School environment factors were associated with BMI among adolescents in Xi'an City, China

BMC Public Health

Research Article

Hong Yan¹  Ming Li²  Michael J Dibley³ 

[1] College of Medicine, Xi'an Jiaotong University, Xi'an, China;Division of Health Sciences, University of South Australia, Australia;College of Medicine, Xi'an Jiaotong University, Xi'an, China;The School of Public Health, University of Sydney, Australia;

关键词: Soft Drink;    Household Wealth;    Fast Food Restaurant;    International Obesity Task Force;    Fast Food Outlet;   

DOI  :  10.1186/1471-2458-11-792

 received in 2011-05-03, accepted in 2011-10-11,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundSchool environment influences students' behaviours. The purpose of this research was to identify school environment factors associated with BMI.MethodsA cross-sectional study was conducted among 1792 school-aged adolescents from 30 schools in six districts in Xi'an City in 2004. Height and weight were taken from students by trained field staff. School environment characteristics such as physical factors (school facilities, school shops and fast food outlets in school area), school curricula and policies were collected from school doctors using school environment questionnaire. School environment factors were identified in linear mixed effect models with BMI as outcome and adjusted for socio-demographic factors.ResultsAfter adjusted for socio-demographic factors, BMI was associated with the availability of soft drinks at school shops, the availability and the number of western food outlet in the school vicinity. School curricula such as sports-meeting and health education session were also associated with BMI.ConclusionsUrgent actions are needed to address the obesogenic elements of school environments. Community and school policy makers should make efforts for students to avoid exposure to fast food outlet in school area and soft drinks at school shops, and to improve school curricula to promote healthy behaviours.

【 授权许可】

CC BY   
© Li et al; licensee BioMed Central Ltd. 2011