Hui Lai Ling., Thesis (M.Phil.)--Chinese University of Hong Kong, 2001., Includes bibliographical references (leaves 180-204)., s in English and Chinese., acknowledgements --- p.I, contents --- p.II, list of abbreviation --- p.IX, list of tables --- p.X, LIST OF FIGURES --- p.XII, p.XIII, Chapter chapter 1 --- introduction --- p.1, Chapter 1.1 --- Overview --- p.1, Chapter 1.2 --- Objectives & Hypotheses --- p.2, Chapter chapter 2 --- literature review --- p.6, Chapter 2.1 --- Definition of obesity --- p.6, Chapter 2.1.1 --- Densitometric measurement --- p.6, Chapter 2.1.2 --- Anthropometric measurement --- p.6, Chapter 2.1.2.1 --- Body circumferences --- p.7, Chapter 2.1.2.2 --- Skinfold thickness --- p.8, Chapter 2.1.2.3 --- Weight and height ratios --- p.8, Chapter 2.1.3 --- Body Mass Index to define obesity --- p.9, Chapter 2.1.3.1 --- In adults --- p.9, Chapter 2.1.3.2 --- In children & Adolescents --- p.9, Chapter 2.2 --- Epidemic of obesity --- p.13, Chapter 2.2.1 --- Worldwide prevalence & trends of obesity --- p.13, Chapter 2.2.2 --- Obesity rates in Hong Kong --- p.16, Chapter 2.3 --- Consequences of obesity --- p.17, Chapter 2.3.1 --- Health consequences --- p.77, Chapter 2.3.1.1 --- Adulthood obesity --- p.17, Chapter 2.3.1.2 --- Childhood & adolescent obesity --- p.19, Chapter 2.3.1.3 --- Controversy of health risk studies --- p.20, Chapter 2.3.2 --- Quality of life --- p.21, Chapter 2.3.3 --- Economic consequences of obesity --- p.21, Chapter 2.3.4 --- Persistence of childhood obesity into adulthood --- p.22, Chapter 2.5 --- Risk factors for childhood obesity --- p.24, Chapter 2.5.1 --- Genetic factors --- p.24, Chapter 2.5.1.1 --- Parental weight status --- p.24, Chapter 2.5.1.2 --- Birth weight --- p.28, Chapter 2.5.2 --- Demographic factors --- p.30, Chapter 2.5.2.1 --- Socio-economic Status --- p.30, Chapter 2.5.2.2 --- Family environment --- p.31, Chapter 2.5.3 --- Dietary factors --- p.33, Chapter 2.5.3.1 --- Infancy diet --- p.33, Chapter 2.5.3.2 --- Dietary intake --- p.34, Chapter 2.5.3.3 --- Eating behaviour --- p.39, Chapter 2.5.4 --- Physical activity factors --- p.42, Chapter 2.5.4.1 --- Inactivity --- p.42, Chapter 2.5.4.2 --- Determinants of physical activity level --- p.44, Chapter 2.5.4.3 --- Television-watching --- p.46, Chapter 2.5.5 --- Other risk factors --- p.47, Chapter 2.6 --- Management of childhood obesity --- p.49, Chapter 2.6.1 --- Goals & Difficulties in childhood obesity treatment --- p.49, Chapter 2.6.2 --- Dietary approach --- p.50, Chapter 2.6.2.1 --- General healthy eating --- p.50, Chapter 2.6.2.2 --- Decrease fat intake --- p.51, Chapter 2.6.2.3 --- Increase fibre intake --- p.52, Chapter 2.6.2.4 --- Reducing meal Glycaemic Index --- p.53, Chapter 2.6.3 --- Increase activity level --- p.56, Chapter 2.6.3.1 --- Reinforce active behaviour --- p.56, Chapter 2.6.3.2 --- Decrease sedentary lifestyle --- p.57, Chapter 2.6.4 --- Roles of parents and schools in obesity managements --- p.58, Chapter CHAPTER 3 --- METHODOLOGY --- p.59, Chapter 3.1 --- Overview --- p.59, Chapter 3.2 --- Study population --- p.59, Chapter 3.2.1 --- Reason for selecting 6-7 years old children --- p.59, Chapter 3.2.2 --- Classification of case and control groups --- p.60, Chapter 3.2.3 --- Reasons for using BMI --- p.62, Chapter 3.2.4 --- Development of BMI cut-offs --- p.63, Chapter 3.3 --- Estimation of sample size --- p.64, Chapter 3.4 --- Subject recruitment --- p.65, Chapter 3.4.1 --- Sample Source --- p.65, Chapter 3.4.2 --- Inclusion criteria --- p.61, Chapter 3.4.3 --- Recruitment --- p.67, Chapter 3.4.4 --- Pilot Testing --- p.70, Chapter 3.5 --- Data collection --- p.70, Chapter 3.5.1 --- Overview --- p.70, Chapter 3.5.2 --- Lifestyle data --- p.77, Chapter 3.5.2.1 --- Scope of data --- p.71, Chapter 3.5.2.2 --- References for questionnaire design --- p.71, Chapter 3.5.2.3 --- Questionnaire content --- p.72, Chapter 3.5.2.4 --- Data validity --- p.73, Chapter 3.5.3 --- Dietary data --- p.76, Chapter 3.5.3.1 --- The assessment method --- p.76, Chapter 3.5.3.2 --- Data validity --- p.76, Chapter 3.6 --- Data entry & analyses --- p.77, Chapter 3.6.1 --- Data entry --- p.77, Chapter 3.6.2 --- Dietary data analyses --- p.78, Chapter 3.6.2.1 --- Nutrient intake --- p.78, Chapter 3.6.2.2 --- Meal Glycaemic response --- p.78, Chapter 3.6.3 --- Risk factor analyses --- p.79, Chapter 3.6.3.1 --- Univariate analyses --- p.79, Chapter 3.6.3.2 --- Multivariate analyses --- p.79, Chapter 3.6.3.3 --- Further analyses --- p.80, Chapter 3.6.4 --- Childhood lifestyle descriptive analyses --- p.80, Chapter CHAPTER 4 --- RESULTS --- p.81, Chapter 4.1 --- Overview --- p.81, Chapter 4.2 --- Descriptive analyses --- p.82, Chapter 4.2.1 --- Sample Size & sample source --- p.82, Chapter 4.2.2 --- Sample Characteristics --- p.83, Chapter 4.2.3 --- Demographic background --- p.86, Chapter 4.3 --- Risk factors identification --- p.90, Chapter 4.3.1 --- Overview --- p.90, Chapter 4.3.2 --- Univariate analyses --- p.90, Chapter 4.3.3 --- Multivariate analyses --- p.90, Chapter 4.3.3.1 --- Variable selection --- p.90, Chapter 4.3.3.2 --- Test for Multicollinearity --- p.91, Chapter 4.3.3.3 --- Logistic regression results --- p.91, Chapter 4.3.4 --- Further analyses --- p.98, Chapter 4.3.4.1 --- Purposes --- p.98, Chapter 4.3.4.2 --- Parental BMI --- p.99, Chapter 4.3.4.3 --- Child's birth weight --- p.102, Chapter 4.3.4.4 --- Eating Behaviour --- p.105, Chapter 4.3.4.5 --- Dietary intake --- p.108, Chapter 4.3.4.6 --- Physical activity --- p.109, Chapter 4.3.4.7 --- Parental smoking --- p.110, Chapter 4.3.4.8 --- Socio-economic status --- p.111, Chapter 4.4 --- Children lifestyle descriptive analyses --- p.113, Chapter 4.4.1 --- Inactivity in young children --- p.113, Chapter 4.4.1.1 --- Exercise time and frequency --- p.113, Chapter 4.4.1.2 --- Exercise preference & encouragement --- p.115, Chapter 4.4.1.3 --- Determinants of exercise time --- p.117, Chapter 4.4.2 --- Weight beliefs & Nutrition knowledge --- p.118, Chapter 4.4.2.1 --- Weight and health beliefs --- p.118, Chapter 4.4.2.2 --- Nutrition knowledge --- p.121, Chapter 4.4.3 --- Dietary habits & Nutrient intake --- p.123, Chapter 4.4.3.1 --- Dietary practice --- p.123, Chapter 4.4.3.2 --- Nutrient intake --- p.129, Chapter CHAPTER 5 --- DISCUSSION --- p.137, Chapter 5.1 --- Risk factors for childhood overweight development --- p.137, Chapter 5.1.1 --- Overview --- p.137, Chapter 5.1.2 --- Genetic factors --- p.138, Chapter 5.1.2.1 --- Parental BMI --- p.138, Chapter 5.1.2.2 --- Birth weight --- p.142, Chapter 5.1.3 --- Dietary factors --- p.144, Chapter 5.1.3.1 --- Eating behaviours --- p.144, Chapter 5.1.3.2 --- Infancy diet --- p.150, Chapter 5.1.3.3 --- Current dietary intake --- p.151, Chapter 5.1.4 --- Physical activity --- p.154, Chapter 5.1.4.1 --- Exercise --- p.154, Chapter 5.1.4.2 --- Sedentary activities --- p.155, Chapter 5.1.5 --- Family environment --- p.157, Chapter 5.1.5.1 --- Social class & Custody --- p.157, Chapter 5.1.5.2 --- Parental smoking --- p.159, Chapter 5.2 --- Lifestyle in Hong Kong young children --- p.161, Chapter 5.2.1 --- Childhood inactivity --- p.161, Chapter 5.2.2 --- Weight perception & Nutrition knowledge --- p.163, Chapter 5.2.3 --- Dietary habits & Nutrient intake --- p.165, Chapter 5.3 --- Limitations --- p.169, Chapter 5.3.1 --- Study sample --- p.169, Chapter 5.3.2 --- Study method --- p.171, Chapter 5.4 --- Implication of the study results --- p.173, Chapter 5.4.1 --- Overview --- p.173, Chapter 5.4.2 --- Strategies on obesity treatments and prevention --- p.173, Chapter 5.4.3 --- Conclusion --- p.775, Chapter 5.5 --- Suggestions for further study --- p.176, CONCLUSION --- p.178, REFERENCES --- p.180, APPENDICES --- p.205, Chapter A. --- Communications for sample recruitment, Appendix A1 Invitation to Parents --- p.A-l, Appendix A2 Contact Details Form --- p.A-3, Appendix A3 Letter of thanks to SHSC Nurses --- p.A-4, Appendix A4 Second letter to parents --- p.A-12, Appendix A5 Written consent from parents --- p.A-14, Chapter B --- Study Tools, Appendix B1 The Questionnaire --- p.B-l, Appendix B2 3-day dietary record --- p.B-49, Chapter C --- Childhood overweight risk factors - univariate analyses, Appendix C1 Genetic factors --- p.C-1, Appendix C2 Demographic factors --- p.C-2, Appendix C3 Custody & Home environments --- p.C-3, Appendix C4 Infant feeding factors --- p.C-4, Appendix C5 Dietary manipulation & Eating desire --- p.C-5, Appendix C6 Eating habits & Food preference --- p.C-6, Appendix C7 Physical activity factors --- p.C-7, Appendix C8 Factors influencing physical activity --- p.C-8, Appendix C9 Nutrition knowledge & weight perception --- p.C-9, Appendix C10 Nutrients factors --- p.C-10, Appendix C11 School life & unclassified factors --- p.C-11, Chapter D --- Miscellaneous, Appendix D1 Research questions and related questions in the questionnaire --- p.D-l, Appendix D2 Food GI estimation list --- p.D-3, http://library.cuhk.edu.hk/record=b5890907, Use of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/)