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伊朗儿童和青少年中感知体重状况与体重指数对体重调整计划依从性的关联:Caspian-IV研究

Association of Perceived Weight Status versus Body Mass Index on Adherence to Weight-modifying plan Among Iranian Children and Adolescents: The CASPIAN-IV Study.

作者信息

Bahreynian Maryam, Qorbani Mostafa, Motlagh Mohammad Esmaeil, Heshmat Ramin, Ardalan Gelayol, Kelishadi Roya

机构信息

Departments of *Pediatrics, Nutrition Department, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan; and $Community Medicine, Alborz University of Medical Sciences, Karaj; Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran; and Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz; Iran. Correspondence to: Dr Roya Kelishadi, Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Indian Pediatr. 2015 Oct;52(10):857-63. doi: 10.1007/s13312-015-0732-9.

DOI:10.1007/s13312-015-0732-9
PMID:26499009
Abstract

OBJECTIVE

To identify risk-groups adhering to weight-changing plans for body dissatisfaction in a National sample of Iranian students.

DESIGN

Cross-sectional.

SETTING

Primary, Middle and high-schools.

PARTICIPANTS

13486 students (mean age, 12.5 y).

MAIN OUTCOME MEASURES

Demographic and anthropometric characteristics were collected via valid instruments. Body image and adherence to weight- changing diets were assessed by using validated questionnaires.

RESULTS

46.5% students were satisfied with their weight and12.5% declared that they had attempts for weight control, this was significantly higher among adolescent girls (13.8%, P=0.0005). Participants who perceived themselves as overweight and obese, were more likely (OR= 5.32) to follow weight-reduction diets than their peers with normal-weight perception. Actual overweight-BMI and obese-BMI individuals had greater odds for being on a diet (1.3 and 1.47, respectively) compared to their normal-BMI counterparts.

CONCLUSION

Promoting strategies to improve body image concerns and prevent adverse outcomes of chronic dieting among adolescents are necessary.

摘要

目的

在伊朗学生的全国样本中识别坚持改变体重计划以解决身体不满问题的风险群体。

设计

横断面研究。

地点

小学、初中和高中。

参与者

13486名学生(平均年龄12.5岁)。

主要观察指标

通过有效工具收集人口统计学和人体测量学特征。使用经过验证的问卷评估身体形象和对改变体重饮食的坚持情况。

结果

46.5%的学生对自己的体重感到满意,12.5%的学生表示曾尝试控制体重,这一比例在青春期女孩中显著更高(13.8%,P = 0.0005)。认为自己超重和肥胖的参与者比体重认知正常的同龄人更有可能(OR = 5.32)遵循减肥饮食。与正常BMI的同龄人相比,实际超重BMI和肥胖BMI的个体节食的几率更高(分别为1.3和1.47)。

结论

有必要推广改善身体形象问题并预防青少年长期节食不良后果的策略。

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