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Lifestyle and Psychological Factors Associated with Body Weight Status among University Students in 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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Anxiety, body weight, depression, dietary intake, life styleArticle Metrics
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Copyright (c) 2015 Asian Network for Scientific Information
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Mokhtari, T., Jamaluddin, R., & Saad, H. A. (2014). Lifestyle and Psychological Factors Associated with Body Weight Status among University Students in Malaysia. Pakistan Journal of Nutrition, 14(1), 18–28. https://doi.org/10.3923/pjn.2015.18.28
References
1.
Al Qauhiz, N.M., 2010. Obesity among Saudi female university students: Dietary habits and health behaviors. J. Egypt. Public Health Assoc., 85: 45-59.
2.
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.
3.
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.
4.
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.
5.
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.
6.
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.
7.
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.
8.
Chen, J., T.C. Campbell, J. Li, R. Peto, J. Boreham, Z. Feng and L. Youngman, 1990. Diet, Life-Style and Mortality in China: A Study of the Characteristics of 65 Chinese Counties. Oxford University Press, Oxford, UK., ISBN-13: 9780192618436, Pages: 894.
9.
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.
10.
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.
11.
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.
12.
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.
13.
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.
14.
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.
15.
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.
16.
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.
17.
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.
18.
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.
19.
Gadalla, T.M., 2009. Association of obesity with mood and anxiety disorders in the adult general population. Chronic Dis. Can., 30: 29-36.
20.
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.
21.
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.
22.
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.
23.
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.
24.
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.
25.
Haslam, D.W. and W.P.T. James, 2005. Obesity. Lancet, 366: 1197-1209.
26.
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.
27.
Huda, N. and R. Ahmad, 2010. Preliminary survey on nutritional status among University students at Malaysia. Pak. J. Nutr., 9: 125-127.
28.
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.
29.
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.
30.
Jolliffe, D., 2011. Overweight and poor? On the relationship between income and the body mass index. Econ. Hum. Biol., 9: 342-355.
31.
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.
32.
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.
33.
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.
34.
Kaufman, A., E.M. Augustson and H. Patrick, 2012. Unraveling the relationship between smoking and weight: The role of sedentary behavior. J. Obesity.
35.
Kerkadi, A., 2003. Evaluation of nutritional status of United Arab Emirates university female students. Emirates J. Food Agric., 15: 42-50.
36.
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.
37.
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.
38.
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.
39.
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.
40.
Lissner, L. and B.L. Heitman, 1995. Dietary fat and obesity: Evidence from epidemiology. Eur. J. Clin. Nutr., 49: 79-90.
41.
Lopez, K.N. and J.D. Knudson, 2012. Obesity: From the agricultural revolution to the contemporary pediatric epidemic. Congenital Heart Dis., 7: 189-199.
42.
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.
43.
Lykouras, L. and J. Michopoulos, 2011. Anxiety disorders and obesity. Psychiatrike, 22: 307-313.
44.
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.
45.
Mama, S.K., 2009. The relationship between body image and physical activity in African American women. Master Thesis, School of Public Health, The University of Texas, Houston, TX., USA.
46.
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.
47.
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.
48.
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.
49.
Nojomi, M. and S. Najamabadi, 2006. Obesity among university students, Tehran, Iran. Asia Pac. J. Clin. Nutr., 15: 516-520.
50.
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.
51.
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.
52.
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.
53.
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.
54.
Pouliou, T. and S.J. Elliott, 2010. Individual and socio-environmental determinants of overweight and obesity in urban Canada. Health Place, 12: 389-398.
55.
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.
56.
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.
57.
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.
58.
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.
59.
Sanlier, N. and N. Unusan, 2007. Dietary habits and body composition of Turkish university students. Pak. J. Nut., 6: 332-338.
60.
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.
61.
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.
62.
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.
63.
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.
64.
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.
65.
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.
66.
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.
67.
Stunkard, A.J., M.S. Faith and K.C. Allison, 2003. Depression and obesity. Biol. Psychiatry, 54: 330-337.
68.
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.
69.
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.
70.
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.
71.
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.
72.
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.
73.
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.
74.
Wardle, J. and L. Cooke, 2005. The impact of obesity on psychological well-being. Best Pract. Res. Clin. Endocrinol. Metab., 19: 421-440.
75.
WHO., 2010. Noncommunicable disease risk factors and socioeconomic inequalities-what are the links? A multicountry analysis of noncommunicable disease surveillance data. Report to the WHO Regional Office for the Western Pacific, WHO, Geneva, Switzerland, pp: 1-92.
76.
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.
77.
WHO., 2000. Obesity: Preventing and Managing the Global Epidemic (Technical Report Series No. 894). World Health Organization, Geneva, Switzerland, ISBN-13: 9789241208949, Pages: 253.
78.
WHO., 2013. 10 facts on obesity. World Health Organization, Geneva, Switzerland. http://www.who.int/features/factfiles/obesity/facts/en/.
79.
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.
80.
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.
