Does obesity persist from childhood to adolescence? A 4-year prospective cohort study of chinese students in Hong Kong

Joanna Yuet Ling Tung, Frederick Ka Wing Ho, Keith Tsz Suen Tung, Rosa Sze Man Wong, Wilfred Hing Sang Wong, Bik Chu Chow, Patrick Ip*

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    1 Citation (Scopus)

    Abstract

    Background

    Little is known about the progression of obesity from childhood to adolescence. This study aimed to longitudinally examine the obesity status in a cohort of children across their childhood and adolescence, and to identify the factors associated with persistent obesity. 

    Methods

    The study used data from School Physical Fitness Award Scheme (SPFAS), a population-based programme in Hong Kong primary and secondary schools. Students were included if they participated in the SPFAS in both 2014 (Primary 1 and 2) and 2018 (Primary 5 and 6). Their anthropometric and physical fitness parameters were analyzed. 

    Results

    A total of 18,863 students were included. The baseline prevalence of obesity was 5.7 %. After 4 years, the prevalence increased to 6.7 %. Among those with obesity at baseline, 35.3 % remained obese after 4 years. The addition of baseline physical fitness level did not improve the prediction for persistent obesity. 

    Conclusions

    One-third of obese students in junior primary school remained to be obese into adolescence. Their baseline physical fitness level did not improve the predictive value for future obesity. Further studies should investigate the prognostic factors that may influence the natural course of childhood obesity.

    Original languageEnglish
    Article number60
    JournalBMC Pediatrics
    Volume21
    Issue number1
    DOIs
    Publication statusPublished - Dec 2021

    Scopus Subject Areas

    • Pediatrics, Perinatology, and Child Health

    User-Defined Keywords

    • Childhood
    • Chinese
    • Obesity
    • Obesity consistency
    • Weight trajectory

    Fingerprint

    Dive into the research topics of 'Does obesity persist from childhood to adolescence? A 4-year prospective cohort study of chinese students in Hong Kong'. Together they form a unique fingerprint.

    Cite this