Body Composition

Eating habits, nutritional status, and lifestyle correlates of body composition in Chinese university students: a cross-sectional study.

TL;DR

Unbalanced dietary patterns, hidden obesity, and low protein mass are widespread among Chinese university students, with sex-specific differences, and weekly fruit intake showed a weak but positive association with both body fat and protein percentages after adjusting for confounders.

Key Findings

Hidden obesity was observed in 17.0% of university students and was significantly more prevalent among females than males.

  • Hidden obesity was defined as excessive body fat despite normal body mass index.
  • Overall prevalence of hidden obesity was 17.0% across the 993 students.
  • Prevalence was 23.0% among females compared to only 1.1% among males (p < 0.05).
  • Body composition was measured using a bioelectrical impedance analyzer.
  • Study was conducted among undergraduate students at a major Chinese university.

Low protein mass was present in 31.0% of students and was more prevalent among females than males.

  • Low protein mass was measured by bioelectrical impedance analysis.
  • Overall prevalence of low protein mass was 31.0% across the sample.
  • Prevalence among females was 33.5% compared to 24.6% among males (p < 0.05).
  • The sex-specific difference was statistically significant.

Fewer than half of participants reported daily vegetable consumption, and only 18.2% consumed fruit daily.

  • Daily vegetable consumption was reported by fewer than 50% of the 993 participants.
  • Daily fruit consumption was reported by only 18.2% of participants.
  • Dietary intake was assessed using validated questionnaires.
  • These findings indicate widespread unbalanced dietary patterns among the student population.

Weekly fruit intake showed a weak but positive association with both body fat percentage and protein percentage after adjusting for confounders.

  • The association was statistically significant (p < 0.05).
  • The association was described as 'weak but positive' for both body fat and protein percentages.
  • Multivariable regression analyses were used to examine associations while adjusting for confounders.
  • The authors noted this relationship 'may reflect broader dietary or lifestyle behaviors rather than a direct protective effect.'

The study assessed a cross-sectional sample of 993 undergraduate students using validated questionnaires and bioelectrical impedance analysis.

  • 993 undergraduate students at a major Chinese university were enrolled.
  • Dietary intake, physical activity, sleep, and other lifestyle factors were assessed using validated questionnaires.
  • Body composition including body fat percentage and protein status was measured with a bioelectrical impedance analyzer.
  • A cross-sectional survey design was used.
  • Associations were examined using multivariable regression analyses.

Sex-specific differences in both hidden obesity and low protein mass were identified among Chinese university students.

  • Hidden obesity was substantially higher in females (23.0%) versus males (1.1%).
  • Low protein mass was higher in females (33.5%) versus males (24.6%).
  • Both sex differences were statistically significant (p < 0.05).
  • The authors identified sex-specific differences as a key characteristic of body composition in this population.

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Citation

Liu L, Gong W, Li J, Zhou W, Lin L. (2025). Eating habits, nutritional status, and lifestyle correlates of body composition in Chinese university students: a cross-sectional study.. Frontiers in public health. https://doi.org/10.3389/fpubh.2025.1668307