Disaggregating the longitudinal association between urbanization and body weight in Chinese adults over 1991 – 2015

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Abstract

Urbanization is widely viewed as a major contextual force behind the rising prevalence of overweight and obese people in developing countries. Research in China often conflates between-community difference and within-community change - two separate processes of urbanization that are related to body weight gain. Capitalizing on longitudinal and multilevel data from the 1991 to 2015 China Health and Nutrition Survey, the present study disaggregated the association between change in a community-level urbanicity index and change in individual-level body weight status over time in Chinese adults aged 18–65 years. A positive longitudinal relationship was confirmed between urbanicity and body weight in men, but varied in women by the choice of anthropometric measure. However, for both men and women, such an overall association was largely driven by preexisting between-community differences in the level of urbanization rather than an intrinsic within-community urbanization process. This pattern is robust against two different disaggregation methods. These findings together confirm the inadequate simplicity of the conventional model of community effects on health and nutrition.

Keywords

Community

Overweight

Obesity

Funding

Lieberthal Rogel Center for Chinese Studies at the University of Michigan

Cycle 50 PSC-CUNY Research Award from City University of New York – Queens College

National Institute for Health (NIH)

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

National Institute on Aging (NIA)

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH Fogarty grant

References

[1]

Averett, S. & Korenman, S. (1999). Black-white differences in social and economic consequences of obesity. International Journal of Obesity, 23(2), 166-173.

[2]

Browning, L. M., Hsieh, S. D., & Ashwell, M. (2010). A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0·5 Could be a suitable global boundary value. Nutrition Research Reviews, 23(2), 247-269. https://doi.org/10.1017/S0954422410000144

[3]

Chinese Center for Disease Control and Prevention. (2003). Chinese Guidelines on Prevention and Treatment of Overweight and Obesity in Adults. Beijing, Chinese: Chinese Center for Disease Control and Prevention.

[4]

Chinese Center for Disease Control and Prevention. (2015). Report of Nutrition and Chronic Diseases in Chinese Population-2015. Beijing: People Health Publishing House.

[5]

Curran, P. J. & Bauer, D. J. (2011). The disaggregation of within-person and between-person effects in longitudinal models of change. Annual Review of Psychology, 62(1), 583-619. https://doi.org/10.1146/annurev.psych.093008.100356.

[6]

Roux, A. V. (2004). Estimating neighborhood health effects: The challenges of causal inference in a complex world. Social Science and Medicine, 58(10), 1953-1960. https://doi.org/10.1016/S0277-9536(03)00414-3

[7]

Entwisle, B. (2007). Putting people into place. Demography, 44(4), 687-703. https://doi.org/10.1353/dem.2007.0045

[8]

Gordon-Larsen, P., Wang, H., & Popkin, B. M. (2014). Overweight dynamics in Chinese children and adults. Obesity Reviews, 15(Suppl 1), 37-48. https://doi.org/10.1111/obr.12121

[9]

Hoffman, D. J. (2001). Obesity in developing countries: Causes and implications. Food Nutrition and Agriculture, 28, 35-44.

[10]

International Diabetes Federation. (2006). IDF Consensus Worldwide Definition of the Metabolic Syndrome. Brussels: International Diabetes Federation.

[11]

Jaacks, L. M., Gordon-Larsen, P., Mayer-Davis, E. J., Adair, L. S., & Popkin, B. (2013). Age, period and cohort effects on adult body mass index and overweight from 1991 to 2009 in China: The China health and nutrition survey. International Journal of Epidemiology, 42(3), 828-837. https://doi.org/10.1093/ije/dyt052

[12]

Joint Committee for Developing Chinese Guidelines on Prevention and Treatment of Dyslipidemia in Adults (2007). Chinese guidelines on prevention and treatment of dyslipidemia in adults. Chinese Journal of Cardiology, 35(5), 390-419.

[13]

Jones-Smith, J. C. & Popkin, B. M. (2010). Understanding community context and adult health changes in China: Development of an urbanicity scale. Social Science and Medicine, 71(8), 1436-1446. https://doi.org/10.1016/j.socscimed.2010.07.027

[14]

Knowles, K. M., Paiva, L. L., Sanche, S. E., Revilla, L., Lopez, T., Yasuda, M. B., et al. (2011). Waist circumference, body mass index, and other measures of adiposity in predicting cardiovascular disease risk factors among peruvian adults. International Journal of Hypertension, 2011, 931402. https://doi.org/10.4061/2011/931402

[15]

Li, C., Ford, E. S., Mokdad, A. H., & Cook, S. (2006). Recent trends in waist circumference and waist-height ratio among US children and adolescents. Pediatrics, 118(5), e1390-e1398. https://doi.org/10.1542/peds.2006-1062

[16]

Mehta, N. K. & Chang, V. W. (2008). Weight status and restaurant availability: A multilevel analysis. American Journal of Preventive Medicine, 34(2), 127-133. https://doi.org/10.1016/j.amepre.2007.09.031

[17]

Monda, K. L., Adair, L. S., Zhai, F., & Popkin, B. M. (2008). Longitudinal relationships between occupational and domestic physical activity patterns and body weight in China. European Journal of Clinical Nutrition, 62(11), 1318-1325. https://doi.org/10.1038/sj.ejcn.1602849

[18]

Monda, K. L., Gordon-Larsen, P., Stevens, J., & Popkin, B. M. (2007). China’s transition: The effect of rapid urbanization on adult occupational physical activity. Social Science and Medicine, 64(4), 858-870. https://doi.org/10.1016/j.socscimed.2006.10.019

[19]

Ng, M., Fleming, T., Robinson, M., Thomson, B., Graetz, N., Margono, C., et al. (2014). Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: A systematic analysis for the global burden of disease study 2013. The Lancet, 384(9945), 766- 781. https://doi.org/10.1016/S0140-6736(14)60460-8

[20]

Ng, S. W., Howard, A. G., Wang, H. G., Su, C., & Zhang, B. (2014). The physical activity transition among adults in China: 1991-2011. Obesity Reviews, 15(1), 27-36. https://doi.org/10.1111/obr.12127

[21]

Popkin, B. M., Du, S., Zhai, F., & Zhang, B. (2010). Cohort profile: The China health and nutrition survey-monitoring and understanding socio-economic and health change in China, 1989-2011. International Journal of Epidemiology, 39(6), 1435-1440. https://doi.org/10.1093/ije/dyp322

[22]

Swinburn, B., Egger, G., & Raza, F. (1999). Dissecting obesogenic environments: The development and application of a framework for identifying and prioritizing environmental interventions for obesity. Preventive Medicine, 29(6), 563-570. https://doi.org/10.1006/pmed.1999.0585

[23]

Thompson, A. L., Adair, L., Zhang, B., & Popkin, B. (2015). Environmental, dietary, and behavioral factors distinguish Chinese adults with high waist-to-height ratio with and without inflammation. The Journal of Nutrition, 145(6), 1335-1344. https://doi.org/10.3945/jn.114.206102

[24]

United Nations, Population Division. (2015). World Urbanization Prospects: The 2014 Revision, (ST/ESA/SER.A/366). New York: United Nations Population Division.

[25]

Van de Poel, E., O’Donnell, O., & Van Doorslaer, E. (2012). Is there a health penalty of China’s rapid urbanization? Health Economics, 21(4), 367-385. https://doi.org/10.1002/hec.1717

[26]

Van de Poel, E., O’Donnell, O., & Van Doorslaer, E. (2009). Urbanization and the spread of diseases of affluence in China. Economics and Human Biology, 7(2), 200-216. https://doi.org/10.1016/j.ehb.2009.05.004

[27]

Wang, L. (2005). Summary Report of China’s 2002 National Nutrition and Health Survey. Beijing: People’s Medical Publishing House.

[28]

World Health Organization. (1998). Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation (WHO Technical Report Series 894). Geneva: World Health Organization WHO.

[29]

World Health Organization. (2008). Waist Circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation. Geneva: World Health Organization.

[30]

Xie, Y. & Hannum, E. (1996). Regional variation in earning inequality in reform-era urban China. The American Journal of Sociology, 101(4), 950-992.

[31]

Xu, H., Short, S. E., & Liu, T. (2013). Dynamic relations between fast-food restaurant and body weight status: A longitudinal and multilevel analysis of Chinese adults. Journal of Epidemiology and Community Health, 67(3), 271-279. https://doi.org/10.1136/jech-2012-201157

[32]

Yeh, A. G., Xu, J., & Liu, K. (2011). China’s Post-Reform Urbanization: Retrospect, Policies and Trends. New York: United Nations Population Fund (UNFPA) and the International Institute for Environment and Development (IIED).

[33]

Yusuf, S., Hawken, S., Ounpuu, S., Dans, T., Avezum, A., Lanas, F., et al. (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): Case-control study. Lancet, 364(9438), 937-952. https://doi.org/10.1016/S0140-6736(04)17018-9

[34]

Zhu, Y. (2000). In situ urbanization in rural China: Case studies from Fujian Province. Development and Change, 31(2), 413-434. https://doi.org/10.1111/1467-7660.00160

[35]

Zhu, Y. (2002). Beyond large-city-centred urbanisation: In situ transformationof rural areas in Fujian Province. Asia Pacific Viewpoint, 43(1), 9-22. https://doi.org/10.1111/1467-8373.00155

Conflict of interest

No conflicts of interest were reported by the author.

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