Factors associated with tendency for weight loss in a representative sample of children and adolescents: The CASPIAN-V study

Background: This study aims to determine the factors affecting the tendency to lose weight (TLW) and its methods in Iranian children and adolescents. Methods: In this cross-sectional nationwide study 14800 students, aged 7–18 years, living in 30 provinces of Iran were selected via multistage cluster...

Full description

Bibliographic Details
Main Authors: Vahid Mansouri, Roya Riahi, Majid Khademian, Mostafa Qorbani, Motahar Heidari-Beni, Ramin Heshmat, Mohammad Esmaeil Motlagh, Hasan Ziaodini, Razieh Dashti, Majzoubeh Taheri, Shahrebanoo Daniali, Roya Kelishadi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2020;volume=11;issue=1;spage=123;epage=123;aulast=Mansouri
_version_ 1819315513664208896
author Vahid Mansouri
Roya Riahi
Majid Khademian
Mostafa Qorbani
Motahar Heidari-Beni
Ramin Heshmat
Mohammad Esmaeil Motlagh
Hasan Ziaodini
Razieh Dashti
Majzoubeh Taheri
Shahrebanoo Daniali
Roya Kelishadi
author_facet Vahid Mansouri
Roya Riahi
Majid Khademian
Mostafa Qorbani
Motahar Heidari-Beni
Ramin Heshmat
Mohammad Esmaeil Motlagh
Hasan Ziaodini
Razieh Dashti
Majzoubeh Taheri
Shahrebanoo Daniali
Roya Kelishadi
author_sort Vahid Mansouri
collection DOAJ
description Background: This study aims to determine the factors affecting the tendency to lose weight (TLW) and its methods in Iranian children and adolescents. Methods: In this cross-sectional nationwide study 14800 students, aged 7–18 years, living in 30 provinces of Iran were selected via multistage cluster random sampling method. The dietary and physical activity habits and TLW as well as psychosocial health status, anxiety, self-satisfaction, and change in dietary behaviors were assessed by the global school-based student health survey (WHO-GSHS) questionnaire. Multivariate logistic regression model was used to identify factors influencing TLW. Results: Overall, 14274 students (participation rate of 99%), consisting of 51% boys and 71.4% urban residents, completed the study. Of them, 37.7% (51.4% Girls and 48.6% boys) tended to lose weight. In multivariate model, the odds for TLW was 12% higher in students aged 13–18 years than those aged 6–12 years (OR = 1.12, 95% CI: 1.02 to 1.23; P < 0.001). Students with high anxiety level were 43% more likely to have TLW (OR = 1.43, 95% CI: 1.28–1.59; P < 0.001). The odds of increasing physical activity for weight loss was 22% lower in obese than in normal weight students (OR = 0.78, 95% CI: 0.66 to 0.93; P < 0.001). Conclusions: TLW was significantly higher in girls, as well as in those with higher anxiety level. In addition to dietary change, increasing physical activity should be encouraged among children and adolescents with excess weight. Public education regarding proper lifestyle change for reaching healthy weight should be underscored.
first_indexed 2024-12-24T10:01:18Z
format Article
id doaj.art-3fabf7c7461c4609893efcc6c14aaf1e
institution Directory Open Access Journal
issn 2008-7802
2008-8213
language English
last_indexed 2024-12-24T10:01:18Z
publishDate 2020-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series International Journal of Preventive Medicine
spelling doaj.art-3fabf7c7461c4609893efcc6c14aaf1e2022-12-21T17:01:01ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132020-01-0111112312310.4103/ijpvm.IJPVM_358_19Factors associated with tendency for weight loss in a representative sample of children and adolescents: The CASPIAN-V studyVahid MansouriRoya RiahiMajid KhademianMostafa QorbaniMotahar Heidari-BeniRamin HeshmatMohammad Esmaeil MotlaghHasan ZiaodiniRazieh DashtiMajzoubeh TaheriShahrebanoo DanialiRoya KelishadiBackground: This study aims to determine the factors affecting the tendency to lose weight (TLW) and its methods in Iranian children and adolescents. Methods: In this cross-sectional nationwide study 14800 students, aged 7–18 years, living in 30 provinces of Iran were selected via multistage cluster random sampling method. The dietary and physical activity habits and TLW as well as psychosocial health status, anxiety, self-satisfaction, and change in dietary behaviors were assessed by the global school-based student health survey (WHO-GSHS) questionnaire. Multivariate logistic regression model was used to identify factors influencing TLW. Results: Overall, 14274 students (participation rate of 99%), consisting of 51% boys and 71.4% urban residents, completed the study. Of them, 37.7% (51.4% Girls and 48.6% boys) tended to lose weight. In multivariate model, the odds for TLW was 12% higher in students aged 13–18 years than those aged 6–12 years (OR = 1.12, 95% CI: 1.02 to 1.23; P < 0.001). Students with high anxiety level were 43% more likely to have TLW (OR = 1.43, 95% CI: 1.28–1.59; P < 0.001). The odds of increasing physical activity for weight loss was 22% lower in obese than in normal weight students (OR = 0.78, 95% CI: 0.66 to 0.93; P < 0.001). Conclusions: TLW was significantly higher in girls, as well as in those with higher anxiety level. In addition to dietary change, increasing physical activity should be encouraged among children and adolescents with excess weight. Public education regarding proper lifestyle change for reaching healthy weight should be underscored.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2020;volume=11;issue=1;spage=123;epage=123;aulast=Mansouriadolescentsmotivationobesityoverweightweight loss
spellingShingle Vahid Mansouri
Roya Riahi
Majid Khademian
Mostafa Qorbani
Motahar Heidari-Beni
Ramin Heshmat
Mohammad Esmaeil Motlagh
Hasan Ziaodini
Razieh Dashti
Majzoubeh Taheri
Shahrebanoo Daniali
Roya Kelishadi
Factors associated with tendency for weight loss in a representative sample of children and adolescents: The CASPIAN-V study
International Journal of Preventive Medicine
adolescents
motivation
obesity
overweight
weight loss
title Factors associated with tendency for weight loss in a representative sample of children and adolescents: The CASPIAN-V study
title_full Factors associated with tendency for weight loss in a representative sample of children and adolescents: The CASPIAN-V study
title_fullStr Factors associated with tendency for weight loss in a representative sample of children and adolescents: The CASPIAN-V study
title_full_unstemmed Factors associated with tendency for weight loss in a representative sample of children and adolescents: The CASPIAN-V study
title_short Factors associated with tendency for weight loss in a representative sample of children and adolescents: The CASPIAN-V study
title_sort factors associated with tendency for weight loss in a representative sample of children and adolescents the caspian v study
topic adolescents
motivation
obesity
overweight
weight loss
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2020;volume=11;issue=1;spage=123;epage=123;aulast=Mansouri
work_keys_str_mv AT vahidmansouri factorsassociatedwithtendencyforweightlossinarepresentativesampleofchildrenandadolescentsthecaspianvstudy
AT royariahi factorsassociatedwithtendencyforweightlossinarepresentativesampleofchildrenandadolescentsthecaspianvstudy
AT majidkhademian factorsassociatedwithtendencyforweightlossinarepresentativesampleofchildrenandadolescentsthecaspianvstudy
AT mostafaqorbani factorsassociatedwithtendencyforweightlossinarepresentativesampleofchildrenandadolescentsthecaspianvstudy
AT motaharheidaribeni factorsassociatedwithtendencyforweightlossinarepresentativesampleofchildrenandadolescentsthecaspianvstudy
AT raminheshmat factorsassociatedwithtendencyforweightlossinarepresentativesampleofchildrenandadolescentsthecaspianvstudy
AT mohammadesmaeilmotlagh factorsassociatedwithtendencyforweightlossinarepresentativesampleofchildrenandadolescentsthecaspianvstudy
AT hasanziaodini factorsassociatedwithtendencyforweightlossinarepresentativesampleofchildrenandadolescentsthecaspianvstudy
AT raziehdashti factorsassociatedwithtendencyforweightlossinarepresentativesampleofchildrenandadolescentsthecaspianvstudy
AT majzoubehtaheri factorsassociatedwithtendencyforweightlossinarepresentativesampleofchildrenandadolescentsthecaspianvstudy
AT shahrebanoodaniali factorsassociatedwithtendencyforweightlossinarepresentativesampleofchildrenandadolescentsthecaspianvstudy
AT royakelishadi factorsassociatedwithtendencyforweightlossinarepresentativesampleofchildrenandadolescentsthecaspianvstudy