The Establishment of the Cut-off Value of Weight-for-Height for Preschool Children in China and an Empirical Study on the Influence of Overweight and Obesity on Physical Performance
Abstract
Background: We aimed to establish the cut-off value of weight-for-height for preschool children in China, and to explore the influence of overweight and obesity on the physical performance of preschool children.
Methods: Data from 31 provinces in China monitored in 2010 and 2014, the standard deviation unit curves of WFH were established by using GAMLSS (generalized additive model for location, scale, and shape) method preschool children in China, and then the cut-off values of normal weight, overweight and obesity were divided. The research group tested 5 physical performance indicators of 5154 preschool children from April 2018 to June 2019 in Beijing and Zhejiang in China. We then compared physical performance differences between the normal-weight group and the overweight-obesity group.
Results: A smooth and effective standard deviation unit curve of WFH was established. The overweight and obesity of Chinese preschool children were at a high level. Being overweight and obese reduced preschool children's relative strength, speed, sensitivity, coordination, and balance ability, but did not reduce preschool children's flexibility. In general, the physical performance of preschool children in the normal weight group was better than that in the overweight and obesity group.
Conclusion: It is suggested to use the WFH criteria in this study to evaluate overweight and obesity in Chinese preschool children, and strengthen physical activity and take in energy substances properly of preschool children, to control the spread of overweight and obesity, to improve physical performance level.
2. Ayatollahi SMT, Bagheri Z (2011). New Trends in Weight-for-Height Charts of Shirazi School Children Relation to the CDC Reference Data. Iran J Pediatr, 20(4):407-412.
3. Hoover-Fong JE, Schulze, KJ, Alade AY, et al (2021). Growth in achondroplasia in-cluding stature, weight, weight-for-height and head circumference from CLARITY: achondroplasia natural history study-a multi-center retrospective cohort study of achondroplasia in the US. Or-phanet J Rare Dis, 2021,16(1):1750-1172.
4. Albertsson-Wikland K, NiklassonA, Ge-lander L, et al (2020). Swedish references for weight, weight-for-height and body mass index: The GrowUp 1990 Gothen-burg study. Acta Paediatr, 110(2):537-548.
5. Inokuchi M, Matsuo N, Takayama JI, et al (2019). National anthropometric refer-ence values and growth curves for Japa-nese children: history and critical review. Ann Hum Biol, 46(4):287-292.
6. Chinese Capital Institute of Pediatrics (2009). Growth standardized values and curves based on weight for length/height body mass index for Chinese children under 7 years of age. Zhonghua Er Ke Za Zhi, 47(4):281-285. [In Chinese]
7. Jiang Y, Tim Cole, Pan Huiqi, et al (2007). Development of height and weight standards for 0-18 year olds in Shanghai. Shanghai Journal of Preventive Medicine, (11):544-547.
8. Ma Guan-sheng, Mi J, Ma Jun, et al (2017). Report on childhood obesity in China. People's Health Publishing House Inc, China.
9. Wang Weirong (2014). Study on factors in-fluencing psychological behavior and countermeasures in 160 cases of obese children. Clin Lab Med, 11(23):3354-3355.
10. General Administration of Sports of China (2011). 2010 National Physical Fitness Moni-toring Report.Beijing: People's Sports Pub-lishing House.
11. General Administration of Sports of China (2017). 2014 National Physical Fitness Moni-toring Report.Beijing: People's Sports Pub-lishing House.
12. General Administration of Sports of China (2022). The fifth Bulletin of China's National Physical Fitness Monitoring. Available from: https://www.sport.gov.cn/n315/n329/c24335066/content.html.
13. Rigby RA, Stasinopoulos DM (2004). Smooth centile curves for skew and kurtotic data modelled using the Box–Cox power exponential distribution. Stat Med, 23(19):3053-3076.
14. Chunjing T, Yanfeng Z, Chongmin J, et al (2021). Construction BMI Percentile Standard Curve and Cut-offs Point for Overweight and Obesity of 3~6 Years Children Based on GAMLSS Model in China. China Sports Science, 41(3):63-73.
15. Marie N, Tom F, Robinson M, et al (2014). Global, Regional, and National Preva-lence of Overweight and Obesity in Chil-dren and Adults during 1980–2013: A Systematic Analysis for the Global Bur-den of Disease Study 2013.The Lancet, 384(9945):766-781.
16. Han JC, Lawlor DA, Kimm SY (2010). Childhood obesity. Lancet, 375(9727):1737-1748.
17. United Nations Children's Fund (2019). The State of the World's Children 2019.Available from: https://www.unicef.cn/
18. Li F, Zhang X, Yan GF (2002). Ten-year trends in the prevalence of simple obesity in children under 7 years of age in eight cities. Chinese Journal of Child Health,10(05):316-318.
19. Capital Institute of Pediatrics (2018). Collab-orative Group of Survey on Physical De-velopment of Children in Nine Cities. 2015 Survey on physical development of children under seven years old in nine cit-ies of China. Chinese Journal of Pediatrics, 56(3):192-199.
20. Han Yuchen (2016). Comparison of growth curves of height, weight and body mass index of children aged 3~6 years in Nan-jing with LMS method and international standards [MD thesis].Yangzhou Univer-sity, China.
21. Xu Liangliang, Liu Xin, Wang Mei (2015).Effect of underweight and over-weight on children's physical fitness. Chi-na Sport Science and Technolog, 51(01):127-131.
22. Xie Jieyan, Yan Xueqin, Zeng Jie, et al (2020). Analysis on physical condition of preschool children in Zhongshan City. School health in China,41(04):604-607.
23. Kondric M, Trajkovski B, Strbad, M, Foretic (2013). Anthropometric influence on physical fitness among preschool chil-dren: gender-specific linear and curviline-ar regression models. Collegium Antropologi-cum, 37(4),1245– 1252.
24. Liu G, He YQ (2010). Preschool nutrition. Fu-dan University Press, Shanghai.
25. Chang ZY, Wang SH, Zhang XH (2020). The relationship between physical activity, sedentary behavior and preschool chil-dren's physical health. Preschool Education Research, 303(3):42-56.
26. Piercy Katrina L, Troiano Richard P, Ballard Rachel M, et al (2018).The Physical Activi-ty Guidelines for Americans. JAMA, 320(19):2020-28.
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Issue | Vol 52 No 6 (2023) | |
Section | Original Article(s) | |
DOI | https://doi.org/10.18502/ijph.v52i6.12984 | |
Keywords | ||
Z-score curve Weight-for-height (WFH) Obesity Preschool children China |
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