Volume 11, Issue 4 (2023)                   Health Educ Health Promot 2023, 11(4): 627-634 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rahmani F, Varmazyar A, Aghajari P, Hosseinzadeh M. Effect of Socio-Demographic Factors, Health Literacy, and Mothers' Nutritional Literacy on Obesity-Related Behaviors among Female Adolescents; A Cross-Sectional Study. Health Educ Health Promot 2023; 11 (4) :627-634
URL: http://hehp.modares.ac.ir/article-5-71601-en.html
1- Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
2- Department of Community Health Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
3- Department of Pediatric Nursing, Nursing and Midwifery Faculty, Maragheh University of Medical Sciences, Maragheh, Iran
Abstract:   (463 Views)
Aims: Obesity in adolescent is associated with several negative outcomes. This study aimed to determine factors associated with obesity among female students during the COVID-19 pandemic.
Instrument & Methods: In this descriptive correlational study, a convenience sample of female adolescent students of high schools in Tabriz, Iran (322 students who were classified as obese or overweight) was selected between January and May 2021. An online self-administered questionnaire was distributed through the Shad platform. The survey package included socio-demographic questions, health literacy measures for adolescents, an inventory of determinants of obesity-related behaviors in adolescents, and mother's nutritional literacy. Multiple regression analysis examined associated factors with obesity using SPSS 133. The study adhered to the STROBE guidelines for reporting.
Findings: The mean score of obesity-related behaviors was moderate (124.18±22.35). Participants' mean scores in the domains of lack of support, unhealthy nutrition, physical inactivity, and perceived inability were more than average. Adolescents' health literacy mean score was moderate (167.43±20.06). Mother’s occupation (β=15.73; 95% CI: 7.54 to 23.92; p<0.001) and mother's nutritional literacy (β=-0.88; 95% CI: -1.50 to -0.27; p=0.005) were statistically significant predictors of the obesity-related behavior.
Conclusion: Mothers' nutritional literacy plays a pivotal role in shaping adolescents' behaviors related to obesity; thus, empowering mothers with appropriate knowledge and skills in the field of healthier lifestyles and improving the overall well-being of adolescents is essential.

Full-Text [PDF 703 kb]   (282 Downloads) |   |   Full-Text (HTML)  (34 Views)  
Article Type: Descriptive & Survey | Subject: Health Education and Health Behavior
Received: 2023/09/17 | Accepted: 2023/11/4 | Published: 2023/11/10
* Corresponding Author Address: Department of Community Health Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, South Shariati Street, Tabriz, Iran. Postal Code: 5138947977 (m.hosseinzadeh63@gmail.com)

References
1. Boutari C, Mantzoros CS. A 2022 update on the epidemiology of obesity and a call to action: As its twin COVID-19 pandemic appears to be receding, the obesity and dysmetabolism pandemic continues to rage on. Metabolism. 2022;133:155217. [Link] [DOI:10.1016/j.metabol.2022.155217]
2. Pandita A, Sharma D, Pandita D, Pawar S, Tariq M, Kaul A. Childhood obesity: Prevention is better than cure. Diabetes Metab Syndr Obes. 2016;9:83-89. [Link] [DOI:10.2147/DMSO.S90783]
3. Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: Causes and consequences. J Family Med Primary Care. 2015;4(2):187. [Link] [DOI:10.4103/2249-4863.154628]
4. Jenabi E, Khazaei S. Trends in obesity among iranian children and adolescents: 2000-2016. J Tehran Univ Heart Center. 2020;15(1):41-2. [Link] [DOI:10.18502/jthc.v15i1.3340]
5. Khateri S, Moradi Y, Khazaei Z, Mirzaei H, Hanis SM, Aliabadi MA, et al. Prevalence of obesity and overweight in Iranian children aged less than 5 years: A systematic review and meta-analysis. Korean J Pediatr. 2019;62(6):206-12. [Link] [DOI:10.3345/kjp.2018.07255]
6. Babashahi M, Omidvar N, Yazdizadeh B, Heidari-Beni M, Joulaei H, Narmcheshm S, et al. Systematic review and meta-analysis of the most common processed foods consumed by Iranian children. East Mediter Health J. 2021;27(9):918-30. [Link] [DOI:10.26719/emhj.21.032]
7. Kansra AR, Lakkunarajah S, Jay MS. Childhood and adolescent obesity: A review. Front Pediatr. 2021;8:581461. [Link] [DOI:10.3389/fped.2020.581461]
8. Pereira MMCe, Padez CMP, Nogueira HGdSM. Describing studies on childhood obesity determinants by Socio-Ecological Model level: A scoping review to identify gaps and provide guidance for future research. Int J Obesity. 2019;43(10):1883-90. [Link] [DOI:10.1038/s41366-019-0411-3]
9. Fox EL, Timmer A. Children's and adolescents' characteristics and interactions with the food system. Global Food Security. 2020;27:100419. [Link] [DOI:10.1016/j.gfs.2020.100419]
10. Ohri-Vachaspati P, DeLia D, DeWeese RS, Crespo NC, Todd M, Yedidia MJ. The relative contribution of layers of the social ecological model to childhood obesity. Public Health Nutr. 2015;18(11):2055-66. [Link] [DOI:10.1017/S1368980014002365]
11. Whitlock EP, O'Connor EA, Williams SB, Beil TL, Lutz KW. Effectiveness of weight management interventions in children: A targeted systematic review for the USPSTF. Pediatrics. 2010;125(2):e396-418. [Link] [DOI:10.1542/peds.2009-1955]
12. Yazdanparast A, Vakili R, Saeidi M. The prevalence of obesity and overweight in iranian high school students: A systematic review. Health Providers. 2022;1(1):1-11. [Link]
13. Haghighatdoost F, Atefi M, Mohammadifard N, Daryabeygi-Khotbehsara R, Khosravi A, Mansourian M. The relationship between ultraprocessed food consumption and obesity indicators in Iranian adults. Nutr Metab Cardiovasc Dis. 2022;32(9):2074-85. [Link] [DOI:10.1016/j.numecd.2022.05.019]
14. Nouri M, Eskandarzadeh S, Makhtoomi M, Rajabzadeh-Dehkordi M, Omidbeigi N, Najafi M, et al. Association between ultra-processed foods intake with lipid profile: A cross-sectional study. Sci Rep. 2023;13(1):7258. [Link] [DOI:10.1038/s41598-023-34451-x]
15. Delbosq S, Velasco V, Vercesi C, Lombardia GRH, Vecchio LP. Adolescents' nutrition: The role of health literacy, family and socio-demographic variables. Int J Environ Res Public Health. 2022;19(23):15719. [Link] [DOI:10.3390/ijerph192315719]
16. Straughan PT, Xu C. Parents' knowledge, attitudes, and practices of childhood obesity in Singapore. SAGE Open. 2022;12(4):21582440221144436. [Link] [DOI:10.1177/21582440221144436]
17. Hoteit M, Mohsen H, Hanna-Wakim L, Sacre Y. Parent's food literacy and adolescents nutrition literacy influence household's food security and adolescent's malnutrition and anemia: Findings from a national representative cross sectional study. Front Nutr. 2022;9:1053552. [Link] [DOI:10.3389/fnut.2022.1053552]
18. Kueppers J, Stein KF, Groth S, Fernandez ID. Maternal and child dietary intake: The role of maternal healthy-eater self-schema. Appetite. 2018;125:527-36. [Link] [DOI:10.1016/j.appet.2018.01.014]
19. Coughlin SS, Vernon M, Hatzigeorgiou C, George V. Health literacy, social determinants of health, and disease prevention and control. J Environ Health Sci. 2020;6(1):3061. [Link]
20. Nutbeam D, McGill B, Premkumar P. Improving health literacy in community populations: A review of progress. Health Promot Int. 2018;33(5):901-11. [Link] [DOI:10.1093/heapro/dax015]
21. Guo S, Naccarella L, Yu X, Armstrong R, Browne G, Shi Y, et al. Health literacy and its mediating role in predicting health behaviors among Chinese secondary students. Asia Pac J Public Health. 2021;33(1):76-83. [Link] [DOI:10.1177/1010539520980926]
22. Guo S, Yu X, Davis E, Armstrong R, Naccarella L. Health literacy: An interactive outcome among secondary students in Beijing. Health Lit Res Pract. 2021;5(1):e1-14. [Link] [DOI:10.3928/24748307-20201117-01]
23. Chu-Ko F, Chong ML, Chung CJ, Chang CC, Liu HY, Huang LC. Exploring the factors related to adolescent health literacy, health-promoting lifestyle profile, and health status. BMC Public Health. 2021;21(1):2196. [Link] [DOI:10.1186/s12889-021-12239-w]
24. Ke Y, Zhang S, Hao Y, Liu Y. Associations between socioeconomic status and risk of obesity and overweight among Chinese children and adolescents. BMC Public Health. 2023;23(1):401. [Link] [DOI:10.1186/s12889-023-15290-x]
25. Ziso D, Chun OK, Puglisi MJ. Increasing access to healthy foods through improving food environment: A review of mixed methods intervention studies with residents of low-income communities. Nutrients. 2022;14(11):2278. [Link] [DOI:10.3390/nu14112278]
26. Ruiz LD, Zuelch ML, Dimitratos SM, Scherr RE. Adolescent obesity: Diet quality, psychosocial health, and cardiometabolic risk factors. Nutrients. 2019;12(1):43. [Link] [DOI:10.3390/nu12010043]
27. Fleary SA, Joseph P. Adolescents' health literacy and decision-making: A qualitative study. Am J Health Beh. 2020;44(4):392-408. [Link] [DOI:10.5993/AJHB.44.4.3]
28. Liu KS, Chen JY, Ng MY, Yeung MH, Bedford LE, Lam CL. How does the family influence adolescent eating habits in terms of knowledge, attitudes and practices? A global systematic review of qualitative studies. Nutrients. 2021;13(11):3717. [Link] [DOI:10.3390/nu13113717]
29. Costarelli V, Michou M, Panagiotakos DB, Lionis C. Parental health literacy and nutrition literacy affect child feeding practices: A cross-sectional study. Nutr Health. 2022;28(1):59-68. [Link] [DOI:10.1177/02601060211001489]
30. Ghanbari S, Ramezankhani A, Montazeri A, Mehrabi Y. Health literacy measure for adolescents (HELMA): Development and psychometric properties. PloS One. 2016;11(2):e0149202. [Link] [DOI:10.1371/journal.pone.0149202]
31. Saedi F, Panahi R. The Survey of association between health literacy and BMI among adolescents. J Health Lit. 2017;2(1):22-30. [Link] [DOI:10.18869/acadpub.jhl.2.1.22]
32. Tavousi M, Mehrizi A, Solimanian A, Sarbandi F, Ardestani M, Hashemi A, et al. Health literacy in Iran: Findings from a national study. Payesh (Health Monitor). 2016;15(1):95-102. [Persian] [Link]
33. Dehghankar L, Panahi R, Kekefallah L, Hosseini N, Hasannia E. The study of health literacy and its related factors among female students at high schools in Qazvin. J Health Lit. 2019;4(2):18-26. [Link]
34. Amiri P, Ghofranipour F, Jalali-Farahani S, Ahmadi F, Hosseinpanah F, Hooman HA, et al. Inventory of determinants of obesity-related behaviors in adolescents: Development and psychometric characteristics. Int J Endocrinol Metab. 2015;13(3):e24618. [Link] [DOI:10.5812/ijem.24618v2]
35. Mohammad RF, Saeid MMS, Hossein F, Mehdi H, Maryam A. Prevalence of obesity and overweight among office workers of pars special economic energy zone, Assaluyeh, Iran. Healthy Aging Res. 2019;9(3):1-6. [Link] [DOI:10.35248/har.2019.8.3]
36. Hamzavi Zarghani N, Ghofranipour F, Mohammadi E, Haeri Mehrizi A, Cardon G. Weight management promotion among preschoolers: A protocol for a pilot study using mixed methods. Health Educhealth Promot. 2021;9(3):221-7. [Link]
37. Cesur B, Koçoğlu G, Sümer H. (2015). Evaluation instrument of nutrition literacy on adults (EINLA) A validity and reliability study. Integr Food Nutr Metab. 2015;2(1):127-30.‏ [Link] [DOI:10.15761/IFNM.1000114]
38. Hemati M, Akbartabar Toori M, Shams M, Behroozpour A, Rezaei A. Measuring nutritional literacy in elementary school teachers in Yasuj: A cross-sectional study. Armaghan-e Danesh. 2018;23(1):124-33. [Persian] [Link]
39. Kim HY. Statistical notes for clinical researchers: Assessing normal Distribution (2) using skewness and kurtosis. Restor Dent Endod. 2013;38(1):52-4. [Link] [DOI:10.5395/rde.2013.38.1.52]
40. Ferris KA, Babskie E, Metzger A. Associations between food-related parenting behaviors and adolescents' engagement in unhealthy eating behaviors:the role of nutrition knowledge. Int J Aging Hum Dev. 2017;84(3):231-46. [Link] [DOI:10.1177/0091415016685325]
41. Nancy S, Rahman KM, Kumar SS, Sofia S, Robins MA. Reasons and solutions for unhealthy food consumption and physical inactivity among school-going adolescents: A sequential mixed-methods study in Puducherry, South India. J Family Med Prim Care. 2022;11(11):6970. [Link] [DOI:10.4103/jfmpc.jfmpc_469_22]
42. van Sluijs EMF, Ekelund U, Crochemore-Silva I, Guthold R, Ha A, Lubans D, et al. Physical activity behaviours in adolescence: Current evidence and opportunities for intervention. Lancet. 2021;398(10298):429-42. [Link] [DOI:10.1016/S0140-6736(21)01259-9]
43. Okour AM, Saadeh RA, Hijazi MH, Khalaileh HEA, Alfaqih MA. Socioeconomic status, perceptions and obesity among adolescents in Jordan. Pan African Med J. 2019;34:148. [Link] [DOI:10.11604/pamj.2019.34.148.19641]
44. Taylor SA, Borzutzky C, Jasik CB, Mihalopoulos NL, Smith-Barron K, Woolford SJ, et al. Preventing and treating adolescent obesity: A position paper of the society for adolescent health and medicine: The society for adolescent health and medicine. J Adolesc Health. 2016;59(5):602-6. [Link] [DOI:10.1016/j.jadohealth.2016.08.020]
45. Vittrup B, McClure D. Barriers to childhood obesity prevention: Parental knowledge and attitudes. Pediatr Nurs. 2018;44(2). [Link]
46. Chien TY, Chien YW, Chang JS, Chen YC. Influence of mothers' nutrition knowledge and attitudes on their purchase intention for infant cereal with no added sugar claim. Nutrients. 2018;10(4):435. [Link] [DOI:10.3390/nu10040435]
47. Adewole KO, Ogunfowokan AA, Olodu M. Influence of health literacy on health promoting behaviour of adolescents with and without obesity. Int J Africa Nurs Sci. 2021;15:100342. [Link] [DOI:10.1016/j.ijans.2021.100342]
48. Chung A, Vieira D, Donley T, Tan N, Jean-Louis G, Kiely Gouley K, et al. Adolescent peer influence on eating behaviors via social media: scoping review. J Med Internet Res. 2021;23(6):e19697. [Link] [DOI:10.2196/19697]
49. Lekše R, Godec D, Prosen M. Determining the impact of lifestyle on the health of primary school children in slovenia through mixed membership focus groups. J Community Health. 2023:48(5):857-69. [Link] [DOI:10.1007/s10900-023-01231-7]
50. Fertig AR, de Brito JN, Trofholz AC, Berge JM. Maternal employment and child weight-related health. Soc Sci Med. 2022;310:115303. [Link] [DOI:10.1016/j.socscimed.2022.115303]
51. Kachi Y, Abe A, Eguchi H, Inoue A, Tsutsumi A. Mothers' nonstandard work schedules and adolescent obesity: a population-based cross-sectional study in the Tokyo metropolitan area. BMC Public Health. 2021;21(1):237. [Link] [DOI:10.1186/s12889-021-10279-w]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.