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Bordeleau M, Purcell M, Provencher V, Panahi S, Jacob R, Alméras N, Drapeau V. Impact of a Web-Based Nutrition Intervention on Eating Behaviors and Body Size Preoccupations among Adolescents. Children (Basel) 2023; 10:1736. [PMID: 38002827 PMCID: PMC10670448 DOI: 10.3390/children10111736] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 10/19/2023] [Accepted: 10/23/2023] [Indexed: 11/26/2023]
Abstract
We aimed to evaluate the impact of a web-based school nutrition intervention on eating behavior traits, body weight concern, body size perception and body size dissatisfaction in adolescents. Ten classes of secondary students in Canada (13.6 ± 0.8 years) were randomized into an intervention (n = 162 students) or control group (n = 75 students). Adolescents in the intervention, conducted between 2011 and 2013, participated in an online nutrition challenge to increase their consumption of vegetables, fruits and dairy products using a web-based platform over six weeks. Measurements were taken at baseline (PRE) and post-intervention (POST). No significant negative changes were observed between the intervention and control groups for eating behavior traits, body weight concern, body size perception and dissatisfaction. However, results suggest a trend for a positive effect of the intervention on susceptibility to hunger in boys (group × time interaction, p = 0.10). Specifically, boys experienced a reduction in their susceptibility to hunger in response to the intervention (PRE: 6.1 ± 3.8, POST: 4.8 ± 3.7, p = 0.009). An intervention aimed at improving the eating habits of adolescents did not negatively influence body size preoccupations. In response to the intervention, boys tended to show a lower susceptibility to hunger, which might help them to prevent overeating and adopt healthy eating habits.
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Affiliation(s)
- Manon Bordeleau
- Département d’Éducation Physique, Université Laval, Québec, QC G1V 0A6, Canada; (M.B.); (M.P.)
- Centre de Recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval (CRIUCPQ-UL), Québec, QC G1V 4G5, Canada; (S.P.); (N.A.)
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada;
- Centre de Recherche Interuniversitaire sur la Formation et Profession Enseignante (CRIFPE), Université de Montréal, Québec, QC H3C 3J7, Canada
| | - Maya Purcell
- Département d’Éducation Physique, Université Laval, Québec, QC G1V 0A6, Canada; (M.B.); (M.P.)
- Centre de Recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval (CRIUCPQ-UL), Québec, QC G1V 4G5, Canada; (S.P.); (N.A.)
| | - Véronique Provencher
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada;
- École de Nutrition, Université Laval, Québec, QC G1V 0A6, Canada
| | - Shirin Panahi
- Centre de Recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval (CRIUCPQ-UL), Québec, QC G1V 4G5, Canada; (S.P.); (N.A.)
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada;
- Département de Kinésiologie, Faculté de Médecine, Université Laval, Québec, QC G1V 0A6, Canada;
| | - Raphaëlle Jacob
- Département de Kinésiologie, Faculté de Médecine, Université Laval, Québec, QC G1V 0A6, Canada;
- Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada
| | - Natalie Alméras
- Centre de Recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval (CRIUCPQ-UL), Québec, QC G1V 4G5, Canada; (S.P.); (N.A.)
- Département de Kinésiologie, Faculté de Médecine, Université Laval, Québec, QC G1V 0A6, Canada;
| | - Vicky Drapeau
- Centre de Recherche de l’Institut Universitaire de Cardiologie et de Pneumologie de Québec-Université Laval (CRIUCPQ-UL), Québec, QC G1V 4G5, Canada; (S.P.); (N.A.)
- Centre Nutrition, Santé et Société (NUTRISS), Institut sur la Nutrition et les Aliments Fonctionnels (INAF), Université Laval, Québec, QC G1V 0A6, Canada;
- Centre de Recherche Interuniversitaire sur la Formation et Profession Enseignante (CRIFPE), Université de Montréal, Québec, QC H3C 3J7, Canada
- Département de Kinésiologie, Faculté de Médecine, Université Laval, Québec, QC G1V 0A6, Canada;
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Jones AR, Mann KD, Cutler LR, Pearce MS, Tovée MJ, Ells LJ, Araujo-Soares V, Arnott B, Harris JM, Adamson AJ. A Randomised Control Trial Investigating the Efficacy of the MapMe Intervention on Parental Ability to Correctly Categorise Overweight in Their Child and the Impact on Child BMI Z-Score Change at 1 Year. Children (Basel) 2023; 10:1577. [PMID: 37761538 PMCID: PMC10528244 DOI: 10.3390/children10091577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 09/08/2023] [Accepted: 09/12/2023] [Indexed: 09/29/2023]
Abstract
Research suggests parental ability to recognise when their child has overweight is limited. It is hypothesised that recognition of child overweight/obesity is fundamental to its prevention, acting as a potential barrier to parental action to improve their child's health-related behaviours and/or help seeking. The purpose of this study was to investigate the efficacy of an intervention (MapMe) to improve parental ability to correctly categorise their child as having overweight one-month post-intervention, and reduce child body mass index (BMI) z-score 12 months post-intervention. MapMe consists of body image scales of known child BMI and information on the consequences of childhood overweight, associated health-related behaviours and sources of support. We conducted a three-arm (paper-based MapMe, web-based MapMe and control) randomised control trial in fifteen English local authority areas with parents/guardians of 4-5- and 10-11-year-old children. Parental categorisation of child weight status was assessed using the question 'How would you describe your child's weight at the moment?' Response options were: underweight, healthy weight, overweight, and very overweight. Child weight status and BMI z-scores were calculated using objectively measured height and weight data and UK90 clinical thresholds. There was no difference in the percentage of parents correctly categorising their child as having overweight/very overweight (n = 264: 41% control, 48% web-based, and 43% paper-based, p = 0.646). BMI z-scores were significantly reduced for the intervention group at 12 months post-intervention compared to controls (n = 338, mean difference in BMI z-score change -0.11 (95% CI -0.202 to -0.020, p = 0.017). MapMe was associated with a decrease in BMI z-score 12 months post-intervention, although there was no direct evidence of improved parental ability to correctly categorise child overweight status. Further work is needed to replicate these findings in a larger sample of children, investigate mechanisms of action, and determine the use of MapMe as a public health initiative.
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Affiliation(s)
- Angela R. Jones
- Population Health Sciences Institute, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK (M.S.P.); (B.A.); (A.J.A.)
- Human Nutrition and Exercise Research Centre, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK
| | - Kay D. Mann
- Health Capital Division, Queensland Health, 33 Charlotte Street, Brisbane, QLD 4000, Australia;
| | - Laura R. Cutler
- Population Health Sciences Institute, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK (M.S.P.); (B.A.); (A.J.A.)
- Human Nutrition and Exercise Research Centre, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK
| | - Mark S. Pearce
- Population Health Sciences Institute, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK (M.S.P.); (B.A.); (A.J.A.)
| | - Martin J. Tovée
- Health and Life Sciences, Northumbria University, Newcastle upon Tyne NE1 8ST, UK;
| | - Louisa J. Ells
- School of Clinical & Applied Sciences, Leeds Beckett University, Leeds LS1 3HE, UK;
| | - Vera Araujo-Soares
- Center for Preventive Medicine and Digital Health, Medical Faculty Mannheim, Heidelberg University, D-68167 Mannheim, Germany;
| | - Bronia Arnott
- Population Health Sciences Institute, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK (M.S.P.); (B.A.); (A.J.A.)
| | - Julie M. Harris
- School of Psychology and Neuroscience, University of St Andrews, St Andrews KY16 9TS, UK;
| | - Ashley J. Adamson
- Population Health Sciences Institute, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK (M.S.P.); (B.A.); (A.J.A.)
- Human Nutrition and Exercise Research Centre, Newcastle University, Framlington Place, Newcastle upon Tyne NE2 4HH, UK
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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] [What about the content of this article? (0)] [Affiliation(s)] [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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Jakub K, Oskar S, Mariola S, Damian S, Edward S. Reliabilities of the Two-Point Discrimination Test and the Two-Point Estimation Test for Use in the Lumbar Spine Area in Healthy Young Adults. Percept Mot Skills 2023; 130:208-220. [PMID: 36114162 DOI: 10.1177/00315125221127775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Two-point discrimination (TPD) testing and two-point estimation (TPE) methods are often used to determine tactile acuity, but their reliability is uncertain. Our aim in this study was to assess the reliability of TPD and TPE measurements in the same lumbar spine region of healthy young adults. Participants were 37 young adults (16 females and 21 males; age range: 20-27 years - M age = 21.65, SD = 1.9), who received two tests (TPD and TPE) to determine their tactile acuity. The tests were performed in the lumbar spine area, at the level of the L3 segment, bilaterally, with a 10-minute interval between the measurements. The first test session assessed the reliability of measurements performed by two examiners (inter-rater reliability); and, after 7 days, another examiner repeated the measurements (intra-rater reliability). The reliability of both tests was evaluated using intra-class correlation coefficients (ICC), and results revealed high intra-rater, and inter-rater repeatability for immediate administration of TPD and TPE tests (i.e, after 10 minutes) and moderate repeatability when they were performed at a 7-day interval. Thus, we confirmed high reliability of TPD and TPE assessments of tactile acuity repeated at a short time interval and moderate reliability after 7 days. There was slightly higher reliability for the TPE method.
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Affiliation(s)
- Koterba Jakub
- Institute of Physiotherapy and Health Sciences, 69719Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Saulicz Oskar
- Institute of Physiotherapy and Health Sciences, 69719Jerzy Kukuczka Academy of Physical Education, Katowice, Poland.,69719NZOZ "MED8" Miechowice, Bytom, Poland
| | - Saulicz Mariola
- Institute of Physiotherapy and Health Sciences, 69719Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Sikora Damian
- Institute of Physiotherapy and Health Sciences, 69719Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Saulicz Edward
- Institute of Physiotherapy and Health Sciences, 69719Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
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Abstract
Many who suffer from eating disorders claim that they see themselves as "fat". Despite decades of research into the phenomenon, behavioural evidence has failed to confirm that eating disorders involve visual misperception of own-body size. I illustrate the importance of this phenomenon for our understanding of perceptual processing, outline the challenges involved in experimentally confirming it, and provide solutions to those challenges.
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Affiliation(s)
- Stephen Gadsby
- Department of Philosophy, 445418University of Antwerp, Antwerp, Belgium
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Pimenta IT, Coelho GMDO, Soares EDA. Is body image perception and (dis)satisfaction associated with anthropometric profile of older women attending a senior community center? J Women Aging 2021; 34:473-486. [PMID: 34280076 DOI: 10.1080/08952841.2021.1917241] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The study aimed to assess the association between body image perception and (dis)satisfaction and the anthropometric profile of older women. Data from 60 women attending a senior community center were analyzed. Body image perception and (dis)satisfaction were considered dependent variables and were assessed using a silhouette scale constructed for the Brazilian population. The independent variables were body mass (BM), body mass index (BMI), waist circumference (WC), and calf circumference (CC). The associations were performed by logistic and linear regression models. Half of the participants overestimated their body size and 61.7% were dissatisfied due to excess weight. Overweight older women had 3.6 times higher odds to overestimate body size and 14.4 higher odds to be dissatisfied due to excess weight compared to normal-weight women. The increase in BM, BMI, WC, and CC raised mean difference between perceived and desired BMI and the odds of dissatisfaction due to excess weight. The anthropometric profile was more important to explain (dis)satisfaction than body size perception. The stimulus to changes that provide the adequacy of the anthropometric profile may reduce dissatisfaction due to excess weight among older women.
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Affiliation(s)
- Isiyara Taverna Pimenta
- Department of Basic and Experimental Nutrition, Graduate Program of Food, Nutrition and Health, Rio De Janeiro State University, Rio De Janeiro, Brazil
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da Fonseca MDJM, Pimenta IT, Albuquerque LDS, Aquino EML, Cardoso LDO, Chor D, Griep RH. Factors Associated with Body Size Perception and Body Image (Dis)Satisfaction in the Elderly: Results of the ELSA-Brasil Study. Int J Environ Res Public Health 2020; 17:ijerph17186632. [PMID: 32933014 PMCID: PMC7558384 DOI: 10.3390/ijerph17186632] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Revised: 08/25/2020] [Accepted: 09/09/2020] [Indexed: 01/12/2023]
Abstract
The study aimed to assess the association between body image perception and (dis)satisfaction and sociodemographic and behavioral factors in the elderly, using multinomial logistic regression. Data were analyzed for 1686 women and 1499 men participating in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Men with less schooling and women with lower per capita income showed higher odds of underestimating their body size. Former smokers of both sexes showed higher odds of overestimating their body size; lower schooling and lower per capita income decreased these odds. Increasing age, lower per capita income, and smoking increased the odds of dissatisfaction due to thinness in men, and married marital status decreased these odds. In women, low per capita income, weekly consumption of vegetables, and smoking increased the odds of such dissatisfaction. Factors that increased the odds of dissatisfaction due to excess weight in both sexes were primary or secondary schooling and former smoking. In women, low per capita income, weak physical activity, weekly consumption of vegetables, and excessive alcohol intake also increased the odds of such dissatisfaction. The results suggest that improved living conditions and the adoption of healthy behaviors can help reduce misperceived negative body image among elderly.
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Affiliation(s)
- Maria de Jesus Mendes da Fonseca
- National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro 21041-210, Brazil; (I.T.P.); (L.d.O.C.); (D.C.)
- Correspondence:
| | - Isiyara Taverna Pimenta
- National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro 21041-210, Brazil; (I.T.P.); (L.d.O.C.); (D.C.)
| | | | - Estela M. L. Aquino
- Institute of Collective Health, Federal University of Bahia, Salvador 40110-040, Brazil;
| | - Letícia de Oliveira Cardoso
- National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro 21041-210, Brazil; (I.T.P.); (L.d.O.C.); (D.C.)
| | - Dóra Chor
- National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro 21041-210, Brazil; (I.T.P.); (L.d.O.C.); (D.C.)
| | - Rosane Harter Griep
- Laboratory of Health and Environment Education, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro 21040-360, Brazil;
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Saeedzadeh Sardahaee F, Holmen TL, Micali N, Sund ER, Bjerkeset O, Kvaløy K. Suicidal ideation in relation to disordered eating, body size and weight perception: a cross-sectional study of a Norwegian adolescent population: the HUNT Study. BMJ Open 2019; 9:e029809. [PMID: 31352423 PMCID: PMC6661666 DOI: 10.1136/bmjopen-2019-029809] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE We conducted a population-based study on a sample of more than 7000 adolescents where we examined the associations between suicidal ideation (SI) and disordered eating (DE) and its related traits. DESIGN Cross-sectional. SETTINGS Data were derived from two Norwegian population-based cohorts, the Young-HUNT1 (1995-1997) and Young-HUNT3 (2006-2008) from the county of Nord-Trøndelag, Norway. PARTICIPANTS A total of 7268 adolescents (15-19 years) who had completed self-reported questionnaires including items on SI, DE, body size and weight perception were included. PRIMARY OUTCOME MEASURES ORs for SI given DE, body size or weight perception. Analyses were performed in multivariate logistic regression models. RESULTS The prevalence of SI was 23.1% in total population. Both girls and boys who reported DE, evaluated their body size as not 'about the same as others' or were 'unhappy about their weight' had between twofold to fivefold increase in odds for SI; these incremental risks were observed independent of sex, age, body mass index and socioeconomic status. We observed higher odds for SI among boys. CONCLUSIONS Our findings suggest a clear association between SI and DE and its associated traits, in both genders but especially in males. Special attention should be paid on early detection of DE traits among adolescents.
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Affiliation(s)
- Farzaneh Saeedzadeh Sardahaee
- Institute for Public Health, Medical Faculty, Norwegian University of Science and Technology NTNU, Trondheim, Trøndelag, Norway
- Brøset Department, Regional Higher Security Psychiatry Department, Trondheim, Trøndelag, Norway
| | - Turid Lingaas Holmen
- HUNT Research Center, Department of Public Health and General Practice, Norwegian University of Science and Technology, Levanger, Nord-Trøndelag, Norway
| | - Nadia Micali
- Child and Adolescent Psychiatry, Faculty of Medicine, Universite de Geneve, Geneva, Switzerland
- Behavioral and Brain Science Unit, University College London, London, UK
| | - Erik R Sund
- Department of Public Health and General Practice, Faculty of Medicine, Norwegian University of Science and Technology, Levanger, Norway
| | - Ottar Bjerkeset
- Faculty of Nursing and Health Sciences, Nord University, Levanger, Norway
- Department of Mental Health, Faculty of Medicine and Health Sciences, Norges teknisk-naturvitenskapelige universitet, Trondheim, Norway
| | - Kirsti Kvaløy
- Department of Public Health and General Practice, Medical Faculty, Norges Teknisk Naturvitenskapelige Universitet Institutt for Samfunnsmedisin, Trondheim, Norway
- Centre for Sami Health Research, Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway
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Abstract
This study reports on the development, reliability, and validity of a new instrument for obtaining respondents' body image perception, the Brazilian Photographic Figure Rating Scale (BPFRS). This instrument consists of eight photographic images (seven distorted and one accurate) of respondents themselves in standardized poses, taken just prior to requesting respondents to make self-ratings on the instrument. Participants involved in developing and evaluating this instrument were 142 Brazilian women (age 21.8 ± 3.0 years). Ten experts assessed content validity and showed high agreement (defined by ratings of 4-5 on a 5-point scale) with items measuring underlying constructs and high (>70%) interrater agreement. A Pearson correlation demonstrated convergence between the BPFRS and other related scales; a positive correlation was also evident between actual and respondent-perceived body mass index. Both test-retest and Kappa confirmed temporal stability. These findings indicate that the BPFRS can accurately and reliably assess body image dissatisfaction and body perception in young women by deploying realistic, personalized images as stimuli for self-ratings. Implications for further research and treatment of body image problems are discussed.
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Garg VP, Vedanthan R, Islami F, Pourshams A, Poutschi H, Khademi H, Naeimi M, Malekshah AFT, Jafari E, Salahi R, Kamangar F, Etemadi A, Pharoah PD, Abnet CC, Brennan P, Dawsey SM, Fuster V, Boffetta P, Malekzadeh R. Heart Disease Is Associated With Anthropometric Indices and Change in Body Size Perception Over the Life Course: The Golestan Cohort Study. Glob Heart 2015; 10:245-254.e1. [PMID: 26014653 PMCID: PMC4561595 DOI: 10.1016/j.gheart.2014.10.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2014] [Revised: 09/21/2014] [Accepted: 10/20/2014] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Cardiovascular disease and obesity are now becoming leading causes of morbidity and mortality in low- and middle-income countries. OBJECTIVES We investigated the relationship between prevalent heart disease (HD) and current anthropometric indices and body size perception over time from adolescence to adulthood in Iran. METHODS We present a cross-sectional analysis of baseline data from a prospective study of adults in Golestan Province, Iran. Demographics, cardiac history, and current anthropometric indices-body mass index, waist circumference, and waist to hip ratio-were recorded. Body size perception for ages 15 years, 30 years, and at the time of interview was assessed via pictograms. Associations of these factors and temporal change in perceived body size with HD were evaluated using multivariable logistic regression models. RESULTS Complete data were available for 50,044 participants; 6.1% of which reported having HD. Higher body mass index, waist circumference, and waist to hip ratio were associated with HD (p < 0.001). Men had a U-shaped relationship between HD and body size perception at younger ages. For change in body size perception, men and women demonstrated a U-shaped relationship with prevalent HD from adolescence to early adulthood, but a J-shaped pattern from early to late adulthood. CONCLUSIONS HD was associated with anthropometric indices and change in body size perception over time for men and women in Iran. Due to the increasing prevalence of overweight and obesity in low- and middle-income countries, interventions focused on decreasing the cumulative burden of risk factors throughout the life course may be an important component of cardiovascular risk reduction.
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Affiliation(s)
- Vaani P. Garg
- Icahn School of Medicine at Mount Sinai, 1428 Madison Avenue, New York, NY 10029
| | - Rajesh Vedanthan
- Icahn School of Medicine at Mount Sinai, 1428 Madison Avenue, New York, NY 10029
| | - Farhad Islami
- Icahn School of Medicine at Mount Sinai, 1428 Madison Avenue, New York, NY 10029
- Digestive Disease Research Center, Shariati Hospital, Tehran University of Medical Sciences, Jamshidiyeh, Tehran 14117-13135, Iran
| | - Akram Pourshams
- Digestive Disease Research Center, Shariati Hospital, Tehran University of Medical Sciences, Jamshidiyeh, Tehran 14117-13135, Iran
| | - Hossein Poutschi
- Digestive Disease Research Center, Shariati Hospital, Tehran University of Medical Sciences, Jamshidiyeh, Tehran 14117-13135, Iran
| | - Hooman Khademi
- International Agency for Research on Cancer, 150 Cours Albert Thomas 69008 Lyon, France
| | - Mohammad Naeimi
- Department of Internal Medicine, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
| | - Akbar Fazel-Tabar Malekshah
- Digestive Disease Research Center, Shariati Hospital, Tehran University of Medical Sciences, Jamshidiyeh, Tehran 14117-13135, Iran
| | - Elham Jafari
- Digestive Disease Research Center, Shariati Hospital, Tehran University of Medical Sciences, Jamshidiyeh, Tehran 14117-13135, Iran
| | - Rasool Salahi
- Department of Internal Medicine, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
| | - Farin Kamangar
- Department of Public Health Analysis, School of Community Health and Policy, Morgan State University, 1700 E Cold Spring Lane, Baltimore, MD 21251
| | - Arash Etemadi
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD 20892
| | - Paul D. Pharoah
- Departments of Oncology and Public Health and Primary Care, University of Cambridge, The Old Schools, Trinity Lane, Cambridge CB2 1TN, United Kingdom
| | - Christian C. Abnet
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD 20892
| | - Paul Brennan
- International Agency for Research on Cancer, 150 Cours Albert Thomas 69008 Lyon, France
| | - Sanford M. Dawsey
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD 20892
| | - Valentin Fuster
- Icahn School of Medicine at Mount Sinai, 1428 Madison Avenue, New York, NY 10029
- Centro Nacional de Investigaciones Cardiovasculares, Calle de Melchor Fernandez Almagro, 3, 28029 Madrid, Spain
| | - Paolo Boffetta
- Icahn School of Medicine at Mount Sinai, 1428 Madison Avenue, New York, NY 10029
- International Prevention Research Institute, Lyon, France
| | - Reza Malekzadeh
- Digestive Disease Research Center, Shariati Hospital, Tehran University of Medical Sciences, Jamshidiyeh, Tehran 14117-13135, Iran
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