Abstract
BACKGROUND: In Taiwan, the availability of a high-fat and high-energy diet has steadily risen over the past 30 y, while people have become increasingly sedentary. This lifestyle of poor diet and little physical activity has caused the prevalence of obesity to increase among adults and children. Obesity and associated chronic disease risk factors are becoming important public health issues. The purpose of this study is to evaluate the prevalence and secular trends of being overweight and obese among school children in Taiwan.
METHODS: We conducted a cross-sectional survey among junior high school students in Taipei in 1994 to ascertain a representative distribution of demographic, lifestyle and biochemical characteristics, including several cardiovascular disease risk factors. After multistage sampling of 85 junior high schools in Taipei, we randomly selected 1500 children for this survey. We defined being overweight and obese based on ideal body weight (IBW) criteria. Children are considered to be overweight if their body weight is 110–120% of IBW, and obese if their body weight is greater than 120% of IBW within age- and gender-specific strata.
RESULTS: In general, obese children have higher blood pressure, plasma glucose and triglyceride levels and lower high-density-lipoprotein cholesterol levels than normal-weight children. From 1980 to 1994, the mean value of body weight increased significantly over increases in body height (especially among boys). Although the percentage of overweight children remained steady from 1980 to 1994 in both genders, the prevalence and trends of obesity increased significantly, especially among boys and older girls.
CONCLUSION: From this survey we find that in Taiwan from 1980 to 1994 body weight increased dramatically over body height among school children. The prevalence of obesity also increased significantly, especially among boys, while the percentage of overweight children did not vary. Overall, this study indicates that obesity and the adverse effects of being over the ideal body weight is no longer just a problem of Western countries.
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References
Garrow JS . Health Implications of Obesity Obesity and Related Diseases Churchill Livingstone: London 1988 11–16.
Gidding SS . A perspective on obesity Am J Med Sci 1995 310 (Suppl 1): S68–71.
Bray GA . Health hazards of obesity Endocrinol Metab Clin N Am 1996 25: 907–919.
Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL . Overweight prevalence and trends for children and adolescents The National Health and Nutrition Examination Surveys, 1963 to 1991. Arch Pediatr Adolesc Med 1995 149: 1085–1091.
CDC . Update: prevalence of overweight among children, adolescents, and adults—United States, 1988–1994 MMWR 1997 46: 199–202.
Flegal KM, Carroll MD, Kuczmarski RJ, Johnson CL . Overweight and obesity in the United States: prevalence and trends, 1960–1994 Int J Obes Relat Metab Disord 1998 22: 39–47.
Kannel WB, Gordon T, Castelli WP . Obesity, lipids, and glucose intolerance. The Framingham Study Am J Clin Nutr 1979 32: 1238–1245.
Troiano RP, Frongillo EA Jr, Sobal J, Levitsky DA . The relationship between body weight and mortality: a quantitative analysis of combined information from existing studies Int J Obes Relat Metab Disord 1996 20: 63–75.
Dietz WHJ . Obesity in infants, children, and adolescents in the United States. I. Identification, natural history, and aftereffects Nutr Res 1981 1: 117–137.
Aristimuno GG, Foster TA, Voors AW, Srinivasan SR, Berenson GS . Influence of persistent obesity in children on cardiovascular risk factors: the Bogalusa Heart Study Circulation 1984 69: 895–904.
Smoak CG, Burke GL, Webber LS, Harsha DW, Srinivasan SR, Berenson GS . Relation of obesity to clustering of cardiovascular disease risk factors in children and young adults The Bogalusa Heart Study. Am J Epidemiol 1987 125: 364–372.
Lauer RM, Clarke WR . Childhood risk factors for high adult blood pressure: the Muscatine Study Pediatrics 1989 84: 633–641.
Gidding SS, Bao W, Srinivasan SR, Berenson GS . Effects of secular trends in obesity on coronary risk factors in children: the Bogalusa Heart Study J Pediatr 1995 127: 868–874.
Gidding SS, Leibel RL, Daniel S, Rosenbaum M, van Horn L, Marx GR . Understanding obesity in youth Circulation 1996 94: 3383–3387.
Guillaume M, Lapidus L, Bjorntorp P, Lambert A . Physical activity, obesity, and cardiovascular risk factors in children The Belgian Luxembourg Child Study II. Obes Res 1997 5: 549–556.
Dietz WH . Childhood weight affects adult morbidity and mortality J Nutr 1998 128 (Suppl 2): 411S–414S.
Braddon F, Rodgers B, Wadsworth M, Davies J . Onset of obesity in a 36 year birth cohort study Br Med J 1986 293: 299–303.
Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T . Do obese children become obese adults? A review of the literature Prev Med 1993 22: 167–177.
Clarke WR, Lauer RM . Does childhood obesity track into adulthood? Crit Rev Food Sci Nutr 1993 33: 423–430.
Guo SS, Roche AF, Chumlea WC, Gardner JC, Siervogel RM . The predictive value of childhood body mass index values for overweight at age 35 Am J Clin Nutr 1994 59: 810–819.
Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH . Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935 New Engl J Med 1992 327: 1350–1355.
Department of Health, The Executive Yuan, ROC The national nutritional guide book Vol 2: Taiwan Government: Taipei 1991.
Department of Health, The Executive Yuan, ROC Public Health in Taiwan Area, Republic of China, 1995 Taiwan Government: Taipei 1995.
Ding YA, Chu NF, Wang TW, Lin CC . Anthropometry and lipoproteins-related characteristics of young adult males in Taiwan Int J Obes Relat Metab Disord 1995 19: 392–396.
Chu NF, Rimm EB, Wang DJ, Liou HS, Shieh SM . Clustering of cardiovascular disease risk factors among obese schoolchildren: the Taipei Children Heart Study Am J Clin Nutr 1998 67: 1141–1146.
Chu NF, Rimm EB, Wang DJ, Liou HS, Shieh SM . Relationship between anthropometric variables and lipid levels among school children: The Taipei Children Heart Study Int J Obes Relat Metab Disord 1998 22: 66–72.
Lin Y-M, Chu C-L, Hong C-L, Huang P-C . Assessment of nutritional status of the youth in Taiwan: 1. Body height and body weight J Chin Nutr Soc 1985 10: 91–105.
Kao M-D, Huang H-I, Tzeng M-S, Lee N-Y, Shieh M-J . The nutritional status in Taiwan—anthropometric measurement 1986–1988 (I) Body weight and body height J Chin Nutr Soc 1991 16: 63–84.
Dietz WH, Robinson TN . Assessment and treatment of childhood obesity Pediatr Rev 1993 14: 337–343.
Guillaume M . Defining obesity in childhood: current practice Am J Clin Nutr 1999 70: 126S–130S.
Lu F-H, Sung Y-H, Chang C-J, Tseng W-H . Epidemiological survey on blood pressure, serum lipids and obesity in primary school children in a rural village—Shuan Shi Village of Taipei county J Natl Public Health Assoc (ROC) 1989 9: 198–209.
Dietz WH Jr, Gortmaker SL . Factors within the physical environment associated with childhood obesity Am J Clin Nutr 1984 39: 619–624.
Poston WSC, Foreyt JP . Obesity is an environmental issue Atherosclerosis 1999 146: 201–209.
Gortmaker SL, Must A, Perrin JM, Sobol AM, Dietz WH . Social and economic consequences of overweight in adolescence and young adulthood New Engl J Med 1993 329: 1008–1012.
Lauer RM, Lee J, Clarke WR . Factors affecting the relationship between childhood and adult cholesterol levels: the Muscatine Study Pediatrics 1988 82: 309–318.
Falkner F . Obesity and cardiovascular disease risk factors in prepubescent and pubescent black and white females Crit Rev Food Sci Nutr 1993 33: 397–402.
Dietz WH Jr . Childhood obesity Ann NY Acad Sci 1987 499: 47–54.
Gortmaker SL, Dietz WH Jr, Sobol AM, Wehler CA . Increasing pediatric obesity in the United States Am J Dis Child 1987 141: 535–540.
Dietz WH Jr . Childhood obesity: susceptibility, cause, and management J Pediatr 1983 103: 676–686.
CDC . Prevalence of overweight among third- and sixth-grade children—New York City, 1996 MMWR 1998 47: 980–984.
Shear CL, Freedman DS, Burke GL, Harsha DW, Webber LS, Berenson GS . Secular trends of obesity in early life: the Bogalusa Heart Study Am J Public Health 1988 78: 75–77.
Must A, Gortmaker SL, Dietz WH . Risk factors for obesity in young adults: Hispanics, African Americans and Whites in the transition years, age 16–28 years. Biomed Pharmacother 1994 48: 143–156.
Must A, Strauss RS . Risks and consequences of childhood and adolescent obesity Int J Obes Relat Metab Disord 1999 23 (Suppl 2): S2–S11.
Hung CT, Cheng SH . Body image and eating behavior in young females at Taipei J Natl Public Health Assoc (ROC) 1992 11: 316–327.
Robinson TN . Defining obesity in children and adolescents: clinical approaches Crit Rev Food Sci Nutr 1993 33: 313–320.
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Chu, NF. Prevalence and trends of obesity among school children in Taiwan—the Taipei Children Heart Study. Int J Obes 25, 170–176 (2001). https://doi.org/10.1038/sj.ijo.0801486
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DOI: https://doi.org/10.1038/sj.ijo.0801486
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