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Background Economic development has brought rapid shifts in the food environment of Chinese children and adolescents. Objectives To assess the changes in childhood nutritional status across ethnic groups and economic status from 2005 to 2014. Methods 664 094 Chinese Han and 224 151 ethnic minority children and adolescents aged 7 to 18 years were assessed in three national cross-sectional surveys (2005, 2010 and 2014). Gross domestic product (GDP) per capita of each ethnic group was categorized into four strata of socioeconomic status. T