Exercise, bodyweight perception and related weight loss behavior among adolescents in Trinidad and Tobago

Terence Babwah

doi:10.1515/ijamh-2014-0062

Article

Exercise, bodyweight perception and related weight loss behavior among adolescents in Trinidad and Tobago

Terence Babwah

Published/Copyright: January 23, 2015

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From the journal International Journal of Adolescent Medicine and Health Volume 28 Issue 1

Abstract

Aim: This study attempted to evaluate the real and perceived body weight, exercise habits and weight-altering dietary supplement use by adolescents attending schools in Trinidad and Tobago.

Methods: A de novo questionnaire was administered prospectively to 15–19-year-old to determine their exercise habits, their perceived body weights, and their use of any weight gain or weight loss supplements. A subset of students had their actual height and weights recorded and BMI calculated.

Results: Five hundred and eighty-three students did the questionnaire (88% response rate), and 363 students had BMI calculated. Some 14.9% (54/363) of the students were overweight, and 15.4% (56/363) were obese, and more than 75% of the obese students had attempted weight loss in the past. These measures included exercise in the majority of the students and use of dietary supplements in the minority. Only 6% of the obese students exercised five or more times per week. About 28% of the students misclassified their body weights, and perception of body weight influenced weight loss behaviors more than actual body weights.

Conclusion: Almost one third of the students were overweight or obese. Overweight students were motivated to lose weight, and these students need to have some structured health promotion program, which educates them on correct exercise habits, safe measures to lose weight, and which informs them of their actual body weight.

Keywords: body image; dietary supplements; weight altering behavior

Corresponding author: Dr. Terence Babwah, MBBS, DM, MSc, MFSEM, Department of Para-Clinical Sciences, University of the West Indies, St Augustine Campus, Trinidad and Tobago, Phone: +(868)6456741, E-mail: terence.babwah@sta.uwi.edu; terbab@hotmail.com

References

1. Krul M, van der Wouden JC, Schellevis FG, van Suijlekom-Smit LW, Koes BW. Musculoskeletal problems in overweight and obese children. Ann Fam Med 2009;7:352–6.10.1370/afm.1005Search in Google Scholar PubMed PubMed Central

2. Seng Lee Y. Consequences of childhood obesity. Ann Acad Med Singapore 2009;38:75–7.10.47102/annals-acadmedsg.V38N1p75Search in Google Scholar

3. Barrett SC, Huffman FG, Johnson P, Campa A, Magnus M, et al. Cross-sectional study of Jamaican adolescents’ risk for type 2 diabetes and cardiovascular diseases. Brit Med J Open 2013;11:3.10.1136/bmjopen-2013-002817Search in Google Scholar PubMed PubMed Central

4. Bianchini JA, da Silva DF, Nardo CC, Carolino ID, Hernandes F, et al. Multidisciplinary therapy reduces risk factors for metabolic syndrome in obese adolescents. Eur J Pediatr 2013;172:215–21.10.1007/s00431-012-1865-7Search in Google Scholar PubMed

5. Farhat T, Iannotti RJ, Simons-Morton BG. Overweight, obesity, youth, and health-risk behaviors. Am J Prev Med 2010;38:258–67.10.1016/j.amepre.2009.10.038Search in Google Scholar PubMed PubMed Central

6. Martin SB, Rhea DJ, Greenleaf CA, Judd DE, Chambliss HO. Weight control beliefs, body shape attitudes, and physical activity among adolescent J Sch Health 2011;81:244–50.10.1111/j.1746-1561.2011.00585.xSearch in Google Scholar PubMed

7. Al-Nakeeb Y, Lyons M, Collins P, Al-Nuaim A, Al-Hazzaa H, et al. Obesity, physical activity and sedentary behavior amongst British and Saudi youth: a cross-cultural study. Int J Environ Res Public Health 2012;9:1490–506.10.3390/ijerph9041490Search in Google Scholar PubMed PubMed Central

8. Grydeland M, Bergh IH, Bjelland M, Lien N, Andersen LF, et al. Correlates of weight status among Norwegian 11-year-olds: the HEIA study. BMC Public Health 2012;12:1053.10.1186/1471-2458-12-1053Search in Google Scholar PubMed PubMed Central

9. Serrano-Sanchez J, Martí-Trujillo S, Lera-Navarro A, Dorado-García C, González-Henríquez J, et al. Associations between screen time and physical activity among Spanish adolescents. PLoS One 2011;6:e24453.10.1371/journal.pone.0024453Search in Google Scholar PubMed PubMed Central

10. Kantomaa MT, Stamatakis E, Kankaanpää A, Kaakinen M, Rodriguez A, et al. Physical activity and obesity mediate the association between childhood motor function and adolescents’ academic achievement. Proc Natl Acad Sci USA 2013;110:1917–22.10.1073/pnas.1214574110Search in Google Scholar PubMed PubMed Central

11. Huotari P, Nupponen H, Mikkelsson L, Laakso L, Kujala U. Adolescent physical fitness and activity as predictors of adulthood activity. J Sports Sci 2011;29:1135–41.10.1080/02640414.2011.585166Search in Google Scholar PubMed

12. Jekauc D, Reimers AK, Wagner MO, Woll A. Prevalence and socio-demographic correlates of the compliance with the physical activity guidelines in children and adolescents in Germany. BMC Public Health 2012;12:714.10.1186/1471-2458-12-714Search in Google Scholar PubMed PubMed Central

13. Landry BW, Driscoll SW. Physical activity in children and adolescents. Phys Med Rehab 2012;4:826–32.Search in Google Scholar

14. Simeon DT, Rattan RD, Panchoo K, Kungeesingh KV, Ali AC, et al. Body image of adolescents in a multi-ethnic Caribbean population. Eur J Clin Nutr 2003;57:157–62.10.1038/sj.ejcn.1601515Search in Google Scholar PubMed

15. Gaskin PS, Broome H, Alert C, Fraser H. Misperceptions, inactivity and maternal factors may drive obesity among Barbadian adolescents. Public Health Nutr 2008;11:41–8.10.1017/S1368980007000195Search in Google Scholar PubMed

16. Barrett SC, Huffman FG. Comparison of self-perceived weight and desired weight versus actual body mass index among adolescents in Jamaica. Rev Panam Salud Publica 2011;29:267–76.10.1590/S1020-49892011000400008Search in Google Scholar

17. CAREC. Leading Causes of death and mortality rates in Caribbean Epidemiology Member Countries. 2005. Available at: http://carpha.net/pdf/Mortality_Final_LR%20_%20061205.pdf. Accessed: 25/11/13.Search in Google Scholar

18. Babwah TJ, Nunes P. Exercise habits in south Trinidad: motivating forces and barriers. West Indian Med J 2010;59:523–8.Search in Google Scholar

19. Mungrue K, Fyzul A, Ramroop S, Persad T, Asgarali A. Are teenagers at risk for developing cardiovascular disease in later life? Int J Adolesc Med Health 2013;25:75–81.10.1515/ijamh-2013-0010Search in Google Scholar PubMed

20. Ojala K, Vereecken C, Välimaa R, Currie C, Villberg J, et al. Attempts to lose weight among overweight and non-overweight adolescents: a cross-national survey. Int J Behav Nutr Phys Act 2007;4:50.10.1186/1479-5868-4-50Search in Google Scholar PubMed PubMed Central

21. Ramberan K, Austin M, Nichols S. Ethnicity, body image perception and weight-related behaviour among adolescent Females attending secondary school in Trinidad. West Indian Med J 2006;55:388–93.10.1590/S0043-31442006000600004Search in Google Scholar PubMed

22. Naing L, Winn T, Rusli BN. Practical issues in calculating the sample size for prevalence studies. Arch. Orofac. Sci. 2006;1:9–14.Search in Google Scholar

23. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. Brit Med J 2000;320:1240.10.1136/bmj.320.7244.1240Search in Google Scholar PubMed PubMed Central

24. Adesina AF, Peterside O, Anochie I, Akani NA. Weight status of adolescents in secondary schools in port Harcourt using Body Mass Index (BMI). Ital J Pediatr 2012;38:31.10.1186/1824-7288-38-31Search in Google Scholar PubMed PubMed Central

25. Stigler MH, Arora M, Dhavan P, Shrivastav R, Reddy KS, et al. Weight-related concerns and weight-control behaviors among overweight adolescents in Delhi, India: a cross-sectional study. Int J Behav Nutr Phys Act 2011;8:9.10.1186/1479-5868-8-9Search in Google Scholar PubMed PubMed Central

26. Adams OP, Lynch-Prescod JT, Carter AO. Obesity in primary care in Barbados: prevalence and perceptions. Ethn Dis 2006;16:384–90.Search in Google Scholar

27. Strauss RS. Self-reported weight status and dieting in a cross-sectional sample of young adolescents: National Health and Nutrition Examination Survey III. Arch Pediatr Adolesc Med 1999;153:741–7.10.1001/archpedi.153.7.741Search in Google Scholar PubMed

28. Hoffman JR, Faigenbaum AD, Ratamess NA, Ross R, Kang J, et al. Nutritional supplementation and anabolic steroid use in adolescents. Med Sci Sports Exerc 2008;40:15–24.10.1249/mss.0b013e31815a5181Search in Google Scholar PubMed

29. Babwah TJ, Maharaj RG, Nunes P. Energy drinks and other dietary supplement use among adolescents attending secondary schools in Trinidad and Tobago. Public Health Nutr 2014:1–10.10.1017/S1368980013003339Search in Google Scholar PubMed

30. Vitalone A, Menniti-Ippolito F, Moro PA, Firenzuoli F, Raschetti R, et al. Suspected adverse reactions associated with herbal products used for weight loss: a case series reported to the Italian National Institute of Health. Eur J Clin Pharmacol 2011;67:215–24.10.1007/s00228-010-0981-4Search in Google Scholar PubMed

31. Müller D, Weinmann W, Hermanns-Clausen M. Chinese slimming capsules containing sibutramine sold over the Internet: a case series. Dtsch Arztebl Int 2009;106:218–22.10.3238/arztebl.2009.0218Search in Google Scholar PubMed PubMed Central

Received: 2014-9-30

Accepted: 2014-11-22

Published Online: 2015-1-23

Published in Print: 2016-2-1

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Articles in the same Issue

https://doi.org/10.1515/ijamh-2014-0062

Keywords for this article

body image; dietary supplements; weight altering behavior