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Associates of obesity and weight dissatisfaction among Finnish adolescents

Published online by Cambridge University Press:  16 October 2007

Vera Mikkilä ,
Marjaana Lahti-Koski ,
Pirjo Pietinen ,
Suvi M Virtanen  and
Matti Rimpelä
Vera Mikkilä*
Affiliation:
National Public Health Institute, Mannerheimintie 166, FIN-00300 Helsinki, Finland Present address: Division of Nutrition, Department of Applied Chemistry and Microbiology, University of Helsinki, PO Box 27, FIN-00014 University of Helsinki, Finland
Marjaana Lahti-Koski
Affiliation:
National Public Health Institute, Mannerheimintie 166, FIN-00300 Helsinki, Finland
Pirjo Pietinen
Affiliation:
National Public Health Institute, Mannerheimintie 166, FIN-00300 Helsinki, Finland
Suvi M Virtanen
Affiliation:
National Public Health Institute, Mannerheimintie 166, FIN-00300 Helsinki, Finland School of Public Health and Medical School, University of Tampere, and Department of Pediatrics, Tampere University Hospital, Tampere, Finland
Matti Rimpelä
Affiliation:
National Research and Development Centre for Welfare and Health, Helsinki, Finland
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

We investigated behavioural and socio-economic factors associated with obesity and weight dissatisfaction among Finnish adolescents.

Design:

A total of 60252 Finnish adolescents aged 14 to 16 years filled in a questionnaire about their health, health behaviour and socio-economic background. Food choices were obtained by using a short food-frequency questionnaire. Obesity was defined as a weight at least 120% of the sex- and height-specific mean weight for subjects.

Results:

Of girls and boys, 54% and 66%, respectively, were satisfied with their weight. Among dissatisfied normal-weight adolescents, 81% of girls but only 48% of boys thought they were overweight. Of obese boys, 25% were satisfied with their weight. For both genders, obesity and weight dissatisfaction were associated with economic problems in the family. In girls, an association was also found with poor school performance, low educational level of parents and not having evening meals at home; and in boys, with physical inactivity and not eating school lunch. Smoking was more common among girls who were dissatisfied with their weight. Differences in food choices were small between different weight and weight satisfaction categories.

Conclusions:

Having normal weight and being satisfied with that weight are favourable for an adolescent. Obesity and weight dissatisfaction are associated mostly with disadvantageous health behaviours and low socio-economic status. Health behaviour seems to be associated more with weight satisfaction than with actual weight.

Keywords

AdolescentsWeightBody imageSocio-economic factorsHealth behaviour
Type
Research Article
Information
Public Health Nutrition , Volume 6 , Issue 1 , February 2003 , pp. 49 - 56
Copyright
Copyright © CABI Publishing 2003

References

1Flegal, KM. The obesity epidemic in children and adults: current evidence and research issues. Med. Sci. Sports Exerc. 1999; 31: S509–14.Google Scholar
2Reilly, JJ, Dorosty, AR. Epidemic of obesity in UK children. Lancet 1999; 354: 1874–5.CrossRefGoogle ScholarPubMed
3Kromeyer-Hauschild, K, Zellner, K, Jaeger, U, et al. Prevalence of overweight and obesity among school children in Jena (Germany). Int. J. Obes. 1999; 23: 1143–50.Google Scholar
4Thomsen, BL, Ekstrom, CT, Sorensen, TI. Development of the obesity epidemic in Denmark: cohort, time and age effects among boys born 1930–1975. Int. J. Obes. 1999; 23: 693–701.CrossRefGoogle ScholarPubMed
5Moreno, LA, Sarría, A, Fleta, J, et al. Trends in body mass index and overweight prevalence among children and adolescents in the region of Aragón (Spain) from 1985 to 1995. Int. J. Obes. 2000; 24: 925–31.Google Scholar
6Flegal, KM, Troiano, RP. Changes in the distribution of body mass index of adults and children in the US population. Int. J. Obes. 2000; 24: 807–18.Google Scholar
7Must, A, Strauss, RS. Risks and consequences of childhood and adolescent obesity. Int. J. Obes. 1999; 23(Suppl.2): S2–11.CrossRefGoogle ScholarPubMed
8Strauss, RS. Childhood obesity and self-esteem. Pediatrics 2000; 105: 111–9.CrossRefGoogle ScholarPubMed
9Guaraldi, GP, Orlandi, E, Boselli, P, et al. Body image assessed by a video distortion technique: the relationship between ideal and perceived body image and body dissatisfaction. Eur. Eat. Disord. Rev. 1999; 7: 121–8.3.0.CO;2-T>CrossRefGoogle Scholar
10Parkinson, KN, Tovée, MJ, Cohen-Tovée, EM. Body shape perceptions of preadolescent and young adolescent children. Eur. Eat. Disord. Rev. 1998; 6: 126–35.3.0.CO;2-L>CrossRefGoogle Scholar
11Neumark-Sztainer, D, Story, M, Resnick, MD, et al. Lessons learned about adolescent nutrition from the Minnesota Adolescent Health Survey. J. Am. Diet. Assoc. 1998; 98: 1449–56.CrossRefGoogle ScholarPubMed
12Strauss, RS. Self-reported weight status and dieting in a cross-sectional sample of young adolescents: National Health and Nutrition Examination Survey III. Arch. Pediat. Adolesc. Med. 1999; 153: 741–7.CrossRefGoogle Scholar
13Hirvonen, T, Lahti-Koski, M, Roos, E, et al. Food choices and school lunch eating among adolescents [in Finnish, English summary]. Sosiaalilääketieteellinen Aikakauslehti [J. Soc. Med.] 1999; 36: 162–71.Google Scholar
14 SAS Institute, Inc., SAS/STAT User's Guide, Version 6, 4th ed. Vol. 2. Cary, NC: SAS Institute, Inc., 1989.Google Scholar
15Cole, T, Bellizzi, M, Flegal, KM, et al. Establishing a standard definition for child overweight and obesity worldwide: international survey. Br. Med. J. 2000; 320: 1240.Google Scholar
16Crawley, HF, Portides, G. Self-reported versus measured height, weight and body mass index amongst 16–17 year old British teenagers. Int. J. Obes. Relat. Metab. Disord. 1995; 19: 579–84.Google Scholar
17Davis, H, Gergen, PJ. The weights and heights of Mexican–American adolescents: the accuracy of self-reports. Am. J. Public Health 1994; 84: 459–62.Google Scholar
18Goodman, E, Hinden, BR, Khandelwal, S. Accuracy of teen and parental reports of obesity and body mass index. Pediatrics 2000; 106: 52–8.Google Scholar
19Koskelainen, M, Sourander, A, Helenius, H. Dieting and weight concerns among Finnish adolescents. Nord. J. Psychiat. 2001; 55: 427–31.Google Scholar
20Ryan, YM, Gibney, MJ, Flynn, MA. The pursuit of thinness: a study of Dublin schoolgirls aged 15y. Int. J. Obes. 1998; 22: 485–7.CrossRefGoogle Scholar
21Moore, D. Body image and eating behavior in adolescents. J. Am. Coll. Nutr. 1993; 12: 505–10.Google Scholar
22Fisher, M, Schneider, M, Pegler, C, et al. Eating attitudes, health-risk behaviors, self-esteem and anxiety among adolescent females in a suburban high school. J. Adolesc. Health 1991; 12: 377–84.CrossRefGoogle Scholar
23Wardle, J, Marsland, L. Adolescent concerns about weight and eating: a social–development perspective. J. Psychosom. Res. 1990; 34: 377–91.CrossRefGoogle ScholarPubMed
24Furnham, A, Calnan, A. Eating disturbance, self-esteem, reasons for exercising and body weight dissatisfaction in adolescent males. Eur. Eat. Disord. Rev. 1998; 6: 58–72.3.0.CO;2-V>CrossRefGoogle Scholar
25Lahti-Koski, M, Vartiainen, E, Männistö, S, et al. Age, education and occupation as determinants of trends in body mass index among adults in Finland from 1982 to 1997. Int. J. Obes. 2000; 24: 1669–76.CrossRefGoogle ScholarPubMed
26Spiegelare, M, Dramaix, M, Hennart, P. The influence of socioeconomic status on the incidence and evolution of obesity during early adolescence. Int. J. Obes. 1998; 22: 268–74.Google Scholar
27Story, M, French, S, Resnick, M, et al. Ethnic/racial and socioeconomic differences in dieting behaviors and body image perceptions in adolescents. Int. J. Eat. Disord. 1995; 18: 173–9.3.0.CO;2-Q>CrossRefGoogle ScholarPubMed
28Ogden, J, Thomas, D. The role of familial values in understanding the impact of social class on weight concern. Int. J. Eat. Disord. 1999; 25: 273–9.Google Scholar
29Neumark-Sztainer, D, Story, M, French, SA, et al. Psychosocial concerns and health-compromising behaviors among overweight and nonoverweight adolescents. Obes. Res. 1997; 5: 237–49.Google Scholar
30Crisp, AH, Stavrakaki, C, Halek, C, et al. Smoking and pursuit of thinness in schoolgirls in London and Ottawa. Postgrad. Med. J. 1998; 74: 473–9.Google Scholar
31Camp, DE, Klesges, RC, Relyea, G. The relationship between body weight concerns and adolescent smoking. Health Psychol. 1993; 12: 24–32.CrossRefGoogle ScholarPubMed
32Davis, C, Durnin, JV, Gurevich, M, et al. Body composition correlates of weight dissatisfaction and dietary restraint in young women. Appetite 1993; 20: 197–207.CrossRefGoogle ScholarPubMed
33Bellisle, F, McDevitt, R, Prentice, AM. Meal frequency and energy balance. Br. J. Nutr. 1997; 77: S57–70.CrossRefGoogle ScholarPubMed
34French, SA, Story, M, Downes, B, et al. Frequent dieting among adolescents: psychosocial and health behavior correlates. Am. J. Public Health 1995; 85: 695–701.Google Scholar
35Wichström, L. Social, psychological and physical correlates of eating problems. A study of the general adolescent population in Norway. Psychol. Med. 1995; 25: 567–579.Google Scholar