To investigate dietary intake and explore the association between dietary patterns and overweight/obesity among children and adolescents aged 6 to 17 years in Hebei Province, providing evidence for early prevention and control.
Using multistage stratified random sampling, 3 228 children and adolescents aged 6-17 years from 12 monitoring sites in Hebei Province were selected. Data on basic characteristics, food intake, and physical examination were collected. Factor analysis was used to extract dietary patterns, and unconditional logistic regression was employed to analyze the association between dietary patterns and overweight/obesity risk.
The prevalence of overweight/obesity was 28.78% during 2016 and 2017, with significant differences by gender, region, education level, parental education, and boarding status (all P<0.05). After adjusting for gender, region, and boarding status, the high-carbohydrate dietary pattern was identified as a risk factor for overweight/obesity (P<0.05). The high-protein dietary pattern showed a protective effect, with decreasing risk as factor scores increased (Q2 medium group: OR=0.803, 95%CI: 0.665-0.985, P=0.034; Q3 high group: OR=0.742, 95%CI: 0.584-0.942, P=0.014).
The prevalence of overweight/obesity is high among children and adolescents in Hebei Province. Dietary interventions focusing on increasing protein intake and reducing high-carbohydrate foods may help control overweight/obesity.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |