Associations Between Weight Perception, Unhealthy Weight Control Behavior, and Suicidal Ideation and Planning Among Korean Adolescents: A National Cross-Sectional Secondary Analysis

Kim, Jisu; Seo, Yeji

doi:10.1016/j.pedn.2020.07.019

Cited by 11 publications

(6 citation statements)

References 40 publications

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“…A substantially higher proportion of girls also reported extreme diet behaviors compared to boys, at 23.3% and 11.5%, respectively. Thus, our findings support previous research that suggests that girls are more likely to overestimate their weight and engage in EWCB when compared to boys [ 10 , 22 , 23 ]. Non-obese adolescents who are preoccupied with a slender body prefer extreme weight-loss methods with immediate effects rather than the improvement of their eating and exercise habits [ 24 ].…”

Section: Discussionsupporting

confidence: 91%

Factors associated with the adoption of extreme weight control behavior by non-obese adolescents: a secondary analysis

Jeong

2023

BMC Pediatr

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Background Misperceptions about obesity is common among adolescents. Adolescents who overestimate their body size tend to indulge in extreme weight control behaviors. However, little is known about the factors involved in the adoption of extreme weight control behavior (EWCB) by non-obese adolescents who are mistaken for being overweight. This study identified factors associated with unhealthy behaviors among normal/underweight high school students who overestimate their body image and attempt to lose weight. Design A secondary analysis of nationally representative data from the Korea Youth Risk Behavior Survey focused on adolescents who attended vocational and academically oriented high schools. Methods The analysis included data from 4,286 non-obese respondents (15–18 years) who overestimated their body weight. Of them, 2,887 were girls (66.5%), while 1,399 were boys (33.5%). Multiple logistic regression was used to investigate risk factors for EWCB by sex. A statistical analysis reflecting strata, clusters, and weights of the complex sampling design was adopted. Results Of the respondents, 674 (23.3%) girls and 162 (11.5%) boys reported EWCB. For both sexes, vocational high school attendance and depression were significantly influenced by EWCB. EWCB was linked to perceived stress in girls and living in a big city in boys. Conclusions The findings suggest the importance of providing quality health education, including that for non-obese adolescents, in school obesity prevention programs along with the expansion of tailored intervention programs based on sex, following a consideration of the characteristics of high schools as well as individuals.

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Section: Discussionsupporting

confidence: 91%

Factors associated with the adoption of extreme weight control behavior by non-obese adolescents: a secondary analysis

Jeong

2023

BMC Pediatr

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“…The moderate-risk class 1 (DPU/PMPU) had high rates of DPU and PMPU. Though previous studies did not show the relationship between DPU and PMPU directly, both unhealthy weight control behaviors (including DPU) and PMPU were reported to be related to adolescent mental health including SBs (43)(44)(45). Usually, mobile phone use is related to screen media use, but in this study, ST is not clustered with PMPU, which may need further investigations to elucidate.…”

Section: Discussioncontrasting

confidence: 63%

Association Between the Patterns of Five Unhealthy Behaviors and Suicidal Behaviors Among Adolescents in Six Provinces of China

et al. 2022

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BackgroundIn adolescents, multiple unhealthy behaviors frequently occur together and are likely to be associated with suicidal behaviors (SBs), increasing the risk of suicide. This study aimed to clarify the potential patterns of unhealthy behaviors in Chinese adolescents and to examine the associations between the different patterns of unhealthy behaviors and SBs.MethodsA total of 22,628 middle school students were enrolled in this study. Self-reported unhealthy behaviors and SBs were investigated using questionnaires. Latent class analysis (LCA) was performed based on five unhealthy behaviors [smoking, alcohol use (AU), diet pill use (DPU), screen time (ST), and problematic mobile phone use (PMPU)]. Multivariate logistic regressions were used to examine associations between the different patterns of unhealthy behaviors and SBs.ResultsFour subgroups of unhealthy behaviors were identified by LCA, including high-risk class (smoking/AU/DPU/PMPU/ST), moderate-risk class 1 (DPU/PMPU), moderate-risk class 2 (smoking/AU/ST), and low-risk class. Compared with the low-risk class, moderate-risk class 1, moderate-risk class 2, and high-risk class had higher risks of suicidal ideation, suicide plan, and suicide attempt.ConclusionsThese findings suggested that patterns of unhealthy behaviors were related to SBs in Chinese adolescents. Accordingly, considerations of different classes of unhealthy behaviors may be essential for developing effective preventive programs.

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“…The moderate-risk class 1 (DPU/PMPU) had high rates of DPU and PMPU. Though previous studies did not show the relationship between DPU and PMPU directly, both unhealthy weight control behaviors (including DPU) and PMPU were reported to be related to adolescent mental health including suicide behaviors [44][45][46]. Usually, mobile phone use is related to screen media use, but in this study, ST wasn't clustered with PMPU, which may need further investigations to elucidate.…”

Section: Discussioncontrasting

confidence: 54%

Addictive-Like Behaviors Increase The Risk of Suicide Behaviors in Chinese Middle School Students: A Latent Class Analysis

Guo

Wang

Xia

et al. 2021

Preprint

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Background In adolescents, multiple addictive-like behaviors (ALBs) occur frequently together which are likely to be associated with suicide behaviors (SBs), increasing the risk of suicide. This study aimed to clarify the potential subgroups of ALBs in Chinese adolescents, and examine the associations between different patterns of ALBs and SBs. Methods A total of 22,628 middle school students were enrolled in this study. Self-reported ALBs and SBs were investigated by questionnaires. Latent class analysis (LCA) was performed based on five ALBs [smoking, alcohol use (AU), diet pills use (DPU), screen time (ST), problematic mobile phone use (PMPU)]. Multivariate logistic regressions were used to examine the associations between the different patterns of ALBs and SBs. Results Four subgroups of ALBs were identified by LCA, including high-risk class (smoking/AU/DPU/PMPU/ST), moderate-risk class 1 (DPU/PMPU), moderate risk class 2 (smoking/AU/ST), and low-risk class. Compared with the low-risk class, all of the moderate-risk class 1, moderate-risk class 2 and high-risk class had higher risks of suicide ideation, suicide plan, and suicide attempt. Conclusions These findings suggested that the patterns of ALBs were related to SBs in Chinese adolescents. Accordingly, considerations of different classes of ALBs may be essential for developing effective preventive programs.

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Associations Between Weight Perception, Unhealthy Weight Control Behavior, and Suicidal Ideation and Planning Among Korean Adolescents: A National Cross-Sectional Secondary Analysis

Cited by 11 publications

References 40 publications

Factors associated with the adoption of extreme weight control behavior by non-obese adolescents: a secondary analysis

Factors associated with the adoption of extreme weight control behavior by non-obese adolescents: a secondary analysis

Association Between the Patterns of Five Unhealthy Behaviors and Suicidal Behaviors Among Adolescents in Six Provinces of China

Addictive-Like Behaviors Increase The Risk of Suicide Behaviors in Chinese Middle School Students: A Latent Class Analysis

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