Body size dissatisfaction associated with dietary pattern, overweight, and physical activity in adolescents: A cross‐sectional study

Tebar, William Rodrigues; Gil, Fernanda Maria Monsalves; Scarabottolo, Catarina Covolo; Codogno, Jamile Sanches; Fernandes, Rômulo Araújo; Chistofaro, Diego G.D.

doi:10.1111/nhs.12751

Cited by 19 publications

(17 citation statements)

References 44 publications

(43 reference statements)

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“…Nonetheless, adolescents who engaged in weight control practices could be disappointed with the outcome if their expectations to achieve societal beauty standards are not met [ 80 ], leading to BD. These weight control practices were similar to previous studies [ 15 , 16 , 28 , 29 ].With respect to sex, Radwan et al conducted a study on Emirati University students proposed that female students who wanted to be thinner preferred following a diet for weight loss, whereas males who desired to be heavier were physically active and less likely to follow a diet [ 16 ].…”

Section: Discussionsupporting

confidence: 90%

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Factors of body dissatisfaction among lebanese adolescents: the indirect effect of self-esteem between mental health and body dissatisfaction

et al. 2022

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Background Body dissatisfaction (BD) rates are alarmingly high, especially among adolescents, thus. Having a better understanding of correlates associated with BD seems to be an important issue in this developmental context. Furthermore, as adolescence is an essential time in the development of self-perception and self-esteem the current study assesses factors associated with BD among Lebanese adolescents and evaluates the indirect effect of self-esteem between depression/anxiety/stress and BD. Methods This is a cross-sectional study among 555 Lebanese adolescents, ages 15–18, who completed an online survey incorporating BD, socioeconomic status, weight and height, physical activity index, Rosenberg Self Esteem Scale, Beirut Distress Scale, Hamilton Anxiety Rating Scale, Patient Health Questionnaire-9, Pittsburgh Sleep Quality Index and Global Physical Activity Questionnaire. Results The results of a stepwise linear regression, taking the body dissatisfaction score as the dependent variable, showed that higher BMI (B = 0.47), feeling pressured by media/TV to lose weight (Beta = 2.80), higher depression (Beta = 0.39), exercising to lose weight (Beta = 1.84) and following a diet to lose weight (Beta = 1.58) were significantly associated with more body dissatisfaction, whereas higher self-esteem (Beta=-0.11) and more psychological distress (Beta=-0.21) were significantly associated with less body dissatisfaction. Self-esteem played an indirect role in the associations between anxiety and body dissatisfaction and stress and body dissatisfaction. Conclusions BD is common among young Lebanese adolescents. Treating adolescents with low self-esteem and psychological issues is crucial in preventing anticipated BD and future eating disorders.

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Section: Discussionsupporting

confidence: 90%

“…The prevalence of BD is growing at alarming rates both globally [ 13 – 15 ] and regionally [ 5 , 16 – 18 ]. A recent study among 308 Emirati University students between 18 and 25 years old showed that 81% of them had BD [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Factors of body dissatisfaction among lebanese adolescents: the indirect effect of self-esteem between mental health and body dissatisfaction

et al. 2022

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“…In view of the importance of achieving a healthy body weight, there is a growing body of research that focused on factors associated with the perception of body weight throughout the world (Amaro‐Rivera & Carbone, 2020; Caleyachetty et al, 2016; Colchero et al, 2014; Jang et al, 2018; Kye & Park, 2021; Park et al, 2019; Sabiston et al, 2019; Tebar et al, 2020; Tsuchiya et al, 2019; Wan Abdul Hamed & Abd Aziz, 2020). Most of these studies found significant relationships between sociodemographic factors, such as age, income and education, and body weight perception, but they focused only on developed countries.…”

Section: Introductionmentioning

confidence: 99%

Awareness of body mass index and its associated factors: A cross‐sectional study

Cheah

Kuay

Ismail

et al. 2022

Nursing & Health Sciences

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This study explores the correlates of sociodemographic factors, smoking, and caloric knowledge to body mass index awareness with a focus on Malaysia. Logistic regressions were estimated to examine sociodemographic factors associated with body mass index awareness. More than half of respondents were unaware of their body mass index (54.8%). Age was negatively associated with body mass index awareness. Adults without formal education were less likely to know their body mass index than those with tertiary‐level education. Adults were less likely to be aware of their body mass index if they engaged in smoking. Adults with knowledge of the definition of calories were more aware of their body mass index than others. The findings emphasize the urgent need for a forthcoming sociodemographic factors‐specific policy directed toward improving body mass index awareness to lower the prevalence of obesity in Malaysia.

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“…Furthermore, 81% of adolescent girls living with OW/OB reported being dissatisfied with their body size compared to 45% of underweight and 52% of normal weight [ 10 ]. The aspiration to reduce body size has been associated with obesity-related behaviors such as poor sleep [ 16 ] and low consumption of fruits and vegetables [ 17 ]. BSD has also been shown to behave as both a motivation and barrier to PA [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Body image and health-related behaviors among fitspirit participants

et al. 2022

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Background Body image variables such as body size perception (BSP) and body size dissatisfaction (BSD) can influence health-related behaviors. However, few studies have investigated these body image variables in adolescent girls participating in a physical activity intervention. Therefore, the study objectives were to examine the 1) associations between health-related behaviors (physical activity, screen-time, eating habits and sleep duration) and BSP and BSD among girls participating in FitSpirit, a physical activity intervention for girls; and 2) influence of weight control practices on the association between health-related behaviors and BSP and BSD. Methods This cross-sectional study assessed a sample of 545 adolescent girls (mean age: 15.0±1.5 years) from 240 schools. Body mass index, health-related behaviors, perceived actual body size and desired body size variables were self-reported and collected via an online questionnaire at the end of the FitSpirit intervention. A negative BSP score [perceived actual body size – calculated BMI z -score] indicates an underestimation of body size. A positive BSD score [perceived actual body size – desired body size] indicates a desire to reduce body size. A multiple linear regression analysis examined the effects of age, zBMI and health behaviors on BSP and BSD. A second multiple linear regression analysis examined the independent associations between BSP and BSD by weight control practice. The linear relationships between BSP and BSD were evaluated with Pearson’s correlations. Results Underestimation and dissatisfaction of body size are more prevalent in participants living with overweight/obesity. Screen-time and sleep duration were independently associated with BSP score (Beta=0.02; P <0.05 and Beta=-0.07; P <0.05, respectively), whereas only screen-time was associated with the BSD score (Beta=0.07; P <0.001). Physical activity was independently associated with the BSP score only in participants trying to control (maintain) their weight (Beta=-0.18; P <0.05). Conclusions Body size overestimation and dissatisfaction are associated with health-related behaviors, specifically with more screen-time and less optimal sleeping habits. Physical activity level does not appear to be associated with body image in girls engaged in a physical activity intervention and who want to lose or gain weight. Health promotion interventions could include screen-time and sleep components as they may influence body image.

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Body size dissatisfaction associated with dietary pattern, overweight, and physical activity in adolescents: A cross‐sectional study

Cited by 19 publications

References 44 publications

Factors of body dissatisfaction among lebanese adolescents: the indirect effect of self-esteem between mental health and body dissatisfaction

Factors of body dissatisfaction among lebanese adolescents: the indirect effect of self-esteem between mental health and body dissatisfaction

Awareness of body mass index and its associated factors: A cross‐sectional study

Body image and health-related behaviors among fitspirit participants

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