@article {19892,
	title = {Increased pre-school overweight and obesity prevalence between 2004 and 2013 is associated with appetite, eating frequency and supportive facilities: the Jiaxing Birth Cohort in China},
	journal = {Asia Pac J Clin NutrAsia Pac J Clin NutrAsia Pac J Clin Nutr},
	volume = {26},
	number = {5},
	year = {2017},
	note = {Liu, HuijuanZheng, Ju-ShengLi, JingChen, YuZhao, WeiHuang, TaoYang, BoLi, DuoAustraliaAsia Pac J Clin Nutr. 2017;26(5):881-887. doi: 10.6133/apjcn.072017.05.},
	pages = {881-887},
	edition = {2017/08/15},
	abstract = {BACKGROUND AND OBJECTIVES: Childhood obesity is increasing. However, little is known about the changes in di-etary factors and supportive facilities associated with childhood obesity. We aimed to document the changes in various dietary factors and supportive facilities and their associations with obesity among pre-school children. METHODS AND STUDY DESIGN: Among 42,531 children 4-5 years old, recruited between 2004 and 2013 in the Jiax-ing Birth Cohort, we examined the changes in the prevalence of various dietary factors and supportive facilities and overweight/obesity over 10 years. We used logistic regression to investigate the cross-sectional association between these factors and childhood overweight/obesity risk, adjusting for potential confounders. RESULTS: The prevalence of childhood overweight/obesity increased steadily from 11.8\% (boy: 14.8\%; girl: 9\%) during 2004-2005 to 18\% (boy: 21.4\%\%; girl: 15\%) during 2012-2013. The prevalence of meal/snack frequency 3 times /day decreased substantially from 23\% during 2004-2005 to 8\% during 2012-2013, with more children having 5 times /day: from 32\% to 45.6\%. Children with a fair/bad appetite, compared with those with a good appetite, had a 45\% (OR: 0.55; 95\% CI: 0.49, 0.62) lower risk of overweight/obesity. Children with a meal frequency \&gt;=6 times/day (compared with 3 times/day) had a 0.12 (95\% CI: 0.03, 0.2) higher BMI-z-score. CONCLUSIONS: The prevalence of childhood overweight/obesity has increased substantially within a decade in southeast China. A better appetite and greater eating frequency were associated with the increased prevalence.},
	isbn = {0964-7058 (Print)0964-7058 (Linking)},
	author = {Liu, H. and Zheng, J. S. and J. Li and Y. Chen and Zhao, W. and Huang, T. and Yang, B. and D. Li}
}
