Department of Physiology, University of Kuopio, Kuopio, Finland
Osmo Hänninen
Affiliation:
Department of Physiology, University of Kuopio, Kuopio, Finland
Huiguang Tian
Affiliation:
Food Safety Control and Inspection Institute Tianjin, Tianjin, The People's Republic of China
Rongpei Jin
Affiliation:
Food Safety Control and Inspection Institute Tianjin, Tianjin, The People's Republic of China
*
*Corresponding author: Dr Gang Hu, present address, Department of Epidemiology and Health, National Public Health, Mannerheimintie, FIN-00300 Helsinki, Finland, fax +358 9 4744 8338, email hu.gang@ktl.fi
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Abstract

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The aim of the present study was to compare the differences in dietary and non-dietary factors contributing to normal weight and overweight among urban Chinese adults. Two cross-sectional population surveys were carried out in Tianjin, one of the largest cities in China. A total of 2631 subjects aged 25–64 years were selected by random stratified cluster sampling; 398 men and 490 women were overweight, and 886 men and 857 women were of normal weight. The diet was assessed by food weighing plus consecutive individual 3 d food records. Health-related behaviours and anthropometry were assessed. The overweight group had significantly higher mean daily intakes of energy and carbohydrate than the normal-weight group. Overweight men also had significantly higher mean daily intakes of protein and fat than normal-weight men. Age, daily intakes of energy and carbohydrate, and marital status were positively associated with overweight, while occupational and commuting physical activity, as well as smoking, were inversely associated with overweight among both genders. Daily intakes of protein, fat and alcohol were positively related to the incidence of being overweight among men. People with 7–12 years education were more likely to be overweight compared with those with less than 6 years of education. High intakes of energy and carbohydrate among both genders, as well as high intakes of protein and fat among men, and lower levels of occupational and commuting physical activity, being a non-smoker, and partly higher socio-economic status were related to a greater incidence of being overweight in this population.

Keywords

Risk factorsOverweightChinese adults
Type
Research Article
Information
British Journal of Nutrition , Volume 88 , Issue 1 , July 2002 , pp. 91 - 97
Copyright
Copyright © The Nutrition Society 2002

References

Astrup, A, Grunwald, GK, Melanson, E, Stris, W & Hill, JO (2000) The role of low-fat diets in body weight control: a meta-analysis of ad libitum dietary intervention studies. International Journal of Obesity and Related Metabolic Disorders 24, 1545–1552.CrossRefGoogle ScholarPubMed
Bovens, AM, Baak, MA, Verncken, JG, Wijnen, JA, Saris, WH & Verstappen, FT (1993) Physical activity, fitness, and selected risk factors for CHD in active men and women. Medicine and Science in Sports and Exercise 25, 572–576.CrossRefGoogle ScholarPubMed
Bray, GA & Popkin, BM (1998) Dietary fat intake does affect obesity! American Journal of Clinical Nutrition 67, 1157–1173.CrossRefGoogle Scholar
Cheng, TO (1998) Cardiovascular diseases in China. Nature Medicine 4, 1209–1210.CrossRefGoogle ScholarPubMed
Flegal, KM, Troiano, RP, Pamuk, ER, Kuczmarski, RJ & Campbell, SM (1995) The influence of smoking cessation on the prevalence of overweight in the United States. New England Journal of Medicine 333, 1165–1170.CrossRefGoogle ScholarPubMed
Helmert, U, Herman, B & Shea, S (1994) Moderate and vigorous leisure-time physical activity and cardiovascular disease risk factors in West Germany 1984–1991. International Journal of Epidemiology 23, 285–292.CrossRefGoogle ScholarPubMed
Hong, Y, Bots, ML, Pan, XW, Wang, HZ, Jing, HG, Hofman, A & Chen, HZ (1994) Physical activity and cardiovascular risk factors in rural Shanghai, China. International Journal of Epidemiology 23, 1154–1158.CrossRefGoogle ScholarPubMed
Hu, G (2001) Physical activity during commuting and recreation associated with cardiovascular risk factors in China. PhD Thesis, University of Kuopio.Google Scholar
Hubert, HB, Feinlieb, M, McNamara, PM & Castelli, WP (1983) Obesity as an independent risk factor for cardiovascular disease: a 26 year follow-up of participants in the Framingham heart study. Circulation 67, 968–977.CrossRefGoogle ScholarPubMed
Mensink, GB, Ziese, T & Kok, FJ (1998) Benefits of leisure time physical activity on the cardiovascular risk profiles at older age. International Journal of Epidemiology 28, 659–666.CrossRefGoogle Scholar
Mertens, IL & Gaal, LF (2000) Overweight, obesity, and blood pressure: the effect of modest weight reduction. Obesity Research 8, 270–278.CrossRefGoogle ScholarPubMed
National Nutrition Association (1988) Recommended Dietary Allowances. Beijing: Public Health Press (in Chinese)Google Scholar
Paeratakul, S, Popkin, BM, Ge, KY, Adair, L & Stevens, J (1998a) Change in diet and physical activity affect the body mass index of Chinese adults. International Journal of Obesity and Related Metabolic Disorders 22, 424–431.CrossRefGoogle ScholarPubMed
Paeratakul, S, Popkin, BM, Kohlmeier, L, Hertz-Picciotto, I, Guo, X & Edwards, LJ (1998b) Measurement error in dietary data: Implications for the epidemiologic study of the diet–disease relationship. European Journal of Clinical Nutrition 52, 722–727.CrossRefGoogle ScholarPubMed
Parker, DR, Gonzalez, S & Derby, CA (1997) Dietary factors in relation to weight change among men and women from two south-eastern New England communities. International Journal of Obesity and Related Metabolic Disorders 21, 103–109.CrossRefGoogle Scholar
Popkin, BM, Paeratakul, S, Ge, K & Zhai, F (1975) Body weight patterns among the Chinese: results from the 1989 and 1991 China Health and Nutrition Surveys. American Journal of Public Health 85, 690–694.CrossRefGoogle Scholar
Preventive Medicine Academy of China (1991) Food Composition Tables. Beijing: Public Health Press (in Chinese).Google Scholar
Reddy, KS & Yusuf, S (1998) Emerging epidemic of cardiovascular disease in developing countries. Circulation 97, 596–601.CrossRefGoogle ScholarPubMed
Seidell, JC (1995) Obesity in Europe: scaling an epidemic. International Journal of Obesity and Related Metabolic Disorders 19, S1–S4.Google ScholarPubMed
Sobal, J & Stunkard, AJ (1989) Socioeconomic status and obesity: a review of the literature. Psychological Bulletin 105, 260–275.CrossRefGoogle ScholarPubMed
Stender, M, Hense, HW, Doring, A & Keil, AU (1993) Physical activity at work and cardiovascular disease risk: results from the MONICA Augsburg study. International Journal of Epidemiology 22, 644–650.CrossRefGoogle ScholarPubMed
Stunkard, AJ (1996) Current views on obesity. American Journal of Medicine 100, 230–236.CrossRefGoogle ScholarPubMed
Tian, HG, Guo, Z, Hu, G, Yu, Z, Sun, W, Pietinen, P & Nissinen, A (1995a) Changes in sodium intake and blood pressure in a community-based intervention project in China. Journal of Human Hypertension 9, 959–968.Google Scholar
Tian, HG, Nan, Y, Hu, G, Dong, Q, Yang, X, Pietinen, P & Nissinen, A (1995b) Dietary survey in a Chinese population. European Journal of Clinical Nutrition 49, 26–32.Google ScholarPubMed
Tianjin Public Health Bureau (1993) A Brief Introduction to Tianjin Four Diseases Program 1984–1992. Tianjin: Tianjin Public Health Bureau (in Chinese).Google Scholar
World Health Organization (1990) Diet, Nutrition, And Prevention of Chronic Diseases. World Health Organization Technical Report Series no. 797. Geneva: WHO.Google Scholar
World Health Organization (1998) Obesity: Preventing and Managing the Global Epidemic. pp. 130–132. Geneva: WHO.Google Scholar
Wood, PD (1994) Physical activity, diet, and health independent and interactive effects. Medicine and Science in Sports and Exercise 26, 838–843.CrossRefGoogle ScholarPubMed
Yao, C, Wu, Z & Wu, Y (1993) The changing pattern of cardiovascular diseases in China. World Health Statistics Quarterly 46, 113–118.Google ScholarPubMed
Yu, ZJ, Song, GD, Guo, ZY, Zheng, GW, Tian, HG, Vartiainen, F, Puska, P & Nissinen, A (1999) Changes in blood pressure, body mass index and salt consumption in a Chinese population. Preventive Medicin 29, 165–172.CrossRefGoogle ScholarPubMed