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Afriyie-Adjimi H, Nkyi AK. Impact of body image and perceived stigmatization on the psychological wellbeing of obese women in Kumasi metropolis, Ghana. PLoS One 2024; 19:e0296061. [PMID: 38574001 PMCID: PMC10994485 DOI: 10.1371/journal.pone.0296061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 12/05/2023] [Indexed: 04/06/2024] Open
Abstract
Obesity is found to have a significant impact on body image perception and overall well-being. This study examines the impact of body image and perceived stigmatization on the psychological wellbeing of obese women in Kumasi metropolis, Ghana. A sample of 231 obese women was selected from health shops and some fitness centers using snowballing technique (purposive, snowballing technique and convenience). The study employed the descriptive survey design and made use of both descriptive and inferential data analysis approaches. The body shape questionnaire BSQ-34, the inventory of the Stigmatization Situation (SSI) and finally, the psychological well-being tools were used. Also, frequency distributions mean, and standard deviation, Pearson correlation coefficient and simple linear regression analysis were employed using SPSS version 23. Our findings indicated that obese women in the Kumasi metropolis were significantly satisfied with their body image. This is a true reflection of their higher self-esteem and standard of living. The body image and perceived stigmatization on the psychological wellbeing of the obese do have some counselling implications. Counselors, nutritionists, and clinical psychologists address specific schemes such as binge eating, dieting, and exercising to build the self-esteem of obese women.
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Affiliation(s)
| | - Anthony Kwabena Nkyi
- Department of Guidance and Counselling, Faculty of Educational Foundations, College of Education Studies, University of Cape Coast, Cape Coast, Ghana
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2
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Hasan F, Garbett KM, Diedrichs PC, Chaudhry A, Ahuja L, Uglik-Marucha E, Vitoratou S, Dhillon M, Shroff H, Lewis-Smith H. Adaptation and validation of the Body Image Life Disengagement Questionnaire (BILD-Q) for use in english among adolescents in urban India. Body Image 2024; 48:101673. [PMID: 38134533 DOI: 10.1016/j.bodyim.2023.101673] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Revised: 12/08/2023] [Accepted: 12/12/2023] [Indexed: 12/24/2023]
Abstract
Body image concerns are a global issue among adolescents, including in India. These concerns can prevent adolescents from engaging in everyday life activities, impeding social and academic development. However, at present, there are no psychometrically valid measures to assess such impact in the Indian context. This study culturally adapted and validated the Body Image Life Disengagement Questionnaire (BILD-Q) for use in English among adolescents in urban India. A total of 1427 adolescents completed an adapted version of the BILD-Q along with additional measures pertaining to body image. Exploratory factor analysis identified one dimension of body image life disengagement, which provided the best fit. The 9-item one-factor model was further supported by confirmatory factor analysis. The scale demonstrated good internal consistency and test re-test reliability. Further analysis demonstrated that the scale can be used to compare scores between boys and girls without measurement bias. This study presents a culturally adapted version of the BILD-Q, which can be used as a valid and reliable measure to assess the impact of body image concerns on life disengagement among English-speaking adolescents in urban India.
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Affiliation(s)
- Farheen Hasan
- Centre for Appearance Research, University of the West of England, Bristol, United Kindom
| | - Kirsty M Garbett
- Centre for Appearance Research, University of the West of England, Bristol, United Kindom
| | - Phillippa C Diedrichs
- Centre for Appearance Research, University of the West of England, Bristol, United Kindom
| | - Anshula Chaudhry
- Centre for Appearance Research, University of the West of England, Bristol, United Kindom
| | - Latika Ahuja
- Centre for Appearance Research, University of the West of England, Bristol, United Kindom
| | - Eleanora Uglik-Marucha
- Psychometrics and Measurement Lab, Biostatistics and Health Informatics Department, Institute of Psychiatry, Psychology and Neuroscience, King's College, London SE5 8AB, United Kingdom
| | - Silia Vitoratou
- Psychometrics and Measurement Lab, Biostatistics and Health Informatics Department, Institute of Psychiatry, Psychology and Neuroscience, King's College, London SE5 8AB, United Kingdom
| | | | | | - Helena Lewis-Smith
- Centre for Appearance Research, University of the West of England, Bristol, United Kindom
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Deek MR, Kemps E, Prichard I. My mother, sisters, and I: Investigating the role of female family members in body dissatisfaction and disordered eating behaviours among young Middle-Eastern women. Body Image 2024; 48:101682. [PMID: 38373362 DOI: 10.1016/j.bodyim.2024.101682] [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: 08/03/2023] [Revised: 01/30/2024] [Accepted: 02/05/2024] [Indexed: 02/21/2024]
Abstract
The global rise in body dissatisfaction and disordered eating concerns is apparent; however, limited research in Middle-Eastern populations gives an incomplete understanding of these concerns. The present study recruited 377 young women aged 18 to 25 years from the Middle-East for an online survey to determine how female family members may contribute to body dissatisfaction and disordered eating behaviours. Guided by the Tripartite Influence Model, we investigated the relationships between appearance pressures and fat talk, from mothers and sister(s), in predicting body dissatisfaction, and in turn, disordered eating symptomatology (restriction and bulimia), as mediated by appearance comparisons and internalisation of the thin-ideal. Overall, greater appearance pressures and fat talk from mothers and sister(s) were associated with body dissatisfaction and disordered eating symptomatology. Greater reported closeness in mother-daughter relationships, but not sister relationships, was associated with less perceived appearance pressure and fat talk by mothers, and lower appearance comparisons, body dissatisfaction and bulimia symptomatology. Finally, participants perceived greater appearance pressure from their mothers than their sister(s), but there was no difference in their perceived levels of fat talk. Findings demonstrate the applicability of a subsection of the Tripartite Influence Model in a non-Western and understudied population, namely in young Middle-Eastern women.
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Affiliation(s)
- Melanie Rebecca Deek
- Psychology, College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia.
| | - Eva Kemps
- Psychology, College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia
| | - Ivanka Prichard
- Health & Exercise Sciences, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia; SHAPE Research Centre, Flinders University, Adelaide, Australia; Caring Futures Institute, Flinders University, Adelaide, Australia
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Baker S, Maïano C, Houle SA, Nadon L, Aimé A, Morin AJS. Profiles of body image concerns and their associations with disordered eating behaviors. Appetite 2023; 191:107082. [PMID: 37832721 DOI: 10.1016/j.appet.2023.107082] [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: 05/30/2023] [Revised: 10/03/2023] [Accepted: 10/09/2023] [Indexed: 10/15/2023]
Abstract
Although body image concerns (BIC) are recognized as a core driver in the development of disordered eating behaviors, the combined role of various types of BIC remains underexamined. This study relied on latent profile analysis to identify the main configurations of self-reported BIC (i.e., body checking and avoidance, perceived physical appearance, and fear of negative appearance evaluation) observed in a sample of 419 French-Canadian individuals (Mage = 26.59, SDage = 9.23). The role of body mass index, sex, and age on profile membership was also examined, as well as the relation between profile membership and disordered eating behaviors (i.e., dieting, bulimia and food preoccupation, and oral control). Six distinct BIC profiles differing in terms of shape and level were identified, with women being more likely to display a profile characterized by higher levels of BIC. In turn, profiles characterized by higher levels of BIC were associated with more disordered eating behaviors. The present study can broaden our understanding of the onset and maintenance of disordered eating behaviors and inspire the development of more tailored body-image interventions.
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Affiliation(s)
- Sarah Baker
- Substantive-Methodological Synergy Research Laboratory, Department of Psychology, Concordia University, Montreal, Canada
| | - Christophe Maïano
- Cyberpsychology Laboratory, Department of Psychoeducation and Psychology, Université du Québec en Outaouais (UQO|Campus de Saint-Jérôme), Saint-Jérôme, Canada.
| | - Simon A Houle
- Substantive-Methodological Synergy Research Laboratory, Department of Psychology, Concordia University, Montreal, Canada
| | - Lindsey Nadon
- Substantive-Methodological Synergy Research Laboratory, Department of Psychology, Concordia University, Montreal, Canada
| | - Annie Aimé
- Department of Psychoeducation and Psychology, Université du Québec en Outaouais (UQO|Campus de Saint-Jérôme), Saint-Jérôme, Canada
| | - Alexandre J S Morin
- Substantive-Methodological Synergy Research Laboratory, Department of Psychology, Concordia University, Montreal, Canada
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Abu Alwafa R, Badrasawi M. Factors associated with positive body image among Palestinian university female students, cross-sectional study. Health Psychol Behav Med 2023; 11:2278289. [PMID: 38532892 PMCID: PMC10964829 DOI: 10.1080/21642850.2023.2278289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Accepted: 10/25/2023] [Indexed: 03/28/2024] Open
Abstract
Background Studies suggested that body image is influenced by biological, psychological, historical, individual, cultural, and social factors. This study aimed to investigate the relationship between body image, lifestyle, social pressure, and social media in Palestinian female university students. Method A sample of 905 female undergraduate students (mean age: 20 ± 1.55 years old) from Palestinian universities were included in this cross-sectional study. In this study, the Body Appreciation Scale (BAS-2) was used for measuring body appreciation. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 28. One-way ANOVA, independent t-test, Cohen's d and Partial Eta Square, Pearson's correlation, and simple linear regression tests were performed. In addition, a mixed regression model was used to identify the predictors of Body Appreciation. Results It was found that higher BMI, following models and celebrities on social media, following models/celebrities' nutritional advice, self-perceived family and friends pressure, previous dieting, and longer daily phone time were associated with lower body appreciation among female university students. While physical activity was associated with higher body appreciation. Conclusion Body appreciation was significantly associated to lifestyle, social pressure, and social media use in the study sample. A higher BMI, following models and celebrities on social media, family and friend pressure, dieting, and daily phone use time decreased body appreciation. While being more physically active was linked to a higher body appreciation.
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Affiliation(s)
- Reem Abu Alwafa
- Nutrition and Food technology department, Faculty of Agriculture and Veterinary medicine, An-Najah National University, Nablus, Palestine
| | - Manal Badrasawi
- Nutrition and Food technology department, Faculty of Agriculture and Veterinary medicine, An-Najah National University, Nablus, Palestine
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Kaur N, Jiwan T, Pooni PA. Effectiveness of interventional package on body image perception and self-esteem among adolescents - A pilot study. J Family Med Prim Care 2023; 12:2880-2883. [PMID: 38186762 PMCID: PMC10771164 DOI: 10.4103/jfmpc.jfmpc_867_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Revised: 06/24/2023] [Accepted: 06/26/2023] [Indexed: 01/09/2024] Open
Abstract
Background of the Study In adolescence various physical and psychological changes, impact their overall perception that leads to either satisfaction or dissatisfaction with body image. Adolescents can suffer from body image dissatisfaction. Counselling sessions, video and documentaries can be used to improve the body image concerns. So, this study aims to evaluate the impact of interventional package on the body image perception and self-esteem among adolescents. Materials and Methods The sampling technique used to enrol 65 adolescents was simple random. Body image was assessed in the form of affective and behavioural body image perception. Two different structured scales were used to assess affective and behavioural body image perception. Pre-test was conducted to assess the body image perception among adolescents; then, documentary was shown in the form of intervention 1 and the post-test 1 was taken, again booklet was distributed as intervention 2 and post-test -2 was taken. Results A statistically significant improvement in the satisfaction with weight, height, complexion, hair, teeth, buttocks, thigh and moustache, after the use of interventional package. In behavioural perception of body image, no significant association was found in pre-test, post-test 1 and 2, there is statistically significant improvement in self-esteem of adolescents, as P = 0.03. Conclusion Interventional package in the form of documentary and booklet is useful in improving body image perception among adolescents. Significant improvement was seen in perception related to certain body parts.
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Affiliation(s)
- Navjot Kaur
- Department of Pediatric Nursing, College of Nursing, AIIMS, Deoghar, Jharkhand, India
| | - Triza Jiwan
- Department of Psychiatric Nursing, College of Nursing, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - Puneet A. Pooni
- Department of Paediatrics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
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Chao T, Jackson T. Causal effects of appearance-related social exclusion on state body dissatisfaction among young Chinese adults. Acta Psychol (Amst) 2023; 240:104032. [PMID: 37717555 DOI: 10.1016/j.actpsy.2023.104032] [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: 05/09/2023] [Revised: 08/31/2023] [Accepted: 09/12/2023] [Indexed: 09/19/2023] Open
Abstract
OBJECTIVES Numerous studies have linked experiences of appearance-related interpersonal rejection to body dissatisfaction (BD), though few experimental studies have been conducted. This study assessed causal effects of appearance-related social exclusion during an online Cyberball game on state BD as well as potential moderators of this association. METHODS Young Chinese adults (60 women, 37 men; age 20.08 ± 1.32 years) were asked to provide an image of themselves that would be sent to other players prior to a visual perception study involving Cyberball, a virtual ball-tossing game that is used to elicit temporary social exclusion effects. Participants completed a trait Fear of Negative Appearance Evaluation (FNAE) measure before or after engaging in the Cyberball task in addition to post-task state measures of BD and positive mood facets. RESULTS Participants randomly assigned to the social exclusion condition (i.e., receiving 2 of 30 possible throws) reported significantly higher post-Cyberball state BD and significant happiness/energy level/self-confidence deficits compared to peers in a social inclusion condition (i.e., receiving 12 out of 30 throws). A hierarchical regression analysis indicated social exclusion condition membership and trait FNAE elevations, but not their interaction, were significant predictors of higher state BD scores, independent of the impact of gender. CONCLUSIONS Social exclusion experiences linked to physical appearance are a significant causal influence on increases in state BD and positive mood decrements among young Chinese adults.
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Affiliation(s)
- Tong Chao
- Department of Psychology, University of Macau, Macao, S.A.R
| | - Todd Jackson
- Department of Psychology, University of Macau, Macao, S.A.R..
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Huang CF, Chou FH, Chang CH, Guo SE. The Associations of Body Mass Index, Body Image, Perceived Stress, and Mental Health among Female Nursing Students: A Cross-Sectional Study in Taiwan. Healthcare (Basel) 2023; 11:2426. [PMID: 37685460 PMCID: PMC10487090 DOI: 10.3390/healthcare11172426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Revised: 08/19/2023] [Accepted: 08/28/2023] [Indexed: 09/10/2023] Open
Abstract
Maintaining a healthy caloric intake and expenditure balance is challenging. The preliminary study examined (a) the associations of Body Mass Index (BMI), body image, perceived stress, mental health, dietary habits, and exercise participation among 310 female college nursing students and (b) the differences in these factors among BMI subgroups. The cutoffs for underweight, normal weight, overweight, and obesity were <18.5 kg/m2, ≥18.5 but <23 kg/m2, ≥23 but <25 kg/m2, and ≥25 kg/m2, respectively. The survey used Multidimensional Body-Self Relations Questionnaire-Appearance Scale, Perceived Stress Scale, and Chinese Health Questionnaire (CHQ). Because of a non-normal distribution, non-parametric statistics were used. The study found that BMI correlated with body image. The lower the BMI, the higher the satisfactory score the participants rated. BMI was irrelated to diet, exercise, stress, and mental health. The participants were unlikely to eat under stress and negative moods. The underweight group (17.1%) had the highest satisfactory score on their appearance evaluation. There was no difference between the overweight (14.2%) and obese (11.0%) groups. Meanwhile, the median of perceived stress was 18 and the prevalence of mental disturbance was 45.2% based on the CHQ. Underweight, overweight, obesity, high perceived stress, and poor mental health among nursing students warrant attention. Nurse educators should strengthen their coping strategies and provide support. A longitudinal study may consider incorporating coping strategies into the study design.
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Affiliation(s)
- Ching-Feng Huang
- Department of Nursing, Chiayi Campus, Chang Gung University of Science and Technology, Chiayi County 613016, Taiwan; (C.-F.H.); (C.-H.C.)
| | - Fan-Hao Chou
- College of Nursing, Kaohsiung Medical University, Kaohsiung City 807378, Taiwan
| | - Chia-Hao Chang
- Department of Nursing, Chiayi Campus, Chang Gung University of Science and Technology, Chiayi County 613016, Taiwan; (C.-F.H.); (C.-H.C.)
| | - Su-Er Guo
- Department of Nursing, Chronic Diseases and Health Promotion Research Center, Chiayi Campus, Chang Gung University of Science and Technology, Chiayi County 613016, Taiwan;
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Alharbi RM, Alharbi HF. The Indicator of Emotional Eating and Its Effects on Dietary Patterns among Female Students at Qassim University. Nutrients 2023; 15:3553. [PMID: 37630740 PMCID: PMC10458773 DOI: 10.3390/nu15163553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2023] [Revised: 08/01/2023] [Accepted: 08/10/2023] [Indexed: 08/27/2023] Open
Abstract
Emotional eating (EE) is considered as the inclination to eat in response to emotions and is associated with certain syndromes. In this sense, we explored the indices of EE and its association with dietary patterns among female students at Qassim University in Saudi Arabia. A cross-sectional study of 380 participants (aged 18-29 years, female students) was performed. Anthropometric measurements of the participants were taken, such as height, body mass index, fat mass and hip-waist circumference as well as the Emotional Eating Scale (EES). The classification of the ESS included the thresholds of 44.7, 43.9 and 11.3% for low, moderate and high EE, respectively. Linear regression after adjustment showed that fat intake was a significant predictor of EE (p = 0.031) as well as feelings of enthusiasm. We also observed an interesting indication: fat intake (p = 0.011) and educational level (p < 0.05) were significantly associated with, and could be significant predictors of, EE. The results highlight the importance of emotional eating, its relationship with the consumption of foods that contain fat and understanding how it develops by raising awareness of the importance of healthy food for a healthy lifestyle.
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Affiliation(s)
| | - Hend F. Alharbi
- Department of Food Science and Human Nutrition, College of Agriculture and Veterinary Medicine, Qassim University, Buraydah 51452, Saudi Arabia;
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Cao J, Wang K, Shi Y, Pan Y, Lyu M, Ji Y, Zhang Y. Effects of personal and interpersonal factors on changes of food choices and physical activity among college students. PLoS One 2023; 18:e0288489. [PMID: 37440487 DOI: 10.1371/journal.pone.0288489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 06/27/2023] [Indexed: 07/15/2023] Open
Abstract
BACKGROUND Health behaviors developed in the college years tend to persist in adulthood. However, distinct changing patterns of food choices and physical activity (PA) and their predictors are still less clear among college students. The current study sought to explore changes of food choices and PA, as well as the effects of personal and interpersonal factors. METHOD Two-wave longitudinal data was collected from a sample of 431 Chinese college students (Mean baseline age = 19.15 ± 0.61 years; 45.7% male). A validated self-reported food frequency questionnaire was used to assess the frequency of food choices. The Chinese revised version of physical activity rating scale was used to assess physical activity. Latent profile analysis, latent transition analysis, and multinomial logistic regression analysis were used to analyze the data. RESULTS Two profiles of food choices, i.e., Avoiding staples (5.1% at Time 1) and Varied diet (94.9% at Time 1), were identified at both timepoints. 90.9% remained the same profiles over time, 63.6% participants in the Avoiding staples profile shifted to the Varied diet profile, and only 6.3% of those in the Varied diet profile shifted to the Avoiding staples profile. Negative body shape-related belief was related to the translation from the Varied diet profile to the Avoiding staples profile. Further, four profiles of PA, i.e., Inactives (51.0% at Time 1), Low activies (26.0% at Time 1), Moderate activies (15.3% at Time 1), and Activies (7.7% at Time 1), were identified at both timepoints. 50.8% remained the same profiles over time, 38.6% Inactivies shifted to the other profiles, and 48.5% Activies shifted to the other profiles over time. Participants with higher self-efficacy showed an increase in PA over time, and those with lower self-efficacy and lower peer support showed a decrease in PA over time. CONCLUSIONS Overall, most of college students remained the same food choices profiles, and body shape-related belief contributed to changes in food choices profiles. About half of college students experienced changes in PA, and the predictors of such changes were peer support and self-efficacy. The findings extend the understanding of the personal and interpersonal predictors of health behaviors among college students from a dynamic perspective.
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Affiliation(s)
- Juan Cao
- Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, China
| | - Kun Wang
- Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, China
| | - YuHui Shi
- Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, China
| | - YuQing Pan
- Department of Disease Control and Prevention, Peking University Third Hospital, Beijing, China
| | - MoHan Lyu
- Faculty of Science, The University of Sydney, Sydney, Australia
| | - Ying Ji
- Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, China
| | - Yan Zhang
- Beijing Centers for Diseases Control and Prevention, Beijing, China
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Husain FS, Lulla D, Tay TKC, Lee JJM, Dhaliwal SS, Ang SB. Association between body mass index, body image and self-esteem with sexual function: A survey of young women in Singapore. ANNALS OF THE ACADEMY OF MEDICINE, SINGAPORE 2023; 52:190-198. [PMID: 38904532 DOI: 10.47102/annals-acadmedsg.2022358] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/22/2024]
Abstract
Introduction Obesity is thought to be a negative predictor of sexual function, but the relationship between body mass index (BMI) and sexual function has been inconsistent. Other factors such as body image and self-esteem may mediate this relationship. This study examined the association of BMI, body image and self-esteem with sexual function in young women. Method A total of 514 sexually active women aged 21 to 35 years completed an anonymised online questionnaire that used 3 scales to assess body image, self-esteem and female sexual function: Body Image States Scale (BISS), Rosenberg Self-Esteem Scale (RSES) and Female Sexual Function Index (FSFI). Higher scores for BISS, RSES and FSFI indicate more positive body image, higher self-esteem and better sexual function, respectively. Spearman correlation assessed the association among BMI, BISS and RSES scores, and with FSFI scores. Linear and multivariable logistic regression identified risk factors associated with sexual dysfunction (FSFI <26.55). Results BISS and RSES scores significantly correlated with FSFI scores (r=0.27 and r=0.32, respectively; both P<0.001), indicating that better body image and self-esteem were associated with better sexual function. Risk factors for sexual dysfunction were lower BISS and RSES scores, being married (odds ratio [OR] 1.52; 95% confidence interval [CI] 1.07-2.15), having 1 child (OR 2.45; 95% CI 1.26-4.77) and having a perceived mental condition (OR 3.02; 95% CI 1.44-6.33). Factors in lack of sexual dysfunction include being of Malay ethnicity (OR 0.38; 95% CI 0.21-0.71) and being overweight (OR 0.46; 95% CI 0.27-0.78). Conclusion Women with poorer body image and lower self-esteem were more likely to have sexual dysfunction. These perceptions and states did not correlate with being overweight, and were better predictors over BMI to identify the population at-risk.
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Affiliation(s)
- Farah Safdar Husain
- Department of Family Medicine, KK Women and Children's Hospital, Singapore
- SingHealth Polyclinics, Singapore
| | - Dypti Lulla
- Department of Family Medicine, KK Women and Children's Hospital, Singapore
| | | | - Jean-Jasmin Ml Lee
- Department of Family Medicine, KK Women and Children's Hospital, Singapore
| | - Satvinder Singh Dhaliwal
- Duke-NUS Medical School, Singapore
- Singapore University of Social Sciences, Singapore
- Curtin Health Innovation Research Institute, Faculty of Health Sciences, Curtin University, Western Australia, Australia
- Institute for Research in Molecular Medicine, Universiti Sains Malaysia, Pulau Pinang, Malaysia
| | - Seng Bin Ang
- Department of Family Medicine, KK Women and Children's Hospital, Singapore
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Papini NM, Lee S, Lee J, Clifford D. University Coaching for Activity and Nutrition (UCAN): A weight-inclusive health coaching program. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023:1-4. [PMID: 37053574 DOI: 10.1080/07448481.2023.2194427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 02/04/2023] [Accepted: 03/19/2023] [Indexed: 06/19/2023]
Abstract
Background: Given the body image and disordered eating struggles prevalent in young adults, weight-inclusive anti-diet programs are needed on college campuses. Such programs replace weight loss advice with changes that center physical and mental well-being. Methods/Program Design: University health and wellness programs such as University Coaching for Activity and Nutrition (UCAN) is a novel weight-inclusive health and wellness coaching program designed to support university students and faculty/staff in their development and maintenance of self-care behaviors related to physical activity, nutrition, sleep, and stress management. Specifically, we describe the program's mechanisms for participant recruitment, health coach training, session protocol, program evaluation, and supervision so other campuses can replicate the program model at their respective universities. Discussion: This work can help campuses cultivate positive self-care habits that improve physical and mental health through the lens of a weight-inclusive paradigm while also creating research and service-learning experiences for pre-health professionals.
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Affiliation(s)
- N M Papini
- Department of Health Sciences, Northern Arizona University, Flagstaff, Arizona, USA
| | - S Lee
- School of Kinesiology, Nutrition, and Food Science, California State University Los Angeles, Los Angeles, California, USA
| | - J Lee
- Department of Teaching and Learning, Northern Arizona University, Flagstaff, Arizona, USA
| | - D Clifford
- Department of Health Sciences, Northern Arizona University, Flagstaff, Arizona, USA
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Bahathig AA, Abu Saad H, Md Yusop NB, Mohd Sukri NH, El-Din MME. Sociodemographic Characteristics, Dietary Intake, and Body Image Dissatisfaction Among Saudi Adolescent Girls. PERTANIKA JOURNAL OF SCIENCE AND TECHNOLOGY 2023. [DOI: 10.47836/pjst.31.3.06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/31/2023]
Abstract
This study assesses sociodemographic characteristics, dietary intake and body image dissatisfaction (BID) among Saudi adolescent girls. A total of 399 girls ages 13-14 were randomly selected from intermediate schools in Arar, Saudi Arabia. Data on anthropometric measurements, sociodemographic characteristics, dietary intake and body image (BI) were collected. Multiple linear regression was used to predict the association between variables. Most adolescents had a normal weight based on their body mass index (BMI), normal waist circumference (WC), and normal waist-to-height ratio (WHtR). Fried chicken and Kabsa rice were the most frequently consumed foods; most girls consumed excessive fat. Most girls had BID (81.5%), and 51.4% desired to lose weight. BMI was positively correlated with age and current BI (p<0.001) and negatively associated with dairy product intake (p=0.004) and desired BI (p<0.001). WC had a positive association with age (p=0.001) and current BI (p<0.001) and a negative association with dairy product intake, cereal and grain intake (p=0.001) and ideal BI (p<0.001). WHtR was positively associated with current BI (p<0.001) and negatively associated with cereal and grain intake (p=0.005), dairy product intake and desired BI (p<0.001). Although most participants had a normal weight, they consumed excessive fat and were dissatisfied with their BI, which are significant predictors of obesity. Saudi adolescent girls require nutritional interventions to help them transition to a healthy diet, positive BI and healthy lifestyle.
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Escolar-Llamazares MC, Martínez-Martín MÁ, Medina-Gómez MB, González-Alonso MY, Mercado-Val E, Lara-Ortega F. Sociodemographic Variables and Body Mass Index Associated with the Risk of Eating Disorders in Spanish University Students. Eur J Investig Health Psychol Educ 2023; 13:595-612. [PMID: 36975398 PMCID: PMC10047306 DOI: 10.3390/ejihpe13030046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 03/07/2023] [Accepted: 03/10/2023] [Indexed: 03/18/2023] Open
Abstract
Background: The passage through university is a complex experience that can heighten personal susceptibility to eating disorders. The objective of this research is to determine how gender, age, course, educational faculty, and body mass index (BMI) can influence the risk of eating disorders among university students. Method: A transversal and descriptive study is conducted with a sample of 516 Spanish students (57.2% female, 42.8% male; Mage = 21.7, SDage = 4.1) following 26 university degrees. The Inventory Eating Disorder-Reference criterion (EDI-3-RF) was administered to the students. Contingency tables were used between categorical variables with the chi-squared statistic, at a significance level of p < 0.05. The Student t-test was used for two independent samples and a one-way ANOVA test with the post hoc Bonferroni test for more than two groups. Pearson’s correlation and a simple linear regression analysis were used to analyze the relationship between the variables in its quantitative version. Results: It was found that the female students enrolled in the second year presented a greater obsession with thinness and body dissatisfaction (p = 0.029; d = 0.338); the male students practiced more physical exercise to control their weight (p = 0.003); and that students under the age of twenty (p < 0.010; d = 0.584) and students from both the Health (p = 0.0.13) and Law (p = 0.021) educational faculties showed greater bulimic behavior (d = 0.070). More females are underweight (z = 2.8), and more men are overweight (z = 2.4). Normal-weight students scored significantly higher in thinness obsession (p = 0.033). Overweight students scored significantly higher on thinness obsession (p < 0.001) and body dissatisfaction (p < 0.001). Obese students scored significantly higher on body dissatisfaction (p = 0.04). Conclusions: The data obtained in this study, reinforce the hypothesis that the female gender, at an age within the limits of early adolescence, in the first year of the degree courses, with specific university qualifications, and a high BMI constituted factors that could provoke an eating disorder. Consequently, it is necessary to implement preventive measures adapted to the circumstances of each university student.
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Affiliation(s)
- María-Camino Escolar-Llamazares
- Department of Health Sciences, University of Burgos, Paseo Comendadores s/n, 09001 Burgos, Spain
- Correspondence: (M.-C.E.-L.); (M.-B.M.-G.); Tel.: +34-619285868 (M.-C.E.-L.); +34-673262245 (M.-B.M.-G.)
| | | | - María-Begoña Medina-Gómez
- Department of Educational Sciences, University of Burgos, Avda, Villadiego, No.1., 09001 Burgos, Spain
- Correspondence: (M.-C.E.-L.); (M.-B.M.-G.); Tel.: +34-619285868 (M.-C.E.-L.); +34-673262245 (M.-B.M.-G.)
| | | | - Elvira Mercado-Val
- Department of Educational Sciences, University of Burgos, Avda, Villadiego, No.1., 09001 Burgos, Spain
| | - Fernando Lara-Ortega
- Department of Educational Sciences, University of Burgos, Avda, Villadiego, No.1., 09001 Burgos, Spain
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Makarawung DJS, Boers MJ, van den Brink F, Monpellier VM, Woertman L, Mink van der Molen AB, Geenen R. The relationship of body image and weight: A cross-sectional observational study of a Dutch female sample. Clin Obes 2023; 13:e12569. [PMID: 36417999 DOI: 10.1111/cob.12569] [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: 02/10/2022] [Revised: 11/07/2022] [Accepted: 11/12/2022] [Indexed: 11/25/2022]
Abstract
Body image concerns may play a role in weight changing behaviour. The objective of this study was to assess body image in different weight groups. Participants reported satisfaction with (AE) and investment in (AO) appearance, and the discrepancy between current and ideal body size (BS). These scores were compared between weight groups based on body-mass index (BMI) using analysis of variance. One-sample t-tests and Cohen's d effect sizes examined the magnitude of differences within each weight group relative to neutral midpoints of the scales; cluster analysis identified body image profiles. A total of 27 896 women were included in this study. AE scores were highest for people with underweight and normal weight, AO scores were highest for the underweight group and lowest in class III obesity, and BS scores were largest in the obese groups (all p < .001) Cluster analysis identified eight body image profiles. In people with obesity, the most prevalent profiles included a preference for a smaller body and low satisfaction with appearance, but differed in investment in appearance (low vs. high). Most people with underweight were allocated to profiles showing high investment in their appearance, preference of a larger body, but differences in satisfaction with appearance (neutral vs. high). While people with a higher BMI have on average more body image concerns, different body image profiles exist in all weight groups. Future research should examine whether and which individuals in terms of body image profile may benefit more from weight interventions.
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Affiliation(s)
- Dennis J S Makarawung
- Department of Plastic, Reconstructive and Hand Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands
| | - Mijke J Boers
- Department of Plastic, Reconstructive and Hand Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands
| | | | - Valerie M Monpellier
- Nederlandse Obesitas Kliniek (Dutch Obesity Clinic), Huis ter Heide, The Netherlands
| | - Liesbeth Woertman
- Department of Psychology, Utrecht University, Utrecht, The Netherlands
| | | | - Rinie Geenen
- Department of Psychology, Utrecht University, Utrecht, The Netherlands
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Muacevic A, Adler JR, Ghafouri K, Noorwali E. Effect of Intermittent Fasting on Body Image Satisfaction and Appreciation Among Saudi Adults. Cureus 2023; 15:e33468. [PMID: 36751167 PMCID: PMC9900045 DOI: 10.7759/cureus.33468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/06/2023] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Obesity remains a public health concern, and intermittent fasting (IF) is a popular strategy for weight loss that has gained considerable scientific and popular attention. However, weight control can affect body image. Poor body image and its impact on psychological well-being are linked to obesity in many individuals. Body appreciation is a crucial characteristic of positive body image. However, there is a lack of studies assessing these relationships in Saudi adults. AIM To evaluate the associations between IF diet, body image satisfaction, and body appreciation in Saudi adults. METHOD A web-based cross-sectional study was done with healthy Saudi adults aged 18 to 50 years old who followed the IF diet. The questionnaire had five sections: a brief study introduction, sociodemographic variables, adherence to the diet, modified body image scale, and body appreciation scale. Ethical approval was obtained. RESULTS A total of 190 participants were included in this study, including 59 (31.1%) males and 131 (68.9%) females. Comparing before and after IF, the body mass index (BMI) significantly decreased after IF (p < 0.001). After IF, a significant decrease in the body image dissatisfaction score was observed (p < 0.001). A significant increase was noted in the body appreciation score (p < 0.001). Conclusion: IF is significantly associated with better body image satisfaction and body appreciation. These results may help weight loss studies and may have public health implications.
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Alharballeh S, Dodeen H. Prevalence of body image dissatisfaction among youth in the United Arab Emirates: gender, age, and body mass index differences. CURRENT PSYCHOLOGY 2023; 42:1317-1326. [PMID: 33679115 PMCID: PMC7919234 DOI: 10.1007/s12144-021-01551-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/25/2021] [Indexed: 11/28/2022]
Abstract
The term body image dissatisfaction (BID) describes the negative perceptions that a person carries about his or her own body. This study aimed to determine the prevalence of BID among youth in the UAE and how it is affected by three variables: sex, age, and body mass index (BMI). Participants were 728 UAE federal university students who responded to the Body Shape Questionnaire. Results indicated that 36.7% of students are dissatisfied with their body image. Gender differences analysis showed a higher level of BID for men than with women. No significant differences were observed for BID among the four age groups. Significant differences were shown for BID among the four common BMI/weight categories (underweight, normal, overweight, obesity. On the light of the results, the study suggested offering awareness programs for youth about healthy practices in daily life and including health education in schools and colleges curriculum. The study discussed the findings in relation to the available literature in the area and suggested some directions and topics for future research.
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Affiliation(s)
| | - Hamzeh Dodeen
- Psychology Program, College of Huminites and Social Sciences, United Arab Emirates University, Al Ain, UAE
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Lee SM, Zuest L, Leedeman J, Li S, Clifford DE. Health and weight attitudes of university recreation center leaders. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:200-210. [PMID: 33788666 DOI: 10.1080/07448481.2021.1885416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 01/20/2021] [Accepted: 01/31/2021] [Indexed: 06/12/2023]
Abstract
Objective: Emerging research suggests weight-neutral approaches to health promotion are effective in supporting overall health, but they have been minimally adopted within physical activity (PA) contexts. This is concerning as research shows PA-related professionals can perpetuate weight stigma, which can disrupt PA participation and enjoyment. Thus, the purpose of this study was to examine university recreation center (URC) leaders' attitudes toward health and weight. Participants and methods: One-hundred forty-one URC leaders completed the online Health and Weight Attitudes Scale. Results: Women and those who wanted to maintain weight had more positive attitudes toward not dieting than men (F (1,136)=5.090, p = 0.026, ηp2 = 0.036) and those who wanted to lose weight (p = 0.015). Participants' open-ended responses showed they held several misconceptions about the health and weight relationship and about weight-neutral eating and PA messaging. Conclusion: Educating PA professionals on weight-neutral approaches could benefit effective and inclusive PA and health promotion in URCs.
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Affiliation(s)
- Sae-Mi Lee
- School of Kinesiology, Nutrition and Food Science, California State University, Los Angeles, California, USA
| | - Luciana Zuest
- Department of Kinesiology, California State University, Chico, California, USA
| | | | - Shuang Li
- Department of Urology, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Dawn E Clifford
- Department of Health Sciences, Northern Arizona University, Flagstaff, Arizona, USA
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Cheah WL, Shin ECV, Hazmi H. Examining gender difference in disordered eating behaviour and its associated factors among college and university students in Sarawak. Nutr Health 2022:2601060221132597. [PMID: 36285456 DOI: 10.1177/02601060221132597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Background: Disordered eating is common among late adolescents and young adults who pursue an idealised body image. Aims: This study aims to determine the prevalence of disordered eating between males and females and its associated factors among college and university students in Sarawak. Methods: A cross-sectional study involving 20 public and private colleges and universities in Sarawak, from September 2017 to March 2020. Respondents completed self-administered questionnaires both in the English and Malay language. Data about sociodemographic characteristics, body mass index, eating attitude, body dissatisfaction, perceived sociocultural pressure, self-esteem, drive for muscularity and perfectionism were collected. Results: A total of 776 respondents (male: 30.9%; female: 69.1%) aged 19 to 25 years old took part in the study. The overall prevalence of disordered eating was 25.2% (95% confidence interval (CI) 21.9; 28.7) with females (28.6%, 95% CI 24.6; 32.9) higher than males (15.6%, 95% CI 10.5; 21.9). Multivariate analysis showed for both male and female models, perceived sociocultural pressure (male: β = 1.125, p < 0.01; female: β = 1.052, p = 0.003), drive for muscularity (male: β = 1.033, p = 0.017; female: β = 1.032, p < 0.01) and perfectionism (male: β = 1.098, p = 0.02; female:β = 1.119, p < 0.01) were predictors for disordered eating. Conclusion: The prevalence of disordered eating among college and university students in Sarawak was high. The findings suggest that although there were gender differences in the prevalence of disordered eating, its associated factors were the same. The findings of this study will be useful for designing and implementing disordered eating prevention and intervention programme.
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Affiliation(s)
- Whye Lian Cheah
- Faculty of Medicine and Health Sciences, University Malaysia Sarawak, Sarawak, Malaysia
| | - Edmund Chin Vui Shin
- Faculty of Medicine and Health Sciences, University Malaysia Sarawak, Sarawak, Malaysia
| | - Helmy Hazmi
- Faculty of Medicine and Health Sciences, University Malaysia Sarawak, Sarawak, Malaysia
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Barberis N, Calaresi D, Cannavò M, Verrastro V. Body mass index and quality of life in individuals with polycystic ovary syndrome: Dysmorphic concerns and eating disorders as mediators. Front Public Health 2022; 10:962083. [PMID: 36276397 PMCID: PMC9581187 DOI: 10.3389/fpubh.2022.962083] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2022] [Accepted: 09/06/2022] [Indexed: 01/24/2023] Open
Abstract
Objective Weight issues, dysmorphic concerns and eating disorders are common among individuals with polycystic ovary syndrome (PCOS) and are linked to poor quality of life (QoL). The goal of the current study was to examine whether the association between body mass index (BMI) and QoL was mediated by dysmorphic concerns, examining also the relations with eating disorder symptomatology. Methods Questionnaires were administered to 435 individuals with PCOS aged between 18 and 40 years (M = 27.62; SD = 4.83) to measure dysmorphic concerns, eating disorder symptoms and QoL. Participants were also asked to report their height and weight to compute their BMI. Results Structural equation modeling was used to observe the relationship between the variables. The results revealed a direct relationship between QoL, BMI, dysmorphic concerns and eating disorder symptomatology. In addition, dysmorphic concerns were related to BMI and eating disorder symptomatology. Furthermore, the results showed the mediating role of dysmorphic concerns and eating disorder symptoms in the relationship between BMI and QoL. Conclusion The current results highlight the potential importance of harmful relationships with one's own body and food, explaining why weight issues may be linked to different levels of QoL in PCOS individuals. The implications of these findings are discussed.
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Affiliation(s)
- Nadia Barberis
- Department of Health Sciences, Magna Græcia University, Catanzaro, Italy
| | - Danilo Calaresi
- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Marco Cannavò
- Department of Health Sciences, Magna Græcia University, Catanzaro, Italy,*Correspondence: Marco Cannavò
| | - Valeria Verrastro
- Department of Health Sciences, Magna Græcia University, Catanzaro, Italy
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21
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Shannon S, Carlin A, Woods C, Nevill AM, Murphy N, Murphy MH. Adherence to aerobic and muscle-strengthening components of the physical activity guidelines and mental health. Health Promot Int 2022; 37:6774998. [DOI: 10.1093/heapro/daac083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Summary
Despite a clear distinction between aerobic and muscle strengthening (MS) components in the physical activity guidelines, public health surveillance has largely focused only on aerobic components, limiting the reach of epidemiological research on the physical activity guidelines. Hence, this study investigated the association between adherence to both components (i.e. aerobic and muscle-strengthening) of the World Health Organization’s physical activity guidelines and mental health among the college student population. A cross-sectional study was conducted among a nationally representative sample of Irish college students (7088 participants, M age: 23.17 years; 50.9% female). Participants were categorized as meeting both components of the guidelines (n = 41%), only the aerobic component (n = 25.3%) or the MS component (n = 7.3%), and neither (n = 26.4%). Group membership effects on mental health was determined through mixed univariate ANOVAs, with a Bonferroni correction for post hoc analyses to assess multiple comparisons. Results revealed that meeting both components of the guidelines was significantly (all p < 0.01) associated with greater self-reported happiness, body image and general health, and less mental ill-being, relative to all other respective groupings. Meeting aerobic or MS components in isolation was significantly (p < 0.05) associated with better happiness, general health and body image compared to not meeting either component. To conclude, 59% of the college-aged population are insufficiently active, and adherence to both guideline components is positively associated with mental health. Co-produced, evidence-based, physical activity interventions are needed in students and could contribute to mental health promotion.
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Affiliation(s)
- Stephen Shannon
- Sport and Exercise Sciences Research Institute, Ulster University Jordanstown Campus , Shore Road, Newtownabbey BT370QB , UK
- Bamford Centre for Mental Health and Wellbeing, Ulster University Jordanstown Campus , Shore Road, Newtownabbey BT370QB , UK
| | - Angela Carlin
- Sport and Exercise Sciences Research Institute, Ulster University Jordanstown Campus , Shore Road, Newtownabbey BT370QB , UK
| | - Catherine Woods
- Physical Activity for Health Research Cluster, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick , Limerick , Ireland
| | - Alan M Nevill
- Faculty of Education, Health and Wellbeing, University of Wolverhampton , Walsall Campus, Gorway Road, Walsall WS1 3BD , UK
| | - Niamh Murphy
- School of Health Sciences, Waterford Institute of Technology , Waterford , Ireland
| | - Marie H Murphy
- Sport and Exercise Sciences Research Institute, Ulster University Jordanstown Campus , Shore Road, Newtownabbey BT370QB , UK
- Doctoral College, Ulster University Newtownabbey BT370QB , UK
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Hubert PA, Fiorenti H, Duffy VB. Feasibility of a Theory-Based, Online Tailored Message Program to Motivate Healthier Behaviors in College Women. Nutrients 2022; 14:nu14194012. [PMID: 36235664 PMCID: PMC9572712 DOI: 10.3390/nu14194012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2022] [Revised: 09/21/2022] [Accepted: 09/21/2022] [Indexed: 11/16/2022] Open
Abstract
We aimed to test the feasibility of an online survey and tailored message program in young women. Recruited from college campuses, women (n = 189) completed an online survey assessing preference for and behaviors toward diet and physical activity as well as theory-based influencers of these behaviors (knowledge/information, motivation, and confidence). Health messages were tailored to the participant’s survey responses and learning style to address misconceptions and motivate or reinforce healthy physical activity and dietary behaviors. Most women reported the survey as relevant (92%) and useful for reflecting on their health (83%), with survey responses variable in level of nutrition and physical activity knowledge, motivation, and confidence. Each woman received four tailored messages—most reported the messages as relevant (80%) and learning new information (60%). Across all messages, nearly half of the participants (~48%) reported willingness to try or maintain healthier behaviors and confidence in their ability. Body size discrepancy and dietary restraint had small effects message responses of information learned, and the motivation and confidence in trying healthier behaviors. In summary, these data support the feasibility of this online tailored message program. The college women found the tailored message program acceptable and useful to motivate healthier behaviors. The findings provide direction for behaviorally focused interventions to improve dietary and physical activity behaviors.
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How Unawareness of Weight Excess Can Increase Cardiovascular Risk? J Clin Med 2022; 11:jcm11174944. [PMID: 36078874 PMCID: PMC9456266 DOI: 10.3390/jcm11174944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 08/09/2022] [Accepted: 08/16/2022] [Indexed: 11/16/2022] Open
Abstract
Background: Obesity is a chronic disease with high prevalence in all age groups. Many overweight and obese people seem to be unaware of excess body weight. Aim: Analysis of people affected by the misperception of excess body weight and their eating behaviors simultaneously with selected health parameters. Methods: The study was conducted in 2017–2019 among 658 participants aged 20–79 from the population study—Bialystok PLUS (Poland). Results were based on clinical examinations and questionnaires. Results: Unawareness of overweight and obesity is common among adults (21.7%). Participants unaware of their overweight and obesity presented much higher risk factors. A high cardiovascular risk profile was observed more often among people not aware of overweight and obesity than among normal weight people (23.0% vs. 10.0%) as well as more common asymptomatic carotid artery atherosclerosis (49.7% vs. 31.3%). The subjective perception of overweight and obesity based on BMI (body mass index) was equal to 26.4 kg/m2 in women and 27.9 kg/m2 in men. The assessment of their diet was less favorable than that of people with normal weight. Conclusions: Unawareness of one’s excessive weight and its health consequences may lead to hesitancy to apply a healthy lifestyle and hence increase the cardiovascular risk in a substantial part of society. Therefore, it should be considered a part of the cardiovascular disease risk spectrum. Measurement of BMI and discussion about its health implications should be a routine procedure during healthcare contacts.
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Lee M, Lee HH. The Interaction Effects of Age and Body Size on Body Appreciation and Health- Related Behaviors. Int J Psychol Res (Medellin) 2022; 15:34-43. [PMID: 37274519 PMCID: PMC10233953 DOI: 10.21500/20112084.5490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 03/01/2022] [Indexed: 06/06/2023] Open
Abstract
Whilst the associations among age, body size, body (dis)satisfaction, and weight management behavior have been well documented, there is little research on how the combination of age and body size is related to body appreciation and health-related behavioral intentions. The purpose of this study is to identify the associations of age, body size, and their interactions with body appreciation and health-related behavioral intentions among Korean women. A cross-sectional research design was adopted with a convenience sampling method. Using an online survey questionnaire, complete data on body appreciation, health-related behavioral intentions, body size, height, weight, and age were collected from 531 Korean adult women aged 20-77 years. Using average scores for each variable, a series of hierarchical regression analyses were performed to identify the relative contributions of predictor variables on each criterion variable. The significant interaction terms were further examined using the PROCESS macro in SPSS. Overall, older Korean women were found to be more likely to have a positive body image and lower levels of behavioral intentions towards striving for a healthy body than younger women. This study confirmed the relative contribution of subjective body size in explaining women's body-related perceptions and behaviors, as compared to their actual BMI.
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Affiliation(s)
- Minsun Lee
- Dept. of Fashion Design. Konkuk University Glocal Campus, 268 Chungwon-daero. Chungju, Chungcheongbuk-do, South Korea, 27478.Dept. of Fashion DesignKonkuk University Glocal CampusChungcheongbuk-doSouth Korea
| | - Hyun-Hwa Lee
- Dept. of Fashion Design & Textiles. Inha University, 100 Inharo, Michuhol-gu. Incheon, South Korea, 22212.Dept. of Fashion Design & TextilesInha UniversityIncheonSouth Korea
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Rostampour N, Naderi M, Kheiri S, Safavi P. The Relationship Between Body Mass Index and Depression, Anxiety, Body Image, and Eating Attitudes in Adolescents in Iran. Adv Biomed Res 2022; 11:51. [PMID: 35982859 PMCID: PMC9379917 DOI: 10.4103/abr.abr_259_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2020] [Revised: 09/26/2021] [Accepted: 12/13/2021] [Indexed: 11/13/2022] Open
Abstract
Background The aim of this study was to investigate the relationship between body mass index (BMI) and depression, anxiety, body image, and eating attitudes in 12- to 16-year-old adolescents. Materials and Methods In this descriptive-analytical study on 437 students in Shahrekord, Iran, selected by two-step random sampling (selection of schools and students), participants were divided into normal weight (BMI: 5-85th), overweight (BMI: 85-95th), and obese (BMI >95th) groups and completed the questionnaires and data were analyzed by SPSS version 23. Results BMI had a positive correlation with anxiety, depression, and dysfunctional eating attitudes, and negative correlation with body image in adolescents. Mean scores of depression and anxiety in both overweight and obese groups were significantly higher than those in normal weight adolescents but scores of body image and eating attitudes were not different between overweight and normal weight groups. Conclusion Obesity and overweight may have adverse effects on mental health of adolescents and more attention to psychological aspect of obesity can help us to provide better health services to overweight and obese adolescents.
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Affiliation(s)
- Noushin Rostampour
- Department of Pediatric, Shahrekord University of Medical Sciences, Shahrekord, Iran,Metabolic Liver Disease Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Masoumeh Naderi
- Department of Pediatric, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Soleiman Kheiri
- Modelling in Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | - Parvin Safavi
- Department of Psychiatry, Clinical Research Development Unit, Hajar Hospital, Sahrekord University of Medical Sciences, Shahrekord, Iran,Address for correspondence: Dr. Parvin Safavi, Clinical Research Development Unit, Hajar Hospital, Sahrekord University of Medical Sciences, Shahrekord, Iran. E-mail:
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Al-Musharaf S, Rogoza R, Mhanna M, Soufia M, Obeid S, Hallit S. Factors of body dissatisfaction among lebanese adolescents: the indirect effect of self-esteem between mental health and body dissatisfaction. BMC Pediatr 2022; 22:302. [PMID: 35606738 PMCID: PMC9125344 DOI: 10.1186/s12887-022-03373-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 05/18/2022] [Indexed: 11/15/2022] Open
Abstract
Background Body dissatisfaction (BD) rates are alarmingly high, especially among adolescents, thus. Having a better understanding of correlates associated with BD seems to be an important issue in this developmental context. Furthermore, as adolescence is an essential time in the development of self-perception and self-esteem the current study assesses factors associated with BD among Lebanese adolescents and evaluates the indirect effect of self-esteem between depression/anxiety/stress and BD. Methods This is a cross-sectional study among 555 Lebanese adolescents, ages 15–18, who completed an online survey incorporating BD, socioeconomic status, weight and height, physical activity index, Rosenberg Self Esteem Scale, Beirut Distress Scale, Hamilton Anxiety Rating Scale, Patient Health Questionnaire-9, Pittsburgh Sleep Quality Index and Global Physical Activity Questionnaire. Results The results of a stepwise linear regression, taking the body dissatisfaction score as the dependent variable, showed that higher BMI (B = 0.47), feeling pressured by media/TV to lose weight (Beta = 2.80), higher depression (Beta = 0.39), exercising to lose weight (Beta = 1.84) and following a diet to lose weight (Beta = 1.58) were significantly associated with more body dissatisfaction, whereas higher self-esteem (Beta=-0.11) and more psychological distress (Beta=-0.21) were significantly associated with less body dissatisfaction. Self-esteem played an indirect role in the associations between anxiety and body dissatisfaction and stress and body dissatisfaction. Conclusions BD is common among young Lebanese adolescents. Treating adolescents with low self-esteem and psychological issues is crucial in preventing anticipated BD and future eating disorders.
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Affiliation(s)
- Sara Al-Musharaf
- Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Radoslaw Rogoza
- Cardinal Stefan Wyszyński University, Warsaw, Poland.,Social Innovation Chair, University of Lleida, Lleida, Spain
| | - Mariam Mhanna
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon
| | - Michel Soufia
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon
| | - Sahar Obeid
- Social and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon. .,Psychology Department, College of Humanities, Effat University, 21478, Jeddah, Saudi Arabia. .,Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.
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Kapoor A, Upadhyay MK, Saini NK. Prevalence, patterns, and determinants of body image dissatisfaction among female undergraduate students of University of Delhi. J Family Med Prim Care 2022; 11:2002-2007. [PMID: 35800482 PMCID: PMC9254831 DOI: 10.4103/jfmpc.jfmpc_1851_21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 12/05/2021] [Accepted: 12/15/2021] [Indexed: 11/04/2022] Open
Abstract
Background Body image is an essential aspect of young girls' self-definition and individual identity and is influenced by multitude of factors including cultural, social, cognitive, affective, and biological. In recent times, excessive concern about the body image has been reported and the prevalence of body image dissatisfaction (BID) has increased among adolescent and young girls. Objectives The objective of this study was to estimate the prevalence of BID, its pattern and the factors associated with it among female undergraduate students and also to assess the level of concern about their body image. Methods This cross-sectional study was conducted among 180 female undergraduate students using a contour drawing rating scale and a body shape questionnaire to assess BID and its pattern, and the level of concern about body image, respectively. Binary logistic regression was applied to identify the factors determining body image perception. Results The prevalence of body mage dissatisfaction was 76.7% with overweight and obesity, and media influences being significantly associated with it. Nutritional status, mother's educational status, and media influences were the determinants. Body shape concerns were found among 30.6% of the participants out of which 7.3% reported marked to moderate concerns. Conclusions Our findings highlighted a higher prevalence of perceived dissatisfaction with the body image and also that it is not simply the outcome of sociocultural pressure to conform to a certain body type but is the result of a complex interaction between individual differences in actual body mass and preference for a thin body ideal.
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Affiliation(s)
- Abhilasha Kapoor
- Department of Community Medicine, University College of Medical Sciences and GTB Hospital, Delhi, India
| | - Madhu Kumari Upadhyay
- Department of Community Medicine, University College of Medical Sciences and GTB Hospital, Delhi, India
| | - Narinder Kumar Saini
- Department of Community Medicine, University College of Medical Sciences and GTB Hospital, Delhi, India
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Özdi L K, Küçük Öztürk G. Body and mirror paradox of nursing students: Vicious cycle of popular diets. Perspect Psychiatr Care 2022; 58:491-500. [PMID: 34231232 DOI: 10.1111/ppc.12903] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 06/18/2021] [Accepted: 06/21/2021] [Indexed: 11/30/2022] Open
Abstract
PURPOSE To examine the popular dietary habits of nursing students and associated factors. DESIGN AND METHODS A mixed study with quantitative and qualitative dimensions. Following the evaluation of quantitative data, interviews were conducted with 12 students, and data were analyzed by content analysis. FINDINGS The two main themes created were my mirror and the mirror of society as a vicious cycle. The reasons for being on a popular diet were determined to be the expectation of rapid weight loss, negative emotions, and body and beauty perception of society. PRACTICE IMPLICATIONS It is concluded that students are in a vicious cycle of popular diets depending on different factors and that professional educator nurses have important duties in breaking this cycle.
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Affiliation(s)
- Kamuran Özdi L
- Aged Care Program, Nevsehir Haci Bektaş Veli University, Health Services Vocational School, Nevsehir, Turkey
| | - Gülhan Küçük Öztürk
- Department of Psychiatry Nursing, Nevşehir Hacı Bektaş Veli University Semra and Vefa Kucuk Faculty of Health Sciences, Nevsehir, Turkey
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Design and Evaluation of a Board Game in Food and Nutrition Education. EDUCATION SCIENCES 2022. [DOI: 10.3390/educsci12030162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
The outbreak of the COVID-19 pandemic has caused increasing concern over health care, part of which involves the role of nutrition. In this study, a nutrition educational board game, featuring quantitative computation, was designed to help students acquire nutrition knowledge and improve dietary behaviors. A group of 22 students in grade 7 of a middle school in Beijing were selected as the participants. A single-group pre- and post-test quasi-experimental design was adopted. Knowledge-Attitude-Practice (KAP) questionnaires and interviews were used to investigate students’ changes in dietary knowledge, attitude, and behavior. The influence of gender and body mass index (BMI) on the teaching effectiveness was also explored. The results showed that some dimensions of knowledge, attitude, and behavior significantly increased in the students. Their changes in behavior were mainly related to some aspects that were easier to adjust. In addition, the study also found that females and students with abnormal BMI were more likely to be influenced by the educational game to make positive changes in attitude and behavior.
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Hu J, Liu M, Yang R, Wang L, Liang L, Yang Y, Jia S, Chen R, Liu Q, Ren Y, Zhu L, Cai M. Effects of high-intensity interval training on improving arterial stiffness in Chinese female university students with normal weight obese: a pilot randomized controlled trial. J Transl Med 2022; 20:60. [PMID: 35109880 PMCID: PMC8809004 DOI: 10.1186/s12967-022-03250-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Accepted: 01/14/2022] [Indexed: 12/24/2022] Open
Abstract
Background High intensity interval training (HIIT) has been reported to exert better effects on cardiovascular fitness in obesity, but little known about the arterial stiffness (AS) in female university students with normal weight obesity (NWO). Thus, this study aimed to investigate the effects of HIIT on the body composition, heart rate (HR), blood pressure (BP), blood lipids metabolism as well as the novel parameters of propensity for AS (arterial velocity pulse index [AVI], arterial pressure volume index [API]) for female university students with NWO. Methods Forty female university students with NWO were randomly assigned to control group (n = 20) and HIIT group (3 bouts of 9‑min intervals at 90% of the maximal heart rate [HRmax], interspersed by 1 min rest, 5 days a week, n = 20). Tests were performed before and after 4 weeks of training. Repeated measures ANOVA and simple effect test analysis were used to analyze dependent variable changes. Results After 4 weeks HIIT statistically significantly improved the body composition by decreasing the body mass index, body fat percent, total body fat mass (BFM), BFM of left arm, measured circumference of left arm, and obesity degree, and increasing the total body skeletal muscle mass, protein content, total body water, fat free mass, body cell mas, and InBody score. HIIT also statistically significantly decreased the HR and BP. As for the lipid profile, HIIT obviously ameliorated the blood lipids metabolism by decreasing the levels of total cholesterol (TC), triglyceride, low-density lipoprotein, and TC/HDL, and increasing the levels of high-density lipoprotein (HDL). In addition, the AVI and API were markedly decreased via HIIT intervention. Conclusions HIIT produced significant and meaningful benefits for body composition, HR, BP, and blood lipids metabolism, and could decrease AS in female university students with NWO. This suggests that HIIT may effectively reduce the risk of arteriosclerosis and protect the cardiovascular function for female university students with NWO. Trial registration ChiCTR2100050711. Registered 3 September 2021. Retrospectively registered.
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Hasan HA, Radwan H, Al Majid F, Al Hilo F, Mohammed R, Al Shaikh S, Al Qassimi A, Aboubaker H, Karavetian M. Lean Body Mass and Self-Perceived Body Image among Youth in the United Arab Emirates. ACTA BIO-MEDICA : ATENEI PARMENSIS 2022; 93:e2022100. [PMID: 35775762 PMCID: PMC9335437 DOI: 10.23750/abm.v93i3.12722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/24/2021] [Accepted: 01/21/2022] [Indexed: 11/23/2022]
Abstract
BACKGROUND AND AIM Lean body mass may be a promising tool to screen body image disorders. This study aim was to explore the relationships between fat free mass index (FFM-I) on self-perceived body image and shape among university students in the United Arab Emirates. METHODS Cross-sectional study, using questionnaires to evaluate demographics, body figure, shape and image dissatisfaction; in addition to anthropometrics like BMI and FFM-I. Accordingly, participants were categorized into adequate muscle mass (AMM) and low muscle mass (LMM) individuals. RESULTS A total of 402 participants (50.4% females) aged between 18 and 25 years, were recruited. Almost third (33.8%) of the participants were overweight/obese, 81% had AMM; 48.5% and 76.3% of them were concerned about their body shape and image, respectively; 55.2% desired to be thinner. Males (M) had significantly higher BMI and body fat compared to females (F). Subjects with LMM, irrespective of sex, were underweight (49% F; 40.7% M), desired to be heavier (44.9% F; 74.1% M) and they had a lower agreement in their perceived BMI versus actual (k=0.024; poor) compared with those with AMM (k=0.408; fair); and in general males had a better agreement between their perceived and actual BMI compared to females (0.432, moderate vs. 0.308, fair). CONCLUSIONS Our results conclude that female sex and LMM were associated with higher body image and shape dissatisfaction; thus, highlighting the importance of increasing awareness among youth to assess body composition and engage in muscle mass building activities as an effective step towards improving body image perception. (www.actabiomedica.it).
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Affiliation(s)
- Hayder A. Hasan
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Hadia Radwan
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Fatma Al Majid
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Fatma Al Hilo
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Rahaf Mohammed
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Shooq Al Shaikh
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Asma Al Qassimi
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Hajer Aboubaker
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical & Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Mirey Karavetian
- Depts of Community Sciences, School of Nutrition, Metropolitan Toronto University, University, Toronto, Canada
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Ali HI, Alhebshi S, Elmi F, Bataineh MF. Perceived social support and self-efficacy beliefs for healthy eating and physical activity among Arabic-speaking university students: adaptation and implementation of health beliefs survey questionnaire. BMC Public Health 2021; 21:2054. [PMID: 34753478 PMCID: PMC8579556 DOI: 10.1186/s12889-021-12138-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 10/20/2021] [Indexed: 12/02/2022] Open
Abstract
Background Few assessment tools exist for investigating perceived social support and self-efficacy behaviors in Arabic-speaking populations. Moreover, literature on the levels of social support and self-efficacy for adopting healthy eating and engaging in regular physical activity among Arabic-speaking young adults is currently lacking. This study aimed to adapt the Health Beliefs Survey Questionnaire (HBSQ) for Arabic-speaking populations and assess perceived social support and self-efficacy for adopting healthy eating and increased physical activity among university students. Methods In the first stage of the study, forward and backward translation and pretesting of the social support and self-efficacy scales of the HBSQ were conducted. The adapted questionnaire was administered to female university students (n = 258), and a subsample of 195 participants retook the questionnaire after 1 month. Construct validity was assessed with confirmatory factor analysis. The internal consistency of each subscale item was assessed by Cronbach’s alpha coefficient, and reproducibility was tested with intraclass correlation coefficients (ICCs) and Bland-Altman plots. In the second stage, the adapted questionnaire was used to assess the perceived social support and self-efficacy levels in a different sample of Arabic-speaking female university students (n = 283). Results Based on the results from confirmatory factor analysis, 6 items were selected for the social support scale and 19 items for the self-efficacy scale. The adapted questionnaire showed moderate to high internal reliability (Cronbach alpha coefficient = 0.681 to 0.900). The ICCs of the various subscales ranged from 0.666 to 0.997, indicating moderate to excellent reproducibility of the culturally adapted questionnaire. This was confirmed by Bland-Altman analysis. Participants in the second stage of the study reported significantly higher (P < 0.001) perceived support from family compared to friends in reducing sugar intake and increasing fiber consumption. Conclusions The results of the psychometric testing indicate the shortened Arabic HBSQ is a reliable tool for assessing perceived social support from family and close friends as well as for evaluating self-efficacy for choosing healthy foods and increasing physical activity among female university students.
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Affiliation(s)
- Habiba I Ali
- Department of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, P.O. Box 15551, Al Ain, United Arab Emirates. .,Zayed Center for Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.
| | - Salma Alhebshi
- Department of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, P.O. Box 15551, Al Ain, United Arab Emirates
| | - Fadima Elmi
- Independent Researcher, P.O. Box 67258, Al Ain, United Arab Emirates
| | - Mo'ath F Bataineh
- Departement of Sport Rehabilitation, The Hashemite University, Zarqa, Jordan
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Validation and Measurement Invariance of the Body Appreciation Scale-2 between Genders in a Malaysian Sample. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182111628. [PMID: 34770142 PMCID: PMC8583654 DOI: 10.3390/ijerph182111628] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 10/16/2021] [Accepted: 10/20/2021] [Indexed: 11/16/2022]
Abstract
The 10-item Body Appreciation Scale-2 (BAS-2) is a measurement for individuals to self-report the extent to which they accept and respect their bodies. Although the BAS-2 has been translated into the Malay language and found to have promising qualities, the psychometric characteristics of the English version of BAS-2 remain unknown in the Malaysian context. The present study thus administered the English version BAS-2 and selfie-editing frequency scale to 797 individuals aged 18 to 56 years old in Malaysia. The dataset that was randomly divided into two halves were submitted to exploratory factor analysis and confirmatory factor analysis respectively. Both of the factor analyses consistently support a one-factor model. The Cronbach's alpha and McDonald omega coefficients were greater than 0.90, indicating that the BAS-2 has good internal consistency. The incremental validity is also evident. A hierarchical multiple regression showed that the BAS-2 score had a positive relationship with selfie-editing frequency after controlling for age and gender. Moreover, the measurement invariance test supported scalar invariance between genders, and an analysis of covariance did not find significant gender differences. Overall, the findings replicate past findings and regularly support the usability of the BAS-2 in the Malaysian context. The implications of the BAS-2 and future directions are also discussed.
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Davis J, James Bateman C, Pearce-Dunbar V, Powell M, Harrison A. Exploring the impact of BMI on body dissatisfaction and eating behaviors among Caribbean university women. PSYCHOL HEALTH MED 2021; 27:2096-2104. [PMID: 34676778 DOI: 10.1080/13548506.2021.1990365] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
This study aimed to examine the role of BMI in body dissatisfaction and eating pathology among 570, Indo-Caribbean and Afro-Caribbean female university students. Participants, 18-59 years, completed self-reports on body image, weight perceptions and eating behaviors. Data analysis included: analysis of variance, multiple regression, and descriptive discriminant analyses. The majority (67.5%) expressed satisfaction with their bodies. Afro-Caribbean participants reported greater body satisfaction than Indo-Caribbean participants (F(2, 554) = 3.51, p = .031). As BMI increased, so too did body dissatisfaction and disordered eating (F(3, 535) = 19.92, p < .001). Participants with obesity reported more body dissatisfaction and disordered eating (M - F(18, 254 384.046) = 1.580, p = .056). BMI should be considered when examining body dissatisfaction and eating pathology among Caribbean female university students, particularly among those with overweight/obesity. In the Caribbean, previous studies indicate an appreciation for the overweight or 'fluffy' female body ideal but more recently the thick ideal, particularly among Black women. More clarity is needed on the current ideal endorsed by BMI and ethnic categories among Caribbean females.Level of evidenceLevel V: cross-sectional descriptive study.
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Affiliation(s)
- Jael Davis
- Department of Sociology, Psychology, and Social Work, Faculty of Social Sciences, University of the West Indies, Mona, Jamaica
| | - Caryl James Bateman
- Department of Sociology, Psychology, and Social Work, Faculty of Social Sciences, University of the West Indies, Mona, Jamaica
| | - Venecia Pearce-Dunbar
- Department of Sociology, Psychology, and Social Work, Faculty of Social Sciences, University of the West Indies, Mona, Jamaica
| | - Marvin Powell
- College of Education and Human Development, George Mason University, Fairfax, Virginia, USA
| | - Abigail Harrison
- Department of Child and Adolescent Medicine, Faculty of Medical Sciences, University of the West Indies, Mona, Jamaica
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Patterns of premenstrual syndrome and depression symptoms in Chinese female university students: Results of a latent profile analysis. J Affect Disord 2021; 293:64-70. [PMID: 34174472 DOI: 10.1016/j.jad.2021.06.017] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Revised: 06/05/2021] [Accepted: 06/13/2021] [Indexed: 11/21/2022]
Abstract
BACKGROUND Premenstrual syndrome (PMS) and depression co-occur frequently; however, their relationship remains controversial. This study was conducted primarily to discern heterogeneous patterns of such co-occurring symptoms in Chinese female university students, using a latent profile analysis (LPA), a person-centered statistical approach. METHODS The PMS Scale and Beck Depression Inventory were used to examine self-reported PMS and depression symptoms in 701 Chinese female university students. LPA, multinomial logistical regression, and analyses of variance were adopted to investigate latent profiles and their validity. RESULTS The LPA results indicated that a four-class solution characterized by low symptoms (57.2%), predominantly PMS (11.3%), predominantly depression (23.7%), and combined PMS-depression (7.8%) patterns fitted the data best. Age, first menstrual experience, and personality factors were associated with differences in nonparallel profiles characteristic of menstrual attitude. LIMITATIONS Use of self-report measures can lead to response biases; the cross-sectional design at a single time point limits the examination of changes in symptom characteristics and members within the category over time; and the specific age group limits the generalizability of results. CONCLUSION These results confirm that PMS is independent from depression, rather than a variant of depression, and can be used to resolve the controversy regarding the relationship between PMS and depression. The current findings highlight the need for identifying women at high risk for PMS and depression, and promoting interventions individually tailored to their symptom presentations.
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Hubert PA, Mahoney M, Huedo-Medina TB, Leahey TM, Duffy VB. Can Assessing Physical Activity Liking Identify Opportunities to Promote Physical Activity Engagement and Healthy Dietary Behaviors? Nutrients 2021; 13:3366. [PMID: 34684366 PMCID: PMC8540570 DOI: 10.3390/nu13103366] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 09/22/2021] [Accepted: 09/22/2021] [Indexed: 02/07/2023] Open
Abstract
Improving our understanding of what physical activities are enjoyed and the factors that are associated with physical activity liking can promote participation in regular physical activity. We aimed to study physical activity (PA) liking in college women by modelling interactions between body size perception and dietary behaviors on PA liking, and by examining discrepancies between PA liking versus engagement on body size perception and dietary behaviors. Women (n = 251; 74% white) utilized an online survey to report their level of liking for PA types (scored into a PA liking index) and frequency of PA participation. They also reported their perceived body size, level of dietary restraint, and frequency of consuming foods (scored into a diet quality index). In multivariate analyses, a greater perceived body size was directly associated with lower PA liking and indirectly through greater dietary restraint but lower diet quality. Healthiest dietary behaviors were reported by women who both liked and engaged in PA. Women who reported high PA liking but low PA participation reported a higher dietary restraint and lower diet quality. These findings support the empowerment of women across all body sizes to identify physical activities that they enjoy. Health promotion efforts should encourage women to couple physical activity liking and engagement with a healthy level of dietary restraint and consumption of a healthy diet.
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Affiliation(s)
| | | | | | | | - Valerie B. Duffy
- Department of Allied Health Sciences, University of CT, Storrs, CT 06269-1101, USA; (P.A.H.); (M.M.); (T.B.H.-M.); (T.M.L.)
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Marschin V, Herbert C. A Short, Multimodal Activity Break Incorporated Into the Learning Context During the Covid-19 Pandemic: Effects of Physical Activity and Positive Expressive Writing on University Students' Mental Health-Results and Recommendations From a Pilot Study. Front Psychol 2021; 12:645492. [PMID: 34456782 PMCID: PMC8397384 DOI: 10.3389/fpsyg.2021.645492] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Accepted: 06/29/2021] [Indexed: 11/18/2022] Open
Abstract
Physical inactivity, sedentary behavior and mental ill health, due to high levels of perceived stress or self-reported depressive symptoms, are highly prevalent among university students. There are concerns that these behaviors and mental symptoms have significantly increased during the current Covid-19 pandemic, partly because academic life has changed considerably from face-to-face communication to e-learning and studying at home. Self-regulation and physical activity are hard to maintain during pandemic lockdowns. Short activity breaks could be helpful to avoid physical inactivity and sustain mental health. The breaks should comprise short and easy-implementable physical activity exercises that can be integrated into the learning context. Moreover, cognitive interventions, such as writing about positive events and feelings might help as coping strategy for self-regulation during study breaks. This study investigated and compared the effects of a physical activity intervention and a cognitive intervention (positive expressive writing) on mental health among university students. Both interventions are particularly suitable for use at home. N = 20 university students, studying in Germany, were assigned to a physical activity group or a cognitive intervention group. The physical activity intervention consisted of a mix of physical exercises including endurance exercises, muscular strength, relaxation, and ballroom dance movements. The interventions were carried out guided, once a week, for 5–10 mins at the beginning of classes. The effects of group × time showed no significant interaction on self-reported perceived stress, mood, quality of life (QoL) assessed online and compared at the beginning of the term before the intervention (T0) and at the end of the term after the intervention (T3). However, the physical activity group reported a similar physical activity level per day over time, while the cognitive intervention group showed a decrease in physical activity from T0 to T3. Low-dose, short physical activity interventions as well as cognitive interventions consisting of positive expressive writing could buffer university students' perceived stress, mood, and QoL across the term. Moreover, both interventions seem to be promising in buffering the negative side effects of stress during the Covid-19 pandemic.
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Affiliation(s)
- Verena Marschin
- Department of Applied Emotion and Motivation Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany
| | - Cornelia Herbert
- Department of Applied Emotion and Motivation Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany
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Gender Differences in Healthy Lifestyle, Body Consciousness, and the Use of Social Networks among Medical Students. ACTA ACUST UNITED AC 2021; 57:medicina57070648. [PMID: 34202497 PMCID: PMC8307518 DOI: 10.3390/medicina57070648] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 06/21/2021] [Accepted: 06/22/2021] [Indexed: 01/11/2023]
Abstract
Background and Objectives: The goal of this survey was to identify the relationship between the level of satisfaction with body image, perceived health, and the usage of social media among freshmen medical university students. The influence of social media and peers was also related to body image. Materials and Methods: An online survey was distributed among freshmen healthcare students. The questionnaire collected sociodemographic, anthropometric data, and information about students’ perception about healthy lifestyle using open-ended questions, as well as their opinion about the importance of perfect body image and the level of satisfaction with their physical appearance. Questions focusing on the use of social media and the relationship with body image collected data on the use of social networks and how they affect students’ opinion about their own body image. Psychometric data were also gathered using the Body Consciousness Scale. For the statistical analysis, QSR NUD*IST (Non-numerical Unstructured Data Indexing Searching and Theorizing) Vivo 12 was used for qualitative data and IBM Statistical Package for Social Sciences (SPSS) Statistics for Windows, version 23 (SPSS Inc., Chicago, IL, USA) was used for descriptive and comparative results. Results: In total, 77 students aged 20.09 ± 2.47 years, of which the majority were women (75.30%), were included in the survey. The use of social network was about 4.81 ± 3.60 h/day. Facebook was the most used social networking site (94.80%), followed by Instagram (92.20%), Snapchat (16.90%), WhatsApp (15.60%), and TikTok (10.40%). The most common reason for using these sites was socialization. We found that 64.90% of healthcare students were normal weight. The main barriers for having a healthy lifestyle, as they were perceived by students, were the busy schedule and the lack of time needed to prepare healthy meals, lack of motivation, and lack of money. Women scored higher for the Private Body Consciousness and Public Body Consciousness scales. The main aspects related to a healthy lifestyle referred to physical activity, consumption of fruit and vegetables, water consumption, and a good quality of sleep. Gender differences were discussed as well. Conclusions: The results illustrated the complexity of the relationship between social media and body image and the need to prevent body image concerns, especially in young women.
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Castellano S, Rizzotto A, Neri S, Currenti W, Guerrera CS, Pirrone C, Coco M, Di Corrado D. The Relationship between Body Dissatisfaction and Eating Disorder Symptoms in Young Women Aspiring Fashion Models: The Mediating Role of Stress. Eur J Investig Health Psychol Educ 2021; 11:607-615. [PMID: 34708817 PMCID: PMC8314354 DOI: 10.3390/ejihpe11020043] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 05/19/2021] [Accepted: 06/16/2021] [Indexed: 12/18/2022] Open
Abstract
It is widely recognized that body dissatisfaction is an important public health concern. In the past, being a fashion model was almost synonymous with anorexia/bulimia, and even today, there are cases of eating disorders in young women whose ambition is to become a top model. Moreover, stress can play a substantial role within ill health via related behaviors such as smoking, substance abuse, and inappropriate eating. In our study, we examined 112 aspiring fashion models aged between 15 and 24 years (M = 19.5, SD = 2.08) from 32 different countries of the world during an international contest, and 100 students (control group), aged between 16 and 22 years (M = 18.6, SD = 1.39). The purpose of this cross-sectional study was to examine whether stress mediated the relationship between body dissatisfaction and eating disorders. The study included the administration of stress and self-efficacy and the locus of control dimensions, body (image) dissatisfaction, and eating attitude disorder. Results indicated higher scores on body dissatisfaction, stress level, and eating attitudes disorder among the group of fashion models compared to the control. Mediational analyses showed that body dissatisfaction was partially mediated by stress level on eating disorders. Especially in the aspiring fashion models, there are often many possibilities that competitive stress causes candidates to exacerbate attempts to maintain their body weight below normal weight/height parameters. These results indicated that appropriate intervention for the management of stress level could possibly defend against the negative impact of body dissatisfaction on eating disorder symptoms. The presence of skilled health workers in the field of nutrition and psychology can be extremely important in the field of fashion to maintain an adequate quality of life.
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Affiliation(s)
- Sabrina Castellano
- Department of Education Sciences, University of Catania, 95124 Catania, Italy; (S.C.); (A.R.); (C.P.)
| | - Agostino Rizzotto
- Department of Education Sciences, University of Catania, 95124 Catania, Italy; (S.C.); (A.R.); (C.P.)
| | - Sergio Neri
- Department of Medicine, University of Catania, 95123 Catania, Italy;
| | - Walter Currenti
- Department of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy; (W.C.); (C.S.G.); (M.C.)
| | - Claudia Savia Guerrera
- Department of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy; (W.C.); (C.S.G.); (M.C.)
| | - Concetta Pirrone
- Department of Education Sciences, University of Catania, 95124 Catania, Italy; (S.C.); (A.R.); (C.P.)
| | - Marinella Coco
- Department of Biomedical and Biotechnological Sciences, University of Catania, 95123 Catania, Italy; (W.C.); (C.S.G.); (M.C.)
| | - Donatella Di Corrado
- Department of Sport Sciences, University Kore of Enna, 94100 Enna, Italy
- Correspondence:
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Seekis V, Bradley GL, Duffy AL. How is Trait Self-Compassion Used During Appearance-Related Distress by Late Adolescents and Emerging Adults With Positive or Negative Body Image? A Qualitative Study. JOURNAL OF ADOLESCENT RESEARCH 2021. [DOI: 10.1177/07435584211011471] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Having a positive body image contributes to adolescents’ and emerging adults’ psychological well-being. One approach to protecting one’s body image from appearance threats involves adopting a self-compassionate perspective. This study explored how six different facets of trait self-compassion are used by late adolescents and emerging adults to cope with appearance-related distress. Following Institutional Review Board approval, in-depth interviews were conducted with 16 female and 14 male undergraduates ( Mage = 18.77 years, SD = 1.77 years) who reported either positive or negative body image and high or low self-compassion. Adopting a descriptive/confirmative approach, data were analyzed via an a priori coding system based on the six facets of self-compassion. Only one self-compassion facet, self-kindness, was reportedly used to counteract body-related distress, and only by those with a positive body image. Most participants with negative body image engaged in self-judgment, with some expressing a fear of self-kindness. Despite being acknowledged by all, the facet of common humanity was not used for appearance-related affect regulation. Participants showed limited practice of the mindfulness facet. Together, the findings show that scope remains for achieving reductions in body image distress, and corresponding gains in resilience, through self-compassion interventions.
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Affiliation(s)
- Veya Seekis
- Griffith University, Gold Coast, Queensland, Australia
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Alkhalidy H, Orabi A, Alzboun T, Alnaser K, Al-Shami I, Al-Bayyari N. Health-Risk Behaviors and Dietary Patterns Among Jordanian College Students: A Pilot Study. Front Nutr 2021; 8:632035. [PMID: 34055850 PMCID: PMC8160432 DOI: 10.3389/fnut.2021.632035] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2020] [Accepted: 04/19/2021] [Indexed: 12/31/2022] Open
Abstract
Background/Aims: Health promotion and the incorporation of health-protective behaviors in people's lifestyles have a great role in enhancing individuals' overall health and well-being. College students are at increased risk of developing unhealthy dietary and lifestyle behaviors. A cross-sectional pilot study was conducted to assess the health-risk behaviors among undergraduate college students at Jordan University of Science and Technology. Methods: The final sample included 136 students, with a mean age of 21.1 ± 2.37 years, mostly females (69%). A self-reported questionnaire was used for data collection about dietary and lifestyle behaviors among college students. The questionnaire consisted of four parts: sociodemographic characteristics, body weight classifications, lifestyle behaviors, and dietary patterns and intake, and eating behaviors. Results: Most of the students did not meet the daily recommendations for fruit (76%) and vegetable (82%) intake. Males were significantly consuming fast food more frequently (p = 0.019), and smoked cigarettes (p < 0.001) or hookah (p = 0.015) more frequently than did females. Further, the majority met the recommendations for physical activity (81%), but exceeded recommendations for sedentary behavior. Females were more likely to have normal weight or be underweight (OR = 4.865), to have a fear of weight gain (OR = 3.387), and to have the recommended sleeping hours (OR = 7.685) than were males. Conclusion: The results indicate the health-risk behaviors and the gender-related differences among college students.
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Affiliation(s)
- Hana Alkhalidy
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, Irbid, Jordan
| | - Aliaa Orabi
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, Irbid, Jordan
| | - Tamara Alzboun
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, Irbid, Jordan
| | - Khadeejah Alnaser
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, Irbid, Jordan
| | - Islam Al-Shami
- Department of Clinical Nutrition and Dietetics, Faculty of Allied Health Science, The Hashemite University, Zarqa, Jordan
| | - Nahla Al-Bayyari
- Department of Nutrition and Food Technology, Faculty of Al-Huson University College, Al-Balqa Applied University, Al-Salt, Jordan
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A Combined Multidisciplinary Intervention for Health Promotion in the Workplace: A Pilot Study. J Clin Med 2021; 10:jcm10071512. [PMID: 33916391 PMCID: PMC8038581 DOI: 10.3390/jcm10071512] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 03/24/2021] [Accepted: 03/25/2021] [Indexed: 12/29/2022] Open
Abstract
The aim of this study was to assess the effects of a joint health promotion intervention on a cohort of healthcare workers (HCWs) who had at least one cardiovascular risk factor. The HCWs were assessed at three different times, i.e., time zero (T0), after 6 months (T6), and after 12 months (T12). The following parameters were measured at a medical examination: physical activity, blood pressure, waist circumference, body mass index (BMI), routine laboratory tests, plicometric analysis, work ability index (WAI), and body image dissatisfaction (BID). Among the 447 HCWs, 38 HCWs were included in the study; 45% (n = 17) were male. At T12, the average blood pressure, waist/hip ratio (WHR) index, BMI, total cholesterol, triglyceride level, and blood glucose values were reduced. The levels of physical activity and adherence to the Mediterranean diet had progressively increased. The WAI showed a significant shift from low to good work performance at T12, as well as BID score. This is the first study that has analyzed work performance in relation to a workplace health promotion through a multidisciplinary approach. This health promotion intervention that combined diet and sport activity has led to a significant change in HCWs’ lifestyles and body perceptions, as well as their ability to work. This project highlights the importance of using a multidisciplinary approach and the workplace setting in health promotion programs.
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Does parental socioeconomic background influence body image and attachment style among university students? Evidence from a European cross-sectional study. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-01422-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Khalaf A, Al Hashmi I, Al Omari O. The Relationship between Body Appreciation and Self-Esteem and Associated Factors among Omani University Students: An Online Cross-Sectional Survey. J Obes 2021; 2021:5523184. [PMID: 34258056 PMCID: PMC8249135 DOI: 10.1155/2021/5523184] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Revised: 06/14/2021] [Accepted: 06/15/2021] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Given the rapid pace of globalization and the fact that the Sultanate of Oman is experiencing a significant impact of social media on specifying appearance norms among youth in the country, research into positive body images and self-esteem among young individuals has become a national priority. Whilst body image has been well studied across cultures, both positive body image and the relationship between positive body image and self-esteem among Omani youth have been neglected. The aim of the study was to investigate the relationship between positive body image and self-esteem and associated sociodemographic factors among Omani university students based on gender. METHODS This cross-sectional study used an online survey consisting of the two questionnaires that are Body Appreciation Scale-2 and Rosenberg's Self-Esteem Scale. A total of 237 students were recruited from Sultan Qaboos University's different colleges. RESULTS The results indicated that positive body image has a significant relationship with an individual's self-esteem (β = 0.122, t = 2.197, p=0.038), Cumulative Grade Point Average (cGPA) (β = 0.140, t = 2.306, p=0.022), body mass index (BMI) (β = -0.414, t = -6.930, p < 0.001), monthly household income (β = -0.129, t = 2.467, p=0.029), and the number of social media accounts (≥2, β = -0.132, t = -2.232, p=0.027). In addition, an individual's self-esteem was significantly associated with an individual's cGPA (β = 0.231, t = 3.592, p < 0.001) and mothers' educational level (β = -0.130, t = -2.065, p=0.040) besides body appreciation (β = 0.160, t = 2.491, p=0.013). CONCLUSIONS The findings of this study shed light on the current status of positive body image among university students of Oman. In light of the new knowledge, we propose health interventions that include strategies such as involvement of family, to maintain and/or promote positive body image perceptions among young individuals and subsequently promote healthy appreciation of the physical appearance and self-esteem.
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Affiliation(s)
- Atika Khalaf
- Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden
- College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Iman Al Hashmi
- College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Omar Al Omari
- College of Nursing, Sultan Qaboos University, Muscat, Oman
- School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western Australia, Australia
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Giesse S. A German Prospective Study of the Safety and Efficacy of a Non-Invasive, High-intensity, Electromagnetic Abdomen and Buttock Contouring Device. THE JOURNAL OF CLINICAL AND AESTHETIC DERMATOLOGY 2021; 14:30-33. [PMID: 33584965 PMCID: PMC7869812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
OBJECTIVE: This study evaluated the efficacy of a novel treatment method utilizing high-intensity focused electromagnetic field (HIFEM) in reducing fat and strengthening the muscles in the abdominal and gluteal areas. METHODS: A total of 14 patients, aged 23 to 49 years (mean: 33.2 years) received four treatments on the abdomen and/or buttocks, each lasting for 30 minutes. Ultrasound imaging was performed at baseline, immediately post-treatment, and eight weeks after the last treatment to examine the changes in thickness of the rectus abdominis and subcutaneous fat. Additionally, waist circumference, digital photographs, and patient satisfaction were collected at the same time points. The improvement in digital images was evaluated by practitioners and the patients themselves. RESULTS: Two months after the treatments, ultrasound measurements showed, on average, a 15.7-percent reduction of subcutaneous adipose tissue and an average increase in the thickness of the rectus abdominis muscle by 26.1 percent. The abdominal circumference of the treated patients showed an average decrease of 2.84 centimeters. Immediately following the final session, the patient's satisfaction was 87.5 percent; eight weeks later, it was 100 percent. During the patient evaluation of photographs, 25 percent of the patients rated their appearance as improved, 66.7 percent as significantly improved, and 8.3 percent as greatly improved. Using the Global Aesthetic Improvement Scale, the medical practitioners rated the patients as 100-percent improved. No relevant side effects of the treatment were documented. CONCLUSION: The data collected on the HIFEM procedure evaluated here are in line with the results from clinical studies and applications of this treatment in the United States. These results support the efficacy and tolerability of the HIFEM procedure. The treatment achieved high doctor and patient satisfaction.
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Affiliation(s)
- Steffen Giesse
- Dr. Giesse is with the Aesthetic Lounge GmbH, Ludwigshafen in Rhein, Germany
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Mazurkiewicz N, Krefta J, Lipowska M. Attitudes Towards Appearance and Body-Related Stigma Among Young Women With Obesity and Psoriasis. Front Psychiatry 2021; 12:788439. [PMID: 34858238 PMCID: PMC8631861 DOI: 10.3389/fpsyt.2021.788439] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Accepted: 10/18/2021] [Indexed: 01/24/2023] Open
Abstract
The goal of this study was to investigate the role of the subjective assessment of one's body image in the relationship between objective indices of appearance and perceived stigma in young women affected by obesity and psoriasis. These are chronic diseases that decrease one's physical attractiveness and are associated with stigmas related to body defects. A total of 188 women in early adulthood took part in the study (M = 25.58; SD = 2.90), including obese women (n = 54), women suffering from psoriasis (n = 57), and a control group (n = 77). The participants completed the Multidimensional Body-Self Relations Questionnaire, Perceived Stigmatisation Questionnaire, and a socio-demographic questionnaire. Anthropometric data were gathered using a body composition analyzer. Objective parameters of body shape were calculated (WHR and ICO). Subjective assessment of one's body and attitudes towards one's body were found to influence perceived stigma, independently of the condition causing the stigma and of the objective appearance of the participant. This study did not support the existence of a relationship between parameters regarding body shape and sense of stigma, even when subjective body assessment acted as a moderator. At the same time, body mass was a strong predictor of levels of perceived stigma. Women affected with obesity perceived a higher level of stigma than the other groups. The severity of psoriasis did not impact the perceived stigma. Moreover, women with psoriasis assessed their health-as a part of the assessment of their bodies-the highest, which may explain the lower perceived stigma in this group.
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Tapia Serrano MA, Vaquero-Solís M, Cerro-Herrero D, Sánchez-Miguel PA. Relación entre el Índice de Masa Corporal y el nivel de actividad física en adolescentes. PENSAMIENTO PSICOLÓGICO 2020. [DOI: 10.11144/javerianacali.ppsi18-2.rimc] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
Objetivo. Analizar la relación entre el Índice de Masa Corporal (IMC) percibido y la actividad física (AF) en adolescentes. Método. Participaron 605 adolescentes con edades comprendidas entre los 12 y los 15 años. Se valoraron las variables percibidas para el peso, la altura y el nivel de AF mediante un cuestionario autoinformado. Resultados. Se encontraron asociaciones significativas entre el IMC percibido y el nivel de AF. El análisis de regresión mostró que el IMC percibido sirve para predecir el nivel de AF. El análisis de la covarianza demostró la existencia de diferencias significativas entre los adolescentes con sobrepeso y obesidad frente a los normopeso. Conclusión. Se ha demostrado que los adolescentes que realizan menos AF tienen una mayor probabilidad de sufrir sobrepeso y obesidad.
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Schmalbach I, Schmalbach B, Zenger M, Berth H, Albani C, Petrowski K, Brähler E. A Brief Assessment of Body Image Perception: Norm Values and Factorial Structure of the Short Version of the FKB-20. Front Psychol 2020; 11:579783. [PMID: 33335498 PMCID: PMC7736636 DOI: 10.3389/fpsyg.2020.579783] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Accepted: 11/02/2020] [Indexed: 12/17/2022] Open
Abstract
The Body Image Questionnaire-20 (FKB-20) is one of the most applied self-report measures in the context of body image assessment in German-speaking regions. A version of the FKB-20 capturing an ideal concept of body image is also available. A special property of the scale is its high sensitivity for individuals suffering from anorexia nervosa. The present research provided a short version of this scale (for both variants) and examined its validity in a representative sample (N = 2,347) of the German population. We utilized factor analysis methods to identify the optimal short scale of the measure, finding excellent model fit and reliability for a two-factor model (FKB-6) for both real and ideal body image. Both versions of the FKB-6 can be considered invariant across sex and age groups. Good reliability indices were shown for both versions of the FKB-6. The reliability indices were similar to those mentioned in previous studies. Our study also revealed, that large discrepancies between the real and an ideal body image are correlated with somatic and body dysmorphic symptoms. Finally, we provided norm values for comparisons of individual scores with the general population. The FKB-6 is a valid and a reliable measure that economizes assessments by clinicians and researchers.
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Affiliation(s)
- Ileana Schmalbach
- Technische Universität Dresden, Carl Gustav Carus Faculty of Medicine, Division of Psychological and Social Medicine and Developmental Neurosciences, Research Group Applied Medical Psychology and Medical Sociology, Dresden, Germany
- Department of Medical Psychology and Medical Sociology, Johannes-Gutenberg University Mainz, Mainz, Germany
| | - Bjarne Schmalbach
- Department of Medical Psychology and Medical Sociology, Johannes-Gutenberg University Mainz, Mainz, Germany
| | - Markus Zenger
- Department of Applied Human Studies, University of Applied Sciences Magdeburg and Stendal, Stendal, Germany
- Integrated Research and Treatment Center (IFB) Adiposity Diseases – Behavioral Medicine, Medical Psychology and Medical Sociology, University of Leipzig Medical Center, Leipzig, Germany
| | - Hendrik Berth
- Technische Universität Dresden, Carl Gustav Carus Faculty of Medicine, Division of Psychological and Social Medicine and Developmental Neurosciences, Research Group Applied Medical Psychology and Medical Sociology, Dresden, Germany
| | - Cornelia Albani
- Department of Psychotherapy and Psychosomatic Medicine, University Hospital Leipzig, Leipzig, Germany
| | - Katja Petrowski
- Department of Medical Psychology and Medical Sociology, Johannes-Gutenberg University Mainz, Mainz, Germany
- Department of Psychotherapy and Psychosomatic Medicine, University Hospital Leipzig, Leipzig, Germany
| | - Elmar Brähler
- Integrated Research and Treatment Center (IFB) Adiposity Diseases – Behavioral Medicine, Medical Psychology and Medical Sociology, University of Leipzig Medical Center, Leipzig, Germany
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre, Johannes Gutenberg University Mainz, Mainz, Germany
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Imperatori C, Panno A, Giacchini M, Massullo C, Carbone GA, Clerici M, Farina B, Dakanalis A. Electroencephalographic correlates of body shape concerns: an eLORETA functional connectivity study. Cogn Neurodyn 2020; 14:723-729. [PMID: 33014184 DOI: 10.1007/s11571-020-09618-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 06/23/2020] [Accepted: 07/16/2020] [Indexed: 12/31/2022] Open
Abstract
The main aim of the present study was to investigate the association between body shape concerns and electroencephalography (EEG) functional connectivity within body image network in a sample of university students (N = 68). EEG was recorded during 5 min of resting state. All participants were asked to complete self-report measures assessing certain psychopathological dimensions (i.e., body shape concerns, depression, anxiety, obsessive-compulsive symptoms). EEG analyses were conducted by means of the exact low-resolution electromagnetic tomography software (eLORETA). Our results showed that body shape concerns were positively associated with increased gamma functional connectivity between the left and right prefrontal cortex (PFC). Furthermore, our data revealed that this EEG pattern was independently associated with body shape concerns after controlling for potential socio-demographic and clinical confounding variables. This finding seems to suggest that increased EEG gamma connectivity between the left and right PFC might be a relevant neurophysiological alteration involved in the development and/or maintenance of dysfunctional concerns about one's body.
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Affiliation(s)
- Claudio Imperatori
- Cognitive and Clinical Psychology Laboratory, Department of Human Science, European University of Rome, Via degli Aldobrandeschi 190, 00163 Rome, Italy
| | - Angelo Panno
- Cognitive and Clinical Psychology Laboratory, Department of Human Science, European University of Rome, Via degli Aldobrandeschi 190, 00163 Rome, Italy
| | - Marta Giacchini
- Cognitive and Clinical Psychology Laboratory, Department of Human Science, European University of Rome, Via degli Aldobrandeschi 190, 00163 Rome, Italy
| | - Chiara Massullo
- Cognitive and Clinical Psychology Laboratory, Department of Human Science, European University of Rome, Via degli Aldobrandeschi 190, 00163 Rome, Italy
| | - Giuseppe Alessio Carbone
- Cognitive and Clinical Psychology Laboratory, Department of Human Science, European University of Rome, Via degli Aldobrandeschi 190, 00163 Rome, Italy
| | - Massimo Clerici
- Department of Psychiatry, San Gerardo Hospital, ASST Monza, Via G. B. Pergolesi 33, 20900 Monza, Italy
- Department of Medicine and Surgery, University of Milano Bicocca, Cadore 48, 20900 Monza, Italy
| | - Benedetto Farina
- Cognitive and Clinical Psychology Laboratory, Department of Human Science, European University of Rome, Via degli Aldobrandeschi 190, 00163 Rome, Italy
| | - Antonios Dakanalis
- Department of Medicine and Surgery, University of Milano Bicocca, Cadore 48, 20900 Monza, Italy
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Dany F, Dewi RM, Tjandrarini DH, Pradono J, Delima D, Sariadji K, Handayani S, Kusumawardani N. Urban-rural distinction of potential determinants for prediabetes in Indonesian population aged ≥15 years: a cross-sectional analysis of Indonesian Basic Health Research 2018 among normoglycemic and prediabetic individuals. BMC Public Health 2020; 20:1509. [PMID: 33023540 PMCID: PMC7539503 DOI: 10.1186/s12889-020-09592-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Accepted: 09/22/2020] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Based on Basic Health Research (RISKESDAS) conducted by Ministry of Health, Indonesia, prediabetes prevalence tends to increase from 2007 until 2018. The numbers are relatively higher in rural than those in urban area despite of small discrepancies between the two (~ 2-4%). The purpose of this study was to identify urban-rural differences in potential determinants for prediabetes in Indonesia. METHODS This analysis used secondary data collected from nationwide Health Survey in 2018. Respondents were aged ≥15 years who met inclusion criteria of analysis with no history of diabetes mellitus. Prediabetes criteria followed American Diabetes Association 2019. Multiple logistic regression was also employed to assess the transition probability of potential determinants for prediabetes in urban and rural Indonesia. RESULTS Up to 44.8% of rural respondents were prediabetics versus their urban counterparts at 34.9%, yet non-response bias was observed in the two. Young adults aged 30 years were already at risk of prediabetes. Urban-rural distinction for marital status and triglyceride level was observed while other determinants tended to overlap across residence. Several modifiable factors might contribute differently in both population with careful interpretation. CONCLUSIONS The minimum age limit for early prediabetes screening may start from 30 years old in Indonesia. Urban-rural distinction for marital status and triglyceride level was observed, yet non-response bias between the two groups could not be excluded. A proper model for early prediabetes screening need to be developed from a cohort study with adequate sample size.
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Affiliation(s)
- Frans Dany
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development (NIHRD), Ministry of Health, Jakarta Pusat, Jakarta, Indonesia.
| | - Rita Marleta Dewi
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development (NIHRD), Ministry of Health, Jakarta Pusat, Jakarta, Indonesia
| | - Dwi Hapsari Tjandrarini
- Centre for Research and Development of Public Health Efforts, National Institute of Health Research and Development (NIHRD), Ministry of Health, Jakarta Pusat, Jakarta, Indonesia
| | - Julianty Pradono
- Centre for Research and Development of Public Health Efforts, National Institute of Health Research and Development (NIHRD), Ministry of Health, Jakarta Pusat, Jakarta, Indonesia
| | - Delima Delima
- Centre for Research and Development of Health Resources and Services, National Institute of Health Research and Development (NIHRD), Ministry of Health, Jakarta Pusat, Jakarta, Indonesia
| | - Kambang Sariadji
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development (NIHRD), Ministry of Health, Jakarta Pusat, Jakarta, Indonesia
| | - Sarwo Handayani
- Centre for Research and Development of Biomedical and Basic Health Technology, National Institute of Health Research and Development (NIHRD), Ministry of Health, Jakarta Pusat, Jakarta, Indonesia
| | - Nunik Kusumawardani
- Centre for Research and Development of Public Health Efforts, National Institute of Health Research and Development (NIHRD), Ministry of Health, Jakarta Pusat, Jakarta, Indonesia
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