Body Mass Index Status across Different Psychiatric Disorders in a National Survey amongst Children and Adolescents: To Identify the Role of Gender

Objective: Body mass index undergoes a substantial change in some psychiatric disorders. This study aimed to explore the status of body mass index (BMI) in different psychiatric disorders in a national survey among children and adolescents and to identify the role of gender in this regard. Method...

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Main Authors: Mohammad Reza Mohammadi, Seyed-Ali Mostafavi, Zahra Hooshyari, Ali Khaleghi, Nastaran Ahmadi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2019-11-01
Series:Iranian Journal of Psychiatry
Subjects:
Online Access:https://ijps.tums.ac.ir/index.php/ijps/article/view/1905
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author Mohammad Reza Mohammadi
Seyed-Ali Mostafavi
Zahra Hooshyari
Ali Khaleghi
Nastaran Ahmadi
author_facet Mohammad Reza Mohammadi
Seyed-Ali Mostafavi
Zahra Hooshyari
Ali Khaleghi
Nastaran Ahmadi
author_sort Mohammad Reza Mohammadi
collection DOAJ
description Objective: Body mass index undergoes a substantial change in some psychiatric disorders. This study aimed to explore the status of body mass index (BMI) in different psychiatric disorders in a national survey among children and adolescents and to identify the role of gender in this regard. Method: A total of 30 532 children and adolescents were randomly selected using cluster sampling method with equal blocks of 3 age groups and 2 genders. Psychiatric disorders were assessed using a standardized face-to-face diagnostic interview of Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version (KSADS-PL), and Body Mass Index (BMI) was measured for each participant. Results: In this study, 22 730 children and adolescents (109 46 boys and 11784 girls), with valid data of BMI, completed the KSADS-PL interview. The prevalence of psychiatric disorders was 21.2% among underweight participants, 22.8% among overweight participants, and 22.2% among obese participants, which was significantly higher than normal weight participants with 19.6% (X2 = 17.55; p = 0.001). In boys’ subgroup, depression and separation anxiety were mostly seen among the underweight category, while tic disorder was mostly seen in the obese category. In girls’ subgroup, on the other hand, generalized anxiety was mostly observed in the underweight category, while oppositional defiant disorder (ODD), depression, and mental retardation were mostly observed in the obese category. In total, the highest mean BMI rates were among the children and adolescents with alcohol abuse disorder, mania, and panic disorder. However, the lowest BMI rates were among those with attention deficit hyperactivity disorder (ADHD), separation anxiety disorder (SAD), and enuresis. Conclusion: This study gives an overall picture of BMI status in different psychiatric disorders according to gender. Furthermore, in a multidisciplinary approach, the results of this study drew the attention of child psychiatrists to the status of BMI in their clients.
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spelling doaj.art-8ed89d4ece604b6ab0b8c929cca7e3702022-12-21T21:18:05ZengTehran University of Medical SciencesIranian Journal of Psychiatry1735-45872008-22152019-11-0114410.18502/ijps.v14i4.19751905Body Mass Index Status across Different Psychiatric Disorders in a National Survey amongst Children and Adolescents: To Identify the Role of GenderMohammad Reza Mohammadi0Seyed-Ali Mostafavi1Zahra Hooshyari2Ali Khaleghi3Nastaran Ahmadi4Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran.Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran.Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran.Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran.Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.Objective: Body mass index undergoes a substantial change in some psychiatric disorders. This study aimed to explore the status of body mass index (BMI) in different psychiatric disorders in a national survey among children and adolescents and to identify the role of gender in this regard. Method: A total of 30 532 children and adolescents were randomly selected using cluster sampling method with equal blocks of 3 age groups and 2 genders. Psychiatric disorders were assessed using a standardized face-to-face diagnostic interview of Kiddie Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version (KSADS-PL), and Body Mass Index (BMI) was measured for each participant. Results: In this study, 22 730 children and adolescents (109 46 boys and 11784 girls), with valid data of BMI, completed the KSADS-PL interview. The prevalence of psychiatric disorders was 21.2% among underweight participants, 22.8% among overweight participants, and 22.2% among obese participants, which was significantly higher than normal weight participants with 19.6% (X2 = 17.55; p = 0.001). In boys’ subgroup, depression and separation anxiety were mostly seen among the underweight category, while tic disorder was mostly seen in the obese category. In girls’ subgroup, on the other hand, generalized anxiety was mostly observed in the underweight category, while oppositional defiant disorder (ODD), depression, and mental retardation were mostly observed in the obese category. In total, the highest mean BMI rates were among the children and adolescents with alcohol abuse disorder, mania, and panic disorder. However, the lowest BMI rates were among those with attention deficit hyperactivity disorder (ADHD), separation anxiety disorder (SAD), and enuresis. Conclusion: This study gives an overall picture of BMI status in different psychiatric disorders according to gender. Furthermore, in a multidisciplinary approach, the results of this study drew the attention of child psychiatrists to the status of BMI in their clients.https://ijps.tums.ac.ir/index.php/ijps/article/view/1905AdolescentBody Mass IndeChildGenderPsychiatric Disorder
spellingShingle Mohammad Reza Mohammadi
Seyed-Ali Mostafavi
Zahra Hooshyari
Ali Khaleghi
Nastaran Ahmadi
Body Mass Index Status across Different Psychiatric Disorders in a National Survey amongst Children and Adolescents: To Identify the Role of Gender
Iranian Journal of Psychiatry
Adolescent
Body Mass Inde
Child
Gender
Psychiatric Disorder
title Body Mass Index Status across Different Psychiatric Disorders in a National Survey amongst Children and Adolescents: To Identify the Role of Gender
title_full Body Mass Index Status across Different Psychiatric Disorders in a National Survey amongst Children and Adolescents: To Identify the Role of Gender
title_fullStr Body Mass Index Status across Different Psychiatric Disorders in a National Survey amongst Children and Adolescents: To Identify the Role of Gender
title_full_unstemmed Body Mass Index Status across Different Psychiatric Disorders in a National Survey amongst Children and Adolescents: To Identify the Role of Gender
title_short Body Mass Index Status across Different Psychiatric Disorders in a National Survey amongst Children and Adolescents: To Identify the Role of Gender
title_sort body mass index status across different psychiatric disorders in a national survey amongst children and adolescents to identify the role of gender
topic Adolescent
Body Mass Inde
Child
Gender
Psychiatric Disorder
url https://ijps.tums.ac.ir/index.php/ijps/article/view/1905
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