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Prevalence and determinants of overweight and obesity among students aged 6–18 years in Heilongjiang province: a cross-sectional survey, 2024–2025
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Yingkang ZHENG1, Yanpeng XIE2, Haojing LI2, Zuping FAN3, Haoxin YANG3, Yuqing ZHANG3, Mingyu CHEN3, Junyi MU3, Yuhua SUN4, Xiaojun CAI1, 2, 3
Chinese Journal of Public Health | 2026, 42(6) : 682 - 688
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Chinese Journal of Public Health | 2026, 42(6): 682-688
• Special Report—Focus on Child and Adolescent Health •
Prevalence and determinants of overweight and obesity among students aged 6–18 years in Heilongjiang province: a cross-sectional survey, 2024–2025
Full
Yingkang ZHENG1, Yanpeng XIE2, Haojing LI2, Zuping FAN3, Haoxin YANG3, Yuqing ZHANG3, Mingyu CHEN3, Junyi MU3, Yuhua SUN4, Xiaojun CAI1, 2, 3
Affiliations
  • 1The First Clinical Medical College, Heilongjiang University of Chinese Medicine, Harbin 150040, China
  • 2Department of Endocrinology, Heilongjiang Academy of Chinese Medicine Sciences, Harbin 150036, China
  • 3Graduate School, Heilongjiang Academy of Chinese Medicine Sciences, Harbin 150036, China
  • 4Women and Children’s Health Hospital of Heilongjiang Province, Harbin 150001, China
Published: 2026-06-10 doi: 10.11847/zgggws1148487
Outline
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Objective

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.

Methods

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.

Results

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).

Conclusions

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.

children and adolescents  /  overweight  /  obesity  /  epidemiological characteristics  /  Heilongjiang province
郑应康, 颉彦鹏, 李浩经, 范祖平, 杨浩欣, 张雨晴, 陈明玉, 牟峻毅, 孙玉华, 蔡萧君. 黑龙江省6~18岁学生超重和肥胖流行特征及影响因素:一项2024—2025年横断面调查. 中国公共卫生, 2026 , 42 (6) : 682 -688 . DOI: 10.11847/zgggws1148487
Yingkang ZHENG, Yanpeng XIE, Haojing LI, Zuping FAN, Haoxin YANG, Yuqing ZHANG, Mingyu CHEN, Junyi MU, Yuhua SUN, Xiaojun CAI. Prevalence and determinants of overweight and obesity among students aged 6–18 years in Heilongjiang province: a cross-sectional survey, 2024–2025[J]. Chinese Journal of Public Health, 2026 , 42 (6) : 682 -688 . DOI: 10.11847/zgggws1148487
Year 2026 volume 42 Issue 6
135
45
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Article Info
doi: 10.11847/zgggws1148487
  • Receive Date:2025-07-21
  • Online Date:2026-10-23
  • Published:2026-06-10
Article Data
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History
  • Received:2025-07-21
  • Revised:2025-09-10
  • Accepted:2025-11-25
Affiliations
    1The First Clinical Medical College, Heilongjiang University of Chinese Medicine, Harbin 150040, China
    2Department of Endocrinology, Heilongjiang Academy of Chinese Medicine Sciences, Harbin 150036, China
    3Graduate School, Heilongjiang Academy of Chinese Medicine Sciences, Harbin 150036, China
    4Women and Children’s Health Hospital of Heilongjiang Province, Harbin 150001, China

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CAI Xiaojun, E-mail:
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表12种不同金属材料的力学参数
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Family
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Number of
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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
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