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The double burden of under- and overnutrition and nutrient adequacy among Chinese preschool and school-aged children in 2009-2011.
Eur J Clin Nutr 2015; 69(12):1323-9EJ

Abstract

BACKGROUND/OBJECTIVES

Coincident with economic development, China has experienced a marked transition from undernutrition to overweight/obesity over the last few decades. We aimed to explore the burden of under- and overnutrition and nutrient adequacy among 2-12-year-old Chinese children.

SUBJECTS/METHODS

We included anthropometry, dietary intake and biomarkers from 2-12-year-olds who participated in the 2009-2011 China Health and Nutrition Survey (n=1191 in 2009; n=1648 in 2011). Dietary intakes were compared with the 2013 Chinese Dietary Recommended Intakes.

RESULTS

In 2011, ~19% of 2-6-year-old children were underweight, 4% were stunted, 10% were overweight and 12% were obese. Among 7-12-year-old children, stunting was almost 0%, whereas ~21% were underweight, 13% were overweight and 6% were obese in 2011. Overweight and obesity were more prevalent among children from urban areas and higher income households. In particular, 2-6-year-old children from urban areas and higher income households experienced the highest increase in obesity from 2009 to 2011 (P<0.05). Children from urban areas and higher income households had overall higher intakes of total daily energy and most macro- and micronutrients (P<0.05). However, a significant proportion of children did not meet the recommendations for important micronutrients.

CONCLUSIONS

Underweight and stunting currently coexist with overweight and obesity among Chinese children <12-year-old. We found critical disparities in the prevalence of under- and overweight/obesity, as well as in nutrient intakes and dietary adequacies between children from different incomes, revealing that the burden of childhood under- and overnutrition may constitute a public health concern in modern China.

Authors+Show Affiliations

Department of Nutrition, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Carolina Population Center, UNC, Chapel Hill, NC, USA.Nestlé Research Center, Lausanne, Switzerland.Department of Nutrition, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Carolina Population Center, UNC, Chapel Hill, NC, USA.National Institute for Nutrition and Health, China Center for Disease Control, Beijing, China.Department of Nutrition, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Carolina Population Center, UNC, Chapel Hill, NC, USA. National Institute for Nutrition and Health, China Center for Disease Control, Beijing, China.National Institute for Nutrition and Health, China Center for Disease Control, Beijing, China.Department of Nutrition, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Carolina Population Center, UNC, Chapel Hill, NC, USA.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26130296

Citation

Piernas, C, et al. "The Double Burden of Under- and Overnutrition and Nutrient Adequacy Among Chinese Preschool and School-aged Children in 2009-2011." European Journal of Clinical Nutrition, vol. 69, no. 12, 2015, pp. 1323-9.
Piernas C, Wang D, Du S, et al. The double burden of under- and overnutrition and nutrient adequacy among Chinese preschool and school-aged children in 2009-2011. Eur J Clin Nutr. 2015;69(12):1323-9.
Piernas, C., Wang, D., Du, S., Zhang, B., Wang, Z., Su, C., & Popkin, B. M. (2015). The double burden of under- and overnutrition and nutrient adequacy among Chinese preschool and school-aged children in 2009-2011. European Journal of Clinical Nutrition, 69(12), pp. 1323-9. doi:10.1038/ejcn.2015.106.
Piernas C, et al. The Double Burden of Under- and Overnutrition and Nutrient Adequacy Among Chinese Preschool and School-aged Children in 2009-2011. Eur J Clin Nutr. 2015;69(12):1323-9. PubMed PMID: 26130296.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The double burden of under- and overnutrition and nutrient adequacy among Chinese preschool and school-aged children in 2009-2011. AU - Piernas,C, AU - Wang,D, AU - Du,S, AU - Zhang,B, AU - Wang,Z, AU - Su,C, AU - Popkin,B M, Y1 - 2015/07/01/ PY - 2015/03/17/received PY - 2015/05/28/revised PY - 2015/05/31/accepted PY - 2015/7/2/entrez PY - 2015/7/2/pubmed PY - 2016/9/23/medline SP - 1323 EP - 9 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 69 IS - 12 N2 - BACKGROUND/OBJECTIVES: Coincident with economic development, China has experienced a marked transition from undernutrition to overweight/obesity over the last few decades. We aimed to explore the burden of under- and overnutrition and nutrient adequacy among 2-12-year-old Chinese children. SUBJECTS/METHODS: We included anthropometry, dietary intake and biomarkers from 2-12-year-olds who participated in the 2009-2011 China Health and Nutrition Survey (n=1191 in 2009; n=1648 in 2011). Dietary intakes were compared with the 2013 Chinese Dietary Recommended Intakes. RESULTS: In 2011, ~19% of 2-6-year-old children were underweight, 4% were stunted, 10% were overweight and 12% were obese. Among 7-12-year-old children, stunting was almost 0%, whereas ~21% were underweight, 13% were overweight and 6% were obese in 2011. Overweight and obesity were more prevalent among children from urban areas and higher income households. In particular, 2-6-year-old children from urban areas and higher income households experienced the highest increase in obesity from 2009 to 2011 (P<0.05). Children from urban areas and higher income households had overall higher intakes of total daily energy and most macro- and micronutrients (P<0.05). However, a significant proportion of children did not meet the recommendations for important micronutrients. CONCLUSIONS: Underweight and stunting currently coexist with overweight and obesity among Chinese children <12-year-old. We found critical disparities in the prevalence of under- and overweight/obesity, as well as in nutrient intakes and dietary adequacies between children from different incomes, revealing that the burden of childhood under- and overnutrition may constitute a public health concern in modern China. SN - 1476-5640 UR - https://www.unboundmedicine.com/medline/citation/26130296/The_double_burden_of_under__and_overnutrition_and_nutrient_adequacy_among_Chinese_preschool_and_school_aged_children_in_2009_2011_ L2 - http://dx.doi.org/10.1038/ejcn.2015.106 DB - PRIME DP - Unbound Medicine ER -