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Marques ES, Hasselmann MH, de Barros Vianna GV, de Paula Mendonça E, Azeredo CM. Association Between Interpersonal Violence With Inadequate Nutritional Status Among Brazilian Adolescents. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP12066-NP12085. [PMID: 33666109 DOI: 10.1177/0886260521997446] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Research focusing on the relationship between interpersonal violence and nutritional status in adolescence is scarce and has distinct results. The objective of this study is to investigate the association of family physical and sexual violence with inadequate nutritional status in Brazilian adolescents. We used data from the 2015 Brazilian National Survey of School Health. This study includes 11.850 students, older than 13 years, attending from sixth to ninth grade of elementary school and from the 1st to the 3rd year of high school. The exposures were family physical violence and rape. The outcome was nutritional status, assessed through body mass index. The association between exposures and outcome were investigated using a multinomial logistic regression model. These analyses were adjusted for demographic, socioeconomic, and family variables. The prevalence of family physical violence victimization was approximately 14% among adolescents for both sexes. The prevalence of rape was 4.6% and 5.7% among male and female adolescents, respectively. Family physical violence was not associated with being underweight, overweight, or obese, in either crude or adjusted models for both sexes. Sexual violence was inversely associated with being underweight only for male adolescents (OR: 0.21, CI 95%: 0.06-0.75). In female adolescents, sexual violence was associated with overweight/obesity (OR: 1.64, CI 95%:1.15-2.33). In this study, rape, but not family physical violence victimization, was associated with nutritional status in adolescents of both sexes. Nonetheless, this association was different between boys and girls. Rape was inversely associated with being underweight in male adolescents, whereas, in female adolescents, it was associated with excess body weight.
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Affiliation(s)
- Emanuele Souza Marques
- Department of Epidemiology, Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil
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Angel TSM, Jorge ML, David SO, Mikel VS, Antonio SMP. Mediating effect of fitness and fatness on the association between lifestyle and body dissatisfaction in Spanish youth. Physiol Behav 2021; 232:113340. [PMID: 33508313 DOI: 10.1016/j.physbeh.2021.113340] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 01/24/2021] [Accepted: 01/25/2021] [Indexed: 01/22/2023]
Abstract
BACKGROUND Previous studies have identified sedentary behaviour, physical activity and eating habits as variables that define a healthy lifestyle. The aims of this investigation were to determine the association between lifestyle and body dissatisfaction, as well as to test the mediating effect of fatness and fitness in this relationship in adolescents. METHODS The sample comprised 2216 adolescents aged 13.1 ± 0.90 years, of whom 980 were girls (age 13.1 ± 0.86) and 1236 were boys (age 13.1 ± 0.92). Body composition was measured by body mass index, neck circumference, waist to height ratio and body fat percentage, whereas physical activity, sedentary time, body dissatisfaction and eating habits were self-reported. Physical fitness was evaluated through the ALPHA-Fitness Battery. RESULTS The results showed that lifestyle was negatively related with body dissatisfaction. Moreover, physical fitness (β = -0.062; SE = 0.022; 95% IC [-0.106, -0.017]) and fatness (β = -0.052; SE = 0.011; 95% IC [-0.075, -0.032]) showed a significant mediation effect on the relationship between lifestyle and body dissatisfaction. The bootstrapped confidence intervals for the indirect effect were statistically significant, suggesting the mediation effect of fatness (percentage of the total effect of 51.0%) and fitness (percentage of the total effect of 21.3%) on the relationship between healthy lifestyle and body dissatisfaction. CONCLUSION The study suggests that adolescents with a healthy lifestyle may have less body dissatisfaction. Fatness and physical fitness can positively affect this relationship, decreasing young people's body dissatisfaction. Therefore, this study highlights the importance of a healthy lifestyle on physical and psychological health in adolescence.
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Affiliation(s)
- Tapia-Serrano Miguel Angel
- Department of Didactics of Musical, Plastic and Body Expression. Faculty of Teaching Training. University of Extremadura, Avenida Universidad, S/N, 10071. Cáceres Spain.
| | - Molina-López Jorge
- Departament of Integrated Didactics. Faculty of Education, Psychology and Sports Science. University of Huelva, Avenida de las Fuerzas Armadas, S/N, 21007. Huelva Spain
| | - Sánchez-Oliva David
- Department of Didactics of Musical, Plastic and Body Expression. Faculty of Sports Sciences. University of Extremadura, Avenida Universidad, S/N, 10071. Cáceres Spain
| | - Vaquero-Solís Mikel
- Department of Didactics of Musical, Plastic and Body Expression. Faculty of Teaching Training. University of Extremadura, Avenida Universidad, S/N, 10071. Cáceres Spain
| | - Sánchez-Miguel Pedro Antonio
- Department of Didactics of Musical, Plastic and Body Expression. Faculty of Teaching Training. University of Extremadura, Avenida Universidad, S/N, 10071. Cáceres Spain
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Dos Santos RRG, Forte GC, Mundstock E, Amaral MA, da Silveira CG, Amantéa FC, Variani JF, Booij L, Mattiello R. Body composition parameters can better predict body size dissatisfaction than body mass index in children and adolescents. Eat Weight Disord 2020; 25:1197-1203. [PMID: 31338791 DOI: 10.1007/s40519-019-00750-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Accepted: 07/05/2019] [Indexed: 12/14/2022] Open
Abstract
PURPOSE Recent studies suggest that body mass index is not a reliable enough measurement for body composition in individuals, particularly in older and younger people. However, most research on body image has used the body mass index (BMI) as a physiological predictor of body satisfaction, particularly in children. The aim of this study was to investigate whether body composition is a better predictor of body size dissatisfaction in children than BMI. METHODS This is a cross-sectional study. Healthy children and adolescents aged 5-19 years, sex male and female, were recruited using a convenience sample in Brazil. BMI was measured according to the international standardization method and body composition was measured by bioelectrical impedance analysis (BIA) with a portable device model (BIA InBodyS10 multi-frequency, USA). Body size dissatisfaction was assessed using the Kakeshita's Figure Rating Scale for Brazilian Children. Data were analyzed with logistic regression analysis. RESULTS A total of 547 participants were evaluated, including 54% females and 67% Caucasian, with a mean age of 11.4 ± 3.8 years. The mean BMI was 20.5 ± 4.6 kg/m2, and the mean percentages of fat and lean mass were 23.01 ± 10.59% and 72.84 ± 10.03%, respectively. In the multivariable model, only body composition was significantly associated with body size dissatisfaction (odds ratio: 1.849 (1.085-3.149, p = 0.024) and 1.828 (1.043-3.202, p = 0.035), respectively). CONCLUSIONS Body composition measures can better predict body size dissatisfaction in children and adolescents than BMI. This result may be relevant for the design of future studies on physiological indicators and body satisfaction. LEVEL OF EVIDENCE Level V, cross-sectional study.
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Affiliation(s)
- Rejane Rosaria Grecco Dos Santos
- Programa de Pós-graduação em Pediatria e Saúde da Criança, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
| | - Gabriele Carra Forte
- Programa de Pós-graduação em Pediatria e Saúde da Criança, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
| | - Eduardo Mundstock
- Programa de Pós-graduação em Pediatria e Saúde da Criança, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
- Secretaria de Educação Esporte e Lazer, Programa Esporte e Saúde em Canela(PESC), Prefeitura de Canela, Brazil
| | - Marina Azambuja Amaral
- Programa de Pós-graduação em Medicina e Ciências da Saúde da Pontifícia Universidade Católica do Rio Grande do Sul e Centro Universitário Ritter dos Reis-UniRitter, Porto Alegre, Brazil
| | - Carolina Gomes da Silveira
- Programa de Pós-graduação em Pediatria e Saúde da Criança, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
- Faculdade de Nutrição, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Fernanda Chaves Amantéa
- Escola de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
| | - Julia Frota Variani
- Escola de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil
| | - Linda Booij
- Department of Psychology, Concordia University & CHU Sainte-Justine, University of Montreal, Montreal, Canada
| | - Rita Mattiello
- Programa de Pós-graduação em Pediatria e Saúde da Criança, Pontifícia Universidade Católica do Rio Grande do Sul e Programa de Pós-graduação em Medicina e Ciências da Saúde, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Avenida Ipiranga 6690, second floor, Porto Alegre, RS, 90610-000, Brazil.
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Moradi M, Mozaffari H, Askari M, Azadbakht L. Association between overweight/obesity with depression, anxiety, low self-esteem, and body dissatisfaction in children and adolescents: a systematic review and meta-analysis of observational studies. Crit Rev Food Sci Nutr 2020; 62:555-570. [PMID: 32981330 DOI: 10.1080/10408398.2020.1823813] [Citation(s) in RCA: 58] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE Childhood and Adolescent overweight and obesity may be associated with psychological problems. We aimed to conduct a systematic review and summarize published articles on the association between overweight/obesity with risk of depression, anxiety, low self-esteem, and body dissatisfaction among children and adolescents. METHODS PubMed and Scopus databases were used to conduct a comprehensive search and identify eligible literature published prior to July 2020. The random-effects models (DerSimonian-Laird method) were applied to pool the effect sizes. Subgroup analysis was performed to find potential sources of heterogeneity. RESULTS 28 studies (3 prospective cohorts and 25 cross-sectional) were included in the current systematic review and meta-analysis. The total sample sizes ranged from 244 to 60252. A positive significant association was found between overweight (pooled risk estimate: 1.15, 95% CI: 1.00-1.31, P = 0.04) and obesity (pooled risk estimate: 1.53, 95% CI: 1.16-2.02, P = 0.003) with risk of low self-esteem, respectively. A significant positive association was found between obesity and risk of body dissatisfaction (pooled risk estimate: 4.05, 95% CI: 2.34-7.023, P = 0.0001). Moreover, no association was found between overweight and risk of body dissatisfaction among children and adolescents. Also, no association was observed between overweight/obesity and risk of depression and anxiety. CONCLUSIONS Findings showed a positive association between obesity and the risk of body dissatisfaction and low self-esteem among children and adolescents. Moreover, there was a significant positive association between overweight and the risk of low self-esteem.
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Affiliation(s)
- Maedeh Moradi
- Food Security Research Center and Department of Community Nutrition School of Nutrition and Food Science, Isfahan University of Medical Science, Isfahan, Iran
| | - Hadis Mozaffari
- Department of Community Nutrition, School of Nutritional Science and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.,Faculty of Land and Food Systems, University of British Columbia, Vancouver, Canada
| | - Mohammadreza Askari
- Department of Community Nutrition, School of Nutritional Science and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
| | - Leila Azadbakht
- Food Security Research Center and Department of Community Nutrition School of Nutrition and Food Science, Isfahan University of Medical Science, Isfahan, Iran.,Department of Community Nutrition, School of Nutritional Science and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.,Diabetes Research Center Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
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Claumann GS, Laus MF, Felden ÉPG, Silva DAS, Pelegrini A. [Association between dissatisfaction with body image and health-related physical fitness among adolescents]. CIENCIA & SAUDE COLETIVA 2019; 24:1299-1308. [PMID: 31066833 DOI: 10.1590/1413-81232018244.17312017] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2017] [Accepted: 07/25/2017] [Indexed: 11/22/2022] Open
Abstract
The scope of this study was to estimate the prevalence of dissatisfaction with body image and verify the association between dissatisfaction with thinness or with overweight and health-related physical fitness components among adolescents. Participants included 1058 adolescents (570 girls and 488 boys), with mean age of 16.3 (±1.0) years. The investigated variables were dissatisfaction with body image (Figure Rating Scale), and health-related physical fitness: body fat (skin folds), muscle strength (handgrip strength) and cardiorespiratory fitness (mCAFT test). The association of body image and the health-related physical fitness variables was tested by Multinomial Regression analysis. The prevalence of body dissatisfaction was 75.2% (girls = 79.5%; boys = 70.3%). Girls and boys with high body fat were less likely to be dissatisfied with thinness and more likely to be dissatisfied with overweight. Those who needed to improve muscle strength and cardiorespiratory fitness were more likely to be dissatisfied with thinness and with overweight, respectively. In conclusion, physical fitness was associated with body image, with the adolescents with less healthy conditions of the components being more dissatisfied.
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Affiliation(s)
- Gaia Salvador Claumann
- Programa de Pós-Graduação em Ciências do Movimento Humano, Centro de Ciências da Saúde e do Esporte, Universidade do Estado de Santa Catarina. R. Pascoal Simone 358, Coqueiros. 88080-350 Florianópolis SC Brasil.
| | - Maria Fernanda Laus
- Laboratório de Nutrição e Comportamento, Departamento de Psicologia, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto, Universidade de São Paulo. Ribeirão Preto SP Brasil
| | - Érico Pereira Gomes Felden
- Programa de Pós-Graduação em Ciências do Movimento Humano, Centro de Ciências da Saúde e do Esporte, Universidade do Estado de Santa Catarina. R. Pascoal Simone 358, Coqueiros. 88080-350 Florianópolis SC Brasil.
| | - Diego Augusto Santos Silva
- Programa de Pós-Graduação em Educação Física, Universidade Federal de Santa Catarina. Florianópolis SC Brasil
| | - Andreia Pelegrini
- Programa de Pós-Graduação em Ciências do Movimento Humano, Centro de Ciências da Saúde e do Esporte, Universidade do Estado de Santa Catarina. R. Pascoal Simone 358, Coqueiros. 88080-350 Florianópolis SC Brasil.
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