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Int. J. Environ. Res. Public Health 2016, 13(11), 1104; doi:10.3390/ijerph13111104

Secular Trends in Growth and Nutritional Outcomes of Children under Five Years Old in Xiamen, China

Department of Pediatrics, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250014, China
Department of Child Health, Maternal and Child Health Care Hospital, Xiamen 361003, Fujian, China
Department of Safety and Security, Xiamen University, Xiamen 361003, Fujian, China
Author to whom correspondence should be addressed.
Academic Editor: Jane Scott
Received: 29 August 2016 / Revised: 22 October 2016 / Accepted: 27 October 2016 / Published: 9 November 2016
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The purpose of this study was to examine secular changes in growth and nutritional outcomes of Chinese urban children under five years old, in 2009, 2012, and 2015. Cluster random sampling methods were used to select children under five years old in Xiamen, one of five special economic zones in China. Subjects (N = 71,229) under five years old (39,413 boys, 31,816 girls) were examined at three different times (22,576 in 2009, 24,816 in 2012, and 23,837 in 2015). Significant differences in the boys’ height and weight (p < 0.05) were found across the three time points; subjects in the 2015 sample were the heaviest and tallest, and they had the highest BMI (2009 < 2015; 2012 < 2015). Among the girls, those in the 2015 sample were similar to the boys (2009 < 2012; 2012 < 2015). In general, similar patterns were observed when mean values were analyzed by age. An increasing trend was found in the prevalence of overweight and obesity and a decreasing trend for stunting, underweight, and wasting. The results revealed that the burden of childhood under- and over-nutrition might constitute a public health concern in modern China. View Full-Text
Keywords: children under five; China; obesity; overweight; under-nutrition children under five; China; obesity; overweight; under-nutrition

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Chen, J.; Chen, W.; Zeng, G.; Li, G. Secular Trends in Growth and Nutritional Outcomes of Children under Five Years Old in Xiamen, China. Int. J. Environ. Res. Public Health 2016, 13, 1104.

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