Overweight, obesity, weight-related behaviors, and health-related quality of life among high-school students in Turkey
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ORIGINAL ARTICLE
Overweight, obesity, weight‑related behaviors, and health‑related quality of life among high‑school students in Turkey Hasan Hüseyin Çam1 · Fadime Üstüner Top2 Received: 10 June 2019 / Accepted: 26 July 2019 © Springer Nature Switzerland AG 2019
Abstract Purpose The purpose of this study was to assess the prevalence of overweight and obesity, and associated socio-demographic and lifestyle behaviors among a sample of high-school students in Turkey. This study also examined the effect of overweight and obesity on health-related quality of life in students. Methods A cross-sectional survey of 1216 adolescents aged 14−18 years old was conducted from 2018 to 2019 in Turkey, using questionnaire forms and anthropometric measurements. Classification of BMI was based on the WHO reference weight categories. Factors linked to adolescent obesity were identified using the binary logistic regression model and the degree of association was revealed by determining the odds ratio, at a confidence interval (CI) of 95%. Results The prevalence of overweight was 26.1%, while that of obese students was 12.8%. Factors associated with being obese included being in the 14−15 age group, being male, having dysfunctional family relationships, spending more than 3 h/day on screen time, and performing physical activity (≥ 60 min) two times or less per week. Obese adolescents reported significantly lower scores in physical and mental health. Conclusions In this study, more than one-third of the students were either overweight or obese. Obesity was associated with screen time, physical activity, and family relationship. Obesity in children had a negative impact on their quality of life. Therefore, increasing physical activity, lowering screen time, and having a healthy parent−adolescent relationship could contribute to reducing the prevalence of obesity in overweight/obese students. Level of evidence Level V, descriptive (cross-sectional) study. Keywords Overweight · Obesity · Prevalence · Quality of life · Adolescent
Introduction One of the most critical public health crises to emerge in this century is childhood obesity. With the prevalence of this problem rising at a dramatic rate worldwide, especially amongst urban populations, numerous low- and middleincome countries are being affected. In 2016, over 41 million children aged five or younger were estimated to be * Fadime Üstüner Top [email protected] Hasan Hüseyin Çam [email protected] 1
Department of Public Health Nursing, Yusuf Serefoğlu Faculty of Health Sciences, Kilis 7 Aralık University, Kilis, Turkey
Department of Pediatric Nursing, Faculty of Health Sciences, Giresun University, Giresun, Turkey
2
overweight [1]. Currently, in member countries of the OECD (Organization for Economic Co-operation and Development) more than half of all adults and nearly one in six children are considered to be overweight or obese. The rate of overweight or obese 15-year-old varies, with the lowest (10%) found in Denmark and the highest (31%) in
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