Transitions From Overweight to Obesity and the Rising Severe Obesity Burden Among Children and Adolescents in China
Authors' conclusion
China has entered a turning point in the pediatric obesity epidemic since 2010. Pronounced subnational and sex-residence disparities point to the need for context-specific interventions. Monitoring BMI distribution shifts, severe obesity trends, and socioeconomic correlates is essential to inform prevention strategies.
Study context
- Population
- Children and adolescents in China, Chinese National Survey on Students' Constitution and Healthsix survey cycles
- Outcome
- Obesity-Overweight Reversal and severe obesity trends
- Follow-up
- 1995 to 2019
Methodological detailssix survey cycles (1995-2019), projections to 2030, multinomial logistic regression, generalized additive models
- Six survey cycles (1995-2019)
- Projections to 2030
- Multinomial logistic regression
- Generalized additive models
Main finding
As reported in the abstract
1995 to 2019
Severe obesity in Shandong boys, 2019
7.66%
Observational data: associations, not effects.
Further findings
- Nonlinear Human Development Index (HDI)–severe obesity associations, with a plateau at very high HDI
Original publication
Transitions From Overweight to Obesity and the Rising Severe Obesity Burden Among Children and Adolescents in China. Obesity (Silver Spring). Published 4 April 2026. doi:10.
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