Ethnic differences in weight loss behavior among secondary school students in Beirut: the role of weight perception

Mehio-Sibai, Abla; Kanaan, Nabil; Chaaya, Monique; Rahal, Boushra; Abdullah, Ahmad; Sibai, Tarek

doi:10.1007/s00038-003-2061-3

Cited by 13 publications

(9 citation statements)

References 26 publications

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“…Overweight or obese female adolescents in the study were more likely to be trying to lose weight than those who were not overweight or obese, a finding that is consistent with previous studies of U.S. [16,22,27] and international [20,23] adolescents. In addition, the obese female adolescents in the current study were significantly more likely to be trying to lose weight than those who were overweight, another finding consistent with previous research on international adolescents [22].…”

Section: Discussionsupporting

confidence: 90%

“…This finding is comparable to a previous study of adolescents in Beirut [23] and addresses the lack of studies considering such an association in a sample of U.S. female adolescents.…”

Section: Discussionsupporting

confidence: 87%

“…Researchers report that a significant positive association exists between trying to lose weight and BMI among adolescents in the United States and internationally [20,22,23,27,28]. Furthermore, findings indicate that obese female adolescents are significantly more likely to be trying to lose weight than overweight female adolescents [22].…”

Section: Introductionmentioning

confidence: 99%

“…Researchers also report that a relatively large percentage of U.S. adolescents who perceive themselves as overweight are trying to lose weight (70.3%) [26], with greater percentages of White/non-Hispanic White adolescent females who perceive themselves as "too fat" trying to lose weight, compared to Hispanic and Black/African American adolescents [16]. These data and associations are limited, however, as the only significant positive association between weight perception and trying to lose weight was reported among a sample of adolescents in Beirut, Lebanon [23]. However, again, the finding is limited due to its lack of generalizability.…”

Section: Introductionmentioning

confidence: 99%

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Assessing weight perception accuracy to promote weight loss among U.S. female adolescents: A secondary analysis

Yost¹,

Krainovich-Miller

Budin

et al. 2010

BMC Public Health

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BackgroundOverweight and obesity have become a global epidemic. The prevalence of overweight and obesity among U.S. adolescents has almost tripled in the last 30 years. Results from recent systematic reviews demonstrate that no single, particular intervention or strategy successfully assists overweight or obese adolescents in losing weight. An understanding of factors that influence healthy weight-loss behaviors among overweight and obese female adolescents promotes effective, multi-component weight-loss interventions. There is limited evidence demonstrating associations between demographic variables, body-mass index, and weight perception among female adolescents trying to lose weight. There is also a lack of previous studies examining the association of the accuracy of female adolescents' weight perception with their efforts to lose weight. This study, therefore, examined the associations of body-mass index, weight perception, and weight-perception accuracy with trying to lose weight and engaging in exercise as a weight-loss method among a representative sample of U.S. female adolescents.MethodsA nonexperimental, descriptive, comparative secondary analysis design was conducted using data from Wave II (1996) of the National Longitudinal Study of Adolescent Health (Add Health). Data representative of U.S. female adolescents (N = 2216) were analyzed using STATA statistical software. Descriptive statistics and survey weight logistic regression were performed to determine if demographic and independent (body-mass index, weight perception, and weight perception accuracy) variables were associated with trying to lose weight and engaging in exercise as a weight-loss method.ResultsAge, Black or African American race, body-mass index, weight perception, and weight perceptions accuracy were consistently associated with the likeliness of trying to lose weight among U.S. female adolescents. Age, body-mass index, weight perception, and weight-perception accuracy were positively associated (p < 0.05) with trying to lose weight. Black/African American subjects were significantly less likely than their White counterparts to be trying to lose weight. There was no association between demographic or independent variables and engaging in exercise as a weight-loss method.ConclusionsFindings suggest that factors influencing weight-loss efforts, including age, race, body-mass index, weight perception, and weight-perception accuracy, should be incorporated into existing or new multi-component weight-loss interventions for U.S. adolescent females in order to help reduce the national epidemic of overweight and obesity among U.S. female adolescents.

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Section: Discussionsupporting

confidence: 90%

“…This finding is comparable to a previous study of adolescents in Beirut [23] and addresses the lack of studies considering such an association in a sample of U.S. female adolescents.…”

Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Assessing weight perception accuracy to promote weight loss among U.S. female adolescents: A secondary analysis

Yost¹,

Krainovich-Miller

Budin

et al. 2010

BMC Public Health

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show abstract

“…Since accurate self-perception of overweight and obesity is associated with attempts to lose weight [7], [33], [34], this presents a considerable group that is unlikely to seek lifestyle changes, to listen to dietary advice or adopt strategies to reduce their weight.…”

Section: Discussionmentioning

confidence: 99%

Body Mass Index and Self-Perception of Overweight and Obesity in Rural, Urban and Rural-to-Urban Migrants: PERU MIGRANT Study

et al. 2012

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ObjectiveThis study aimed to compare self-reported weight and body mass index (BMI) in order to determine discrepancies between subjective and objective obesity-related markers, and possible explanatory factors of overweight and obesity underestimation, in urban, rural and migrant populations.Materials and MethodsData from the PERU MIGRANT study, a cross-sectional study, in low-income settings, of urban, migrant (rural-to-urban), and rural groups, including BMI, self-reported weight and socio-demographic indicators were analyzed. Percentage of concurrences between BMI and self-reported weight and Kappa coefficients for inter-rater agreement were calculated. Univariate and standardized descriptive analyses were performed to identify potential explanatory variables for weight underestimation in only overweight and obese individuals, using established BMI and waist circumference cut offs.Results983 Participants–199 urban, 583 migrants and 201 rural–were analyzed. Based on BMI, overall prevalence of obesity was 20.1% (95% CI 17.6%–22.6%), and overweight was 38.3% (95% CI 35.2%–41.2%), with differences between study groups (p<0.001). Only 43% of the whole sample had matching self-reported weight and BMI status, whereas 54% underestimated and 3% overestimated their BMI category. Kappa coefficient, between BMI and self-reported weight, for the entire sample was 0.16, rural residents had the lowest coefficient (0.01) and the most underestimation, especially in the overweight category. In overweight and obese individuals, deprivation index (p = 0.016), age (p = 0.014) and waist circumference (p<0.001) were associated with weight underestimation.DiscussionOverall, high levels of overweight, obesity, and underestimation of BMI status were found, with poor agreement between BMI and self-reported weight, showing the unawareness of weight status severity in this low-income setting.

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Prevalence and Covariates of Obesity in Lebanon: Findings from the First Epidemiological Study

et al. 2003

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SIBAI, ABLA MEHIO, NAHLA HWALLA, NADA ADRA, AND BOUSHRA RAHAL. Prevalence and covariates of obesity in Lebanon: findings from the first epidemiological study. Obes Res. 2003;11:1353-1361. Objective: To estimate the prevalence of overweight and obesity and examine associated covariates in the Lebanese population. Research Methods and Procedures:A cross-sectional survey of a representative sample of 2104 individuals, 3 years of age and older. Anthropometric measurements and dietary assessments were conducted following standard methods and techniques. Overweight and obesity (classes I to III) were defined according to internationally standardized criteria for classification of BMI. Results: For children 3 to 19 years of age, prevalence rates of overweight and obesity were higher overall for boys than girls (22.5% vs. 16.1% and 7.5% vs. 3.2%, respectively). For adult men and women (age Ն 20 years), the prevalence of overweight was 57.7% and 49.4%, respectively. In contrast, obesity (BMI Ն 30 kg/m 2 ) was higher overall among women (18.8%) than men (14.3%), a trend that became more evident with increasing obesity class. BMI, percentage of body fat, and waist circumference increased to middle age and declined thereafter. Whereas lack of exercise associated significantly with obesity among children, obesity in older adults was more prevalent among the least educated, nonsmokers, and those reporting a family history of obesity. Discussion: The results from this national population-based study in Lebanon show high prevalence rates of overweight and obesity comparable with those observed in developed countries such as the United States. While further studies are needed to examine the underlying social and cultural factors associated with lifestyle and nutritional habits, now is the time to institute multicomponent interventions promoting physical activity and weight control nationwide.

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Ethnic differences in weight loss behavior among secondary school students in Beirut: the role of weight perception

Cited by 13 publications

References 26 publications

Assessing weight perception accuracy to promote weight loss among U.S. female adolescents: A secondary analysis

Assessing weight perception accuracy to promote weight loss among U.S. female adolescents: A secondary analysis

Body Mass Index and Self-Perception of Overweight and Obesity in Rural, Urban and Rural-to-Urban Migrants: PERU MIGRANT Study

Prevalence and Covariates of Obesity in Lebanon: Findings from the First Epidemiological Study

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