This study aimed to investigate the prevalence and determinants of overweight and obesity among students aged 6–18 years in Heilongjiang province, providing an evidence base for the development of region-specific body weight management strategies.
Between October 2024 and April 2025, a total of 50 734 students were recruited from six prefecture-level cities and their subordinate counties/districts via a multistage stratified random sampling design. Anthropometric measurements and structured questionnaires were administered. Overweight and obesity were classified according to the standard Screening for Overweight and Obesity among School-Age Children and Adolescents (WS/T 586—2018). Chi-square tests and multivariable logistic regression were employed for data analysis.
The overall prevalence of overweight and obesity was 17.45% and 23.46%, respectively. Boys (20.78% and 28.41%) had higher rates than girls (14.01% and 18.35%) (χ2 = 1 486.520, P < 0.01). Across school stages, the prevalence rates of overweight/obesity were 17.30%/30.10% in primary school students, 17.22%/21.10% in junior high school students, and 18.45%/18.16% in senior high school students, with significant differences observed (χ2 = 640.236, P < 0.01). Overweight and obesity rates varied by gender across age groups: Male overweight rate showed a "rise-decline-rise" bimodal pattern, while female overweight rate presented a "decline-rise" unimodal one. Both genders′ obesity rates exhibited a steady downward trend with age. Multivariate analysis indicated that shorter mealtime duration, frequent late-night snacking, being a non-only child, lower exercise frequency, shorter exercise duration, incomplete family structure, and frequent conflicts with caregivers were associated with higher odds of overweight and obesity (all P < 0.05). Stratified analysis further revealed that among primary school students, short mealtime duration and low exercise frequency increased the risk (both P < 0.05), whereas among secondary school students, short mealtime duration, frequent late-night snacking, short exercise duration, conflicts with caregivers, and incomplete family structure were predictors (all P < 0.05).
The prevalence of overweight and obesity among students aged 6–18 years in Heilongjiang remains high, underscoring the need for tailored interventions that integrate local dietary and lifestyle characteristics with gender- and school stage-specific management, strengthened family involvement, and school-based health education.
| 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 |