Abstract
Purpose
Attempts to obtain the ideal body shape portrayed in advertising can result in behaviors that lead to an unhealthy reduction in weight. This study was designed to identify contributing factors that may be effective in changing the behavior of a sample of Iranian adolescents.
Methods
Three hundred fifty adolescent girls from high schools in Kerman, Iran participated in a cross-sectional study based on a self-administered questionnaire. Multifactorial logistic regression modeling was used to identify the factors influencing each of the contributing factors for body management methods, and a decision tree model was constructed to identify individuals who were more or less likely to change their body shape.
Results
Approximately one-third of the adolescent girls had attempted dieting, and 37 % of them had exercised to lose weight. The logistic regression model showed that pressure from their mother and the media; father’s education level; and body mass index (BMI) were important factors in dieting. BMI and perceived pressure from the media were risk factors for attempting exercise.
Conclusions
BMI and perceived pressure from relatives, particularly mothers, and the media were important factors in attempts by adolescent girls to lose weight.
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References
Xu X, Mellor D, Kiehne M, Ricciardelli LA, McCabe MP, Xu Y (2010) Body dissatisfaction, engagement in body change behaviors and sociocultural influences on body image among Chinese adolescents. Body Image 7:156–164. doi:10.1016/j.bodyim.2009.11.003
Littleton HL, Ollendick T (2003) Negative body image and disordered eating behavior in children and adolescents: what places youth at risk and how can these problems be prevented? Clin Child Fam Psychol Rev 6:51–66. doi:10.1023/A:1022266017046
Thompson JK, Coovert MD, Stormer S (1999) Body image, social comparison, and eating disturbance: a covariance structure modeling investigation. Int J Eat Disord 26:43–51
Menzel JE, Sperry SL, Small B, Thompson JK, SarwerDB Cash TF (2011) Internalization of appearance ideals and cosmetic surgery attitudes: a test of the tripartite influence model of body image. Sex Roles 65:469–477. doi:10.1007/s11199-011-9983-7
Keery H, van den Berg P, Thompson JK (2004) An evaluation of the tripartite influence model of body dissatisfaction and eating disturbance with adolescent girls. Body Image 1(237–251):2004. doi:10.1016/J.Bbodyim.03.001
Smolak L, Murnen SK, Thompson JK (2005) Sociocultural influences and muscle building in adolescent boys. Psychol Men Masc. 6:227–239. doi:10.1037/1524-9220.6.4.227
Neumark-Sztainer D, Hannan PJ (2000) Weight-related behaviors among adolescent girls and boys: results from a national survey. Arch Pediatr Adolesc Med 154:569–577. doi:10.1186/1479-5868-8-9
McCabe M, Ricciardelli L (2001) The structure of the perceived sociocultural influences on body image and body change questionnaire. Int J Behav Med 8:19–41. doi:10.1007/s11199-004-0722-1
Neumark-Sztainer D, Wall M, Larson NI, Eisenberg ME, Loth K (2011) Dieting and disordered eating behaviors from adolescence to young adulthood: findings from a 10-year longitudinal study. J Am Diet Assoc 111:1004–1011. doi:10.1016/j.jada.2011.04.012
Eaton DK, Kann L, Kinchen S, Shanklin S, Ross J, Hawkins J et al (2010) Youth risk behavior surveillance—United States, 2009. MMWR Surveill Summ 59:1–142
Maloney MJ, McGuire J, Daniels SR, Specker B (1989) Dieting behavior and eating attitudes in children. Pediatrics 84:482–489
Lepage ML, Crowther JH, Harrington EF, Engler P (2008) Psychological correlates of fasting and vigorous exercise as compensatory strategies in undergraduate women. Eat Behav 9:423–429. doi:10.1016/j.eatbeh
Crowther JH, Armey M, Luce KH, Dalton GR, Leahey T (2008) The point prevalence of bulimic disorders from 1990 to 2004. Int J Eat Disord 41:491–497. doi:10.1002/eat
Loth KA, MacLehose R, Bucchianeri M, Crow S, Neumark-Sztainer D (2014) Predictors of dieting and disordered eating behaviors from adolescence to young adulthood. J Adolesc Health 55:705–712. doi:10.1016/j.jadohealth.2014.04.016
Garrusi B, Baneshi MR (2012) Eating disorders and their associated risk factors among Iranian population—a community based study. Glob J Health Sci 5:193–202. doi:10.5539/gjhs.v5n1p193
Nobakht M, Dezhkam M (2000) An epidemiological study of eating disorders in Iran. Int J Eat Disord 28(3):265–271
. Alipour B, Abbasalizad Farhangi M, Dehghan P, Alipour M (2015) Body image perception and its association with body mass index and nutrient intakes among female college students aged 18–35 years from Tabriz, Iran. Eat Weight Disord. doi:10.1007/s40519-015-0184-1
Hatami M, Taib MNM, Djazayery A, Mojani SM, Mejlej HF (2015) Relationship between body image, body dissatisfaction and weight status in Iranian adolescents. Arch Obesity 1:1
Hatami M, Mohd Taib MN, Jamaluddin R, Abu Saad H, Djazayery A (2013) Body change techniques in Iranian adolescents. Relationship to sex and body weight status. Appetite 60(1):27–32. doi:10.1016/j.appet.2012.10.014
Akiba D (1998) Cultural variations in body esteem: how young adults in Iran and the United States view their own appearances. J Soc Psychol 138(4):539–540. doi:10.1080/00224549809600409
Ricciardelli LA, McCabe MP, Banfield S (2000) Body image and body change methods in adolescent boys. Role of parents, friends and the media. J Psychosom Res 49:189–197. doi:10.1016/S0022-3999(00)00159-8
Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z et al (2002) 2000 CDC Growth Charts for the United States: methods and development. Vital Health Stat 11:1–190
Kelishadi R, Ardalan G, Gheiratmand R, Majdzadeh R, Hosseini M, Gouya MM et al (2008) Thinness, overweight and obesity in a national sample of Iranian children and adolescents: CASPIAN Study. Child Care Health Dev 34:44–54. doi:10.1111/j.1365-2214.2007.00744.x
McCabe MP, Ricciardelli LA (2001) Parent, peer, and media influences on body image and strategies to both increase and decrease body size among adolescent boys and girls. Adolescence 36:225–240
Shapurian R, Hojat M, Nayerahmadi H (1987) Psychometric characteristics and dimensionality of a Persian version of Rosenberg Self-esteem Scale. Percept Mot Skills 65:27–34
Garrusi B, Garousi S, Baneshi MR (2013) Body image and body change: predictive factors in an Iranian population. Int J Prev Med 4:940–948
Thompson JK, Stice E (2001) Thin-ideal internalization: mounting evidence for a new risk factor for body-image disturbance and eating pathology. Curr Dir Psychol Sci 10:181–183. doi:10.1111/1467-8721.00144
Abdollahi P, Mann T (2001) Eating disorder symptoms and body image concerns in Iran: comparisons between Iranian women in Iran and in America. Int J Eat Disord 30(3):259–268
Snoek HM, van Strien T, Janssens JM, Engels RC (2008) Restrained eating and BMI: a longitudinal study among adolescents. Health Psychol 27:753–759. doi:10.1037/0278-6133.27.6.753
Jafari-Adli S, Jouyandeh Z, Qorbani M, Soroush A, Larijani B, Hasani-Ranjbar S (2014) Prevalence of obesity and overweight in adults and children in Iran; a systematic review. J Diabetes Metab Disord 13(1):121. doi:10.1186/s40200-014-0121-2
Balantekin KN, Savage JS, Marini ME, Birch LL (2014) Parental encouragement of dieting promotes daughters’ early dieting. Appetite 80:190–196. doi:10.1016/j.appet.2014.05.016
Ata R, Ludden A, Lally M (2007) The effects of gender and family, friend, and media influences on eating behaviors and body image during adolescence. J Youth Adolesc 36:1024–1037. doi:10.1007/s10964-006-9159-x
Bauer KW, Laska MN, Fulkerson JA, Neumark-Sztainer D (2011) Longitudinal and secular trends in parental encouragement for healthy eating, physical activity, and dieting throughout the adolescent years. J Adolesc Health 49:306–311. doi:10.1016/j.jadohealth.2010.12.023
Huon G, Lim J, Gunewardene A (2000) Social influences and female adolescent dieting. J Adolesc 23:229–232. doi:10.1006/jado.2000.0310
Neumark-Sztainer D, Bauer KW, Friend S, Hannan PJ, Story M, Berge JM (2010) Family weight talk and dieting: how much do they matter for body dissatisfaction and disordered eating behaviors in adolescent girls? J Adolesc Health 47:270–276. doi:10.1016/j.jadohealth.2010.02.001
Vincent M, McCabe M (2000) Gender differences among adolescents in family, and peer influences on body dissatisfaction, weight loss, and binge eating behaviors. J Youth Adolescence 29:205–221. doi:10.1023/A:1005156616173
Mukai T (1996) Mothers, peers, and perceived pressure to diet among japanese adolescent girls. J Res Adolesc 6:309–324. doi:10.1177/1359105302007006871
Eisenberg ME, Neumark-Sztainer D, Story M, Perry C (2005) The role of social norms and friends’ influences on unhealthy weight-control behaviors among adolescent girls. Soc Sci Med 60:1165–1173. doi:10.1016/j.socscimed.2012.08.024
Hargreaves D, Tiggemann M (2003) The effect of “thin ideal” television commercials on body dissatisfaction and schema activation during early adolescence. J Youth Adolesc 32:367–373. doi:10.1023/A:1024974015581
Blowers LC, Loxton NJ, Grady-Flesser M, Occhipinti S, Dawe S (2003) The relationship between sociocultural pressure to be thin and body dissatisfaction in preadolescent girls. Eat Behav 4:229–244. doi:10.1016/S1471-0153(03)00018-7
Mellor D, McCabe M, Ricciardelli L, Yeow J, Daliza N, Hapidzal NF (2009) Sociocultural influences on body dissatisfaction and body change behaviors among Malaysian adolescents. Body Image. 6(2):121–128. doi:10.1016/j.bodyim.2008.11.003
Davidson D, Welborn T, Azure D, Lash D (2002) Male and Female body shape preferences of young children in the United States, Mainland China, and Turkey. Child Study J 32(3):131–144
Shih MY, Kubo C (2002) Body shape preference and body satisfaction in Taiwanese college students. Psychiatry Res 111(2–3):215–228
Xie B, Chou CP, Spruijt-Metz D, Reynolds K, Clark F, Palmer PH, Gallaher P, Sun P, Guo Q, Johnson CA (2006) Weight perception and weight-related sociocultural and behavioral factors in Chinese adolescents. Prev Med 42(3):229–234
Kim KH (2007) Religion, weight perception, and weight control behavior. Eat Behav 8(1):121–131
Rastmanesh R, Gluck ME, Shadman Z (2009) Comparison of body dissatisfaction and cosmetic rhinoplasty with levels of veil practicing in Islamic women. Int J Eat Disord 42(4):339–345. doi:10.1002/eat.20613
Dunkel TM, Davidson D, Qurashi S (2010) Body satisfaction and pressure to be thin in younger and older Muslim and non-Muslim women: the role of Western and non-Western dress preferences. Body Image 7(1):56–65
Acknowledgments
This research was supported by financial support of Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences. We would appreciate to thank all students and their parents that participated in this study and their cooperation.
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All steps of this study were approved by Ethical Committee of Kerman Medical Sciences University that based on Declaration of Helsinki and International Conference Harmonisation/good Clinical Practice guidelines and its amendments or comparable ethical standards.
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Informed consent was signed by all participants in this study.
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Garousi, S., Garrusi, B., Baneshi, M.R. et al. Weight management behaviors in a sample of Iranian adolescent girls. Eat Weight Disord 21, 435–444 (2016). https://doi.org/10.1007/s40519-015-0249-1
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DOI: https://doi.org/10.1007/s40519-015-0249-1