Social Support and Body Mass Index in Adolescents: The Mediating Role of Health-Related Behaviors
SOREN Student Sports & Health Open Researches e-Journal: New-Approaches,
Vol. 2 No. 1 (1400),
11 June 2021
,
Page 38-46
https://doi.org/10.22037/soren.v2i1.34536
Abstract
Background and aim: Numerous personal, environmental, social, and family factors are associated with the development of healthy and unhealthy behaviors in adolescents. The purpose of this study was to determine the relationship between social support and body mass index of adolescents in terms of the mediating role of health-related behaviors.
Methods: In this study was used cross-sectional design with a correlation strategy. The statistical population includes male and female high school students of public schools in the eastern cities of Mazandaran province in 2019-2020. According to Munro, 520 students were selected based on the sample size ratio per item (least 5 to 1) and taking into account the sample loss based on the multi-stage random cluster sampling method. Social support, physical activity for adolescents, sedentary behavior, frequency of fruit and vegetable consumption, and socio-economic status questionnaires and also calculation of body mass index were used to collect data. Data were analyzed by U Mann-Whitney, Spearman correlation coefficient tests, and structural equation modeling using SPSS25 and PLS3 software.
Results: The results showed that boys have higher social support than girls (P=0.01). There is also a significant relationship between social support and body mass index (P=0.01). The mediating role of health-related behaviors including sedentary behavior (β=-0.082, P=0.01), Physical activity (β=-0.057, P=0.01) and fruit and vegetable consumption (β=-0.086, P=0.01) were confirmed in the relationship between social support and body mass index.
Conclusion: Specialists interested in planning for the prevention, control, and treatment of adolescent obesity can use the direct and indirect role of social support and health-related behaviors to control body weight.
- Sedentary Behavior
- Physical Activity
- Body Mass Index
- Social Support
How to Cite
References
Pearson N, Biddle SJ, Williams L, Worsley A, Crawford D, Ball K. Adolescent television viewing and unhealthy snack food consumption: the mediating role of home availability of unhealthy snack foods. Public Health Nutr. 2014; 17 (2):317-23.
Bentham J, Di Cesare M, Bilano V, Boddy LM. Worldwide trends in children's and adolescents' body mass index, underweight and obesity, in comparison with adults, from 1975 to 2016: a pooled analysis of 2,416 population-based measurement studies with 128.9 million participants. Lancet. 2017.
Kelsey MM, Zaepfel A, Bjornstad P, Nadeau KJ. Age-related consequences of childhood obesity. Gerontology. 2014; 60 (3):222-8.
Inchley J, Currie D, Jewell J, Breda J. Adolescent obesity and related behaviours. World Health Organisation, Regional Office for Europe. 2017.
Ramezani A. The theory based on psychological and socioenvironmental factors associated with eating behaviors and obesity in adolescents. Clin Exc. 2015; 4 (1): 17-32. (In Persian)
Anderson KL. A review of the prevention and medical management of childhood obesity. Child Adolesc Psychiatr Clin. 2018; 27(1):63-76.
Kumar S, Kelly AS. Review of childhood obesity: from epidemiology, etiology, and comorbidities to clinical assessment and treatment. Mayo Clinic Proceedings. 2017; (2): 251-265.
Steinbeck KS, Lister NB, Gow ML, Baur LA. Treatment of adolescent obesity. Nat Rev Endocrinology. 2018; 14(6):331-44.
Alberga AS, Sigal RJ, Goldfield G, Prud'Homme D, Kenny GP. Overweight and obese teenagers: why is adolescence a critical period? Pediatr Obes. 2012; 7(4):261-73.
O’malley GR, Ring-Dimitriou S, Nowicka P, Vania A, Frelut L, Farpour-Lambert N, Weghuber D, Thivel D. Physical activity and physical fitness in pediatric obesity: what are the first steps for clinicians? Expert conclusion from the 2016 ECOG workshop. Int J Exerc Sci. 2017; 10(4):487.
Donnelly JE, Hillman CH, Castelli D, Etnier JL, Lee S, Tomporowski P, Lambourne K, Szabo-Reed AN. Physical activity, fitness, cognitive function, and academic achievement in children: a systematic review. Med Sci Sports Exerc. 2016; 48 (6):1197.
Australian Government Department of Health. Australia’s physical activity and sedentary behavior guidelines. Australian Government Department of Health. 2014.
The Public Health Agency of Canada. 24 h movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Government of Canada. 2016.
Biddle SJ, Bengoechea EG, Wiesner G. Sedentary behaviour and adiposity in youth: a systematic review of reviews and analysis of causality. Int J Behav Nutr Phys Act. 2017;14 (1): 1-21.
Coombs NA, Stamatakis E. Associations between objectively assessed and questionnaire-based sedentary behaviour with BMI-defined obesity among general population children and adolescents living in England. BMJ. 2015; 5(6): 1-7.
Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, Mullany EC, Biryukov S, Abbafati C, Abera SF, Abraham JP. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013. The lancet. 2014; 384 (9945):766-81.
Hill JO, Wyatt HR, Peters JC. Energy balance and obesity. Circulation. 2012;126(1):126-32.
Narciso J, Silva AJ, Rodrigues V, Monteiro MJ, Almeida A, Saavedra R, Costa AM. Behavioral, contextual and biological factors associated with obesity during adolescence: A systematic review. PloS one. 2019; 14(4):e0214941.
Kwon S, Janz KF, Letuchy EM, Burns TL, Levy SM. Parental characteristic patterns associated with maintaining healthy physical activity behavior during childhood and adolescence. Int J Behav Nutr Physic Act. 2016;13 (1):58.
Tate EB, Shah A, Jones M, Pentz MA, Liao Y, Dunton G. Toward a better understanding of the link between parent and child physical activity levels: the moderating role of parental encouragement. J Physic Act Health. 2015; 12 (9):1238-44.
Pyper E, Harrington D, Manson H. The impact of different types of parental support behaviours on child physical activity, healthy eating, and screen time: a cross-sectional study. BMC public health. 2016;16(1): 568.
Karfopoulou E, Anastasiou CA, Avgeraki E, Kosmidis MH, Yannakoulia M. The role of social support in weight loss maintenance: results from the MedWeight study. J Behav Med. 2016; 39(3):511-8.
Munro BH. Munro’s Statistical Methods for Health Care Research. 6th Edition. wolters kluwer health: New York. 2012.
Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988; 52(1):30-41.
Rajabi Gh, Hashemi E. psychometric properties of the Multidimensional Scale Perceived Social Support. J Behav Sci, 2011, 5(4): 357-364.
Kowalski KC, Crocker PR, Donen RM. The physical activity questionnaire for older children (PAQ-C) and adolescents (PAQ-A) manual. College of Kinesiology, University of Saskatchewan. 2004; 87(1):1-38.
Park SH, Park H. Parental Support and Children’s Body Weight: Mediating Effects of Health Behaviors. West J Nurs Res. 2020: 0193945919897540.
Traynor MM, Holowaty PH, Reid DJ, Gray-Donald K. Vegetable and fruit food frequency questionnaire serves as a proxy for quantified intake. Can J public health. 2006; 97(4):286-90.
Eslami A, Mahmudi A, Khabiri M, Najafian R. The role of socioeconomic conditions in the citizens' motivation for participating in public sports. Appl Res Sport Manage, 2014; 2(7): 89-104.
Hair Jr JF, Hult GT, Ringle C, Sarstedt M. A primer on partial least squares structural equation modeling (PLS-SEM). Sage publications; 2017.
Laird Y, Fawkner S, Kelly P, McNamee L, Niven A. The role of social support on physical activity behaviour in adolescent girls: a systematic review and meta-analysis Int J Behav Nutr Physic Act. 2016; 13(1):79.
Yao CA, Rhodes RE. Parental correlates in child and adolescent physical activity: a meta-analysis. Int J Behav Nutr Physic Act. 2015; 12(1):10.
Wu XY, Han LH, Zhang JH, Luo S, Hu JW, Sun K. The influence of physical activity, sedentary behavior on health-related quality of life among the general population of children and adolescents: A systematic review. PloS one. 2017;12(11):e0187668.
Stiglic N, Viner RM. Effects of screentime on the health and well-being of children and adolescents: a systematic review of reviews. BMJ open. 2019; 9(1).
Martínez Jaikel T. The role of social support in adult women’s weight loss: a literature review. Revista Salud Pública y Nutr. 2019; 18(3):38-44.
Foster C, Moore JB, Singletary CR, Skelton JA. Physical activity and family‐based obesity treatment: a review of expert recommendations on physical activity in youth. Clinic Obes. 2018; 8(1):68-79.
Saunders TJ, Vallance JK. Screen time and health indicators among children and youth: current evidence, limitations and future directions. Appl Health Econ Health Policy. 2017;15(3):323-31.
Zhang J, Tong L, Lamberson PJ, Durazo-Arvizu RA, Luke A, Shoham DA. Leveraging social influence to address overweight and obesity using agent-based models: the role of adolescent social networks. Soc Sci Med. 2015;125: 203-13.
Sarafino EP, Smith TW. Health psychology: Biopsychosocial interactions. John Wiley & Sons; 2017.
- Abstract Viewed: 416 times
- pdf (فارسی) Downloaded: 215 times