Association between obesity and dyslipidemia among rural primary and middle school students in Students Nutrition Im-provement Program Areas of Zhejiang Province
Objective The study aimed to analyze the association between different types of obesity and dyslipidemia among ru-ral primary and middle school students in Zhejiang Province,so as to inform strategies for prevention and control of childhood obesi-ty and hyperlipidemia.Methods As part of Nutrition Improvement Programme for Rural Compulsory Education Students,1 244 participants were selected by stratified cluster random sampling in 5 counties of Zhejiang Province during September to December 2021.Physical examination,detection of blood lipid and questionnaire survey were conducted.The Chi-square test and Logistic re-gression analyses were used to assess the association between different types of obesity and dyslipidemia.Results The prevalence rates of overweight,obesity,abdominal obesity,and hyperlipidemia were 15.11%,12.46%,17.60%,and 21.78%.Obesity and abdominal obesity were correlated to high risk of high triglycerides(OR=3.97,95%CI=2.54-6.20;OR=4.45,95%CI=2.95-6.72)(P<0.05).Compared with the non overweight and obese group with normal waist circumference,the overweight and obesity group were correlated to high risk of high cholesterol(OR=2.53,95%CI=1.45-4.42,P<0.05).Abdominal overweight or obese group had the highest risk for dyslipidemia and triglycerides(OR=1.82,95%CI=1.33-2.48;OR=3.64,95%CI=2.45-5.43)(P<0.05).Conclusions The prevalence rates of overweight,obesity,abdominal obesity,and hyperlipidemia are relatively high in rural primary and middle school students of Nutrition Improvement Programme for Rural Compulsory Education Students in Zhejiang Province.Abdominal obesity is a more important risk factor for hyperlipidemia.Waist circumference should be the focus of consider-able attention.
ObesityDyslipidemiasGrowth and developmentRegression analysisStudents