سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Varmazyar, Akram, Aghajari, Parvaneh, Rahmani, Farnaz, Jafarizadeh, Mina, Hosseinzadeh, Mina. (1403). The Relationship between Health Literacy and Body Mass Index among Female Adolescent: A Cross-sectional Study. , 9(3), 83-94. doi: 10.22038/jhl.2024.79751.1569
Akram Varmazyar; Parvaneh Aghajari; Farnaz Rahmani; Mina Jafarizadeh; Mina Hosseinzadeh. "The Relationship between Health Literacy and Body Mass Index among Female Adolescent: A Cross-sectional Study". , 9, 3, 1403, 83-94. doi: 10.22038/jhl.2024.79751.1569
Varmazyar, Akram, Aghajari, Parvaneh, Rahmani, Farnaz, Jafarizadeh, Mina, Hosseinzadeh, Mina. (1403). 'The Relationship between Health Literacy and Body Mass Index among Female Adolescent: A Cross-sectional Study', , 9(3), pp. 83-94. doi: 10.22038/jhl.2024.79751.1569
Varmazyar, Akram, Aghajari, Parvaneh, Rahmani, Farnaz, Jafarizadeh, Mina, Hosseinzadeh, Mina. The Relationship between Health Literacy and Body Mass Index among Female Adolescent: A Cross-sectional Study. , 1403; 9(3): 83-94. doi: 10.22038/jhl.2024.79751.1569

The Relationship between Health Literacy and Body Mass Index among Female Adolescent: A Cross-sectional Study

Journal of Health Literacy
دوره 9، شماره 3 - شماره پیاپی 35، آذر 2024، صفحه 83-94    اصل مقاله (1.36 M)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22038/jhl.2024.79751.1569
نویسندگان
Akram Varmazyar1؛ Parvaneh Aghajari2؛ Farnaz Rahmani3؛ Mina Jafarizadeh4؛ Mina Hosseinzadeh* 5
1MSc Student, Department of community health nursing, nursing and midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
2PhD, Assistant Professor, Department of pediatric nursing, nursing and midwifery Faculty, Maragheh University of Medical Sciences, Maragheh, Iran.
3PhD, Assistant Professor, Department of mental health and psychiatric nursing, nursing and midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
4Instructor, Master of community health nursing, Nursing education group, Sarab Faculty of Medical Sciences, Sarab, Iran.
5Associate Professor, Department of community health nursing, Nursing and midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
چکیده
Background and Objective: Health literacy (HL) is a key determinant of health-related behaviors and may play a crucial role in preventing obesity. This study investigates to determine body mass index (BMI) status of female adolescent and its association with HL.

Materials and Methods: A cross-sectional study was conducted among 1117 female adolescents aged 12-17 in schools of Tabriz, Iran in 2022. Sampling method was multi-stage clustered random sampling. HL was assessed using the HELMA questionnaire, and BMI was calculated using height and weight measurements. Data were analyzed using univariate and multivariate logistic regression analysis by SPSS software version 16. The level of significance was considered <0.05.

Results: The mean HL score was 165.42 (26.42) (Range score: 44-205), indicating relatively adequate level of HL. However, 24.2% of the participants had inadequate or insufficient HL. 18.4% of students were overweight and 6.3% were obese. Univariate logistic regression analysis showed that age, father's education, mother's education and HL were significantly associated with obesity/overweight in girls (P<0.2). In the multivariable logistic regression model, girls with inadequate HL had 1.87 times higher odds of obesity/overweight compared to those with excellent HL (P=0.04, OR=1.87, 95% CI: 1.12-3.14).

Conclusion: This study found a significant negative association between HL and BMI among female adolescents. Interventions to improve HL can be considered as an effective strategy for preventing obesity and overweight in this population group.
کلیدواژه‌ها
Health literacy؛ Body Mass Index؛ Girls؛ Obesity؛ Adolescents
مراجع
  1. Naghavi A, Khalesi ZB, Rad EH, Safshekan S. Health literacy of Iranian adolescent girls and its determinants. Polish Annals of Medicine. 2021; 28(2): 128-133. https://doi.org/10.29089/2020.20.00156
  2. Karimi N, Gharin S, Tol A, Sadeghi R, Yaseri M, Mohebbi B. Role of health literacy and demographic variables in determining health-promoting behaviors among high school female students in the City of Tehran, Iran. Journal of School of Public Health & Institute of Public Health Research. 2019; 17(3): 213-228.
  3. Khazaei S, Nooraliey P, Gholamaliee B, Keshvari Delavar M, Khazaei S, Jamorpour S, et al. The prevalence of obesity among Iranian adolescents: A meta-analysis study. Qom University of Medical Sciences Journal. 2016; 10(9): 78-88.
  4. Kansra AR, Lakkunarajah S, Jay MS. Childhood and adolescent obesity: A review. Frontiers in pediatrics. 2021; 12(8):866-78. https://doi.org/10.3389/fped.2020.581461 PMid:33511092 PMCid:PMC7835259
  5. Tremmel, M.; Gerdtham, U.-G.; Nilsson, P.M.; Saha, S. Economic Burden of Obesity: A Systematic Literature Review. Int. J. Environ. Res. Public Health. 2017; 14(4): 435-48. https://doi.org/10.3390/ijerph14040435 PMid:28422077 PMCid:PMC5409636
  6. Itriyeva K. The effects of obesity on the menstrual cycle. Current Problems in Pediatric and Adolescent Health Care. 2022;101241. https://doi.org/10.1016/j.cppeds.2022.101241 PMid:35871162 PMCid:PMC9449629
  7. Syah MNH. The Relationship between Obesity and Anemia among Adolescent Girls. Poltekita: Jurnal Ilmu Kesehatan. 2022; 15(4): 355-59. https://doi.org/10.33860/jik.v15i4.712
  8. Abarca-Gómez L, Abdeen ZA, Hamid ZA, et al. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. The Lancet 2017; 390(10113): 2627-42. https://doi.org/10.1016/S0140-6736(17)32129-3 PMid:29029897
  9. WHO. World Obesity Day 2022 - Accelerating action to stop obesity 2022 [Available from: https://www.who.int/news/item/04-03-2022-world-obesity-day-2022-accelerating-action-to-stop-obesity.
  10. Nasr M, Pourmirzaei M, Motlagh ME, Heshmat R, Qorbani M, Kelishadi R. Mapping the relative risk of weight disorders in children and adolescents across provinces of Iran: the CASPIAN-V study. Health Promotion Perspectives. 2020; 10(3): 238-250. https://doi.org/10.34172/hpp.2020.37 PMid:32802760 PMCid:PMC7420165
  11. Trübswasser, U., Verstraeten, R., Salm, L., et al. Factors influencing obesogenic behaviours of adolescent girls and women in low‐and middle‐income countries: A qualitative evidence synthesis. Obesity Reviews. 2021; 22(4), e13163.‏ https://doi.org/10.1111/obr.13163 PMid:33283419 PMCid:PMC7988604
  12. Zareipour M, Saeed Jadgal M, Khazir Z, Moradi Z, Amirzehni J. Study of Lifestyle and Its Relationship Between Health Literacy in Health Ambassadors in Urmia. Journal of Health Literacy. Summer 2021; 2(6): 33-40.
  13. Dick B, Ferguson BJ. Health for the world's adolescents: a second chance in the second decade. Journal of Adolescent Health. 2015; 56(1): 3-6. https://doi.org/10.1016/j.jadohealth.2014.10.260 PMid:25530601
  14. Movahed E, Zareipour M, Jadgal MS, Rezaee Moradali M, Baljani E. Investigating health literacy and its Relationship with the Social Influences of COVID-19 in Police force employees. Journal of Health Literacy. Winter 2024; 8(4): 43-52.
  15. Abedini S, Nooraddin Sh, Mohseni Sh, Daryafti H, Karimi F, Ezati rad R. Health literacy and health-promoting behaviors in southern Iran. Journal of Health Literacy. Summer 2021; 2(6): 53-60
  16. Fan, Z. Y., Yang, Y., & Zhang, F.. Association between health literacy and mortality: a systematic review and meta-analysis. Archives of Public Health, 2021;79(119): 1-13.‏ https://doi.org/10.1186/s13690-021-00648-7 PMid:34210353 PMCid:PMC8247180
  17. Khadivi A. Study of Health Literacy among Girl Students in Tabriz City, Iran, based on Demographic Characteristics. 2018; 15(4):182-187.
  18. Zhamantayev O, Nukeshtayeva K, Kayupova G, Dauletkaliyeva Z, Bolatova Z, Takuadina A, et al. Mapping the terrain: A comprehensive exploration of health literacy among youth. J CLIN MED KAZ. 2023;20(6):12-22. https://doi.org/10.23950/jcmk/13917
  19. Lovrić B, Placento H, Farčić N, Lipič Baligač M, Mikšić Š, Mamić M, et al. Association between health literacy and prevalence of obesity, arterial hypertension, and diabetes mellitus. International Journal of Environmental Research and Public Health. 2022; 19(15):9002-16. https://doi.org/10.3390/ijerph19159002 PMid:35897372 PMCid:PMC9331373
  20. Dehal A, Garrett T, Tedders SH, Arroyo C, Afriyie-Gyawu E, Zhang J. Body mass index and death rate of colorectal cancer among a national cohort of US adults. Nutrition and cancer. 2011; 63(8): 1218-25. https://doi.org/10.1080/01635581.2011.607539 PMid:21981584
  21. Park A, Eckert TL, Zaso MJ, Scott‐Sheldon LA, Vanable PA, Carey KB, et al. Associations between health literacy and health behaviors among urban high school students. Journal of School Health. 2017; 87(12): 885-93. https://doi.org/10.1111/josh.12567 PMid:29096408 PMCid:PMC5669371
  22. Saeedy Golluche F, Jalili Z, Tavakoli R. The study of relationship between health literacy and nutritional practice in high school adolescents in Tehran. Iranian journal of health education and health promotion. 2017; 5(3): 224-30. https://doi.org/10.30699/acadpub.ijhehp.5.3.224
  23. World Health Organization. Physical status: The use and interpretation of anthropometric indicators. Geneva, Switzerland 2021 [Available from: https://www.who.int/publications/i/item/9241208546.
  24. Ghanbari S, Ramezankhani A, Mehrabi Y, Montazeri A. The health literacy measure for adolescents (HELMA): development and psychometric evaluation. Payesh (Health Monitor). 2016 ;15(4): 404-10. https://doi.org/10.1037/t52460-000
  25. Bansal D, VS MS, Devi N, Boya C, Dhora Babu K, Dutta P. Trends estimation of obesity prevalence among South Asian young population: a systematic review and meta-analysis. Scientific Reports. 2024; 14(1): 596-606. https://doi.org/10.1038/s41598-023-50973-w PMid:38182700 PMCid:PMC10770040
  26. Moore Heslin A, O'Donnell A, Kehoe L, Walton J, Flynn A, Kearney J, et al. Adolescent overweight and obesity in Ireland-Trends and sociodemographic associations between 1990 and 2020. Pediatric Obesity. 2023; 18(2): e12988. https://doi.org/10.1111/ijpo.12988 PMid:36287113 PMCid:PMC10077905
  27. Australian Institute of Health and Welfare. Overweight and obesity among Australian children and adolescents. 2020; vol. Cat. no. PHE 274.‏ Canberra: AIHW. Available from: https://www.aihw.gov.au/getmedia/ac61b7d7-7991-4e15-8fa6-a7973479fa8b/aihw-phe-274.pdf?v=20230605184344&inline=true
  28. Shirzadeh L, Sadeghi E, Salmannezhad A, Jafari SA, Dehghanipour M, Nasiri M. The Prevalence of Obesity and Overweight in Iranian High School Students: A Systematic Review. Health Providers. 2021; 1(1): 1-11.
  29. Abiri B, Sarbakhsh P, Vafa M. Prevalence of overweight, obesity, and associated risk factors in healthy female adolescents in Tehran, Iran. Central Asian journal of global health. 2019; 8(1): 413-430. https://doi.org/10.5195/cajgh.2019.413 PMid:32002316 PMCid:PMC6948360
  30. 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): 401-416. https://doi.org/10.1186/s12889-023-15290-x PMid:36849966 PMCid:PMC9972743
  31. Singh S. A Study on Prevalence of Obesity and Overweight among Adolescent Girls. International journal of Horticulture, Agriculture and Food science. 2023; 7(2):10-12. https://doi.org/10.22161/ijhaf.7.2.3
  32. Abdollahi F, Rouhani Otaghsara S, Yazdani-Charati J. Prevalence of obesity and overweightness among adolescents in Mazandaran Province. Journal of Guilan University of medical sciences. 2017; 25(100): 28-37.
  33. Herman-Giddens ME, & Slora, E. J. . Body mass index and the timing of puberty in girls: A systematic review. . Pediatrics. 2011; 128(6), e1444-e1455.
  34. Else-Quest NM, Higgins A, Allison C, Morton LC. Gender differences in self-conscious emotional experience: a meta-analysis. Psychological bulletin. 2012; 138(5): 947-81. https://doi.org/10.1037/a0027930 PMid:22468881
  35. Lam LT, Yang L. Is low health literacy associated with overweight and obesity in adolescents: an epidemiology study in a 12-16 years old population, Nanning, China, 2012. Archives of Public health. 2014; 72 (1): 1-8. https://doi.org/10.1186/2049-3258-72-11 PMid:24685203 PMCid:PMC3994214
  36. 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. Journal of Health Literacy. 2019; 4(2): 18-26.
  37. Sarhan MB, Fujiya R, Kiriya J, Htay ZW, Nakajima K, Fuse R, et al. Health literacy among adolescents and young adults in the Eastern Mediterranean region: a scoping review. BMJ open. 2023; 13(6): 1-11. https://doi.org/10.1136/bmjopen-2023-072787 PMid:37290942 PMCid:PMC10255069
  38. Cunha M, Gaspar R, Fonseca S, Almeida D, Silva M, Nunes L. Implications of literacy for health for body mass index. Atencion primaria. 2014;46 (5):180-186. https://doi.org/10.1016/S0212-6567(14)70088-5 PMid:25476058
  39. Chrissini MK, Panagiotakos DB. Health literacy as a determinant of childhood and adult obesity: a systematic review. International journal of adolescent medicine and health. 2021; 33(3): 9-39. https://doi.org/10.1515/ijamh-2020-0275 PMid:33592684
  40. Shih S-F, Liu C-H, Liao L-L, Osborne RH. Health literacy and the determinants of obesity: a population-based survey of sixth grade school children in Taiwan. BMC Public Health. 2016; 16(1): 1-8. https://doi.org/10.1186/s12889-016-2879-2 PMid:27000035 PMCid:PMC4802836
  41. Taylor MK, Sullivan DK, Ellerbeck EF, Gajewski BJ, Gibbs HD. Nutrition literacy predicts adherence to healthy/unhealthy diet patterns in adults with a nutrition-related chronic condition. Public Health Nutr. 2019; 22 (12):2157-69. https://doi.org/10.1017/S1368980019001289 PMid:31146797 PMCid:PMC6827561
آمار
تعداد مشاهده مقاله: 314
تعداد دریافت فایل اصل مقاله: 198