epidemiology and determinants of obesity in china

42
Supplementary appendix Supplement to: Pan X-F, Wang L, Pan A. Obesity in China 2. Epidemiology and determinants of obesity in China. Lancet Diabetes Endocrinol 2021; 9: 373–392. This translation in Chinese was submitted by the authors and we reproduce it as supplied. It has not been peer reviewed. The Lancet’s editorial processes have only been applied to the original in English, which should serve as reference for this manuscript.

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Page 1: Epidemiology and determinants of obesity in China

Supplementary appendix

Supplement to: Pan X-F, Wang L, Pan A. Obesity in China 2. Epidemiology and determinants of obesity in China. Lancet Diabetes Endocrinol 2021; 9: 373–392.

This translation in Chinese was submitted by the authors and we reproduce it as supplied. It has not been peer reviewed. The Lancet’s editorial processes have only been applied to the original in English, which should serve as reference for this manuscript.

Page 2: Epidemiology and determinants of obesity in China

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2021

、 430030

[email protected]

Page 3: Epidemiology and determinants of obesity in China

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2019 6 6.8% 3.6%

6-17 11.1% 7.9% ≥18 34.3%

16.4%

·

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l

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l

Page 4: Epidemiology and determinants of obesity in China

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1 2019 11.1

1990 5.7% 2 NCDs

3

4,5

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89.1 1.673 1990 79.2 410 58.0 1.155

2

9,10

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X CT MRI BMI

WHO

BMI 25.0 29.9 kg/m² BMI 30.0 kg/m² 11

BMI 12-14

15-17 WHO

BMI

22.5 kg/m² 25.9 kg/m² BMI 22.8 kg/m² 26.6

kg/m² 16 BMI 24.0 kg/m² 28.0 kg/m²

18 50 19,20

WHO WHO 21,22

Page 5: Epidemiology and determinants of obesity in China

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18 BMI · 25.0 30.0 kg/m² 23

BMI 85 95

24 1

11,18,21-26

BMI

27

BMI 28-33

27 34

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BMI 。

27,42

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85

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1

Page 6: Epidemiology and determinants of obesity in China

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WHO11

BMI 25.0–29.9 kg/m² BMI ≥30.0 kg/m²

18

BMI 24.0–27.9 kg/m² BMI ≥28.0 kg/m²

WHO21,22

5 WHO WHO Child Growth Standards

2 3 5-19 BMI

WHO WHO Growth Reference 1 2

23

2-18 18 BMI · 25.0 kg/m² 30.0 kg/m²

BMI

24

7-18 BMI BMI 85

95

25

≥90.0 ≥80.0

26

≥90.0 ≥85.0

Page 7: Epidemiology and determinants of obesity in China

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2 China Health and Nutrition

Survey CHNS

31 China National Nutrition Surveys

CNNSs

Chinese National Survey on Students’ Constitution and Health

CNSSCH

China Chronic Disease and Risk Factor Surveillance CCDRFS 2004

China Physical

Fitness Surveillance CPFS 2000 CHNS

15

CNNSs CNSSCH

1

BMI

BMI 1 CNSSCH

7-18 BMI 1985 17.0 kg/m2 1995 17.5

kg/m2 2005 18.2 kg/m2 2014 19.0 kg/m2 46 BMI

69 CNNSs ≥18 BMI 1982 20.9 kg/m2

20.6 kg/m2 21.1 kg/m2 · 1992 21.9 kg/m2 21.7 kg/m2

22.1 kg/m2 2002 22.6 kg/m2 22.6 kg/m2 · 2010-

2012 23.6 kg/m2 23.6 kg/m2 5,59 CCDRFS 2004 · 2013-2014

BMI

BMI 1 BMI

BMI

BMI · ·

70

Page 8: Epidemiology and determinants of obesity in China

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China National Nutrition Surveys CNNSs CNNSs China National Nutrition and Health

Surveys 44

1959 1982 1992 2002 2010-2012 5 CNNSs

China Chronic Disease and Risk Factor Surveillance

CCDRFS China Chronic Disease and Nutrition

Surveillance 2015-2019

CDC

Chinese National Survey on Students’ Constitution and HealthCNSSCH

CNSSCH45,46

1985 1991 1995 2000 2005 2010 2014

7 CNSSCH

China Chronic Disease and Risk Factor SurveillanceCCDRFS

CCDRFS

CCDRFS

47,48 2004

CCDRFS 3 2004 2007 2010

2013-2014 4 49–51 CDC

China Physical Fitness Surveillance CPFS CPFS 20-59

4

2000 2005 2010 2014 52

China Health and Nutrition Survey CHNS CHNS

53,54 15

1997 2011 2011 2011

2015 2015 2015 1989 1991 1993

1997 2000 2004 2006 2009 2011 2015

CDC

Page 9: Epidemiology and determinants of obesity in China

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Page 10: Epidemiology and determinants of obesity in China

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Page 11: Epidemiology and determinants of obesity in China

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Page 12: Epidemiology and determinants of obesity in China

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CNSSCH 7-18 1985

1.1% 0.1% 1995 3.8% 1.2% 2005 7.9% 3.8%

2014 12.1% 7.3% 1 61,63 WHO

1985 1.0% 0.1% 2014 14.0% 6.4% 46 CNNSs

1992 3.9% 1.8%

2010-2012 9.6% 6.4% 5,55,59,60 6

1992 2.3% 1.6% 2002 3.4% 2.0%

2010-2012 8.4% 3.1% 55,60 CNNSs

1992 16.4% 3.6% 2002 22.8% 7.1% 2010-

2012 30.1% 11.9% 56,57,59 WHO CNNSs

2002 18.9% 2.9% 2010-2012 27.1% 5.2% 57,59 CCDRFS

WHO 2004 2013-2014 40%

49-51 ,2015-2019

CNNSs CCDRFS 6 6.8%

3.6% 6-17 11.1% 7.9% 18 34.3% 16.4%

1 50% 2015

WHO

71

Page 13: Epidemiology and determinants of obesity in China

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1 2004 2013-2014 18-69

A B BMI

2004 2007 2010 2013-2014

lambda-mu-sigma

49-51 : 1

BMI

A B BMI

BMI 2004

22.7kg/m² 22.5kg/m²

22.9kg/m² 2007 23.0kg/m²

23.0kg/m² 23.0kg/m²

2010 23.7kg/m² 23.8kg/m²

23.6kg/m² 2013-2014 24.0kg/m² 24.2kg/m² 23.9kg/m²

Page 14: Epidemiology and determinants of obesity in China

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57,59,61,63 2010-2012

CNNSs 6-17 10.9% 8.2%

7.8% 4.8% 59 2014 CNSSCH 6-18 24.2% 14.6%

63

2002 CNNSs

29.6% 30.3% 2010-2012 42.4% 41.6% 59 2004

CCDRFS 6.3% 8.1% 49 2013-2014

14.0% 14.1% 51

2010-2012

CNNSs 6 8.4% 3.1% 6-17

9.6% 6.4% 18-44 26.4% 11.0% 45-59 36.9% 13.9% 60

31.9% 11.6% 59,60 CCDRFS72 CPFS52

4500 50

50-59 8.2 7.7 60-69 17.0 16.6 70-79

35.1 35.6 80 64.9 56.7 73

6-17 2010-2012 CNNSs

13.2% 8.9% 10.6% 7.6% 8.9%

5.6% 7.5% 4.3%

35.4% 12.4% 31.9% 13.4%

28.7% 11.3% 25.8% 8.7% 59 CNSSCH 63

CCDRFS 72

59,74 BMI 75

51,74,76

Page 15: Epidemiology and determinants of obesity in China

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10

78 一 79

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49,67,83-86

2010-2015

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78.5 18.3% 26.0% 20.0%

25.3% 58 CCDRFS49-51 CPFS52 CHNS BMI

89 CCDRFS 2013-2014

40.9% 51 40-49 60-69

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68 BMI

Page 16: Epidemiology and determinants of obesity in China

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Page 17: Epidemiology and determinants of obesity in China

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Page 18: Epidemiology and determinants of obesity in China

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130,131

132

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138,139

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Page 19: Epidemiology and determinants of obesity in China

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-

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Page 21: Epidemiology and determinants of obesity in China

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/ 176 BMI 176

177

一 177–179

一 141 180-182 。

180 CHNS

183,184

BMI 182,185

OTO

186 1 2002 14.6%

2012 35.5% 57,59 187 CHNS

/ 188 OTO

2015 1.14 2020 3.98 189

190 ,

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; 24 1982 2012

18.4% 31.5% 59,191

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Page 22: Epidemiology and determinants of obesity in China

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[-0.22 99.8 ] [-0.37 167.8 ] [-0.49 222.3 ] [-0.57

258.6 ] [0.95 430.9g ] [0.93

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12

195 2011 CHNS

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。 40-60%

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209 210

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2

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% 191 70.8 56.2

% 191 18.4 31.5

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Page 23: Epidemiology and determinants of obesity in China

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kcal/d 186 114.0 1991 39.0 2011

kcal/d 186 77.5 1991 73.6 2011

g/d 59,191 5.4 6.4

1 / % 57,59 14.6 2002 35.5 2012

MET-h/week 133 427.8 1991 246.0 2011

h/d 192 3.7 2002 4.0 2012

4 % 59 71.6 2002 56.5 2012

% % †193

3-5 64.6 2004 75.3 2011

6-12 57.4 2004 58.8 2011

13-17 58.6 2004 61.9 2011

18-44 4.7 2004 5.5 2011

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≥60 12.8 2004 17.7 2011 123 0.3 1985 225.1 2019

* †% 5

% 11 6-12 % 10 13-17 % 9

18 % 7

CHNS

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2019 22510 2 123 CHNS

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212,213

Page 24: Epidemiology and determinants of obesity in China

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2017 Physical Activity and Fitness in China 131859 7-19 2/3

WHO 60 1/3 2

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1997 2006 2004 2011

217,218 CHNS

219

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CHNS 188 5500 220

220

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。 22 KCNQ1 ALDH2/MYL2 ITIH4 NT5C2

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BMI

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Page 25: Epidemiology and determinants of obesity in China

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Page 26: Epidemiology and determinants of obesity in China

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PubMed 2020 12 31

“obesity” “epidemiology” “risk factors” “social” “economic” “environmental”

“dietary” “exercise” “genetics” “Chinese” “China”

Page 27: Epidemiology and determinants of obesity in China

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