BMI, leisure-time physical activity, and physical fitness in adults in China: Results from a series of national surveys, 2000-14

Ye Tian, Chongmin Jiang, Mei Wang, Rui Cai, Yanfeng Zhang, Zihong He, Huan Wang, Dongming Wu, Fubaihui Wang, Xin Liu, Zhongtao He, Ping An, Munan Wang, Qiang Tang, Yang Yang, Jin Zhao, Shaojun Lv, Weihai Zhou, Bo Yu, Jiang LanXinping Yang, Linxia Zhang, Hui Tian, Zhuangzhuang Gu, Yiqing Song, Tianyi Huang, Lars R. McNaughton

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Background: Obesity, physical inactivity, and reduced physical fitness contribute to the rising burden of chronic diseases in China. We investigated these factors in Chinese adults over a 14-year period (2000-14) using data from randomised national surveys. Methods: We did four national surveys in 2000, 2005, 2010, and 2014 among Chinese adults aged 20-59 years. We used BMI to assess underweight (<18·5 kg/m2), overweight (≥23·0 to <27·5 kg/m2), and obesity (≥27·5 kg/m2). Central obesity was defined as a waist circumference greater than 90 cm in men and greater than 85 cm in women. We assessed leisure-time physical activity (LTPA) by whether or not participants had completed the recommended minimum 150 min of moderate or 75 min of vigorous exercise per week. Indices for assessment of physical fitness were forced vital capacity, resting heart rate, hand grip strength, sit and reach distance, and time standing on one leg. Findings: 151 656 (78%) of 193 440 adults responded to the survey in 2000, 163 386 (84%) in 2005, 154 931 (80%) in 2010, and 146 703 (76%) in 2014. The prevalence of obesity increased from 8·6% in 2000, to 10·3% in 2005, 12·2% in 2010, and 12·9% in 2014 (estimated increase 0·32% per year, 95% CI 0·30-0·33; p<0·0001). The equivalent estimates were 37·4%, 39·2%, 40·7%, and 41·2% for overweight (estimated increase 0·27% per year, 95% CI 0·25-0·30; p<0·0001) and 13·9%, 18·3%, 22·1%, and 24·9% for central obesity (estimated increase 0·78% per year, 0·76-0·80; p<0·0001). The prevalence of overweight, obesity, and central obesity increased with age (all p<0·0001) and was higher in men than in women (all p<0·0001). We noted a simultaneous decrease in the prevalence of underweight (estimated decrease of 0·06% per year, 95% CI 0·04-0·07; p<0·0001). The proportion of adults meeting the minimum LTPA recommendation increased over time (17·2% in 2000, 18·1% in 2005, and 22·8% in 2014), with the estimated prevalence change per year being 0·33% (95% CI 0·24-0·42; p<0·0001) for underweight people, 0·50% (0·47-0·53; p<0·0001) for normal-weight people, 0·37% (0·34-0·40; p<0·0001) for overweight people, and 0·06% (0·00-0·13; p=0·044) for obese people. We noted deteriorations over time in all measures of physical fitness in normal-weight adults (all p<0·0001), apart from resting heart rate (p=0·69). Interpretation: Despite increased participation in LTPA, we noted increases in overweight or obesity and a decrease in physical fitness in Chinese adults. Continued nationwide interventions are needed to promote physical activity and other healthy lifestyle behaviours in China. Funding: National Physical Fitness Surveillance Center and Ministry of Science and Technology of the People's Republic of China.

Original languageEnglish (US)
Pages (from-to)487-497
Number of pages11
JournalThe Lancet Diabetes and Endocrinology
Volume4
Issue number6
DOIs
StatePublished - Jun 1 2016

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Physical Fitness
Leisure Activities
China
Exercise
Obesity
Abdominal Obesity
Thinness
Hand Strength
Heart Rate
Fitness Centers
Weights and Measures
Vital Capacity
Waist Circumference
Surveys and Questionnaires
Leg
Chronic Disease
Technology

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

BMI, leisure-time physical activity, and physical fitness in adults in China : Results from a series of national surveys, 2000-14. / Tian, Ye; Jiang, Chongmin; Wang, Mei; Cai, Rui; Zhang, Yanfeng; He, Zihong; Wang, Huan; Wu, Dongming; Wang, Fubaihui; Liu, Xin; He, Zhongtao; An, Ping; Wang, Munan; Tang, Qiang; Yang, Yang; Zhao, Jin; Lv, Shaojun; Zhou, Weihai; Yu, Bo; Lan, Jiang; Yang, Xinping; Zhang, Linxia; Tian, Hui; Gu, Zhuangzhuang; Song, Yiqing; Huang, Tianyi; McNaughton, Lars R.

In: The Lancet Diabetes and Endocrinology, Vol. 4, No. 6, 01.06.2016, p. 487-497.

Research output: Contribution to journalArticle

Tian, Y, Jiang, C, Wang, M, Cai, R, Zhang, Y, He, Z, Wang, H, Wu, D, Wang, F, Liu, X, He, Z, An, P, Wang, M, Tang, Q, Yang, Y, Zhao, J, Lv, S, Zhou, W, Yu, B, Lan, J, Yang, X, Zhang, L, Tian, H, Gu, Z, Song, Y, Huang, T & McNaughton, LR 2016, 'BMI, leisure-time physical activity, and physical fitness in adults in China: Results from a series of national surveys, 2000-14', The Lancet Diabetes and Endocrinology, vol. 4, no. 6, pp. 487-497. https://doi.org/10.1016/S2213-8587(16)00081-4
Tian, Ye ; Jiang, Chongmin ; Wang, Mei ; Cai, Rui ; Zhang, Yanfeng ; He, Zihong ; Wang, Huan ; Wu, Dongming ; Wang, Fubaihui ; Liu, Xin ; He, Zhongtao ; An, Ping ; Wang, Munan ; Tang, Qiang ; Yang, Yang ; Zhao, Jin ; Lv, Shaojun ; Zhou, Weihai ; Yu, Bo ; Lan, Jiang ; Yang, Xinping ; Zhang, Linxia ; Tian, Hui ; Gu, Zhuangzhuang ; Song, Yiqing ; Huang, Tianyi ; McNaughton, Lars R. / BMI, leisure-time physical activity, and physical fitness in adults in China : Results from a series of national surveys, 2000-14. In: The Lancet Diabetes and Endocrinology. 2016 ; Vol. 4, No. 6. pp. 487-497.
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abstract = "Background: Obesity, physical inactivity, and reduced physical fitness contribute to the rising burden of chronic diseases in China. We investigated these factors in Chinese adults over a 14-year period (2000-14) using data from randomised national surveys. Methods: We did four national surveys in 2000, 2005, 2010, and 2014 among Chinese adults aged 20-59 years. We used BMI to assess underweight (<18·5 kg/m2), overweight (≥23·0 to <27·5 kg/m2), and obesity (≥27·5 kg/m2). Central obesity was defined as a waist circumference greater than 90 cm in men and greater than 85 cm in women. We assessed leisure-time physical activity (LTPA) by whether or not participants had completed the recommended minimum 150 min of moderate or 75 min of vigorous exercise per week. Indices for assessment of physical fitness were forced vital capacity, resting heart rate, hand grip strength, sit and reach distance, and time standing on one leg. Findings: 151 656 (78{\%}) of 193 440 adults responded to the survey in 2000, 163 386 (84{\%}) in 2005, 154 931 (80{\%}) in 2010, and 146 703 (76{\%}) in 2014. The prevalence of obesity increased from 8·6{\%} in 2000, to 10·3{\%} in 2005, 12·2{\%} in 2010, and 12·9{\%} in 2014 (estimated increase 0·32{\%} per year, 95{\%} CI 0·30-0·33; p<0·0001). The equivalent estimates were 37·4{\%}, 39·2{\%}, 40·7{\%}, and 41·2{\%} for overweight (estimated increase 0·27{\%} per year, 95{\%} CI 0·25-0·30; p<0·0001) and 13·9{\%}, 18·3{\%}, 22·1{\%}, and 24·9{\%} for central obesity (estimated increase 0·78{\%} per year, 0·76-0·80; p<0·0001). The prevalence of overweight, obesity, and central obesity increased with age (all p<0·0001) and was higher in men than in women (all p<0·0001). We noted a simultaneous decrease in the prevalence of underweight (estimated decrease of 0·06{\%} per year, 95{\%} CI 0·04-0·07; p<0·0001). The proportion of adults meeting the minimum LTPA recommendation increased over time (17·2{\%} in 2000, 18·1{\%} in 2005, and 22·8{\%} in 2014), with the estimated prevalence change per year being 0·33{\%} (95{\%} CI 0·24-0·42; p<0·0001) for underweight people, 0·50{\%} (0·47-0·53; p<0·0001) for normal-weight people, 0·37{\%} (0·34-0·40; p<0·0001) for overweight people, and 0·06{\%} (0·00-0·13; p=0·044) for obese people. We noted deteriorations over time in all measures of physical fitness in normal-weight adults (all p<0·0001), apart from resting heart rate (p=0·69). Interpretation: Despite increased participation in LTPA, we noted increases in overweight or obesity and a decrease in physical fitness in Chinese adults. Continued nationwide interventions are needed to promote physical activity and other healthy lifestyle behaviours in China. Funding: National Physical Fitness Surveillance Center and Ministry of Science and Technology of the People's Republic of China.",
author = "Ye Tian and Chongmin Jiang and Mei Wang and Rui Cai and Yanfeng Zhang and Zihong He and Huan Wang and Dongming Wu and Fubaihui Wang and Xin Liu and Zhongtao He and Ping An and Munan Wang and Qiang Tang and Yang Yang and Jin Zhao and Shaojun Lv and Weihai Zhou and Bo Yu and Jiang Lan and Xinping Yang and Linxia Zhang and Hui Tian and Zhuangzhuang Gu and Yiqing Song and Tianyi Huang and McNaughton, {Lars R.}",
year = "2016",
month = "6",
day = "1",
doi = "10.1016/S2213-8587(16)00081-4",
language = "English (US)",
volume = "4",
pages = "487--497",
journal = "The Lancet Diabetes and Endocrinology",
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TY - JOUR

T1 - BMI, leisure-time physical activity, and physical fitness in adults in China

T2 - Results from a series of national surveys, 2000-14

AU - Tian, Ye

AU - Jiang, Chongmin

AU - Wang, Mei

AU - Cai, Rui

AU - Zhang, Yanfeng

AU - He, Zihong

AU - Wang, Huan

AU - Wu, Dongming

AU - Wang, Fubaihui

AU - Liu, Xin

AU - He, Zhongtao

AU - An, Ping

AU - Wang, Munan

AU - Tang, Qiang

AU - Yang, Yang

AU - Zhao, Jin

AU - Lv, Shaojun

AU - Zhou, Weihai

AU - Yu, Bo

AU - Lan, Jiang

AU - Yang, Xinping

AU - Zhang, Linxia

AU - Tian, Hui

AU - Gu, Zhuangzhuang

AU - Song, Yiqing

AU - Huang, Tianyi

AU - McNaughton, Lars R.

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Background: Obesity, physical inactivity, and reduced physical fitness contribute to the rising burden of chronic diseases in China. We investigated these factors in Chinese adults over a 14-year period (2000-14) using data from randomised national surveys. Methods: We did four national surveys in 2000, 2005, 2010, and 2014 among Chinese adults aged 20-59 years. We used BMI to assess underweight (<18·5 kg/m2), overweight (≥23·0 to <27·5 kg/m2), and obesity (≥27·5 kg/m2). Central obesity was defined as a waist circumference greater than 90 cm in men and greater than 85 cm in women. We assessed leisure-time physical activity (LTPA) by whether or not participants had completed the recommended minimum 150 min of moderate or 75 min of vigorous exercise per week. Indices for assessment of physical fitness were forced vital capacity, resting heart rate, hand grip strength, sit and reach distance, and time standing on one leg. Findings: 151 656 (78%) of 193 440 adults responded to the survey in 2000, 163 386 (84%) in 2005, 154 931 (80%) in 2010, and 146 703 (76%) in 2014. The prevalence of obesity increased from 8·6% in 2000, to 10·3% in 2005, 12·2% in 2010, and 12·9% in 2014 (estimated increase 0·32% per year, 95% CI 0·30-0·33; p<0·0001). The equivalent estimates were 37·4%, 39·2%, 40·7%, and 41·2% for overweight (estimated increase 0·27% per year, 95% CI 0·25-0·30; p<0·0001) and 13·9%, 18·3%, 22·1%, and 24·9% for central obesity (estimated increase 0·78% per year, 0·76-0·80; p<0·0001). The prevalence of overweight, obesity, and central obesity increased with age (all p<0·0001) and was higher in men than in women (all p<0·0001). We noted a simultaneous decrease in the prevalence of underweight (estimated decrease of 0·06% per year, 95% CI 0·04-0·07; p<0·0001). The proportion of adults meeting the minimum LTPA recommendation increased over time (17·2% in 2000, 18·1% in 2005, and 22·8% in 2014), with the estimated prevalence change per year being 0·33% (95% CI 0·24-0·42; p<0·0001) for underweight people, 0·50% (0·47-0·53; p<0·0001) for normal-weight people, 0·37% (0·34-0·40; p<0·0001) for overweight people, and 0·06% (0·00-0·13; p=0·044) for obese people. We noted deteriorations over time in all measures of physical fitness in normal-weight adults (all p<0·0001), apart from resting heart rate (p=0·69). Interpretation: Despite increased participation in LTPA, we noted increases in overweight or obesity and a decrease in physical fitness in Chinese adults. Continued nationwide interventions are needed to promote physical activity and other healthy lifestyle behaviours in China. Funding: National Physical Fitness Surveillance Center and Ministry of Science and Technology of the People's Republic of China.

AB - Background: Obesity, physical inactivity, and reduced physical fitness contribute to the rising burden of chronic diseases in China. We investigated these factors in Chinese adults over a 14-year period (2000-14) using data from randomised national surveys. Methods: We did four national surveys in 2000, 2005, 2010, and 2014 among Chinese adults aged 20-59 years. We used BMI to assess underweight (<18·5 kg/m2), overweight (≥23·0 to <27·5 kg/m2), and obesity (≥27·5 kg/m2). Central obesity was defined as a waist circumference greater than 90 cm in men and greater than 85 cm in women. We assessed leisure-time physical activity (LTPA) by whether or not participants had completed the recommended minimum 150 min of moderate or 75 min of vigorous exercise per week. Indices for assessment of physical fitness were forced vital capacity, resting heart rate, hand grip strength, sit and reach distance, and time standing on one leg. Findings: 151 656 (78%) of 193 440 adults responded to the survey in 2000, 163 386 (84%) in 2005, 154 931 (80%) in 2010, and 146 703 (76%) in 2014. The prevalence of obesity increased from 8·6% in 2000, to 10·3% in 2005, 12·2% in 2010, and 12·9% in 2014 (estimated increase 0·32% per year, 95% CI 0·30-0·33; p<0·0001). The equivalent estimates were 37·4%, 39·2%, 40·7%, and 41·2% for overweight (estimated increase 0·27% per year, 95% CI 0·25-0·30; p<0·0001) and 13·9%, 18·3%, 22·1%, and 24·9% for central obesity (estimated increase 0·78% per year, 0·76-0·80; p<0·0001). The prevalence of overweight, obesity, and central obesity increased with age (all p<0·0001) and was higher in men than in women (all p<0·0001). We noted a simultaneous decrease in the prevalence of underweight (estimated decrease of 0·06% per year, 95% CI 0·04-0·07; p<0·0001). The proportion of adults meeting the minimum LTPA recommendation increased over time (17·2% in 2000, 18·1% in 2005, and 22·8% in 2014), with the estimated prevalence change per year being 0·33% (95% CI 0·24-0·42; p<0·0001) for underweight people, 0·50% (0·47-0·53; p<0·0001) for normal-weight people, 0·37% (0·34-0·40; p<0·0001) for overweight people, and 0·06% (0·00-0·13; p=0·044) for obese people. We noted deteriorations over time in all measures of physical fitness in normal-weight adults (all p<0·0001), apart from resting heart rate (p=0·69). Interpretation: Despite increased participation in LTPA, we noted increases in overweight or obesity and a decrease in physical fitness in Chinese adults. Continued nationwide interventions are needed to promote physical activity and other healthy lifestyle behaviours in China. Funding: National Physical Fitness Surveillance Center and Ministry of Science and Technology of the People's Republic of China.

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