Body weight misperception and health-related factors among Iranian children and adolescents: the CASPIAN-V study
-
Pooneh Angoorani
, Mohammad Esmaeil Motlagh
Abstract
Background:
Along with increased prevalence of obesity, body weight misperception has also increased among adolescents. This study aims to evaluate the proportion of weight misperception among Iranian children and adolescents and its association with some health-related factors.
Methods:
Data were collected from 14,440 Iranian students, aged 7–18 years, who participated in the national school-based surveillance program (CASPIAN-V). The students’ anthropometric indices and blood pressure were measured using standardized methods, and valid questionnaires were used to assess their weight perception, eating patterns, physical activity and sedentary behaviors. According to agreements between the real weight and self-perceived weight status, participants were classified as underestimated, accurate and overestimated weight.
Results:
The rates of underestimated, accurate and overestimated weight were 30.8%, 40.8% and 28.4%, respectively. In comparison with the accurate-weight group, both the underestimated- and overestimated-weight groups were less likely to have daily consumption of sugar-sweetened beverages (OR: 0.83, 95% CI: 0.74–0.93 and OR: 0.39, 95% CI: 0.34–0.44, respectively), sweets (OR: 0.81, 95% CI: 0.73–0.90 and OR: 0.68, 95% CI: 0.61–0.76, respectively) and salty snacks (OR: 0.78, 95% CI: 0.66–0.92 and OR: 0.30, 95% CI: 0.24–0.38, respectively). In the overestimated-weight group, the odds of daily intake of fast food decreased by 67% and the odds of low physical activity declined by 38% in comparison with the accurate-weight group.
Conclusions:
Weight misperception had a high prevalence among Iranian children and adolescents and is associated with their dietary patterns and physical activity behaviors. Suitable education programs need to be developed to correct the children and adolescents’ insight about their weight status.
Acknowledgments
We are indebted to the participating schools, families and students in the study for their cooperation.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: This study was supported by the Ministry of Health and Medical education, Ministry of Education and Training, Isfahan University of Medical Sciences, and Endocrinology and Metabolism Research Institute of Tehran University of Medical Sciences.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
References
1. Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes 2006;1:11–25.10.1080/17477160600586747Suche in Google Scholar PubMed
2. Ghassemi H, Harrison G, Mohammad K. An accelerated nutrition transition in Iran. Public Health Nutr 2002;5:149–55.10.1079/PHN2001287Suche in Google Scholar PubMed
3. Ali MM, Fang H, Rizzo JA. Body weight, self-perception and mental health outcomes among adolescents. J Ment Health Policy Econ 2010;13:53–63.Suche in Google Scholar PubMed
4. Chisuwa N, O’Dea JA. Body image and eating disorders amongst Japanese adolescents. A review of the literature. Appetite 2010;54:5–15.10.1016/j.appet.2009.11.008Suche in Google Scholar PubMed
5. Seo DC, Jiang N. Associations between smoking and extreme dieting among adolescents. J Youth Adolesc 2009;38:1364–73.10.1007/s10964-009-9421-0Suche in Google Scholar PubMed
6. ter Bogt TF, van Dorsselaer SA, Monshouwer K, Verdurmen JE, Engels RC, et al. Body mass index and body weight perception as risk factors for internalizing and externalizing problem behavior among adolescents. J Youth Adolesc 2006;39:27–34.10.1016/j.jadohealth.2005.09.007Suche in Google Scholar
7. Garrusi B, Baneshi MR. Eating disorders and their associated risk factors among Iranian population – a community based study. Glob J Health Sci 2012;5:193–202.10.5539/gjhs.v5n1p193Suche in Google Scholar PubMed
8. Garousi S, Garrusi B, Baneshi MR, Sharifi Z. Weight management behaviors in a sample of Iranian adolescent girls. Eat Weight Disord 2016;21:435–44.10.1007/s40519-015-0249-1Suche in Google Scholar
9. Chang VW, Christakis NA. Self-perception of weight appropriateness in the United States. Am J Prev Med 2003;24:332–9.10.1016/S0749-3797(03)00020-5Suche in Google Scholar PubMed
10. Peltzer K, Pengpid S. Underestimation of weight and its associated factors in overweight and obese university students from 21 low, middle and emerging economy countries. Obes Res Clin Pract 2015;9:234–42.10.1016/j.orcp.2014.08.004Suche in Google Scholar PubMed
11. Xie B, Chou CP, Spruijt-Metz D, Reynolds K, Clark F, et al. Weight perception and weight-related sociocultural and behavioral factors in Chinese adolescents. Prev Med 2006;42:229–34.10.1016/j.ypmed.2005.12.013Suche in Google Scholar PubMed
12. Neumark-Sztainer D, Wall M, Larson NI, Eisenberg ME, Loth K. Dieting and disordered eating behaviors from adolescence to young adulthood: findings from a 10-year longitudinal study. J Am Diet Assoc 2011;111:1004–11.10.1016/j.jada.2011.04.012Suche in Google Scholar PubMed
13. Nobakht M, Dezhkam M. An epidemiological study of eating disorders in Iran. Int Eat Disord 2000;28:265–71.10.1002/1098-108X(200011)28:3<265::AID-EAT3>3.0.CO;2-LSuche in Google Scholar
14. Alipour B, Abbasalizad Farhangi M, Dehghan P, Alipour M. Body image perception and its association with body mass index and nutrient intakes among female college students aged 18–35 years from Tabriz, Iran. Eat Weight Disord 2015;20:465–71.10.1007/s40519-015-0184-1Suche in Google Scholar PubMed
15. Ahadi Z, Shafiee G, Qorbani M, Sajedinejad S, Kelishadi R, et al. An overview on the successes, challenges and future perspective of a national school-based surveillance program: the CASPIAN study. J Diabetes Metab Disord 2014;13:120.10.1186/s40200-014-0120-3Suche in Google Scholar PubMed
16. Motlagh M, Ziaodini H, Qorbani M, Taheri M, Aminaei T, et al. Early findings of the fifth survey of childhood and adolescence surveillance and prevention of adult non-communicable disease: the CASPIAN-V study. Int J Prev Med 2017;8:4.10.4103/2008-7802.198915Suche in Google Scholar PubMed
17. Kelishadi R, Majdzadeh R, Motlagh M-E, Heshmat R, Aminaee T, 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.Suche in Google Scholar PubMed
18. World Health Organization. Expert committee on physical status. Physical status: the use and interpretation of anthropometry. Geneva: WHO, 1995.Suche in Google Scholar
19. Onis M. WHO child growth standards based on length/height, weight and age. Acta Paediatr 2006;95(S450):76–85.10.1111/j.1651-2227.2006.tb02378.xSuche in Google Scholar
20. Knowles K, Paiva L, Sanchez S, Revilla L, Lopez T, et al. Waist circumference, body mass index, and other measures of adiposity in predicting cardiovascular disease risk factors among Peruvian adults. Int J Hypertens 2011;2011:931402.10.4061/2011/931402Suche in Google Scholar PubMed
21. Pediatrics AA. National high blood pressure education program working group on high blood pressure in children and adolescents. Pediatr 2004;114(Suppl. 2):iv.10.1542/peds.114.S2.ivSuche in Google Scholar
22. Thompson JK, Coovert MD, Stormer SM. Body image, social comparison, and eating disturbance: a covariance structure modeling investigation. Int J Eat Disord 1999;26:43–51.10.1002/(SICI)1098-108X(199907)26:1<43::AID-EAT6>3.0.CO;2-RSuche in Google Scholar PubMed
23. Salmon J, Campbell KJ, Crawford DA. Television viewing habits associated with obesity risk factors: a survey of Melbourne schoolchildren. Med J Aust 2006;184:64–7.10.5694/j.1326-5377.2006.tb00117.xSuche in Google Scholar PubMed
24. Martin MA, May AL, Frisco ML. Equal weights but different weight perceptions among US adolescents. J Health Psychol 2010;15:493–504.10.1177/1359105309355334Suche in Google Scholar PubMed
25. Page RM, Ihasz F, Uvacsek M, Kalabiska I, Johnson E, et al. Self-perception of body weight, weight management practices and goals, and other weight-related factors in central and eastern European adolescents. Int Q Community Health Educ 2006;27:39–58.10.2190/IQ.27.1.dSuche in Google Scholar PubMed
26. Lim H, Wang Y. Body weight misperception patterns and their association with health-related factors among adolescents in South Korea. Obesity (Silver Spring) 2013;21:2596–603.10.1002/oby.20361Suche in Google Scholar PubMed
27. Klesges RC, Elliott VE, Robinson LA. Chronic dieting and the belief that smoking controls body weight in a biracial, population-based adolescent sample. Tob Control 1997;6:89–94.10.1136/tc.6.2.89Suche in Google Scholar
28. Nowak M. The weight-conscious adolescent: body image, food intake, and weight-related behavior. J Adolesc Health 1998;23:389–98.10.1016/S1054-139X(97)00263-2Suche in Google Scholar PubMed
29. Edwards NM, Pettingell S, Borowsky IW. Where perception meets reality: self-perception of weight in overweight adolescents. Pediatrics 2010;125:e452–8.10.1542/peds.2009-0185Suche in Google Scholar PubMed
30. Chen X, Wang Y. Is ideal body image related to obesity and lifestyle behaviours in African American adolescents? Child Care Health Dev 2012;38:219–28.10.1111/j.1365-2214.2011.01227.xSuche in Google Scholar PubMed PubMed Central
31. Dawson DA. Ethnic differences in female overweight: data from the 1985 National Health Interview Survey. Am J Pub Health 1988;78:1326–9.10.2105/AJPH.78.10.1326Suche in Google Scholar
32. Xie B, Chou CP, Spruijt-Metz D, Reynolds K, Palmer PH, et al. Longitudinal analysis of weight perception and psychological factors in Chinese adolescents. Am J Health Behav 2011;35:92–104.10.5993/AJHB.35.1.9Suche in Google Scholar PubMed PubMed Central
33. Hartley S, Garland S, Young E, Bennell KL, Tay I, et al. A comparison of self-reported and objective physical activity measures in young Australian women. JMIR Public Health Surveill 2015;1:e14.10.2196/publichealth.4259Suche in Google Scholar PubMed PubMed Central
©2017 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Review
- Individualised growth response optimisation (iGRO) tool: an accessible and easy-to-use growth prediction system to enable treatment optimisation for children treated with growth hormone
- Original Articles
- Relation of insulin resistance to neurocognitive function and electroencephalography in obese children
- Body weight misperception and health-related factors among Iranian children and adolescents: the CASPIAN-V study
- Do sufficient vitamin D levels at the end of summer in children and adolescents provide an assurance of vitamin D sufficiency at the end of winter? A cohort study
- Type 3 renal tubular acidosis associated with growth hormone deficiency
- Serum α-klotho levels are not informative for the evaluation of growth hormone secretion in short children
- Evaluation of neurodevelopment of children with congenital hypothyroidism by the Denver Developmental Screening Test
- Pediatric differentiated thyroid carcinoma: trends in practice and outcomes over 40 years at a single tertiary care institution
- Physical activity and bone mineral density at the femoral neck subregions in adolescents with Down syndrome
- A pilot study on the utility of reduced urine collection frequency protocols for the assessment of reproductive hormones in adolescent girls
- MODY in Ukraine: genes, clinical phenotypes and treatment
- A retrospective review of initial bisphosphonate infusion in an inpatient vs. outpatient setting for bisphosphonate naïve patients
- Molecular genetic and clinical delineation of 22 patients with congenital hypogonadotropic hypogonadism
- Letter to the Editor
- Rare cases of galactose metabolic disorders: identification of more than two mutations per patient
- Case Reports
- When one disease is not enough: succinyl-CoA: 3-oxoacid coenzyme A transferase (SCOT) deficiency due to a novel mutation in OXCT1 in an infant with known phenylketonuria
- Pseudohypoparathyroidism type 1B associated with assisted reproductive technology
- Long QT syndrome diagnosed in two sisters with propionic acidemia: a case report
- Delayed diagnosis of proopiomelanocortin (POMC) deficiency with type 1 diabetes in a 9-year-old girl and her infant sibling
Artikel in diesem Heft
- Frontmatter
- Review
- Individualised growth response optimisation (iGRO) tool: an accessible and easy-to-use growth prediction system to enable treatment optimisation for children treated with growth hormone
- Original Articles
- Relation of insulin resistance to neurocognitive function and electroencephalography in obese children
- Body weight misperception and health-related factors among Iranian children and adolescents: the CASPIAN-V study
- Do sufficient vitamin D levels at the end of summer in children and adolescents provide an assurance of vitamin D sufficiency at the end of winter? A cohort study
- Type 3 renal tubular acidosis associated with growth hormone deficiency
- Serum α-klotho levels are not informative for the evaluation of growth hormone secretion in short children
- Evaluation of neurodevelopment of children with congenital hypothyroidism by the Denver Developmental Screening Test
- Pediatric differentiated thyroid carcinoma: trends in practice and outcomes over 40 years at a single tertiary care institution
- Physical activity and bone mineral density at the femoral neck subregions in adolescents with Down syndrome
- A pilot study on the utility of reduced urine collection frequency protocols for the assessment of reproductive hormones in adolescent girls
- MODY in Ukraine: genes, clinical phenotypes and treatment
- A retrospective review of initial bisphosphonate infusion in an inpatient vs. outpatient setting for bisphosphonate naïve patients
- Molecular genetic and clinical delineation of 22 patients with congenital hypogonadotropic hypogonadism
- Letter to the Editor
- Rare cases of galactose metabolic disorders: identification of more than two mutations per patient
- Case Reports
- When one disease is not enough: succinyl-CoA: 3-oxoacid coenzyme A transferase (SCOT) deficiency due to a novel mutation in OXCT1 in an infant with known phenylketonuria
- Pseudohypoparathyroidism type 1B associated with assisted reproductive technology
- Long QT syndrome diagnosed in two sisters with propionic acidemia: a case report
- Delayed diagnosis of proopiomelanocortin (POMC) deficiency with type 1 diabetes in a 9-year-old girl and her infant sibling