Tahereh Mokhtari
Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang-43400, Malaysia
Rosita Jamaluddin
Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang-43400, Malaysia
Hazizi Abu Saad
Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang-43400, Malaysia
ABSTRACT
This study was conducted to determine the factors associated with body weight status among university students. Socio-demographic, lifestyle, dietary and psychological factors are elements that can impact on students weight status. The main aim of this study is bringing to light the effects of the above-mentioned factors on adult students weight status. The school of graduate studies of the Universiti Putra Malaysia randomly selected 500 students through iGIMS, however, only 310 Iranian students participated in this study. The data was collected through a 4-section questionnaire and anthropometric measurements such as height and weight were obtained for calculating body mass index (BMI). The results indicated a significant relationship between BMI and energy intake, carbohydrate, protein, fat, physical activity and smoking status, smoking duration, anxiety, age, level of education, gender, marital status and income level of the respondents. Multivariate regression analysis for the prediction of body weight status demonstrated that gender, carbohydrate, age, physical activity, anxiety, income level and smoking status had significant relationships with BMI. In conclusion, the etiology of obesity and overweight is complex and there are a large number of factors it is affected by including energy intake, physical activity, psychological status, environment, culture and economic status. Investigation of the factors associated with body weight status is a necessary consideration in planning obesity interventions.
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How to cite this article
Tahereh Mokhtari, Rosita Jamaluddin and Hazizi Abu Saad, 2015. Lifestyle and Psychological Factors Associated with Body Weight Status among University Students in Malaysia. Pakistan Journal of Nutrition, 14: 18-28.
DOI: 10.3923/pjn.2015.18.28
URL: https://scialert.net/abstract/?doi=pjn.2015.18.28
DOI: 10.3923/pjn.2015.18.28
URL: https://scialert.net/abstract/?doi=pjn.2015.18.28
REFERENCES
- Al Qauhiz, N.M., 2010. Obesity among Saudi female university students: Dietary habits and health behaviors. J. Egypt. Public Health Assoc., 85: 45-59.
Direct Link - Al-Isa, A.N., J. Campbell, E. Desapriya and N. Wijesinghe, 2011. Social and health factors associated with physical activity among Kuwaiti college students. J. Obesity.
CrossRefDirect Link - Al-Rethaiaa, A.S., A.E.A. Fahmy and M.N. Al-Shwaiyat, 2010. Obesity and eating habits among college students in Saudi Arabia: A cross sectional study. Nutr. J., Vol. 9.
CrossRefDirect Link - Bakhshi, E., K. Mohammad, M.R. Eshraghian and B. Seifi, 2010. Factors related to obesity among Iranian men: Results from the national health survey. Public Health Nutr., 13: 1389-1394.
CrossRefDirect Link - Beck, A.T., N. Epstein, G. Brown and R.A. Steer, 1988. An inventory for measuring clinical anxiety: Psychometric properties. J. Consulting Clin. Psychol., 56: 893-897.
CrossRefDirect Link - Beck, A.T., C.H. Ward, M. Mendelson, J. Mock and J. Erbaugh, 1961. An inventory for measuring depression. Arch. Gen. Psychiatry, 4: 561-571.
CrossRefPubMedDirect Link - Chang, V.W. and D.S. Lauderdale, 2005. Income disparities in body mass index and obesity in the United States, 1971-2002. Arch. Internal Med., 165: 2122-2128.
CrossRefDirect Link - Cilli, M., R. De Rosa, C. Pandolfi, K. Vacca, P. Cugini, Z. Ceni and S. Bella, 2003. Quantification of sub-clinical anxiety and depression in essentially obese patients and normal-weight healthy subjects. Eating Weight Disord.-Stud. Anorexia Bulimia Obesity, 8: 319-320.
CrossRefDirect Link - Davis, E.M., S. Rovi and M.S. Johnson, 2005. Mental health, family function and obesity in African-American women. J. Nat. Med. Assoc., 97: 478-482.
PubMed - De Wit, L., F. Luppino, A. van Straten, B. Penninx, F. Zitman and P. Cuijpers, 2010. Depression and obesity: A meta-analysis of community-based studies. Psychiatry Res., 178: 230-235.
CrossRefDirect Link - Dong, C., L.E. Sanchez and R.A. Price, 2004. Relationship of obesity to depression: A family-based study. Int. J. Obesity, 28: 790-795.
CrossRefDirect Link - Dragan, A. and N. Akhtar-Danesh, 2007. Relation between body mass index and depression: A structural equation modeling approach. BMC Med. Res. Methodol., Vol. 7.
CrossRefDirect Link - Erickson, S.J., T.N. Robinson, K.F. Haydel and J.D. Killen, 2000. Are overweight children unhappy? Body mass index, depressive symptoms and overweight concerns in elementary school children. Arch. Pediatr. Adolesc. Med., 154: 931-935.
CrossRefDirect Link - Esmaeily, H., M. Azimi-Nezhad, M. Ghayour-Mobarhan, M.R. Parizadeh and M. Safarian et al., 2009. Association between socioeconomic factors and obesity in Iran. Pak. J. Nutr., 8: 53-56.
CrossRefDirect Link - Faith, M.S., M. Butryn, T.A. Wadden, A. Fabricatore, A.M. Nguyen and S.B. Heymsfield, 2011. Evidence for prospective associations among depression and obesity in population-based studies. Obesity Rev., 12: e438-e453.
CrossRefDirect Link - Firdaus, M., M.K. Mathew and J. Wright, 2006. Health promotion in older adults: The role of lifestyle in the metabolic syndrome. Geriatrics, 61: 18-22, 24-25.
PubMed - Friedman, K.E., S.K. Reichmann, P.R. Costanzo and G.J. Musante, 2002. Body image partially mediates the relationship between obesity and psychological distress. Obesity Res., 10: 33-41.
CrossRefDirect Link - Gadalla, T.M., 2009. Association of obesity with mood and anxiety disorders in the adult general population. Chronic Dis. Can., 30: 29-36.
Direct Link - Gan, W.Y., M.T.M. Nasir, M.S. Zalilah and A.S. Hazizi, 2011. Differences in eating behaviours, dietary intake and body weight status between male and female Malaysian university students. Malaysian J. Nutr., 17: 213-228.
Direct Link - Gavin, A.R., G.E. Simon and E.J. Ludman, 2010. The association between obesity, depression and educational attainment in women: The mediating role of body image dissatisfaction. J. Psychosomatic Res., 69: 573-581.
CrossRefDirect Link - Gigante, D.P., G.V.A. de Franca, L.M.V. Sardinha, B.P.M. Iser and G.V. Melendez, 2011. Temporal variation in the prevalence of weight and obesity excess in adults: Brazil, 2006 to 2009. Revista Brasileira Epidemiologia, 14: 157-165.
CrossRefPubMedDirect Link - Guedes, D.P., R.F.S. Legnani and E. Legnani, 2013. Reasons for physical exercise practice in university students according to body mass index. Revista Brasileira Atividade Fisica Saude, 17: 270-274.
Direct Link - Hajian-Tilaki, K.O. and B. Heidari, 2007. Prevalence of obesity, central obesity and the associated factors in urban population aged 20-70 years, in the North of Iran: A population-based study and regression approach. Obesity Rev., 8: 3-10.
CrossRefPubMedDirect Link - Herrera, H., E. Rebato, G. Arechabaleta, H. Lagrange, I. Salces and C. Susanne, 2003. Body mass index and energy intake in Venezuelan University students. Nutr. Res., 23: 389-400.
CrossRefDirect Link - Huda, N. and R. Ahmad, 2010. Preliminary survey on nutritional status among University students at Malaysia. Pak. J. Nutr., 9: 125-127.
CrossRef - Jeffery, R.W. and A.M. Rick, 2002. Cross-sectional and longitudinal associations between body mass index and marriage-related factors. Obesity Res., 10: 809-815.
CrossRefPubMedDirect Link - John, U., C. Meyer, H.J. Rumpf and U. Hapke, 2005. Relationships of psychiatric disorders with overweight and obesity in an adult general population. Obesity Res., 13: 101-109.
CrossRefDirect Link - Jolliffe, D., 2011. Overweight and poor? On the relationship between income and the body mass index. Econ. Hum. Biol., 9: 342-355.
CrossRefDirect Link - Jorm, A.F., A.E. Korten, H. Christensen, P.A. Jacomb, B. Rodgers and R.A. Parslow, 2003. Association of obesity with anxiety, depression and emotional well-being: A community survey. Aust. N. Z. J. Public Health, 27: 434-440.
CrossRefDirect Link - Kant, A.K., M.B. Andon, T.J. Angelopoulos and J.M. Rippe, 2008. Association of breakfast energy density with diet quality and body mass index in American adults: National health and nutrition examination surveys, 1999-2004. Am. J. Clin. Nutr., 88: 1396-1404.
Direct Link - Kaphingst, K.A., G.G. Bennett, G. Sorensen, K.M. Kaphingst, A.E. O'Neil and K. McInnis, 2007. Body mass index, physical activity and dietary behaviors among members of an urban community fitness center: A questionnaire survey. BMC Public Health, Vol. 7.
CrossRefDirect Link - Kaufman, A., E.M. Augustson and H. Patrick, 2012. Unraveling the relationship between smoking and weight: The role of sedentary behavior. J. Obesity.
CrossRefDirect Link - Kerkadi, A., 2003. Evaluation of nutritional status of United Arab Emirates university female students. Emirates J. Food Agric., 15: 42-50.
CrossRefDirect Link - Khor, G.L., M.S. Zalilah, Y.Y. Phan, M. Ang, B. Maznah and A.K. Norimah, 2009. Perceptions of body image among Malaysian male and female adolescents. Singapore Med. J., 50: 303-311.
Direct Link - Ko, M.S., 2007. The comparison in daily intake of nutrients, dietary habits and body composition of female college students by body mass index. Nutr. Res. Pract., 1: 131-142.
CrossRefDirect Link - Kuan, P.X., H.L. Ho, M.S. Shuhaili, A.A. Siti and H.R. Gudum, 2011. Gender differences in body mass index, body weight perception and weight loss strategies among undergraduates in Universiti Malaysia Sarawak. Malaysian J. Nutr., 17: 67-75.
PubMed - Leyfer, O.T., J.L. Ruberg and J. Woodruff-Borden, 2006. Examination of the utility of the beck anxiety inventory and its factors as a screener for anxiety disorders. J. Anxiety Disord., 20: 444-458.
CrossRefDirect Link - Lissner, L. and B.L. Heitman, 1995. Dietary fat and obesity: Evidence from epidemiology. Eur. J. Clin. Nutr., 49: 79-90.
PubMedDirect Link - Lopez, K.N. and J.D. Knudson, 2012. Obesity: From the agricultural revolution to the contemporary pediatric epidemic. Congenital Heart Dis., 7: 189-199.
CrossRefDirect Link - Luppino, F.S., L.M. de Wit, P.F. Bouvy, T. Stijnen, P. Cuijpers, B.W. Penninx and F.G. Zitman, 2010. Overweight, obesity and depression: A systematic review and meta-analysis of longitudinal studies. Arch. Gen. Psychiatry., 67: 220-229.
CrossRefPubMedDirect Link - Lykouras, L. and J. Michopoulos, 2011. Anxiety disorders and obesity. Psychiatrike, 22: 307-313.
Direct Link - Lyles, III T.E., R. Desmond, L.E. Faulk, S. Henson, K. Hubbert, D.C. Heimburger and J.D. Ard, 2006. Diet variety based on macronutrient intake and its relationship with body mass index. Medscape Gen. Med., Vol. 8, No. 3.
Direct Link - Mirmiran, P., A. Esmaillzadeh and F. Azizi, 2006. Diet composition and body mass index in Tehranian adults. Asia Pac. J. Clin. Nutr., 15: 224-230.
Direct Link - Mohamud, W.N.W., K.I. Musa, A.S. Khir, A.A.S. Ismail and I.S. Ismail et al., 2011. Prevalence of overweight and obesity among adult Malaysians: An update. Asia Pac. J. Clin. Nutr., 20: 35-41.
PubMedDirect Link - Mokdad, A.H., J.S. Marks, D.F. Stroup and J.L. Gerberding, 2005. Correction: Actual causes of death in the United States, 2000. J. Am. Med. Assoc., 293: 293-298.
CrossRefDirect Link - Nojomi, M. and S. Najamabadi, 2006. Obesity among university students, Tehran, Iran. Asia Pac. J. Clin. Nutr., 15: 516-520.
PubMed - Oguntibeju, O., R. Orisatoki and E. Truter, 2010. The relationship between body mass index and physical activities among medical students in Saint Lucia. Pak. J. Med. Sci., 26: 827-831.
Direct Link - Onyike, C.U., R.M. Crum, H.B. Lee, C.G. Lyketsos and W.W. Eaton, 2003. Is obesity associated with major depression? Results from the third national health and nutrition examination survey. Am. J. Epidemiol., 158: 1139-1147.
PubMed - Pantic, I., M. Malbasa, S. Ristic, D. Turjacanin, S. Medenica, J. Paunovic and S. Pantic, 2011. Screen viewing, body mass index, cigarette smoking and sleep duration in Belgrade university student population: Results of an observational, cross-sectional study. Revista Medica Chile, 139: 896-901.
Direct Link - Peixoto, M.R.G., M.H.D. Benicio and P.C.B.V. Jardim, 2007. The relationship between body mass index and lifestyle in a Brazilian adult population: A cross-sectional survey. Cadernos Saude Publica, 23: 2694-2740.
CrossRefDirect Link - Pouliou, T. and S.J. Elliott, 2010. Individual and socio-environmental determinants of overweight and obesity in urban Canada. Health Place, 12: 389-398.
CrossRefDirect Link - Rivenes, A.C., S.B. Harvey and A. Mykletun, 2009. The relationship between abdominal fat, obesity and common mental disorders: Results from the HUNT study. J. Psychosomatic Res., 66: 269-275.
CrossRefDirect Link - Sahin, H., B. Cicek, M. Yilmaz, D. Ongan, N. Inanc, M. Aykut and F. Elmali, 2011. Obesity prevalence, waist-to-height ratio and associated factors in adult Turkish males. Obesity Res. Clin. Pract., 5: e29-e35.
CrossRefDirect Link - Sakamaki, R., K. Toyama, R. Amamoto, C.J. Liu and N. Shinfuku, 2005. Nutritional knowledge, food habits and health attitude of Chinese university students: A cross sectional study. Nutr. J., Vol. 4.
CrossRefDirect Link - Sanigorski, A.M., A.C. Bell, P.J. Kremer and B.A. Swinburn, 2007. High childhood obesity in an Australian population. Obesity, 15: 1908-1912.
CrossRefDirect Link - Sanlier, N. and N. Unusan, 2007. Dietary habits and body composition of Turkish university students. Pak. J. Nut., 6: 332-338.
CrossRefDirect Link - Shields, M., M.D. Carroll and C.L. Ogden, 2011. Adult obesity prevalence in Canada and the United States. NCHS Data Brief No. 56, March 2011, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, MD., USA., pp: 1-8.
- Sidik, S.M. and L. Rampal, 2009. The prevalence and factors associated with obesity among adult women in Selangor, Malaysia. Asia Pac. Family Med., Vol. 8.
CrossRefDirect Link - Simon, G.E., M. Von Korff, K. Saunders, D.L. Miglioretti, P.K. Crane, G. van Belle and R.C. Kessler, 2006. Association between obesity and psychiatric disorders in the US adult population. Arch. Gen. Psychiatry, 63: 824-830.
CrossRefDirect Link - Singh, G.K., M. Siahpush, R.A. Hiatt and L.R. Timsina, 2011. Dramatic increases in obesity and overweight prevalence and body mass index among ethnic-immigrant and social class groups in the United States, 1976-2008. J. Community Health, 36: 94-110.
CrossRefDirect Link - Slattery, M.L., C. Sweeney, S. Edwards, J. Herrick and M. Murtaugh et al., 2006. Physical activity patterns and obesity in Hispanic and non-Hispanic white women. Med. Sci. Sports Exercise, 38: 33-41.
PubMed - Sneve, M. and R. Jorde, 2008. Cross-sectional study on the relationship between body mass index and smoking and longitudinal changes in body mass index in relation to change in smoking status: The Tromso study. Scand. J. Public Health, 36: 397-407.
CrossRefDirect Link - De Sousa, T.F., M.V. Nahas, D.A.S. Silva, G.F. Del Duca and M.A. Peres, 2011. Factors associated with central obesity in adults from Florianopolis, Santa Catarina: A population based-study. Revista Brasileira Epidemiologia, 14: 296-309.
CrossRefPubMedDirect Link - Stunkard, A.J., M.S. Faith and K.C. Allison, 2003. Depression and obesity. Biol. Psychiatry, 54: 330-337.
CrossRefDirect Link - Suleiman, A.A., O.K. Alboqai, N. Yasein, J.M. El-Qudah, M.F. Bataineh and B.A. Obeidat, 2009. Prevalence of and factors associated with overweight and obesity among Jordan University Students. J. Biol. Sci., 9: 738-745.
CrossRefDirect Link - Swinburn, B.A., I. Caterson, J.C. Seidell and W.P.T. James, 2004. Diet, nutrition and the prevention of excess weight gain and obesity. Public Health Nutr., 7: 123-146.
CrossRefPubMedDirect Link - Tamim, H., N. Dumit, A. Terro, R. Al-Hourany and D. Sinno et al., 2004. Weight control measures among university students in a developing country: A cultural association or a risk behavior. J. Am. Coll. Nutr., 23: 391-396.
CrossRefPubMedDirect Link - Trichopoulou, A., C. Gnardellis, V. Benetou, P. Lagiou, C. Bamia and D. Trichopoulos, 2002. Lipid, protein and carbohydrate intake in relation to body mass index. Eur. J. Clin. Nutr., 56: 37-43.
CrossRefDirect Link - Van Reedt Dortland, A.K.B., E.J. Giltay, T. Van Veen, F.G. Zitman and B.W.J.H. Penninx, 2010. Metabolic syndrome abnormalities are associated with severity of anxiety and depression and with tricyclic antidepressant use. Acta Psychiatrica Scandinavica, 122: 30-39.
CrossRefDirect Link - Wang, Y. and M.A. Beydoun, 2007. The obesity epidemic in the United States-gender, age, socioeconomic, racial/ethnic and geographic characteristics: A systematic review and meta-regression analysis. Epidemiol. Rev., 29: 6-28.
PubMed - Wardle, J. and L. Cooke, 2005. The impact of obesity on psychological well-being. Best Pract. Res. Clin. Endocrinol. Metab., 19: 421-440.
CrossRefDirect Link - Wilson, S., A. Gallivan, C. Kratzke and A. Amatya, 2012. Nutritional status and socio-ecological factors associated with overweight/obesity at a rural-serving US-Mexico border university. Rural Remote Health, Vol. 12, No. 4.
Direct Link - WHO., 2000. Obesity: Preventing and Managing the Global Epidemic (Technical Report Series No. 894). World Health Organization, Geneva, Switzerland, ISBN-13: 9789241208949, Pages: 253.
Direct Link - Zarei, M., M.N.M. Taib and F. Zarei, 2013. Lifestyle factors and dietary intake of Iranian postgraduate students in Universiti Putra Malaysia (UPM). Electron. Physician, 5: 687-697.
Direct Link - Zhao, W., Y. Zhai, J. Hu, J. Wang, Z. Yang, L. Kong and C. Chen, 2008. Economic burden of obesity-related chronic diseases in Mainland China. Obesity Rev., 9: 63-67.
CrossRefDirect Link