{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T14:53:21Z","timestamp":1789052001703,"version":"build-2803163510"},"reference-count":52,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"College of Nursing"},{"DOI":"10.13039\/501100007289","name":"Nanjing Medical University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014622","name":"Nutrition Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014622","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To understand the current epidemiological status and influencing factors of wasting, overweight and obesity among children under 5\u202fyears old in Jiangsu Province, thereby providing a scientific basis for developing early strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multi-center, stratified cluster random sampling approach was employed to investigate birth status, season variation, regional differences and other relevant factors among children under 5\u202fyears in Jiangsu Province from April 2014 to March 2015.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 5,289 children were initially enrolled in this study. After applying strict inclusion and exclusion criteria, 4,420 children were included in the statistical analysis (2,303 boys and 2,117 girls). The prevalence of wasting, risk of overweight, overweight and obesity were 1.403, 17.583, 4.594, and 1.426%, respectively. Firstly, the prevalence of wasting was relatively higher in children in rural areas, aged 24\u201335\u202fmonths, born via spontaneous delivery, with a birth weight &amp;lt;2,500\u202fg, and investigated in summer and central Jiangsu areas, with prevalence rates of 1.776, 2.009, 1.692, 1.923, 2.070 and 2.760%, respectively. All cities in Jiangsu Province except Nanjing were associated with wasting. Secondly, the prevalence of risk of overweight was higher among boys, infants aged 0\u201311\u202fmonths, preterm infant, born with birth weight \u22654,000\u202fg, investigated in winter, with prevalence rates of 19.236, 24.583, 21.304, 23.029 and 24.481%, respectively. And boys, all age groups except 48\u201359\u202fmonths, birth weight \u22654,000\u202fg, investigated in spring and winter were factors associated with risk of overweight. Thirdly, the prevalence of overweight was higher among boys, infants aged 0\u201311\u202fmonths, birth weight \u22654,000\u202fg, investigated in winter, with prevalence of 5.471, 7.292, 7.884, and 8.605%, respectively. And boys, 0\u201311\u202fmonths, birth weight \u22654,000\u202fg, investigated in spring and winter were factors associated with overweight. Finally, the prevalence of overweight among children with boys, 36\u201347\u202fmonths, birth weight \u22654,000\u202fg, investigated in winter, and southern of Jiangsu Province were 1.824, 2.039, 2.075, 2.533 and 1.727%, respectively. And boys were factors associated with obesity.\\.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The historical prevalence of wasting, overweight and obesity among children under 5\u202fyears in Jiangsu Province remain at a low level.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnut.2026.1679010","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T05:23:14Z","timestamp":1769664194000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Prevalence of wasting, overweight and obesity among children under 5\u202fyears in 10 cities of Jiangsu Province: a multi-center cross-sectional study"],"prefix":"10.3389","volume":"13","author":[{"given":"Lihua","family":"Li","sequence":"first","affiliation":[{"name":"Department of Clinical Nutrition, Lianshui People's Hospital 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China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aiping","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Child Health Care, Xinghua Maternity and Child Health Care Hospital","place":["Xinghua, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kan","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Child Health Care, Suzhou Municipal Hospital","place":["Suzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinye","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Child Health Care, Wuxi Maternity and Child Health Care Hospital","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guoqiang","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Child Health Care, Kunshan Maternity and Child Health Care Institute","place":["Kunshan, 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China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heyun","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Child Health Care, Jiangning Maternity and Child Health Care Institute","place":["Nanjing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Child Health Care, Jiangsu Women and Children Health Hospital, Women and Child Branch Hospital of Jiangsu Province Hospital, The First Affiliated Hospital with Nanjing Medical University","place":["Nanjing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition, Jiangsu Province Hospital, The First Affiliated Hospital of Nanjing Medical University","place":["Nanjing, China"]},{"name":"Department of Nutrition, Affiliated Hospital of Jiangnan University","place":["Wuxi, China"]},{"name":"Wuxi School of Medicine, Jiangnan University","place":["Wuxi, China"]},{"name":"Institute of Future Food Technology, JITRI","place":["Yixing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1016\/S0140-6736(23)02750-2","article-title":"Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults","volume":"403","year":"2024","journal-title":"Lancet"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e1125","DOI":"10.1016\/S2468-2667(24)00263-9","article-title":"Control of childhood obesity and implications for policy in China","volume":"9","author":"Dong","year":"2024","journal-title":"Lancet Public 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