Startseite Body weight misperception and health-related factors among Iranian children and adolescents: the CASPIAN-V study
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Body weight misperception and health-related factors among Iranian children and adolescents: the CASPIAN-V study

  • Pooneh Angoorani , Ramin Heshmat , Hanieh-Sadat Ejtahed , Mostafa Qorbani EMAIL logo , Mohammad Esmaeil Motlagh , Hasan Ziaodini , Majzoubeh Taheri , Gita Shafiee , Zeinab Ahadi , Tahereh Aminaee und Roya Kelishadi EMAIL logo
Veröffentlicht/Copyright: 9. September 2017

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.

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. 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.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. 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.

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Received: 2017-4-13
Accepted: 2017-7-24
Published Online: 2017-9-9
Published in Print: 2017-10-26

©2017 Walter de Gruyter GmbH, Berlin/Boston

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