{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T19:36:26Z","timestamp":1774380986676,"version":"3.50.1"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>With socioeconomic development and lifestyle changes, the spectrum of health issues among Chinese children has shifted, with overweight\/obesity and visual impairment emerging as major public health challenges. As a representative city in Northern Shandong Province, Binzhou requires localized data to understand the health status of its primary school students and to inform targeted intervention. This study systematically analyzes the growth, development, and major health problems among primary school students aged 6\u201312 years in Binzhou, aiming to provide a scientific basis for regional disease prevention and health promotion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional design was employed, drawing on health examination records from 4,281 primary school students aged 6\u201312 years in Binzhou. Data collected included age, sex, height, weight, vision, and dental caries. Statistical analyses were performed with SPSS. Categorical data were described as frequencies (percentages), and intergroup comparisons were assessed using the chi-squared test, with a significance level of \u03b1 = 0.05.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 4,281 primary school students were included, comprising 51.81% males and 48.19% females. The principal health problems identified were overweight, obesity, visual impairment, and dental caries. Issues related to stunted growth were minimal. The detection prevalences of overweight, obesity, color vision deficiency, and visual impairment differed significantly by gender (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The health issues among primary school students in Binzhou have shifted from traditional malnutrition toward lifestyle-related problems such as overweight, obesity, visual impairment, and dental caries. These conditions show high prevalence with distinct age- and gender-related patterns. Education and health authorities should implement precise, phased prevention and control strategies, with a particular emphasis on overweight, obesity, visual impairment, and dental caries in younger children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1757793","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T16:17:27Z","timestamp":1774369047000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Growth, development, and health status of primary school students in Binzhou city: an analysis based on health examination data for 6-12-Year-olds"],"prefix":"10.3389","volume":"14","author":[{"given":"Shuwei","family":"Li","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Binzhou People's Hospital","place":["Binzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Clinical Laboratory, Binzhou Medical University Hospital","place":["Binzhou, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,24]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1016\/S2352-4642(25)00140-3","article-title":"Trends and predictions to 2030 in demographic structures and metabolic health for children and adolescents in China: analysis of national school health surveys from 2000 to 2019","volume":"9","author":"Song","year":"2025","journal-title":"Lancet Child Adolesc Health."},{"key":"B2","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/S2213-8587(21)00045-0","article-title":"Epidemiology and determinants of obesity in China","volume":"9","author":"Pan","year":"2021","journal-title":"Lancet Diabetes Endocrinol."},{"key":"B3","doi-asserted-by":"publisher","first-page":"e341","DOI":"10.1016\/S2214-109X(20)30024-3","article-title":"Burden of disease in francophone Africa, 1990\u20132017: a systematic analysis for the global burden of disease study 2017","volume":"8","author":"El Bcheraoui","year":"2020","journal-title":"Lancet Glob Health."},{"key":"B4","doi-asserted-by":"publisher","first-page":"2920","DOI":"10.3390\/nu17182920","article-title":"Talking about weight with children: associations with parental stigma, bias, attitudes, and child weight status","volume":"17","author":"Ispas","year":"2025","journal-title":"Nutrients."},{"key":"B5","doi-asserted-by":"publisher","first-page":"e026163","DOI":"10.1136\/bmjopen-2018-026163","article-title":"Depressive symptoms in people with vision impairment: a cross-sectional study to identify who is most at risk","volume":"9","author":"Nollett","year":"2019","journal-title":"BMJ Open."},{"key":"B6","doi-asserted-by":"publisher","first-page":"1421","DOI":"10.3390\/ijerph17041421","article-title":"Risk Factors associated with carious lesions in permanent first molars in children: a seven-year retrospective cohort study","volume":"17","author":"Llena","year":"2020","journal-title":"Int J Environ Res Public Health."},{"key":"B7","doi-asserted-by":"publisher","first-page":"81338","DOI":"10.1016\/S0140-6736(25)00355-1","article-title":"Global, regional, and national prevalence of adult overweight and obesity, 1990-2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021","volume":"405","author":"Collaborators","year":"2025","journal-title":"Lancet"},{"key":"B8","doi-asserted-by":"publisher","first-page":"785812","DOI":"10.1016\/S0140-6736(25)00397-6","article-title":"Global, regional, and national prevalence of child and adolescent overweight and obesity, 1990-2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021","volume":"405","author":"Collaborators","year":"2025","journal-title":"Lancet"},{"key":"B9","doi-asserted-by":"publisher","first-page":"100977","DOI":"10.1016\/j.lanwpc.2023.100977","article-title":"The return on investment for the prevention and treatment of childhood and adolescent overweight and obesity in China: a modelling study","volume":"43","author":"Ma","year":"2024","journal-title":"Lancet Reg Health West Pac."},{"key":"B10","doi-asserted-by":"publisher","first-page":"460","DOI":"10.4278\/0890-1171-21.5.460","article-title":"Corso ps. The relationship between obesity and injuries among US adults","volume":"21","author":"Finkelstein","year":"2007","journal-title":"AJHP."},{"key":"B11","doi-asserted-by":"publisher","first-page":"2469","DOI":"10.3390\/biomedicines11092469","article-title":"From reward to anhedonia-dopamine function in the global mental health context","volume":"11","author":"Dresp-Langley","year":"2023","journal-title":"Biomedicines."},{"key":"B12","doi-asserted-by":"publisher","first-page":"631","DOI":"10.3390\/nu18040631","article-title":"Associations between restrained, emotional, and external eating behaviors and obesity among saudi adults: a cross-sectional study","volume":"18","author":"Almaghrabi","year":"2026","journal-title":"Nutrients."},{"key":"B13","doi-asserted-by":"publisher","first-page":"3390","DOI":"10.1111\/dom.15238","article-title":"Prevalence of obesity and associated complications in China: a cross-sectional, real-world study in 158 million adults","volume":"25","author":"Chen","year":"2023","journal-title":"Diabetes Obes Metab."},{"key":"B14","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1097\/01.NURSE.0000718908.20119.01","article-title":"Obesity in children and adolescents: an overview","volume":"50","author":"Bradwisch","year":"2020","journal-title":"J Nursing."},{"key":"B15","doi-asserted-by":"publisher","first-page":"e806","DOI":"10.1016\/S2589-7500(21)00135-7","article-title":"Association between digital smart device use and myopia: a systematic review and meta-analysis","volume":"3","author":"Foreman","year":"2021","journal-title":"Lancet Digit Health."},{"key":"B16","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1186\/s13690-023-01188-y","article-title":"The burden of vision loss in the Middle East and North Africa region, 1990\u20132019","volume":"81","author":"Bahremani","year":"2023","journal-title":"Arch public health."},{"key":"B17","doi-asserted-by":"publisher","first-page":"368","DOI":"10.4103\/0301-4738.100529","article-title":"Social inequalities in blindness and visual impairment: a review of social determinants","volume":"60","author":"Ulldemolins","year":"2012","journal-title":"Indian J Ophthalmol."},{"key":"B18","doi-asserted-by":"publisher","first-page":"516","DOI":"10.1093\/ajcp\/aqac081","article-title":"Color vision deficiency survey in anatomic pathology","volume":"158","author":"Flotte","year":"2022","journal-title":"Am J Clin Pathol."},{"key":"B19","doi-asserted-by":"publisher","first-page":"4870","DOI":"10.1021\/acsnano.0c09657","article-title":"Gold nanocomposite contact lenses for color blindness management","volume":"15","author":"Salih","year":"2021","journal-title":"ACS Nano."},{"key":"B20","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/j.lindif.2004.08.002","article-title":"P\u00e9rez \u00e1L, D\u00edaz F, Montanero M, Pardo PJ, Gil J, et al. Does daltonism influence young children's learning?","volume":"15","author":"Suero","year":"2005","journal-title":"Learn Individ Diff."},{"key":"B21","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1186\/s12903-018-0708-y","article-title":"Dental caries status of Lisu preschool children in Yunnan Province, China: a cross-sectional study","volume":"19","author":"Zhang","year":"2019","journal-title":"BMC Oral Health."},{"key":"B22","doi-asserted-by":"publisher","first-page":"6561","DOI":"10.3390\/ijerph17186561","article-title":"Caries prevalence evolution and risk factors among schoolchildren and adolescents from Valencia (Spain): Trends 1998\u20132018","volume":"17","author":"Almerich-Torres","year":"2020","journal-title":"Int J Environ Res Public Health."},{"key":"B23","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1111\/ipd.13224","article-title":"Caries status in 12-year-old children, geographical location and socioeconomic conditions across European countries: a systematic review and meta-analysis","volume":"35","author":"Vukovic","year":"2025","journal-title":"Int J Paediatr Dent."},{"key":"B24","doi-asserted-by":"publisher","first-page":"92","DOI":"10.56786\/PHWR.2026.19.2.4","article-title":"Current status and associated factors of dental caries in the republic of Korea assessed using the 2024 Korea national children's oral health survey","volume":"19","author":"Shin","year":"2026","journal-title":"Jugan geon-gang gwa jilbyeong."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1757793\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T16:17:28Z","timestamp":1774369048000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1757793\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,24]]},"references-count":24,"alternative-id":["10.3389\/fpubh.2026.1757793"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1757793","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,24]]},"article-number":"1757793"}}