Damiri Basma, Abdul-Hafez Hamza, Saifi Motaz
Medicine & Health Sciences Faculty, Drug, and Toxicology Division, An-Najah National University, Nablus, Palestine.
Medicine & Health Sciences, Department of Medicine, An-Najah National University, Nablus, Palestine.
Pediatr Obes. 2025 Jul 17:e70042. doi: 10.1111/ijpo.70042.
The weight impact of caffeine and nicotine use by adolescents, unlike adults, has not been conclusively determined. The prevalence of obesity among adolescents, especially in vulnerable populations such as refugee adolescents, is a crucial public health concern. The study aimed to investigate the prevalence of central obesity and its associated risk factors among refugee adolescents.
This cross-sectional study was conducted in 2022 on refugee teenagers aged 11-15 in four refugee camps in West Bank. Data was collected through surveys and anthropometric measurements to assess waist circumference, waist-to-hip ratio and body mass index. Statistical analyses evaluated the relationship between caffeine and nicotine use and central obesity measures while accounting for potential confounders.
A total of 454 participants (51.3% boys, 48.7% girls) were included in the study. The median age was 14.49 years, with a median BMI of 21.7. The prevalence of overweight and obesity was 24% and 21.1%, respectively. 14.1% had high waist circumferences. The study found significant associations between central obesity and cigarette smoking (p = 0.03), waterpipe smoking (p = 0.008) and energy drink (p = 0.016) and coffee (p = 0.027) consumption. Adjusted multiple logistic regression revealed an association between overweight status and energy drink consumption (AOR = 3.035, p = 0.009) and the interaction between energy drink and coffee consumption (AOR = 3.924, p = 0.010). Obese status showed a significant association with waterpipe smoking (AOR = 2.975, p = 0.021).
Obesity is a significant health concern among Palestinian refugee adolescents, with various factors contributing to its prevalence. Central obesity, in particular, is associated with increased health risks, emphasising the importance of identifying its determinants, including caffeine and nicotine use among adolescents.
与成年人不同，青少年使用咖啡因和尼古丁对体重的影响尚未得到最终确定。青少年肥胖的患病率，尤其是在难民青少年等弱势群体中，是一个至关重要的公共卫生问题。该研究旨在调查难民青少年中心性肥胖的患病率及其相关风险因素。
这项横断面研究于2022年对约旦河西岸四个难民营中11至15岁的难民青少年进行。通过调查和人体测量收集数据，以评估腰围、腰臀比和体重指数。统计分析评估了咖啡因和尼古丁使用与中心性肥胖指标之间的关系，同时考虑了潜在的混杂因素。
该研究共纳入454名参与者（51.3%为男孩，48.7%为女孩）。中位年龄为14.49岁，中位体重指数为21.7。超重和肥胖的患病率分别为24%和21.1%。14.1%的人腰围较高。该研究发现中心性肥胖与吸烟（p = 0.03）、吸水烟（p = 0.008）、饮用能量饮料（p = 0.016）和咖啡（p = 0.027）之间存在显著关联。调整后的多元逻辑回归显示超重状态与饮用能量饮料之间存在关联（调整后的比值比[AOR]=3.035，p = 0.009）以及能量饮料和咖啡消费之间的相互作用（AOR = 3.924，p = 0.010）。肥胖状态与吸水烟存在显著关联（AOR = 2.975，p = 0.021）。
肥胖是巴勒斯坦难民青少年中一个重大的健康问题，多种因素导致其患病率上升。特别是中心性肥胖与健康风险增加相关，这凸显了确定其决定因素的重要性，包括青少年对咖啡因和尼古丁的使用。
