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Matos A, Félix S, Coelho C, Conceição E, Machado BC, Gonçalves S. Psychometric Properties of the Dimensional Yale Food Addiction Scale for Children 2.0 among Portuguese Adolescents. Nutrients 2024; 16:2334. [PMID: 39064776 PMCID: PMC11280419 DOI: 10.3390/nu16142334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2024] [Revised: 07/12/2024] [Accepted: 07/16/2024] [Indexed: 07/28/2024] Open
Abstract
The dimensional Yale Food Addiction Scale for Children 2.0 (dYFAS-C 2.0) was developed to provide a reliable psychometric measure for assessing food addiction in adolescents, in accordance with the updated addiction criteria proposed in the fifth edition of the Diagnostic and Statistical Manual (DSM-5). The present study aimed to evaluate the psychometric properties of the dYFAS-C 2.0 among Portuguese adolescents and pre-adolescents and to explore the relationship between food addiction and other eating behaviors such as grazing and intuitive eating. The participants were 131 Portuguese adolescents and pre-adolescents (53.4% female and 46.6% male) aged between 10 and 15 years (Mage = 11.8) and with a BMI between 11.3 and 35.3 (MBMI z-score = 0.42). Confirmatory Factor Analysis demonstrated an adequate fit for the original one-factor model (χ2 (104) = 182; p < 0.001; CFI = 0.97; TLI = 0.97; NFI = 0.94; SRMR = 0.101; RMSEA = 0.074; 95% CI [0.056; 0.091]). Food addiction was positively correlated with higher grazing (r = 0.69, p < 0.001) and negatively correlated with lower reliance on hunger/satiety cues (r = -0.22, p = 0.015). No significant association was found between food addiction and BMI z-score, or between food addiction and age. The results support the use of dYFAS-C 2.0 as a valid and reliable measure for assessing food addiction in Portuguese adolescents and pre-adolescents. Furthermore, the findings highlight that food addiction may be part of a spectrum of disordered eating behaviors associated with control impairment. Future research with a larger sample size could further elucidate the associations between food addiction and other variables, such as psychological distress and multi-impulsive spectrum behaviors.
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Affiliation(s)
- Ana Matos
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal; (A.M.); (S.F.); (C.C.)
| | - Sílvia Félix
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal; (A.M.); (S.F.); (C.C.)
| | - Carol Coelho
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal; (A.M.); (S.F.); (C.C.)
| | - Eva Conceição
- Center for Psychology, Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal;
| | - Bárbara César Machado
- Research Centre for Human Development (CEDH), Faculty of Education and Psychology, Universidade Católica Portuguesa, 4169-005 Porto, Portugal;
| | - Sónia Gonçalves
- Psychology Research Center (CIPsi), School of Psychology, University of Minho, 4710-057 Braga, Portugal; (A.M.); (S.F.); (C.C.)
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Lee K. Weight loss trends in Korean adolescents (2005-2021): Exploring the impact of measured and self-perceived weight status. Obes Res Clin Pract 2024; 18:243-248. [PMID: 39198078 DOI: 10.1016/j.orcp.2024.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2024] [Revised: 08/02/2024] [Accepted: 08/11/2024] [Indexed: 09/01/2024]
Abstract
OBJECTIVE This study aims to assess the trends in the proportions of weight loss efforts among Korean adolescents aged 10-18 years from 2005 to 2021, examining variations based on weight status, to examine factors related to weight loss efforts by weight status, and to evaluate weight loss efforts based on the combination of measured and self-perceived weight status. METHODS Complex sample design analyses were conducted on a dataset comprising 10,760 adolescents, utilizing information from the Korea National Health and Nutrition Examination Survey, a nationally representative dataset. Participants were categorized into non-overweight and overweight groups using a BMI percentile threshold of 85. RESULTS 22-29 % of non-overweight adolescents and 54-77 % of adolescents with overweight engaged in weight loss efforts. Among adolescents who attempted to lose weight from 2005 to 2017, 39.5-57.1 % tried both of diet and exercise, 22.7-47.4 % tried exercise alone, and 10.2-26.7 % tried diet alone. Female gender, older age, and higher self-perceived weight status were associated with increased odds of weight loss efforts, irrespective of actual weight status. For adolescents perceiving themselves as obese, the odds of attempting weight loss were 8.32 for non-overweight boys, 2.02 for non-overweight girls, 15.28 for overweight boys, and 5.77 for overweight girls compared to controls who were non-overweight and perceived themselves as not obese. CONCLUSION Weight loss efforts among Korean adolescents aged 10 to 18 remained consistent irrespective of their actual weight over 16 years. Throughout this period, adolescents who perceived themselves as obese were more likely to attempt weight loss, independent of their true weight status. Hence, subjective weight perception plays a significant role in influencing weight loss behaviors among adolescents.
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Affiliation(s)
- Kayoung Lee
- Department of Family Medicine, Busan Paik Hospital, College of Medicine, Inje University, Busan, Republic of Korea.
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Gosadi IM. Body weight modification experience among adolescents from Saudi Arabia. Front Public Health 2024; 12:1323660. [PMID: 38706541 PMCID: PMC11066232 DOI: 10.3389/fpubh.2024.1323660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Accepted: 04/10/2024] [Indexed: 05/07/2024] Open
Abstract
Background Childhood malnutrition is a public health issue in developing countries, leading to a double burden of malnutrition, which is associated with both overweight and underweight. Objective To assess body weight satisfaction and perception as well as body weight modification experiences, among adolescents from Saudi Arabia. Method This study utilized a cross-sectional design targeting adolescents who attempted to modify their body weight. A questionnaire was constructed to measure their demographics, body weight satisfaction and perception, and experience concerning their weight modification attempts. The chi-square test was used to assess the association between the ability to modify weight and maintain the modification according to the ability to set an appropriate weight target based on the age and height of the adolescents, method of weight modification, and receipt of support to modify weight. Results A total of 285 adolescents were recruited. More than half of the sample were female (58%); most respondents were secondary school students (73%). Nearly 45% had abnormal body weight where 12.6% were underweight, and 32.3% were overweight or obese. Most of the recruited sample were unsatisfied with their body weight (63%). Although 52% of the adolescents had a normal BMI, only 35% perceived their body weight as normal. Nearly 75% of the sample were able to modify their body weight. However, a smaller proportion were able to maintain the modification they achieved. The most frequently selected body weight modification method was dieting (83%), followed by exercise (69%). Only 40 adolescents (14%) reported consulting a physician regarding their body weight modification attempts. The most frequently reported source of support for weight modification was the family (51%), while the lowest frequency of support was reported concerning schools' contribution (29%). Upon assessing factors associated with the ability to modify weight or maintain the modification, a higher frequency of adolescents who indicated they employed dieting behavior were able to maintain the modification compared to other weight modification practices (p < 0.05). Conclusion The findings highlight the importance of collaboration between families, schools, and healthcare services to improve adolescent body image and ensure the adoption of healthy body weight modification practices among adolescents.
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Affiliation(s)
- Ibrahim M. Gosadi
- Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
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Gosadi IM. Assessment of School Contributions to Healthy Eating, Physical Activity Education, and Support for Weight-Loss Attempts among Adolescents from Jazan, Saudi Arabia. Nutrients 2023; 15:4688. [PMID: 37960341 PMCID: PMC10650471 DOI: 10.3390/nu15214688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Revised: 10/29/2023] [Accepted: 11/03/2023] [Indexed: 11/15/2023] Open
Abstract
This study evaluates the contribution of schools in Saudi Arabia towards the provision of education and support concerning weight management among adolescents. It also identifies adolescents who have attempted to lose weight and examines their preferred weight-loss methods and their sources of weight-loss support. This study is a cross-sectional investigation that targets adolescents in intermediate and secondary schools in Jazan, Saudi Arabia. Data was collected via a self-administered questionnaire that looked at the involvement of the school in the provision of education pertaining to weight control and the weight-loss experiences of students who had attempted to lose weight. The study involved 501 adolescents, 45% of whom had attempted to lose weight, where the most common methods for weight loss being reducing food consumption (77%), exercising (75%), and fasting (49%). The assessment of the schools' contributions indicated its suboptimal role in the provision of education concerning physical activity compared to education about eating habits. The most commonly reported sources of weight-loss support were the students' families (54%), followed by community facilities (44%). The least common sources were the students' schools (24%). These findings indicate that schools need to enhance their contribution to encouraging adolescents to adopt a healthy lifestyle, while also ensuring multi-sectorial collaboration with families and community members.
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Affiliation(s)
- Ibrahim M Gosadi
- Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan 82621, Saudi Arabia
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Boer M, Cosma A, Twenge JM, Inchley J, Jeriček Klanšček H, Stevens GWJM. National-Level Schoolwork Pressure, Family Structure, Internet Use, and Obesity as Drivers of Time Trends in Adolescent Psychological Complaints Between 2002 and 2018. J Youth Adolesc 2023:10.1007/s10964-023-01800-y. [PMID: 37349663 PMCID: PMC10371956 DOI: 10.1007/s10964-023-01800-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Accepted: 05/25/2023] [Indexed: 06/24/2023]
Abstract
Little is known about societal processes that contribute to changes in adolescent mental health problems. This study aims to fill this gap using data from the Health Behavior in School-aged Children study between 2002 and 2018 (ncountries = 43, nindividuals = 680,269, Mage = 14.52 (SD = 1.06), 51.04% female), supplemented with other international data. National-level psychological complaints increased more strongly among girls than boys. National-level schoolwork pressure, single-parent households, time spent on internet, and obesity were generally rising. In both boys' and girls' samples, increases in national-level schoolwork pressure, obesity, and time spent on internet use were independently associated with increases national-level psychological complaints. However, national-level obesity and psychological complaints were more strongly related among girls than boys. Results highlight the potential impact of societal-level processes on adolescent mental health problems.
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Affiliation(s)
- M Boer
- Department of Interdisciplinary Social Science, Utrecht University, Utrecht, the Netherlands.
| | - A Cosma
- Department of Sociology, Trinity College Dublin, Dublin, Ireland
| | - J M Twenge
- Department of Psychology, San Diego State University, San Diego, CA, USA
| | - J Inchley
- MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK
| | | | - G W J M Stevens
- Department of Interdisciplinary Social Science, Utrecht University, Utrecht, the Netherlands
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Tarçın G, Akman H, Güneş Kaya D, Serdengeçti N, İncetahtacı S, Turan H, Doğangün B, Ercan O. Diabetes-specific eating disorder and possible associated psychopathologies in adolescents with type 1 diabetes mellitus. Eat Weight Disord 2023; 28:36. [PMID: 37029851 PMCID: PMC10082703 DOI: 10.1007/s40519-023-01559-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Accepted: 12/13/2022] [Indexed: 04/09/2023] Open
Abstract
PURPOSE It was aimed to investigate the frequency of the risk of diabetes-specific eating disorder (DSED) in adolescents with type 1 diabetes mellitus (T1DM) and to reveal the accompanying psychopathologies. METHODS Adolescents with T1DM aged 12-18 who applied to the pediatric diabetes outpatient clinic between July 2021 and March 2022 were included. Diabetes Eating Problem Survey-Revised (DEPS-R) was applied to all patients to determine the risk of DSED. In order to detect accompanying psychopathologies, Eating Disorder Examination Questionnaire (EDE-Q), Child Anxiety and Depression Scale-Child version (RCADS) and Parenting Style Scale were applied. After completing the scales, semi-structured interviews were conducted with all patients by a child and adolescent psychiatrist. RESULTS Ninety-two adolescents (45 boys, 47 girls) were included. DSED risk was found in 23.9% of the cases. A positive correlation was found between DEPS-R and EDE-Q scores (p = 0.001, rho = 0.370). RCADS mean scores were significantly higher in the group with DSED risk (p < 0.001). When the Parenting Style Scale was evaluated, psychological autonomy scores were significantly lower in the group with DSED risk (p = 0.029). As a result of the psychiatric interviews, 30 (32.6%) patients had at least 1 psychiatric disorder. Of these, 2 patients were diagnosed with eating disorder. CONCLUSION Almost one-fourth of adolescents with T1DM were found to be at risk of DSED. Routine screening of adolescents with T1DM with the DEPS-R scale may provide early detection of DSED, and referral of those at risk to child psychiatry enables early diagnosis and intervention for both eating disorders and accompanying psychopathologies. LEVEL OF EVIDENCE Level III: Evidence obtained from cohort or case-control analytic studies.
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Affiliation(s)
- Gürkan Tarçın
- Department of Pediatric Endocrinology, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Hazal Akman
- Department of Child and Adolescent Psychiatry, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Didem Güneş Kaya
- Department of Pediatrics, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Nihal Serdengeçti
- Department of Child and Adolescent Psychiatry, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Sena İncetahtacı
- Department of Child and Adolescent Psychiatry, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Hande Turan
- Department of Pediatric Endocrinology, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Burak Doğangün
- Department of Child and Adolescent Psychiatry, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Oya Ercan
- Department of Pediatric Endocrinology, Cerrahpaşa Faculty of Medicine, Istanbul University-Cerrahpaşa, Istanbul, Turkey.
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Toselli S, Zaccagni L, Rinaldo N, Mauro M, Grigoletto A, Maietta Latessa P, Marini S. Body Image Perception in High School Students: The Relationship with Gender, Weight Status, and Physical Activity. CHILDREN (BASEL, SWITZERLAND) 2023; 10:children10010137. [PMID: 36670687 PMCID: PMC9856625 DOI: 10.3390/children10010137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 12/26/2022] [Accepted: 01/06/2023] [Indexed: 01/13/2023]
Abstract
Body image perception includes body size assessment, body desirability estimation, and perceptions concerning one’s own body shape and size. Adolescence is a period of intense and prompt physical transformation, which changes the perception of one’s body. This represents a critical period for the development of body image. Therefore, the present cross-sectional study aimed to evaluate body image perception and investigate the relationships between it, weight status, sex, and physical activity in a sample of high school students living in Italy. General demographic information and details about physical activity were collected. Body image perception was measured with a body silhouette and two indexes were calculated: the FID (Feel minus Ideal Discrepancy) to evaluate the discrepancy between the perceived current figure and the ideal figure; and the FAI (Feel weight status minus Actual weight status Inconsistency) to observe improper perception of weight status. In addition, body shape concerns were evaluated with the Body Shape Questionnaire (BSQ), in which participants reported the frequency of experiencing negative thoughts about their body shape in the last four weeks. Two hundred and four students were included in the study (155 = female, mean age = 17.13 ± 1.70; 49 = male, mean age = 17.25 ± 1.69). Females felt more concerned about body shape than males (χ2 = 11.347, p = 0.001). Distinctions emerged in terms of body mass index, the scores of Feel minus Ideal Discrepancy (FID), Feel weight status minus Actual weight status Inconsistency (FAI), the Body Shape Questionnaire (BSQ), and of the silhouette mean comparisons due to sex, weight status, and PA interaction effects (p < 0.001). Additionally, 94% of the BSQ variability could be explained by sex, weight status, and PA. Although no direct effects were observed on body image perception, healthy habit promotion, such as physical activity, could positively affect adolescent lives.
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Affiliation(s)
- Stefania Toselli
- Department for Life Quality Studies, University of Bologna, 47921 Rimini, Italy
| | - Luciana Zaccagni
- Department of Neuroscience and Rehabilitation, Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, 44121 Ferrara, Italy
| | - Natascia Rinaldo
- Department of Neuroscience and Rehabilitation, Faculty of Medicine, Pharmacy and Prevention, University of Ferrara, 44121 Ferrara, Italy
| | - Mario Mauro
- Department for Life Quality Studies, University of Bologna, 47921 Rimini, Italy
- Correspondence: (M.M.); (A.G.)
| | - Alessia Grigoletto
- Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy
- Correspondence: (M.M.); (A.G.)
| | | | - Sofia Marini
- Department for Life Quality Studies, University of Bologna, 47921 Rimini, Italy
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Pérez-Romero C, Barrio G, Hoyos J, Belza MJ, Regidor E, Donat M, Politi J, Guerras JM, Pulido J. Abrupt peaks in perceived risk of occasional drug use after changing the question order in a repeated self-administered survey. Front Public Health 2023; 11:971239. [PMID: 37124773 PMCID: PMC10140628 DOI: 10.3389/fpubh.2023.971239] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 03/14/2023] [Indexed: 05/02/2023] Open
Abstract
Background Question-order changes in repeated surveys can distort comparisons. We want to describe the evolution of drug risk perceptions among Spanish adolescents and assessing whether the 2006 peaks in perceived risk of occasional drug use can be explained by question-order changes. Methods The subjects were secondary students from a biennial national survey during 2000-2012. A one-off intervention was applied in 2006, replacing the two-adjacent items on perceived risk of occasional and regular use of each drug by non-adjacent items. Annual prevalence of high-risk perception were obtained for occasional and regular use of cannabis, heroin, cocaine and ecstasy. Subsequently, the 2006 percent level change (PC) in such were estimated prevalence using segmented Poisson regression, adjusting for various student and parent covariates. Results The 2006 PC in prevalence of high-risk perception of occasional drug use ranged from +63% (heroin) to +83% (ecstasy). These PCs were very high in all considered subgroups. However, the 2006 PC in prevalence of high-risk perception of regular drug use ranged from 1% (heroin) to 12% (cannabis). The evolution of preventive interventions does not suggest alternative causal hypotheses for 2006 peaks other than question-order changes. Conclusion Within the cognitive heuristics framework, the 2006 spikes in perceived risk of occasional drug use were most likely due to a release of the anchor exerted by perceived risk of regular drug use over that of occasional use triggered by 2006 question-order changes. In repeated surveys it is inexcusable to pre-test the effect of any change in questionnaire format.
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Affiliation(s)
- César Pérez-Romero
- National School of Public Health, Carlos III Health Institute, Madrid, Spain
| | - Gregorio Barrio
- National School of Public Health, Carlos III Health Institute, Madrid, Spain
- The Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain
- *Correspondence: Gregorio Barrio,
| | - Juan Hoyos
- The Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Department of Public Health & Maternal and Child Health, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain
| | - María J. Belza
- National School of Public Health, Carlos III Health Institute, Madrid, Spain
- The Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain
| | - Enrique Regidor
- The Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Department of Public Health & Maternal and Child Health, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain
- Health Research Institute of San Carlos (IdISSC), Madrid, Spain
| | - Marta Donat
- National School of Public Health, Carlos III Health Institute, Madrid, Spain
- The Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain
| | - Julieta Politi
- National School of Public Health, Carlos III Health Institute, Madrid, Spain
| | - Juan Miguel Guerras
- The Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain
- National Centre of Epidemiology, Carlos III Health Institute, Madrid, Spain
| | - José Pulido
- The Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Department of Public Health & Maternal and Child Health, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain
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Fismen AS, Galler M, Klepp KI, Chatelan A, Residori C, Ojala K, Dzielska A, Kelly C, Melkumova M, Musić Milanović S, Nardone P, Štefanová E, Flodgren G, Bakke T, Ercan O, Samdal O, Helleve A. Weight Status and Mental Well-Being Among Adolescents: The Mediating Role of Self-Perceived Body Weight. A Cross-National Survey. J Adolesc Health 2022; 71:187-195. [PMID: 35428562 DOI: 10.1016/j.jadohealth.2022.02.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 12/17/2021] [Accepted: 02/25/2022] [Indexed: 12/28/2022]
Abstract
PURPOSE Overweight and obesity are associated with poor mental health in adolescents. However, little is known about whether the influence of overweight and obesity on mental well-being is mediated by self-perceived body weight. Exploring the mechanisms underlying the relationships between obesity and mental well-being is of interest to policy makers and others working in the field of adolescent health. METHODS This study was based on nationally representative data from adolescents (age 15 years) who participated in the 2017/2018 Health Behaviour in School-aged Children study (47 countries, N = 76,998). Mixed regression models that included gender and socioeconomic status as covariates were used to identify associations between weight status and mental well-being (life satisfaction and subjective health complaints) and to explore whether self-perceived body weight (feeling too thin or too fat) has a mediating effect. Associations between weight status, self-perceived weight, and mental well-being were further assessed country by country. RESULTS Self-perceived body weight mediated the observed associations between overweight or obesity and mental well-being. Perceiving one's body weight as "too thin" or "too fat" was associated with poorer mental well-being, regardless of weight status. Self-perceived body weight varied by gender, socioeconomic status, and country. DISCUSSION Self-perceived body weight may explain, to a greater extent than body mass index, variation in mental well-being among adolescents. These results are important to policy makers, clinicians, and others targeting adolescent health.
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Affiliation(s)
- Anne-Siri Fismen
- Division of Mental and Physical Health, Department of Health Promotion, Centre for Evaluation of Public Health Measures, Norwegian Institute of Public Health, Bergen, Norway.
| | - Martina Galler
- Department of Innovation, Sensory and Consumer Science, Nofima, Ås, Norway
| | - Knut-Inge Klepp
- Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Angeline Chatelan
- School of Public Health, Free University of Brussels, Brussels, Belgium
| | - Caroline Residori
- Centre for Childhood and Youth Research, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Kristiina Ojala
- Faculty of Sport and Health Sciences, Research Centre for Health Promotion, University of Jyväskylä, Jyväskylä, Finland
| | - Anna Dzielska
- Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland
| | - Colette Kelly
- Health Promotion Research Centre, School of Health Sciences, National University of Ireland Galway, Galway, Ireland
| | - Marina Melkumova
- Arabkir Medical Centre, Institute of Child and Adolescent Health, Yerevan, Armenia
| | - Sanja Musić Milanović
- Croatian Institute of Public Health, School of Medicine, University of Zagreb, Zagreb, Croatia
| | - Paola Nardone
- National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy
| | - Eliška Štefanová
- Department of Public Health, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia
| | - Gerd Flodgren
- Division for Health Services, Norwegian Institute of Public Health, Oslo, Norway
| | - Therese Bakke
- Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Oya Ercan
- Department of Pediatrics, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Oddrun Samdal
- Department of Health Promotion and Development, University of Bergen, Bergen, Norway
| | - Arnfinn Helleve
- Division of Mental and Physical Health, Centre for Evaluation of Public Health Measures, Norwegian Institute of Public Health, Oslo, Norway
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Psychosocial Predictors of Body Weight Congruence in Adolescents Aged 15 and 17 Years in Poland: Findings from the Health Behaviour in School-Aged Children (HBSC) Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042342. [PMID: 35206529 PMCID: PMC8872581 DOI: 10.3390/ijerph19042342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 02/16/2022] [Accepted: 02/17/2022] [Indexed: 01/25/2023]
Abstract
Background: Body weight congruence (BWC) has implications for adolescent health. The main goal of this study was to examine the distribution of BWC and its relationship with six psychosocial factors. Methods: A representative sample of N = 3508 adolescents aged 15 and 17 years (52.4% girls) derived from the Health Behaviour in School-aged Children study, conducted in 2017/2018 in Poland, was used. BWC groups were defined based on self-reported BMI and subjective assessment of weight: (1) correct perception; (2) overestimation, and (3). underestimation. Principal component analysis (PCA) extracted the following two factors: a socio-relational factor (SR) related to perceived social support and social self-efficacy, and a body attitudes and social media exposure factor (BAME). Using the total sample, multinomial logistic regression was applied to estimate their impact on the BWC, and gender-specific models were compared. Results: Half (48.6%) of the adolescents correctly estimated their body weight, 31.0% overestimated it (girls 43.9%, boys 17.1%), and 20.0% underestimated it (boys 37.2%, girls 9.0%). Overestimation of body weight concerns 48.0% of normal weight girls, 50.0% of underweight girls, and 21.3% and 32.1% of normal weight and underweight boys, respectively. The percentage of normal weight (34.4%), and overweight and obese (30.8%) boys who underestimated their body weight was three times higher than the respective percentages of girls that underestimated their weight (9.0% and 11.9%). The SR factor protected adolescents from both underestimation (only in girls) and overestimation in the total sample (OR 0.74, 95%CI 0.68–0.81) and both genders. BAME increased this risk of overestimation in both genders (OR = 1.83, 95%CI 1.67–2.0), and the risk of underestimation among boys. Conclusions: Prevention programmes should include a wide range of psychosocial factors to improve BWC among adolescents.
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Social Media Use and Body Dissatisfaction in Adolescents: The Moderating Role of Thin- and Muscular-Ideal Internalisation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182413222. [PMID: 34948830 PMCID: PMC8701501 DOI: 10.3390/ijerph182413222] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 12/08/2021] [Accepted: 12/13/2021] [Indexed: 01/16/2023]
Abstract
Internalisation of appearance ideals moderates the relationship between exposure to media images and body dissatisfaction. To date, the role of thin- and muscular-ideal internalisation in the context of social media remains under explored, particularly for boys. As such, we aimed to explore how social media use (Instagram and Snapchat) was related to body dissatisfaction, and whether thin- and muscular-ideal internalisation would moderate this relationship in a sample of 1153 adolescent boys and girls (55.42% males; Mage = 13.71, SD = 1.14). As hypothesised, social media use, and thin- and muscular ideal internalisation were positively correlated with body dissatisfaction in both genders. In moderation analyses, thin-ideal internalisation emerged as the only variable that had a significant effect on body dissatisfaction in both genders. Additionally, the influence of social media use on body dissatisfaction was moderated by muscular-ideal internalisation in boys, whereby for boys with high muscular-ideal internalisation, greater social media use was associated with greater body dissatisfaction. The two-way (muscular x thin-ideal internalisation) and three-way interaction (social media use x thin-ideal internalisation x muscular-ideal internalisation) effects on body dissatisfaction were non-significant. These findings emphasise the importance of considering the sociocultural environment (i.e., new media influences) as frameworks for understanding body dissatisfaction and suggest targeting of internalisation of appearance ideals in body dissatisfaction prevention programs.
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Thyroid diseases and second to fourth digit ratio in Polish adults. Sci Rep 2021; 11:18979. [PMID: 34556783 PMCID: PMC8460635 DOI: 10.1038/s41598-021-98436-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Accepted: 09/06/2021] [Indexed: 12/05/2022] Open
Abstract
The association between second to fourth finger ratio and thyroid diseases is unexplained. There is a possible interaction between prenatal exposition to sex hormone and thyroid functions in the adulthood. The study included 175 adults investigated in Łódź in the central Poland. It consisted of two main parts: a survey including questions about occurrence of thyroid gland dysfunction and anthropometric measurements (body mass and height and length of the second and fourth finger, waist and hip circumferences). The women who had thyroid disease had higher 2D:4D digit ratio (left hand) (mean = 1.004; SD = 0.036) than healthy ones (mean = 0.989; SD = 0.030) (t = − 2105; p = 0.038; d = 0.707). The association between thyroid diseases occurrence and prenatal steroid hormone exposition is noticed. Only females who had thyroid diseases tend to have higher 2D:4D digit ratio, for left hand.
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Boberová Z, Husárová D. What Role Does Body Image in Relationship between Level of Health Literacy and Symptoms of Eating Disorders in Adolescents? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3482. [PMID: 33801635 PMCID: PMC8036840 DOI: 10.3390/ijerph18073482] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 03/24/2021] [Accepted: 03/25/2021] [Indexed: 11/24/2022]
Abstract
(1) Background: The aim of this study was to explore the associations between health literacy and symptoms for eating disorders among adolescents, taking into consideration age and gender and whether this association is mediated by body image. (2) Methods: We used data on 5054 adolescents (mean age = 13.9, 51.7% boys) from the Health Behaviour in School-Aged Children study conducted in 2018 in Slovakia. We used logistic regression models to examine associations between level of health literacy and symptoms for eating disorders mediated by body image. (3) Results: Adolescents with low and medium levels of health literacy had a higher occurrence of reporting two or more symptoms of eating disorders (odds ratio (OR)/95% CI: 2.25/1.78-2.84 and 1.37/1.15-1.65). Adjustment for body image reduced the significance of association between low level of health literacy and symptoms for eating disorders by 26.4%, and association between medium level of health literacy and symptoms for eating disorders by 29.7%. (4) Conclusions: Adolescents who have a low health literacy level were found to have a higher probability of having symptoms for eating disorders, especially when they perceive themselves as fat. The study refers to potential theoretical frameworks for health literacy intervention that may provide guidelines for the intervention design and materials.
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Affiliation(s)
- Zuzana Boberová
- Institute of Biology and Ecology, Faculty of Science, Pavol Jozef Šafárik University in Košice, Mánesova 23, 040-01 Košice, Slovakia
| | - Daniela Husárová
- Department of Health Psychology and Methodology Research, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Tr. SNP 1, 040-01 Košice, Slovakia;
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Inaba H, Rziankina MF, Kostromina SA, Sakauchi G, Ito R, Kaiwa M, Natsui S, Ishii N, Saito T, Takano K, Zhmerenetsky KV, Ishigami K. Weight Perception and Diet Behavior of Japanese and Russian Adolescent Girls. Health (London) 2021. [DOI: 10.4236/health.2021.134033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Baltic Adolescents' Health Behaviour: An International Comparison. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17228609. [PMID: 33228182 PMCID: PMC7699555 DOI: 10.3390/ijerph17228609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Revised: 11/16/2020] [Accepted: 11/16/2020] [Indexed: 11/21/2022]
Abstract
The aim of the study is to assess the time trends in Baltic adolescents’ physical activity, dietary habits and BMI and compare the results with the average of the Health Behaviour in School-aged Children (HBSC) study. The research used HBSC data from 2006 to 2018. The total number of respondents was 17,458 in Estonia, 18,416 in Latvia and 20,466 in Lithuania. A logistic regression analysis was applied to estimate time trends in health behaviour indicators. The results demonstrated that Baltic adolescents’ physical activity has declined over the study years, except for Lithuanian girls. The prevalence of overweight adolescents has significantly increased since 2006. Dietary habits improved in all three Baltic countries, as consumption of vegetables increased, and soft drink consumption decreased during this time period. This research shows that a nationwide, highly representative study with health behaviour indicators enables us to assess regional differences compared to the HBSC average. The prevalence of overweight and obese adolescents in the Baltic countries has increased and moved closer to the HBSC average. Although Baltic adolescents’ daily vegetable consumption has increased over the last decade, it is still lower than the HBSC average.
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Kilibarda B, Gudelj Rakic J, Mitov Scekic S, Krstev S. Smoking as a weight control strategy of Serbian adolescents. Int J Public Health 2020; 65:1319-1329. [PMID: 32880039 DOI: 10.1007/s00038-020-01469-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 08/21/2020] [Accepted: 08/25/2020] [Indexed: 01/22/2023] Open
Abstract
OBJECTIVES The objective is to determine association of age, gender, BMI, body image (body satisfaction, body appearance), depression, unhealthy weight control behaviors with smoking among Serbian adolescents and specifically association of these variables with smoking for weight control among adolescent smokers. METHODS This is a secondary analysis of data collected from 2763 students aged 13-15 years old (49.9% boys; 50.1% girls) obtained through cross-sectional Health Behavior in School-aged Children Survey conducted in Serbia in 2018 and analyzed using multivariable logistic regression. RESULTS In Serbia, 12.9% adolescents 13-15 years old smoke and 6.6% smoke for weight control, while this practice was present among 48.8% of the smokers. Higher odds of smoking were found among adolescents who perceive themselves thin and good looking, while these two factors didn't play role for the smoking for weight control among smokers. Depression and unhealthy weight control behavior other than smoking significantly predicted smoking and smoking for weight control. Gender was not associated with smoking in adolescents, but among adolescent smokers, boys had two times higher chance compared to girls to report smoking for weight control. CONCLUSIONS Findings call for incorporating and strengthening interventions for adolescents' weight control management and mental health as part of smoking prevention and cessation programs.
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Affiliation(s)
- Biljana Kilibarda
- Institute of Public Health of Serbia "Dr Milan Jovanovic Batut", 5 Dr Subotica Street, Belgrade, Serbia.
| | - Jelena Gudelj Rakic
- Institute of Public Health of Serbia "Dr Milan Jovanovic Batut", 5 Dr Subotica Street, Belgrade, Serbia
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Understanding the Health and Well-Being of Early Adolescents Throughout the World: Findings From the 2017-2018 Survey of Health Behavior in School-Aged Children. J Adolesc Health 2020; 66:647-649. [PMID: 32473718 DOI: 10.1016/j.jadohealth.2020.03.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Accepted: 03/18/2020] [Indexed: 11/20/2022]
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Nagata JM. New Findings From the Health Behaviour in School-aged Children (HBSC) Survey: Social Media, Social Determinants, and Mental Health. J Adolesc Health 2020; 66:S1-S2. [PMID: 32446602 DOI: 10.1016/j.jadohealth.2020.03.024] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Accepted: 03/18/2020] [Indexed: 10/24/2022]
Affiliation(s)
- Jason M Nagata
- Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, California
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