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J Diabetes Metab Disord. 2016 Jun 01;15:15. doi: 10.1186/s40200-016-0237-7. eCollection 2015.

Association of some psychosocial factors with anthropometric measures in nationally representative sample of Iranian adolescents: the CASPIAN-III study.

Journal of diabetes and metabolic disorders

Fereshteh Baygi, Roya Kelishadi, Mostafa Qorbani, Fatemeh Mohammadi, Mohammad Esmaeil Motlagh, Gelayol Ardalan, Morteza Mansourian, Seyed Masoud Arzaghi, Hamid Asayesh, Ramin Heshmat

Affiliations

  1. Occupation Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
  2. Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Diseases, Isfahan University of Medical Sciences, Isfahan, Iran.
  3. Dietary Supplements and Probiotics Research Center, Alborz University of Medical Sciences, Karaj, Iran ; Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
  4. Department of Food and Nutrition Policy and Planning Research, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  5. Pediatrics Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
  6. Department of Health Education and Promotion, Iran University of Medical Sciences, Tehran, Iran.
  7. Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
  8. Department of Medical Emergencies, Qom University of Medical Sciences, Qom, Iran.
  9. Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

PMID: 27252934 PMCID: PMC4888475 DOI: 10.1186/s40200-016-0237-7

Abstract

BACKGROUND: During the last two decades, adolescent obesity has increased in western countries. In Iran-as a developing country- the prevalence of obesity is raised among youngsters as well. This study conducted to identify an association of adolescents' loneliness, self-confidence and relationship with others in home and school environment with their weight status.

METHODS: In this cross-sectional national survey, 5682 students aged 10-18 years from urban and rural districts of 27 provinces of Iran were selected via stratified multi-stage sampling method. Data on psychological problems of students was gathered through a questionnaire. Height, weight, and waist circumferences were measured according to standard protocols. Body mass index (BMI) and waist- to-height ratio was calculated.

RESULTS: Boys which did not have best friends, spend time with their friends after school or get acceptance from them, had higher BMI than others. Only girls who did not spend time with their friends had higher BMI (19.48 ± 4.28) vs. (19.09 ± 3.92) and WC (71.04 ± 21.29) vs. (69.15 ± 17.43) than others, P < 0.05. In both sexes, adolescents who had sense of pressure about doing homework or had difficulties in relationship with their parents had higher BMI and WC values. Girls who reported being victim of violent behaviors (being bullied), had lower BMI compared to others. Risk of being overweight and obese, but not abdominal obese was statistically higher in adolescents not having close friends (OR = 1.81, CI: 1.11-2.95). Lack of self-confidence increased only the risk of obesity in teens (OR = 1033, CI: 1.09-1.64).

CONCLUSIONS: Our findings suggest that strategies for prevention of overweight and obesity in adolescent should be taking into account a deeper knowledge of psychosocial issues due to be able to design more effective programs for treating overweight teens.

Keywords: Adolescent; Obesity; Overweight; Psychosocial factors

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