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Associations of socioeconomic status and physical activity with obesity measures in rural Chinese adults
Pan, M Tu, R Gu, J Li, R Liu, X Chen, R Yu, S Wang, X Mao, Z Huo, W
Pan, M
Tu, R
Gu, J
Li, R
Liu, X
Chen, R
Yu, S
Wang, X
Mao, Z
Huo, W
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2021-01-08
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Abstract
Background: Although independent association of socioeconomic status (SES) or physical activity (PA) with obesity has been well-documented in urban settings, their independent and joint associations on obesity measures are limited in rural regions. Methods: Almost 38,000 (n = 37,922) individuals were included from the Henan Rural Cohort Study. The International Physical Activity Questionnaire (IPAQ) was used to evaluate PA. Obesity was reflected by body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), body fat percentage (BFP), and visceral fat index (VFI). The independent and interactive effects of SES and PA on obesity were analyzed by logistic regression models and generalized linear regression models, respectively. Results: Compared with high education level, the OR (95%CI) of obesity defined by BMI with low education level was 1.466 (1.337, 1.608), 1.064 (0.924, 1.225), and 1.853 (1.625, 2.114) in total population, men and women, respectively. Besides, the OR (95%CI) of obesity defined by BMI associated with per capita monthly income were 1.089 (1.015, 1.170), 1.192 (1.055, 1.347), 1.038 (0.951, 1.133) in total population, men and women, respectively. Similar results had been observed in other obesity measures. Negative interactive association of low education level and PA on obesity measures were observed only in women (all P < 0.05). Conclusions: This study suggests that women are more susceptible to obesity concerning low SES and that adequate PA may be a potential target for mitigating the negative effect of low SES on obesity in women. Clinical Trial Registration: The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699) http://www.chictr.org.cn/showproj.aspx?proj=11375.
Citation
Pan M, Tu R, Gu J, Li R, Liu X, Chen R, Yu S, Wang X, Mao Z, Huo W, Hou J and Wang C (2021) Associations of Socioeconomic Status and Physical Activity With Obesity Measures in Rural Chinese Adults. Frontiers in Public Health 8:594874. doi: 10.3389/fpubh.2020.594874
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33490019 (pubmed)
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Journal article
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en
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© 2021 The Authors. Published by Frontiers Media. This is an open access article available under a Creative Commons licence.
The published version can be accessed at the following link on the publisher’s website: https://doi.org/10.3389/fpubh.2020.594874
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2296-2565
EISSN
2296-2565
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This research was supported by the Foundation of National Key Program of Research and Development of China (Grant NO: 2016YFC0900803), National Natural Science Foundation of China (Grant NO: U1404814, 81573243, and 81602925), Henan Natural Science Foundation of China (Grant NO: 182300410293), Science and Technology Foundation for Innovation Talent of Henan Province (Grant NO: 164100510021), Science and Technology Innovation Talents Support Plan of Henan Province Colleges and Universities (Grant NO: 14HASTIT035), High-level Personnel Special Support Project of Zhengzhou University (Grant NO: ZDGD13001).
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Licence for published version: Creative Commons Attribution 4.0 International