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Association of perceived weight status versus body mass index on adherence to weight-modifying plan among Iranian children and adolescents: The CASPIAN-IV study

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Abstract

Objective

To identify risk-groups adhering to weight-changing plans for body dissatisfaction in a National sample of Iranian students.

Design

Cross-sectional.

Setting

Primary, Middle and high-schools.

Participants

13486 students (mean age, 12.5 y).

Main outcome measures

Demographic and anthropometric characteristics were collected via valid instruments. Body image and adherence to weight- changing diets were assessed by using validated questionnaires.

Results

46.5% students were satisfied with their weight and12.5% declared that they had attempts for weight control, this was significantly higher among adolescent girls (13.8%, P=0.0005). Participants who perceived themselves as overweight and obese, were more likely (OR= 5.32) to follow weight-reduction diets than their peers with normal-weight perception. Actual overweight-BMI and obese-BMI individuals had greater odds for being on a diet (1.3 and 1.47, respectively) compared to their normal-BMI counterparts.

Conclusion

Promoting strategies to improve body image concerns and prevent adverse outcomes of chronic dieting among adolescents are necessary.

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References

  1. Wood-Barcalow NL, Tylka TL, Augustus-Horvath CL. “But I Like My Body”: Positive body image characteristics and a holistic model for young-adult women. Body Image. 2010;7:106–16.

    Article  PubMed  Google Scholar 

  2. Smolak L. Body image in children and adolescents: where do we go from here? Body Image. 2004;1:15–28.

    Article  PubMed  Google Scholar 

  3. Schneider S, Weiss M, Thiel A, Werner A, Mayer J, Hoffmann H, et al. Body dissatisfaction in female adolescents: extent and correlates. Eur J Pediatr. 2013;172:e373–84.

    Article  Google Scholar 

  4. Eisenberg ME, Neumark-Sztainer D, Paxton SJ. Five-year change in body satisfaction among adolescents. J Psychosom Res. 2006;61:521–7.

    Article  PubMed  Google Scholar 

  5. Andrist LC. Media images, body dissatisfaction, and disordered eating in adolescent women. MCN Am J Matern Child Nurs. 2003;28:119–23.

    Article  PubMed  Google Scholar 

  6. Field AE, Javaras KM, Aneja P, Kitos N, Camargo CA, Jr., Taylor CB, et al. Family, peer, and media predictors of becoming eating disordered. Arch Pediatr Adolesc Med. 2008;162:574–9.

    Article  PubMed  Google Scholar 

  7. Kanter R, Caballero B. Global gender disparities in obesity: a review. Adv Nutr. 2012;3:491–8.

    Article  PubMed Central  PubMed  Google Scholar 

  8. Schulte SJ, Thomas J. Relationship between eating pathology, body dissatisfaction and depressive symptoms among male and female adolescents in the United Arab Emirates. Eat Behav. 2013;14:157–60.

    Article  PubMed  Google Scholar 

  9. Kelishadi R, Marashinia F, Heshmat R, Motlagh ME, Qorbani M, Taslimi M, et al. First report on body image and weight control in a nationally representative sample of a pediatric population in the Middle East and North Africa: the CASPIAN-III study. Arch Med Sci. 2013;9:210–7.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Khashayar P, Heshmat R, Qorbani M, Motlagh ME, Aminaee T, Ardalan G, et al. Metabolic syndrome and cardiovascular risk factors in a national sample of adolescent population in the Middle East and North Africa: The CASPIAN III Study. Int J Endocrinol. 2013; 2013:702095.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Kelishadi R, Majdzadeh R, Motlagh ME, Heshmat R, Aminaee T, Ardalan G, et al. Development and evaluation of a questionnaire for assessment of determinants of weight disorders among children and adolescents: The Caspian-IV Study. Int J Prev Med. 2012;3:699–705.

    PubMed Central  PubMed  Google Scholar 

  12. Kelishadi R, Ardalan G, Qorbani M, Ataie-Jafari A, Bahreynian M, Taslimi M, et al. Methodology and early findings of the fourth survey of Childhood and Adolescence Surveillance and Prevention of Adult Noncommunicable Disease in Iran: The CASPIAN IV study. Int J Prev Med. 2013;4:1451–60.

    PubMed Central  PubMed  Google Scholar 

  13. Knowles KM, Paiva LL, Sanchez SE, Revilla L, Lopez T, Yasuda MB, et al. Waist circumference, body mass index, and other measures of adiposity in predicting cardiovascular disease risk factors among Peruvian adults. Int J Hypertension. 2011;2011:931402.

    Article  CAS  Google Scholar 

  14. Li C, Ford ES, Mokdad AH, Cook S. Recent trends in waist circumference and waist-height ratio among US children and adolescents. Pediatrics. 2006;118:e1390–e8.

    Article  PubMed  Google Scholar 

  15. Petracci E, Cavrini G. The effect of weight status, lifestyle, and body image perception on health-related quality of life in children: a quantile approach. Qual Life Res. 2013;22:2607–15.

    Article  PubMed  Google Scholar 

  16. Mohnke S, Warschburger P. [Body dissatisfaction among female and male adolescents: comparing prevalence, predictors, and consequences between the sexes]. Prax Kinderpsychol Kinderpsychiatr. 2011;60:285–303.

    Article  PubMed  Google Scholar 

  17. Pon LW, Mirnalini K, Mohd Nasir M. Body image perception, dietary practices and physical activity of overweight and normal weight Malaysian female adolescents. Malays J Nutr. 2004;10:131–47.

    PubMed  Google Scholar 

  18. Herzog DB, Keller MB, Lavori PW, Kenny GM, Sacks NR. The prevalence of personality disorders in 210 women with eating disorders. J Clin Psychiatry. 1992;53:147–52.

    CAS  PubMed  Google Scholar 

  19. Cho JH, Han SN, Kim JH, Lee HM. Body image distortion in fifth and sixth grade students may lead to stress, depression, and undesirable dieting behavior. Nutr Res Pract. 2012;6:175–81.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Calzo JP, Sonneville KR, Haines J, Blood EA, Field AE, Austin SB. The development of associations among body mass index, body dissatisfaction, and weight and shape concern in adolescent boys and girls. J Adolesc Health. 2012;51:517–23.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Neumark-Sztainer D, Paxton SJ, Hannan PJ, Haines J, Story M. Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males. J Adolesc Health. 2006;39:244–51.

    Article  PubMed  Google Scholar 

  22. Yeh MC, Liou YM, Chien LY. Development and effectiveness of a school programme on improving body image among elementary school students in Taiwan. J AdvNurs. 2012;68:434–43.

    Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran

    Gelayol Ardalan & Roya Kelishadi

  2. Department of Nutrition Department, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran

    Maryam Bahreynian

  3. Department of Community Medicine, Alborz University of Medical Sciences, Karaj, Iran

    Mostafa Qorbani

  4. Department of Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

    Mostafa Qorbani & Ramin Heshmat

  5. Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

    Mohammad Esmaeil Motlagh

Authors
  1. Maryam Bahreynian
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  2. Mostafa Qorbani
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  3. Mohammad Esmaeil Motlagh
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  4. Ramin Heshmat
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  5. Gelayol Ardalan
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  6. Roya Kelishadi
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Corresponding author

Correspondence to Roya Kelishadi.

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Bahreynian, M., Qorbani, M., Motlagh, M.E. et al. Association of perceived weight status versus body mass index on adherence to weight-modifying plan among Iranian children and adolescents: The CASPIAN-IV study. Indian Pediatr 52, 857–863 (2015). https://doi.org/10.1007/s13312-015-0732-9

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  • DOI: https://doi.org/10.1007/s13312-015-0732-9

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