Geographic Variation in Prevalence of Adult Obesity in China: Results From the 2013–2014 National Chronic Disease and Risk Factor Surveillance

Letters18 February 2020Geographic Variation in Prevalence of Adult Obesity in China: Results From the 2013–2014 National Chronic Disease and Risk Factor SurveillanceXiao Zhang, MD, PhD, Mei Zhang, MD, PhD, Zhenping Zhao, MD, Zhengjing Huang, MPH, Qian Deng, MD, PhD, Yichong Li, MD, PhD, An Pan, MD, PhD, Chun Li, MD, Zhihua Chen, MD, Maigeng Zhou, MD, PhD, Chao Yu, PhD, Alfred Stein, PhD, Peng Jia, PhD*, and Limin Wang, MPH*Xiao Zhang, MD, PhDNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China (X.Z., M.Z., Z.Z., Z.H., Q.D., Y.L., C.L., Z.C., M.Z., L.W.), Mei Zhang, MD, PhDNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China (X.Z., M.Z., Z.Z., Z.H., Q.D., Y.L., C.L., Z.C., M.Z., L.W.), Zhenping Zhao, MDNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China (X.Z., M.Z., Z.Z., Z.H., Q.D., Y.L., C.L., Z.C., M.Z., L.W.), Zhengjing Huang, MPHNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China (X.Z., M.Z., Z.Z., Z.H., Q.D., Y.L., C.L., Z.C., M.Z., L.W.), Qian Deng, MD, PhDNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China (X.Z., M.Z., Z.Z., Z.H., Q.D., Y.L., C.L., Z.C., M.Z., L.W.), Yichong Li, MD, PhDNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China (X.Z., M.Z., Z.Z., Z.H., Q.D., Y.L., C.L., Z.C., M.Z., L.W.), An Pan, MD, PhDSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China (A.P.), Chun Li, MDNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China (X.Z., M.Z., Z.Z., Z.H., Q.D., Y.L., C.L., Z.C., M.Z., L.W.), Zhihua Chen, MDNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China (X.Z., M.Z., Z.Z., Z.H., Q.D., Y.L., C.L., Z.C., M.Z., L.W.), Maigeng Zhou, MD, PhDNational Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China (X.Z., M.Z., Z.Z., Z.H., Q.D., Y.L., C.L., Z.C., M.Z., L.W.), Chao Yu, PhDState Key Laboratory of Remote Sensing Science, Institute of Remote Sensing and Digital Earth, Chinese Academy of Sciences, Beijing, China (C.Y.), Alfred Stein, PhDFaculty of Geo-information Science and Earth Observation, University of Twente, Enschede, the Netherlands (A.S.), Peng Jia, PhD*GeoHealth Initiative, Faculty of Geo-information Science and Earth Observation, University of Twente, and International Initiative on Spatial Lifecourse Epidemiology (ISLE), Enschede, the Netherlands (P.J.), and Limin Wang, MPH*National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China (X.Z., M.Z., Z.Z., Z.H., Q.D., Y.L., C.L., Z.C., M.Z., L.W.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M19-0477 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Obesity prevalence has grown rapidly worldwide. According to the World Health Organization, the global prevalence of obesity nearly doubled between 1980 and 2008. This increase in obesity prevalence has been observed in China as well, but most national efforts have focused on childhood obesity (1). Data from the first China Chronic Disease and Risk Factor Surveillance (CCDRFS) in 2004 indicate that the prevalence of general obesity (defined as a body mass index BMI ≥30 kg/m2) among adults was 3.3% and that 25.9% of participants were considered to have abdominal obesity on the basis of criteria at that time (a ...References1. Jia P, Ma S, Qi X, et al. Spatial and temporal changes in prevalence of obesity among Chinese children and adolescents. Prev Chronic Dis. 2019. Forthcoming. CrossrefMedlineGoogle Scholar2. Xu Y, Wang L, He J, et al; 2010 China Noncommunicable Disease Surveillance Group. Prevalence and control of diabetes in Chinese adults. JAMA. 2013;310:948-59. PMID: 24002281 doi:10.1001/jama.2013.168118 CrossrefMedlineGoogle Scholar3. Ladabaum U, Mannalithara A, Myer PA, et al. Obesity, abdominal obesity, physical activity, and caloric intake in US adults: 1988 to 2010. Am J Med. 2014;127:717-27. PMID: 24631411 doi:10.1016/j.amjmed.2014.02.026 CrossrefMedlineGoogle Scholar4. Goh VH, Tain CF, Tong TY, et al. Are BMI and other anthropometric measures appropriate as indices for obesity? A study in an Asian population. J Lipid Res. 2004;45:1892-8. PMID: 15258201 CrossrefMedlineGoogle Scholar5. Jia P, Xue H, Cheng X, et al. Effects of school neighborhood food environments on childhood obesity at multiple scales: a longitudinal kindergarten cohort study in the USA. BMC Med. 2019;17:99. PMID: 31117993 doi:10.1186/s12916-019-1329-2 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China (X.Z., M.Z., Z.Z., Z.H., Q.D., Y.L., C.L., Z.C., M.Z., L.W.)School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China (A.P.)State Key Laboratory of Remote Sensing Science, Institute of Remote Sensing and Digital Earth, Chinese Academy of Sciences, Beijing, China (C.Y.)Faculty of Geo-information Science and Earth Observation, University of Twente, Enschede, the Netherlands (A.S.)GeoHealth Initiative, Faculty of Geo-information Science and Earth Observation, University of Twente, and International Initiative on Spatial Lifecourse Epidemiology (ISLE), Enschede, the Netherlands (P.J.)Financial Support: By the Chinese central government (Key Project of Public Health Program), the National Key Research and Development Program of China (2018YFC1311700), the National Natural Science Foundation of China (81473043, 81230066, and 91546120), and the State Key Laboratory of Urban and Regional Ecology of China (SKLURE 2018-2-5). Dr. Jia, Director of the International Initiative on Spatial Lifecourse Epidemiology (ISLE), thanks the Lorentz Center, the Netherlands Organization for Scientific Research, the Royal Netherlands Academy of Arts and Sciences, the Chinese Center for Disease Control and Prevention, and the West China School of Public Health in Sichuan University for funding the ISLE and supporting its research activities. The funders had no role in the design or conduct of the study; collection, management, analysis, or interpretation of the data; preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-0477.Reproducible Research Statement: Study protocol and data set: Available on from Dr. Wang (e-mail, email protectedchinacdc.cn). Statistical code: Available from Dr. Jia (e-mail, email protectedcom).* Drs. Wang and Jia cosupervised this work.This article was published at Annals.org on 29 October 2019. 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