Child and parental perspectives on factors associated with diet and physical activity decisions: Implications for childhood obesity prevention in China

You-Fa Wang ； Alice Fang Yan ； Xin-Yu Shi ； Hui-Jun Wang ； Zhi-Yong Wang ； Joel Gittelsohn ； Fei Xu

《Asia Pacific Journal of Clinical Nutrition》 預刊文章 Pp. 1-26

https://doi.org/10.6133/apjcn.112016.01

並列摘要

Background and Objective: Obesity has become a global epidemic. In China, 42% of adults and about one-fifth of children are overweight or obese. In major cities, about one-third of boys are overweight or obese. This study aimed to understand how children and parents in China make eating and physical activity (E&PA) decisions, considering individual, family, community, social, and environmental factors, and to collect parents' recommendations for interventions to promote healthy eating and physical activity. Methods and Study Design: Children (n=41, aged 10-15 years) and their parents (n=41) participated in eight semi-structured focus groups (FGs) in Beijing (in North China) and Nanjing (South China). Each site conducted two FGs with children and two FGs with parents. A framework analysis of FG data was conducted with NVivo. Results: Three main themes were identified: Children chose food based on flavor, and consumption of unhealthy snacks was prevalent; there were inconsistent standards and practices of school lunch services across schools; students had limited PA time due to academic demand. Students favored high-calorie snacks over fruits or vegetables. Students' and parents' perceptions of school lunch services varied among schools in terms of operation, price, quality, nutritious options, and food taste. Most students reported enjoying PA but spent little time in PA, due to study burdens. Parents made recommendations for improving school food services and increasing PA during and after school. Conclusions: These findings will help develop family- and school-targeted health promotion interventions. Intervention framing must consider the unique Chinese social and cultural context.

並列關鍵字

childhood obesity ； nutrition ； physical activity ； school lunch ； focus group study ； eating and physical activity (E&PA) ； focus group (FG) ； physical activity (PA) ； World Health Organization (WHO)