Association of Clustering of Unhealthy Lifestyle Behaviors with Perceived and Actual Weight Status of Children and Adolescents: the CASPIAN-V Study

2021 ◽  
Vol 46 (02) ◽  
pp. 87-94
Author(s):  
Mehri Khoshhali ◽  
Motahar Heidari-Beni ◽  
Mostafa Qorbani ◽  
Ramin Heshmat ◽  
Mohammad Esmaeil Motlagh ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Weight Status ◽  
Lifestyle Behaviors ◽  
Unhealthy Lifestyle ◽  
Actual Weight ◽  
Nationale Studie ◽  
Latente Klassenanalyse

Zusammenfassung Ziel Diese Studie wurde durchgeführt, um den Zusammenhang zwischen ungesundem Lebensstil und tatsächlichem und wahrgenommenem Gewichtsstatus in einer großen Stichprobe von Kindern und Jugendlichen zu bestimmen. Methoden Diese nationale Studie wurde in städtischen und ländlichen Gebieten in 30 Provinzen im Iran durchgeführt. Die Teilnehmer waren 14 880 Schüler im Alter von 7–18 Jahren. Die latente Klassenanalyse wurde auf der Grundlage von 11 ungesunden Verhaltensweisen in Bezug auf Ernährungs- und Bewegungsgewohnheiten durchgeführt. Ergebnisse Verglichen mit geringen ungesunden Verhaltensweisen war die Wahrscheinlichkeit mäßig ungesunder Verhaltensmuster bei Mädchen, die sich als übergewichtig/adipös empfanden, geringer als bei denen, die sich als normalgewichtig empfanden (OR, 95 %-KI: 0,76 [0,59; 0,97]). Das Risiko mäßig ungesunder Verhaltensweisen war bei Jungen, die sich von ihren Eltern als untergewichtig wahrgenommen wurden, größer als bei denen, die sich von ihren Eltern als normalgewichtig wahrgenommen wurden (OR, 95 %-KI: 1,65 [1,21; 2,24]). Schlussfolgerung Das wahrgenommene Körpergewicht korrelierte eher mit ungesunden Lebensgewohnheiten als mit dem tatsächlichen Gewichtsstatus. Die Korrelation des ungesunden Lebensstilverhaltens mit dem wahrgenommenen Gewicht war stärker als die mit dem tatsächlichen Gewichtsstatus. Eine Häufung ungesunder Lebensgewohnheiten kann zur Entwicklung von Initiativen zur Prävention von Adipositas auf individueller und öffentlicher Gesundheitsebene genutzt werden.

scholarly journals POS1309 PREVALENCE AND CORRELATES OF UNDERWEIGHT, OVERWEIGHT AND OBESITY AMONG PATIENTS WITH JUVENILE IDIOPATHIC ARTHRITIS (JIA): EVIDENCE FROM THE NATIONAL PAEDIATRIC RHEUMATOLOGIC DATABASE (NPRD)

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 936.2-937
Author(s):  
F. Milatz ◽  
J. Klotsche ◽  
M. Niewerth ◽  
J. Hörstermann ◽  
D. Windschall ◽  
...  
Keyword(s):  
Physical Activity ◽  
Juvenile Idiopathic Arthritis ◽  
General Population ◽  
Children And Adolescents ◽  
Treatment Response ◽  
Weight Status ◽  
Overweight And Obesity ◽  
Age Group ◽  
Group 3 ◽  
Obesity In Children

Background:In patients with JIA, growth impairment and variance in body composition are well-known long-term complications that may be associated with prolonged drug therapy (e.g. glucocorticoids) as well as impaired physical and psychosocial well-being. An increased accumulation of body fat represents a significant risk factor for metabolic abnormalities and a modifiable variable for a number of comorbidities. Recently, evidence has emerged in favour of the potential negative influence of overweight on the course of the disease and treatment response [1].Objectives:The study aimed a) to estimate the prevalence of underweight, overweight and obesity in children and adolescents with JIA compared to the general population, and b) to investigate correlates of patients’ weight status.Methods:A cross-sectional analysis of physicians’ recorded body weights and heights of patients with JIA enrolled in the NPRD in the year 2019 was performed. Underweight (BMI <10th), overweight (BMI >90th) and obesity (BMI >97th) were defined according to age- and sex-specific percentiles used in the German reference system. For comparison with data from the general population [2], sex- and age-matched pairs of 3-17-year-old patients and controls were generated. A multinomial logistic regression analysis was performed to examine the association between weight status and patients’ clinical and self-reported outcomes.Results:In total, data from 6.515 children and adolescents with JIA (age 11.2 ± 4.1 years, disease duration 4.9 ± 3.8 years, 67% girls, 40% persistent oligoarthritis) were included. Of these, 3.334 (age 5.9 ± 2.1 years, 52.5% girls) could be considered for matched-pair analysis. Compared with the general population, patients underweight, overweight and obesity rates were 10.6% (vs. 8.1%), 8.8% (vs. 8.5%) and 6.1% (vs. 5.7%), respectively. No significant sex differences were found in either group. Largest difference in prevalence was registered for underweight, specifically in the age group 3-6 years (12.9% patients vs. 5.9% controls). Similar to the general population, higher rates of overweight were observed in adolescent patients than in affected children (19.1% age group 11-13 vs. 8.4% age group 3-6). While the highest underweight prevalence was registered in patients with RF+ polyarthritis (16%), patients with Enthesitis-related arthritis (22%), psoriatic arthritis (21%) and systemic JIA (20%) showed the highest overweight rates (including obesity). Younger age (OR = 0.51, 95% CI = 0.31-0.83), more frequent physical activity (OR = 0.92, 95% CI = 0.85-0.99) and high parental vocational education (OR = 0.39, 95% CI = 0.18-0.80) were independently associated with a lower likelihood of being overweight/obese.Conclusion:The overall prevalence of underweight, overweight and obesity in children and adolescents with JIA is comparable to that found in the general population. Behavioural health promotion, including regular physical activity, as part of the treatment strategy in JIA should preventively already begin at preschool age and necessarily be made accessible to patients of all educational levels.References:[1]Giani T et al. The influence of overweight and obesity on treatment response in juvenile idiopathic arthritis. Front Pharmacol 2019;10:637.[2]Schienkiewitz A et al. BMI among children and adolescents: prevalences and distribution considering underweight and extreme obesity. Bundesgesundheitsbl 2019;62:1225–1234.Acknowledgements:The National Paediatric Rheumatological Database has been funded by AbbVie, Chugai, Novartis and GSK.Disclosure of Interests:Florian Milatz: None declared, Jens Klotsche: None declared, Martina Niewerth: None declared, Jana Hörstermann: None declared, Daniel Windschall: None declared, Frank Weller-Heinemann Speakers bureau: Pfizer, AbbVie, SOBI, Roche and Novartis., Frank Dressler: None declared, Rainer Berendes: None declared, Johannes-Peter Haas: None declared, Gerd Horneff: None declared, Kirsten Minden Speakers bureau: Pfizer, AbbVie, Consultant of: Novartis

scholarly journals Indirect Health Effects of COVID-19: Unhealthy Lifestyle Behaviors during the Lockdown in the United Arab Emirates

2021 ◽  
Vol 18 (4) ◽  
pp. 1964
Author(s):  
Hadia Radwan ◽  
Mahra Al Kitbi ◽  
Hayder Hasan ◽  
Marwa Al Hilali ◽  
Nada Abbas ◽  
...  
Keyword(s):  
Physical Activity ◽  
United Arab Emirates ◽  
Lifestyle Change ◽  
Change Score ◽  
Lifestyle Changes ◽  
Lifestyle Behaviors ◽  
Negative Consequences ◽  
Unhealthy Lifestyle ◽  
Cross Sectional ◽  
Study Results

Background: Lockdown measures were implemented in many countries to limit the spread of the COVID-19 pandemic. However, such restrictions could precipitate unintended negative consequences on lifestyle behaviors. The main objective of this study was to investigate the prevalence and determinants of unhealthy behavior changes during the COVID-19 lockdown among residents of the United Arab Emirates (UAE). Methods: A cross-sectional web-based survey of adults residing in the UAE was carried out during lockdown (n = 2060). Using a multi-component questionnaire, the collected data included questions regarding the following lifestyle changes: Increased dietary intake, increased weight, decreased physical activity, decreased sleep, and increased smoking. An unhealthy lifestyle change score was calculated based on the number of unhealthy lifestyle changes each participant reported. In addition, sociodemographic and living conditions information was collected. Descriptive statistics as well as simple and multiple linear regression analyses were used to examine the prevalence and determinants of the unhealthy lifestyle changes considered in this study. Results: Among the unhealthy lifestyle changes examined, increased food intake was the most common (31.8%), followed by decreased physical activity (30%), increased weight (29.4%), decreased sleep (20.8%), and increased smoking (21%). In addition to identifying the correlates of each of the aforementioned lifestyle changes, the results of the multiple regression linear analyses revealed the following correlates for the overall unhealthy lifestyle change score: females (β = 0.32, CI: 0.22; 0.42), living in an apartment (β = 0.12, CI: 0.003; 0.23) and being overweight/obese (β = 0.24, CI: 0.15; 0.32) had higher scores, while older adults (>40 years) had lower scores (β = −0.23, CI: −0.34; −0.12). Conclusions: The COVID-19 lockdown has resulted in a high prevalence of unhealthy lifestyle behaviors and practices among UAE residents. The findings of this study provided the evidence base for officials to design interventions targeting high-risk groups and aiming to improve healthy lifestyle factors among residents during the pandemic.

scholarly journals Combined Effects of Unhealthy Lifestyle Behaviors on Metabolic Syndrome among Postmenopausal Women

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 848
Author(s):  
Jin-Suk Ra ◽  
Hyesun Kim
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Postmenopausal Women ◽  
Abdominal Obesity ◽  
Impaired Fasting Glucose ◽  
Fasting Glucose ◽  
Dietary Behavior ◽  
Lifestyle Behaviors ◽  
Unhealthy Lifestyle ◽  
Insufficient Physical Activity

This study aimed to identify the combined effects of unhealthy lifestyle behaviors, including diet, sedentary behavior, and physical activity on metabolic syndrome (MS) and components of MS among postmenopausal women. Secondary data analysis was conducted using the Korean National Health and Nutrition Examination Survey (2014–2018) with a cross-sectional study design. Logistic regression analysis was conducted with data from 6114 Korean postmenopausal women. While no significant effects of unhealthy lifestyle behaviors, either individually or as a combination, were found for MS, prolonged sedentary behavior without poor dietary behavior and insufficient physical activity was associated with increased likelihood of abdominal obesity (adjusted odds ratio [AOR]: 1.59, 95% confidence interval [CI]: 1.10–2.29) and impaired fasting glucose (AOR: 1.54, 95% CI: 1.13–2.10). The combination of poor dietary behavior and prolonged sedentary behaviors was also associated with increased likelihood of abdominal obesity (AOR: 1.48, 95% CI: 1.10–2.00) and impaired fasting glucose (AOR: 1.49, 95% CI: 1.14–1.96). In addition, prolonged sedentary behavior and insufficient physical activity together were associated with increased likelihood of abdominal obesity (AOR: 2.81, 95% CI: 1.90–4.20) and impaired fasting glucose (AOR: 1.59, 95% CI: 1.13–2.24). Finally, combining poor dietary behavior, prolonged sedentary behavior, and insufficient physical activity was also associated with increased likelihood of abdominal obesity (AOR: 2.05, 95% CI: 1.50–2.80) and impaired fasting glucose (AOR: 1.71, 95% CI: 1.32–2.23). Strategies for replacing sedentary behavior of postmenopausal women with activities are warranted for prevention of abdominal obesity and impaired fasting glucose.

scholarly journals Hispanic Maternal Perception of Preschoolers’ Bodyweight Status in Samples from the United States of America and Mexico

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1101-1101
Author(s):  
Summer Wilmoth ◽  
Yolanda Flores-Peña ◽  
Leah Carrillo ◽  
Elana Martinez ◽  
Erica Sosa ◽  
...  
Keyword(s):  
United States ◽  
Childhood Obesity ◽  
Obesity Prevention ◽  
Weight Status ◽  
The United States ◽  
Overweight And Obesity ◽  
Actual Rate ◽  
Actual Weight ◽  
Hispanic Mothers ◽  
The Us

Abstract Objectives Childhood obesity is a major public health concern, which disproportionally affects Hispanic children in the United States (US) and Mexico. Mothers are key influencers to their children's health and growth. As part of a pilot obesity prevention study, Hispanic mothers’ perception of their preschoolers’ weight status was assessed to inform the development of intervention strategies. Methods Study subjects were Hispanic mothers and their preschoolers between the ages of 3 and 5 enrolled in participating Head Star Centers in Texas, US or kindergartens in Northern Mexico. Upon informed consent, mothers completed a self-administered questionnaire assessing their perception of their preschoolers’ weight status. Preschoolers’ body weight and height were measured; and their actual weight status was classified using the CDC's age and gender specific BMI references. Results Preliminary data included 85 and 294 child-mother pairs from US and Mexico, respectively. The US sample had a higher rate of overweight and obesity (35%) in comparison to the Mexico sample (19%). There was a great discrepancy between mothers’ perception and their children's actual weight status in both samples. Although only approximately 5% of children were underweight, 14% of American and 24% of Mexican mothers perceived their children being underweight. Contrarily, only 4.8% of American mothers perceived their children as a little overweight or obese, as compared to the actual rate of 35%. Similarly, only 5% of Mexican mothers perceived their children as a little overweight or obese, as compared to the actual rate of 19%. Conclusions Hispanic mothers in the US and Mexico appear to worry about their normal weight children being underweight, while overlooking the overweight and obesity problem. Early childhood obesity prevention programming is needed to aggressively address Hispanic mothers’ preference of chubby children, and the mothers’ underestimation of overweight and obesity among their preschoolers. Funding Sources The Mexico's National Science and Technology Council & The Kellogg´s Institute of Nutrition and Health.

scholarly journals Lifestyle Behaviors and Mental Health of American Adults

2007 ◽  
Vol 100 (1) ◽  
pp. 294-302 ◽  
Author(s):  
Elizabeth H. Chaney ◽  
J. Don Chaney ◽  
Min Qi Wang ◽  
James M. Eddy
Keyword(s):  
Mental Health ◽  
Healthy Lifestyle ◽  
Descriptive Analysis ◽  
Experimental Studies ◽  
Poor Mental Health ◽  
Behavioral Risk ◽  
Lifestyle Behaviors ◽  
Unhealthy Lifestyle ◽  
Data Set ◽  
Health Related

The purpose of this study was to test the hypothesis that individuals reporting healthy lifestyle behaviors would also report better self-rated mental health. Logistic regression analyses were conducted utilizing SUDAAN on the Behavioral Risk Factor Surveillance Survey data set. This descriptive analysis suggests that persons reporting poor mental health were more likely to report unhealthy lifestyle behaviors. This set of findings encourages careful design of experimental studies of empirically based associations of mental health and life style, using psychometrically sound measures. Then public health programs focused on change of health-related behaviors might be more suitably devised.

Factors Impacting Overweight Adolescents' Underestimation of Their Actual Weight Status

2010 ◽  
Vol 20 (9) ◽  
pp. 719
Author(s):  
S.L. Muralidharan ◽  
S.V. Kunapareddy ◽  
T.W. Zollinger ◽  
R.M. Saywell
Keyword(s):  
Weight Status ◽  
Actual Weight ◽  
Overweight Adolescents

scholarly journals Inappropriate maternal perception of child’s weight status: a potential threat to nutrition

2019 ◽  
Vol 6 (5) ◽  
pp. 2091
Author(s):  
Parima Dalal ◽  
Rekha Thaddanee ◽  
Arun Parikh ◽  
Hasmukh Chauhan ◽  
Shamim Morbiwala
Keyword(s):  
Weight Status ◽  
Tertiary Care ◽  
P Value ◽  
Potential Threat ◽  
Factors Affecting ◽  
Actual Weight ◽  
Maternal Perception ◽  
Significant Difference ◽  
Correct Weight ◽  
Child’S Weight

Background: This study was done to know the maternal perception of weight of their children and correlate it with exact weights. We also studied various factors affecting ability of a mother to perceive her child’s weight status.Method: This prospective study was done in Pediatric Department of a tertiary care teaching hospital of Western Gujarat, India, from January 2018 to September 2018. 897 mothers of children < 5 years of age were included. Socio-demographic and anthropometric details of child and mother were recorded. Maternal perception of their child’s weight status was enquired. A correlation between perceived and actual child weight status was estimated.Results: 897 patients <5 years of age had mean (SD) age of 28.66 (±17.04) months, weight 10.17 (±3.5) kg, height 0.81 (±0.15) meters and BMI 15.74 (±15.26) kg/m2. 34.7% of mothers perceived underweight erroneously as compared to actual weight status being normal (p value=0.00001). Misperception (under or over) of the mothers for their children weight status was significant for girls (p=0.011). Significant difference between perceived and actual weight status was seen in birth orders 1 to 4. 34. 6% actual UW children were perceived as NW by < 40 years age mothers (p=0.0018). 78.2% uneducated and 81% of primary or secondary educated mothers from lower SES felt their children were of NW status whereas actually 43.4% and 50.3% children were of NW status respectively (p=0.00001). Surprisingly, 91.3% of graduate or postgraduate mothers of middle SES perceived their children as NW status while actually only 39.1% were of NW and 52.1% of UW (p=0.00001).Conclusion: Half of the mothers were not able to perceive correct weight status of their children. Misperception was significant for girls. Significant difference between perceived and actual weight status was seen for birth orders 1 to 4. Mothers <40 years of age significantly failed to perceive actual UW status of the children. Both educated and uneducated mothers misclassified their children’s weight status significantly.

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