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Weight-related concerns and weight-control behaviors among overweight adolescents in Delhi, India: a cross-sectional study.
Int J Behav Nutr Phys Act. 2011 Feb 07; 8:9.IJ

Abstract

BACKGROUND

Obesity is emerging as a public health problem among adolescents in India. The aim of this study was to describe specific weight-related concerns among school-going youth in Delhi, India and to assess the prevalence of weight control behaviors, including healthy and unhealthy ones. Differences by weight status, gender, grade level, and school-type (a proxy for SES in this setting) are considered.

METHODS

This study is cross-sectional by design. A sample of eighth and tenth graders (n=1818) enrolled in Private (middle-high SES) and Government (low SES) schools (n=8) in Delhi, India participated. All students' height and weight were measured. Students participated in a survey of weight-related concerns and weight-control behaviors, as well. Mixed-effects regression models were used to test for differences in weight-related concerns and weight-control behaviors across key factors of interest (i.e., weight status, gender, grade level, and SES).

RESULTS

The combined prevalence of obesity and overweight was 16.6%, overall. Controlling one's weight was important to overweight and non-overweight youth, alike (94.2% v. 84.8%, p<0.001). Significantly more overweight or obese youth reported trying to control their weight last year, compared to those who were not overweight (68.1% v. 18.0%, p<0.001). Healthy weight control behaviors were more common than unhealthy or extreme practices, although the latter were still prevalent. Half of the overweight or obese students misclassified their weight status, while about 1 in 10 non-overweight youth did the same. Body dissatisfaction was highest among overweight youth and girls.

CONCLUSIONS

Interventions to promote healthy weight control should be pertinent to and well-received by school-going youth in India. Healthy weight control practices need to be explicitly encouraged and unhealthy practices reduced. Future interventions should address issues specific to body image, too, as body dissatisfaction was not uncommon among youth.

Authors+Show Affiliations

Michael & Susan Dell Center for Healthy Living, School of Public Health, University of Texas, Austin and Houston, Texas, USA. melissa.h.stigler@uth.tmc.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21299879

Citation

Stigler, Melissa H., et al. "Weight-related Concerns and Weight-control Behaviors Among Overweight Adolescents in Delhi, India: a Cross-sectional Study." The International Journal of Behavioral Nutrition and Physical Activity, vol. 8, 2011, p. 9.
Stigler MH, Arora M, Dhavan P, et al. Weight-related concerns and weight-control behaviors among overweight adolescents in Delhi, India: a cross-sectional study. Int J Behav Nutr Phys Act. 2011;8:9.
Stigler, M. H., Arora, M., Dhavan, P., Shrivastav, R., Reddy, K. S., & Perry, C. L. (2011). Weight-related concerns and weight-control behaviors among overweight adolescents in Delhi, India: a cross-sectional study. The International Journal of Behavioral Nutrition and Physical Activity, 8, 9. https://doi.org/10.1186/1479-5868-8-9
Stigler MH, et al. Weight-related Concerns and Weight-control Behaviors Among Overweight Adolescents in Delhi, India: a Cross-sectional Study. Int J Behav Nutr Phys Act. 2011 Feb 7;8:9. PubMed PMID: 21299879.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Weight-related concerns and weight-control behaviors among overweight adolescents in Delhi, India: a cross-sectional study. AU - Stigler,Melissa H, AU - Arora,Monika, AU - Dhavan,Poonam, AU - Shrivastav,Radhika, AU - Reddy,K Srinath, AU - Perry,Cheryl L, Y1 - 2011/02/07/ PY - 2010/04/26/received PY - 2011/02/07/accepted PY - 2011/2/9/entrez PY - 2011/2/9/pubmed PY - 2011/8/30/medline SP - 9 EP - 9 JF - The international journal of behavioral nutrition and physical activity JO - Int J Behav Nutr Phys Act VL - 8 N2 - BACKGROUND: Obesity is emerging as a public health problem among adolescents in India. The aim of this study was to describe specific weight-related concerns among school-going youth in Delhi, India and to assess the prevalence of weight control behaviors, including healthy and unhealthy ones. Differences by weight status, gender, grade level, and school-type (a proxy for SES in this setting) are considered. METHODS: This study is cross-sectional by design. A sample of eighth and tenth graders (n=1818) enrolled in Private (middle-high SES) and Government (low SES) schools (n=8) in Delhi, India participated. All students' height and weight were measured. Students participated in a survey of weight-related concerns and weight-control behaviors, as well. Mixed-effects regression models were used to test for differences in weight-related concerns and weight-control behaviors across key factors of interest (i.e., weight status, gender, grade level, and SES). RESULTS: The combined prevalence of obesity and overweight was 16.6%, overall. Controlling one's weight was important to overweight and non-overweight youth, alike (94.2% v. 84.8%, p<0.001). Significantly more overweight or obese youth reported trying to control their weight last year, compared to those who were not overweight (68.1% v. 18.0%, p<0.001). Healthy weight control behaviors were more common than unhealthy or extreme practices, although the latter were still prevalent. Half of the overweight or obese students misclassified their weight status, while about 1 in 10 non-overweight youth did the same. Body dissatisfaction was highest among overweight youth and girls. CONCLUSIONS: Interventions to promote healthy weight control should be pertinent to and well-received by school-going youth in India. Healthy weight control practices need to be explicitly encouraged and unhealthy practices reduced. Future interventions should address issues specific to body image, too, as body dissatisfaction was not uncommon among youth. SN - 1479-5868 UR - https://www.unboundmedicine.com/medline/citation/21299879/Weight_related_concerns_and_weight_control_behaviors_among_overweight_adolescents_in_Delhi_India:_a_cross_sectional_study_ L2 - https://ijbnpa.biomedcentral.com/articles/10.1186/1479-5868-8-9 DB - PRIME DP - Unbound Medicine ER -