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Motorized Transportation, Social Status, and Adiposity: The China Health and Nutrition Survey

Qin, Li; Stolk, Ronald P.; & Corpeleijn, Eva. (2012). Motorized Transportation, Social Status, and Adiposity: The China Health and Nutrition Survey. American Journal of Preventive Medicine, 43(1), 1-10.

Qin, Li; Stolk, Ronald P.; & Corpeleijn, Eva. (2012). Motorized Transportation, Social Status, and Adiposity: The China Health and Nutrition Survey. American Journal of Preventive Medicine, 43(1), 1-10.

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Background: Increased dependence on motorized transportation may contribute to obesity. Countries in rapid socioeconomic transitions, such as China, provide an opportunity to investigate such an association. Purpose: The aim of the study was to examine the hypotheses that increased dependence on motorized transportation is related to adiposity and that this effect will be more pronounced in adults with high SES or those who live in urban regions. Methods: Data from the longitudinal China Health and Nutrition Survey conducted from 1997 to 2006 (n=3853, aged 18–55 years at baseline, 52% women, ∼7.8 years'' follow-up) were used to examine the association between motorized transportation (none, 1–5 years, >5 years) and changes in body weight and waist circumference (WC) by using multivariate regression. SES factors were obtained from questionnaires. Data were analyzed in 2010. Results: Use of motorized transportation for >5 years was related to ∼1.2 kg greater weight gain (p=0.006) and ∼1.0 cm larger WC gain (p=0.017) in men, when compared with the nonmotorized transportation group and adjusted for baseline age, anthropometry, dietary intake, and follow-up time. These changes were slightly more pronounced in men with higher income or from rural areas, but the difference was not significant. In women, the tendency to have motorized transportation with weight gain was less pronounced (+1.1 kg, p=0.008). Low education and high income were the most predominant factors. In 2006, motorized transportation was associated with a 1.3-fold higher OR for obesity (p trend=0.054) and abdominal obesity (p trend=0.047) in men, and a 2-fold higher OR of obesity in women (p trend <0.001). Conclusions: Motorized transportation was related to an increase in adiposity in the Chinese population, particularly in men. [Copyright &y;& Elsevier] Copyright of American Journal of Preventive Medicine is the property of Elsevier Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)



JOUR



Qin, Li
Stolk, Ronald P.
Corpeleijn, Eva



2012


American Journal of Preventive Medicine

43

1

1-10






07493797

10.1016/j.amepre.2012.03.022



807