Abstract
Objectives
This study aims to investigate the prevalence of overweight and obesity in preschool children in Hangzhou and assess the impact of childcare management. By examining the characteristics and predicting the trends of overweight and obesity, we hope to emphasize the significance of childcare management in primary community health service centers and the use of Electronic Health-care System in kindergartens. This study also seeks to provide evidence for intervention measures and effective prevention and control management of childhood obesity.
Methods
From 2020 to 2022, kindergarten children aged 3–6 years old were selected as the research objects in kindergartens in Hangzhou. The Electronic Health-care System will be utilized to facilitate the management of childhood obesity and provide guidance and training to pediatricians and Primary Care Physicians.
Results
The overall detection rates of overweight and obesity were 7.27 % and 3.55 %, respectively, among children aged 3–6 years in Hangzhou. The rates of simple obesity in Hangzhou preschool children aged 3–6 years were 4.25 , 3.42, and 3.04 % from 2020 to 2022, respectively; the overweight detection rates of children were 8.27 , 7.28, and 6.34 %, respectively, and the difference was statistically significant (p<0.05). The detection rates of overweight and obesity in 2022 were significantly lower than those in 2020 (p<0.05). The prevalence of obesity in children increased with age. Boys had a significantly higher incidence rate of obesity than girls (p<0.05). The proportion of children with moderate and severe obesity showed a downward trend. Intervention measures for childhood obesity in primary community health service centers and kindergartens are constantly being implemented.
Conclusions
The prevalence of obesity in preschool children aged 3–6 years in Hangzhou exhibited a decreasing tendency. This research has identified that child care administration, particularly the implementation of the Electronic Health-care System, demonstrates effectiveness in handling overweight and obesity amongst children.
Funding source: Hangzhou Medical and Health Science and Technology Project
Award Identifier / Grant number: A20220566
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Research ethics: The studies involving human participants were reviewed and approved by Hangzhou Women’s Hospital Ethics Committee. We confirm that all methods were carried out in accordance with relevant guidelines and regulations.
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Informed consent: Informed consent was obtained from all individuals included in this study.
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Author contributions: Ye H, Jinqing C and Dan H were responsible for data collection. Ye H and Xia Q were responsible for writing the first draft of the article and analyzing the data with Dan H. Dan H revised and finalized the article. All authors contributed to the article and approved the submitted version.
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Competing interests: Authors state no conflict of interest.
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Research funding: This work was supported by Hangzhou Medical and Health Science and Technology Project (A20220566). The funding institution had no role in the design, data collection, analysis, interpretation and writing of the manuscript.
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Data availability: The data supporting the findings of the study are available from the corresponding author on reasonable request.
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