Methodology and early findings of the assessment of determinants of weight disorders among Iranian children and adolescents: The childhood and adolescence surveillance and prevention of adult Noncommunicable Disease-IV study

Abstract Background This study aimed to evaluate the association of the number of family children and birth order with later body mass index (BMI) in a pediatric population. Methods This cross-sectional nationwide study was conducted in the framework of the fifth survey of a national school-based surveillance program, entitled Childhood and Adolescence Surveillance and PreventIon of Adult Noncommunicable disease (CASPIAN-V) Study. Participants were 14,400 students, aged 7–18 years, who were selected by random cluster sampling from 30 provinces in Iran. Multinomial regression models were used to evaluate the odds ratio (OR) and 95% confidence intervals (95% CI) of the number of family children or the birth order for later excess weight. Results The first-born children had significantly higher OR for obesity, and the third-born children had higher OR of underweight compared to the first-born ones (OR 1.22, 95% CI 1.05–1.42). Moreover, children within the three-, four-, and five-child families had higher OR of underweight than those with one-child families (OR 0.88, 95% CI 0.77- 1). Conclusion The birth order and number of children were associated with underweight and overweight or obesity in children and adolescents. Future studies are necessary to assess the underlying determinants.

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Association of short stature with life satisfaction and self-rated health in children and adolescents: the CASPIAN-IV study

Journal of Pediatric Endocrinology and Metabolism ◽

10.1515/jpem-2016-0215 ◽

2016 ◽

Vol 0 (0) ◽

Cited By ~ 4

Author(s):

Shahrzad Jafari-Adli ◽

Mostafa Qorbani ◽

Ramin Heshmat ◽

Shirin Hasani Ranjbar ◽

Ehsaneh Taheri ◽

...

Keyword(s):

Life Satisfaction ◽

Children And Adolescents ◽

Short Stature ◽

Response Rate ◽

National Level ◽

Nationwide Survey ◽

Childhood And Adolescence ◽

Normal Height ◽

Self Rated Health ◽

Iranian Children

AbstractBackground:Data on stature in Iranian children and adolescents at national level are limited. The purpose of this study was to investigate the association of short stature with life satisfaction (LS) and self-rated health (SRH) in children and adolescents.Methods:Data were obtained from a nationwide survey entitled childhood and adolescence surveillance and preventResults:Overall, 13,484 participants with a mean (SD) age of 12.5 (3.36) years (49.24% girls, 50.75% boys) completed the study (response rate 90.6%). The prevalence of short stature, poor SRH and life dissatisfaction was 9%, 20.04% and 20.09%, respectively. Although in the univariate model, participants with short stature had significantly lower odds of LS [odds ratio (OR): 0.83, 95% confidence interval (CI): 0.71–0.97] and good SRH (OR: 0.79, 95% CI: 0.68–0.92), in the multivariate model, only the association of short stature with good SRH remained statistically significant (OR: 0.82, 95% CI: 0.69–0.98).Conclusions:Results of the present study show that participants with short stature are at the greater risk of poor SRH and decreased LS in comparison with the subjects with normal height.

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Association of socioeconomic variables with bullying, being a victim, life dissatisfaction, and poor self-rated health in Iranian children and adolescents: the CASPIAN-V study

10.21203/rs.3.rs-15816/v1 ◽

2020 ◽

Author(s):

Mostafa Qorbani ◽

Mostafa Amini Rarani ◽

Amir Kasaeian ◽

Shirin Djalalinia ◽

Kourosh Nouri ◽

...

Keyword(s):

Logistic Regression ◽

Children And Adolescents ◽

Multiple Logistic Regression Analysis ◽

World Health ◽

Childhood And Adolescence ◽

Multiple Logistic Regression ◽

Socioeconomic Variables ◽

Self Rated Health ◽

Life Dissatisfaction ◽

Iranian Children

Abstract Background Bullying, being a victim of violent behaviors, life satisfaction (LS) and self-rated health (SRH) in children and adolescents, all have consistently been recognized as vital factors in school performance and future individual life. In this study we examined the association of some socioeconomic variables with bullying, being a victim, life dissatisfaction (LDS), and poor self-rated health (SRH) in Iranian children and adolescents.Methods This cross-sectional data secondary study was a part of the fifth Childhood and Adolescence Surveillance and Prevention of Adult Non-communicable disease (CASPIAN-V) in 2015. A total of 14,400 students 7-18 years and their parents living in 30 provinces in Iran were studied. A validated questionnaire of the World Health Organization on Global School-based Health Survey (WHO-GSHS) was used to measure the outcomes and socioeconomic variables. Family’s socioeconomic status (SES) was determined using principle component analysis (PCA).The crude and adjusted odds ratios (95%CI) were estimated using multiple logistic regression for each outcome.Results A total of 14,274 students (50.6% boys, 49.4% girls)) completed the study. The prevalence of bullying, being a victim, LDS, and poor SRH was 35.6%, 21.4%, 21.1%, and 19.0% respectively. In multiple-logistic regression analysis, mother illiteracy (versus college degree) increased the odds of bullying (Adj.OR (95%CI), 1.77(1.45-2.16), being a victim (Adj.OR (95%CI),1.58(1.26-1.98), LDS (Adj.OR (95%CI),1.64 (1.30-2.08)) and Poor-SRH (Adj.OR (95%CI), 1.60(1.25-2.04). Students with illiterate father(Adj.OR (95%CI), 1.28(1.03-1.61) or unemployed father (Adj.OR (95%CI),1.58(1.29-1.81)) had a higher odds of Poor-SRH. Moreover, family size > 4 members (Adj.OR (95%CI), 1.14(1.03-1.25), and low-SES (Adj.OR (95%CI), 1.35(1.15-1.56), and illiteracy of mother (Adj.OR (95%CI), 1.64(1.30-2.08) had direct association with LDS. Living in a two- parent family decreased the odds of LDS (Adj.OR (95%CI), 0.76(0.61—0.95).Conclusions Some socioeconomic variables can be proposed as the main attribution of bullying and being a victim, LDS, and Poor-SRH in children and adolescents.

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Association of healthy foods intake with anthropometric measures and blood pressure in a national sample of Iranian children and adolescents: the CASPIAN-IV Study

Minerva Pediatrica ◽

10.23736/s0026-4946.16.04337-1 ◽

2019 ◽

Vol 71 (5) ◽

Cited By ~ 1

Author(s):

Moloud Payab ◽

Roya Kelishadi ◽

Mostafa Qorbani ◽

Mohammad E. Motlagh ◽

Shirin Hasani-Ranjbar ◽

...

Keyword(s):

Blood Pressure ◽

Children And Adolescents ◽

National Sample ◽

Healthy Foods ◽

Anthropometric Measures ◽

Iranian Children

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The study of Iranian children and adolescents’ physical activity: a systematic review and meta-analysis

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2020-0302 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Adel Alizadeh ◽

Reza Negarandeh ◽

Fahimehe Bagheri Amiri ◽

Zahra Yazdani

Keyword(s):

Physical Activity ◽

Children And Adolescents ◽

Meta Analysis ◽

World Health ◽

Chi Square ◽

The Status ◽

Newcastle Ottawa Scale ◽

Health Organization ◽

Iranian Children

Abstract Objectives This systematic and meta-analysis review was conducted to determine the status of Iranian children and adolescents’ physical activity. Content All the related articles which were published in the major databases, including Pubmed, Scopus, Web of Science, Embase, Magiran, SID from the beginning of 2010 to the end of 2019, were reviewed by researchers. The Newcastle-Ottawa scale was also used to evaluate the quality of articles. Moreover, I 2 index and chi-square were used to assess the heterogeneity between the results. Summary 490 articles were found as a result of the search in the selected international and local databases, where finally, 10 articles were included into the meta-analysis after the elimination of the duplicated articles and applying inclusion and exclusion criteria. The results indicated that 29.5% of the girls were considered active according to WHO criteria (16.1–42.8: 95% CI) and also 20.5% of the boys (7.3–33.7: 95% CI). Outlook Overall, this study’s findings showed that a large percentage of Iranian children and adolescents do not achieve the level of physical activity recommended by the World Health Organization. This can lead to undesirable consequences for this group of population that is considered as the human capital of any country; consequently, it seems necessary to take basic measures at the micro and macro levels in order to reduce such problems in the society.

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A Comprehensive, Multidisciplinary, Personalized, Lifestyle Intervention Program is Associated with Increased Leukocyte Telomere Length in Children and Adolescents with Overweight and Obesity

Nutrients ◽

10.3390/nu13082682 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2682

Author(s):

George Paltoglou ◽

Christina Raftopoulou ◽

Nicolas C. Nicolaides ◽

Sofia M. Genitsaridi ◽

Sofia I. Karampatsou ◽

...

Keyword(s):

Children And Adolescents ◽

Telomere Length ◽

Lifestyle Intervention ◽

Intervention Program ◽

Overweight And Obesity ◽

Initial Assessment ◽

Biological Aging ◽

Childhood And Adolescence ◽

Lifestyle Interventions ◽

Lifestyle Intervention Program

Leucocyte telomere length (LTL) is a robust marker of biological aging and is associated with obesity and cardiometabolic risk factors in childhood and adolescence. We investigated the effect of a structured, comprehensive, multidisciplinary, personalized, lifestyle intervention program of healthy diet and physical exercise on LTL in 508 children and adolescents (239 males, 269 females; 282 prepubertal, 226 pubertal), aged 10.14 ± 0.13 years. Participants were classified as obese (n = 267, 52.6%), overweight (n = 174, 34.2%), or of normal BMI (n = 67, 13.2%) according to the International Obesity Task Force (IOTF) cutoff points and were studied prospectively for one year. We demonstrated that LTL increased significantly after 1 year of the lifestyle interventions, irrespective of gender, pubertal status, or body mass index (BMI). Waist circumference was the best negative predictor of LTL at initial assessment. The implementation of the lifestyle interventions also resulted in a significant improvement in clinical (BMI, BMI z-score and waist to height ratio) and body composition indices of obesity, inflammatory markers, hepatic enzymes, glycated hemoglobin (HbA1C), quantitative insulin sensitivity check index (QUICKI), and lipid profile in all participants. These findings indicate that the increased LTL may be associated with a more favorable metabolic profile and decreased morbidity later in life.

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Health Inequalities in Children and Adolescents: A Scoping Review of the Mediating and Moderating Effects of Family Characteristics

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18157739 ◽

2021 ◽

Vol 18 (15) ◽

pp. 7739

Author(s):

Miriam Blume ◽

Petra Rattay ◽

Stephanie Hoffmann ◽

Jacob Spallek ◽

Lydia Sander ◽

...

Keyword(s):

Mental Health ◽

Children And Adolescents ◽

Health Inequalities ◽

Scoping Review ◽

The United States ◽

Family Characteristics ◽

Future Research ◽

Childhood And Adolescence ◽

Moderating Effects ◽

Scoping Reviews

This scoping review systematically mapped evidence of the mediating and moderating effects of family characteristics on health inequalities in school-aged children and adolescents (6–18 years) in countries with developed economies in Europe and North America. We conducted a systematic scoping review following the PRISMA extension for Scoping Reviews recommendations. We searched the PubMed, PsycINFO and Scopus databases. Two reviewers independently screened titles, abstracts and full texts. Evidence was synthesized narratively. Of the 12,403 records initially identified, 50 articles were included in the synthesis. The included studies were conducted in the United States (n = 27), Europe (n = 18), Canada (n = 3), or in multiple countries combined (n = 2). We found that mental health was the most frequently assessed health outcome. The included studies reported that different family characteristics mediated or moderated health inequalities. Parental mental health, parenting practices, and parent-child-relationships were most frequently examined, and were found to be important mediating or moderating factors. In addition, family conflict and distress were relevant family characteristics. Future research should integrate additional health outcomes besides mental health, and attempt to integrate the complexity of families. The family characteristics identified in this review represent potential starting points for reducing health inequalities in childhood and adolescence.

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