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Body Weight Misperception and Health-Related Factors Among Iranian Children and Adolescents: The Caspian-V Study Publisher Pubmed



Angoorani P1 ; Heshmat R1 ; Ejtahed HS2 ; Qorbani M3 ; Motlagh ME4 ; Ziaodini H5 ; Taheri M6 ; Shafiee G1 ; Ahadi Z1 ; Aminaee T6 ; Kelishadi R7
Authors
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Authors Affiliations
  1. 1. Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Baghestan Blvd, Karaj, 31485/56, Iran
  4. 4. Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  5. 5. Health Psychology Research Center, Education Ministry, Tehran, Iran
  6. 6. Office of Adolescents and School Health, Ministry of Health and Medical Education, Tehran, Iran
  7. 7. Child Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Hezar-Jarib Ave, Isfahan, Iran

Source: Journal of Pediatric Endocrinology and Metabolism Published:2017


Abstract

Along with increased prevalence of obesity, body weight misperception has also increased among adolescents. This study aims to evaluate the proportion of weight misperception among Iranian children and adolescents and its association with some health-related factors. Data were collected from 14,440 Iranian students, aged 7-18 years, who participated in the national school-based surveillance program (CASPIAN-V). The students' anthropometric indices and blood pressure were measured using standardized methods, and valid questionnaires were used to assess their weight perception, eating patterns, physical activity and sedentary behaviors. According to agreements between the real weight and self-perceived weight status, participants were classified as underestimated, accurate and overestimated weight. The rates of underestimated, accurate and overestimated weight were 30.8%, 40.8% and 28.4%, respectively. In comparison with the accurate-weight group, both the underestimated- and overestimated-weight groups were less likely to have daily consumption of sugar-sweetened beverages (OR: 0.83, 95% CI: 0.74-0.93 and OR: 0.39, 95% CI: 0.34-0.44, respectively), sweets (OR: 0.81, 95% CI: 0.73-0.90 and OR: 0.68, 95% CI: 0.61-0.76, respectively) and salty snacks (OR: 0.78, 95% CI: 0.66-0.92 and OR: 0.30, 95% CI: 0.24-0.38, respectively). In the overestimated-weight group, the odds of daily intake of fast food decreased by 67% and the odds of low physical activity declined by 38% in comparison with the accurate-weight group. Weight misperception had a high prevalence among Iranian children and adolescents and is associated with their dietary patterns and physical activity behaviors. Suitable education programs need to be developed to correct the children and adolescents' insight about their weight status. © 2017 2017 Walter de Gruyter GmbH, Berlin/Boston.
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