{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:17:31Z","timestamp":1773267451947,"version":"3.50.1"},"reference-count":44,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T00:00:00Z","timestamp":1659398400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81570759"],"award-info":[{"award-number":["81570759"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81270938"],"award-info":[{"award-number":["81270938"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012226","name":"Fundamental Research Funds for the Central Universities","doi-asserted-by":"publisher","award":["2017XZZX001\u201001"],"award-info":[{"award-number":["2017XZZX001\u201001"]}],"id":[{"id":"10.13039\/501100012226","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to analyze a comprehensive set of potential risk factors for obesity and overweight among Chinese children with a full range of ages and with wide geographical coverage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In the Prevalence and Risk Factors for Obesity and Diabetes in Youth (PRODY) study (2017\u20102019), the authors analyzed 193,997 children aged 3 to 18\u2009years from 11 provinces, autonomous regions, and municipalities that are geographically representative of China. All participants underwent physical examinations, and their caregivers completed questionnaires including dietary, lifestyle, familial, and perinatal information of participants. A multilevel multinomial logistic regression model was used to evaluate the potential risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the actionable risk factors that were measured, higher consumption frequencies of animal offal (odds ratios [OR] for an additional time\/day\u00a0=\u00a00.91, 95% CI: 0.88\u20100.95, same unit for OR below unless specified otherwise), dairy products (0.91, 95% CI: 0.88\u20100.94), freshwater products (0.94, 95% CI: 0.91\u20100.96), staple foods (0.94, 95% CI: 0.92\u20100.96), and coarse food grain (OR for every day vs. rarely\u00a0=\u00a00.92, 95% CI: 0.86\u20100.98) were associated with lower relative risk of obesity. However, higher restaurant\u2010eating frequency (OR for &gt;4 times\/month vs. rarely\u00a0=\u00a01.21, 95% CI: 1.15\u20101.29) and longer screen\u2010viewing duration (OR for &gt;2 hours vs. &lt;30 minutes\u00a0=\u00a01.16, 95% CI: 1.10\u20101.22) were associated with higher relative risk of obesity. Increased exercise frequency was associated with the lowest relative risk of obesity (OR for every day vs. rarely\u00a0=\u00a00.72, 95% CI: 0.68\u20100.77).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Changes in lifestyle and diet of Chinese children may help relieve their obesity burden.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.23515","type":"journal-article","created":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T05:24:11Z","timestamp":1659504251000},"page":"1842-1850","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Risk factors for obesity and overweight in <scp>Chinese<\/scp> children: a nationwide survey"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2391-8028","authenticated-orcid":false,"given":"JingNan","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Endocrinology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FengLei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nutrition Harvard T.H. Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ke","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RuiMin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Genetics and Metabolism Fuzhou Children's Hospital  Fuzhou 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