caa a22 4500 60617785X CHVBK 20210128100754.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s11136-014-0757-x doi (NATIONALLICENCE)springer-10.1007/s11136-014-0757-x Association between body mass index and perceived weight status with self-rated health and life satisfaction in Iranian children and adolescents: the CASPIAN-III study [Elektronische Daten] [Ramin Heshmat, Roya Kelishadi, Nazgol Motamed-Gorji, Mohammad-Esmaeil Motlagh, Gelayol Ardalan, Tahereh Arifirad, Hadith Rastad, Hamid Asayesh, Shirin Djalalinia, Bagher Larijani, Mostafa Qorbani] Purpose: Adolescent obesity is a well-known worldwide issue with growing prevalence and complications. The concept of body image and complications of its misperception has been noted more recently. Life satisfaction (LS) and self-rated health (SRH) have also been known as independent morbidity and mortality factors. The objective of this study was to evaluate the associations of perceived weight status (body image) and actual body mass index (BMI), with LS and SRH in a nationally representative sample of a pediatric population in Iran, as a country located in the Middle East and North Africa region. Methods: This nationwide population-based survey was conducted among 5,570 (2,784 female and 2,786 male) Iranian students, aged 10-18years, living in urban and rural areas of 27 provinces, which were selected via multistage sampling method. Agreement between BMI and perceived weight status (underweight, about right and overweight/obesity) was assessed. Adjusted association between BMI and perceived weight status with LS and SRH was assessed using multiple logistic regressions after adjustment for potential confounders. Results: Nearly 40% of the participants misperceived their body image. Misperception as overweight or underweight was found to be associated with lower odds for both LS and SRH [overweight SRH OR 0.796 (95% CI 0.647-980), underweight SRH OR 0.701 (95% CI 0.588-0.835), overweight LS OR 0.884 (95% CI 0.718-998), underweight LS OR=0.676 (95% CI 0.577-0.793)], whereas the association between actual BMI with LS and SRH was not statistically significant (P value>0.05). Conclusion: A mismatch between BMI and body weight perception was found in this study. Moreover, LS and SRH were not related with BMI, but had negative association with body weight perception. Springer International Publishing Switzerland, 2014 Adolescents nationallicence Self-rated health nationallicence Life satisfaction nationallicence Body mass index nationallicence Perceived weight status nationallicence Heshmat Ramin Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran aut Kelishadi Roya Pediatrics Department, Faculty of Medicine, Child Growth and Development Research Center, Isfahan University of Medical Sciences, Isfahan, Iran aut Motamed-Gorji Nazgol Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran aut Motlagh Mohammad-Esmaeil Department of Pediatrics, Ahvaz University of Medical Sciences, Ahvaz, Iran aut Ardalan Gelayol Pediatrics Department, Faculty of Medicine, Child Growth and Development Research Center, Isfahan University of Medical Sciences, Isfahan, Iran aut Arifirad Tahereh Department of Exercise Physiology, Science and Research Branch, Islamic Azad University, Tehran, Iran aut Rastad Hadith Research Development Center, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran aut Asayesh Hamid Department of Medical Emergencies, Qom University of Medical Sciences, Qom, Iran aut Djalalinia Shirin Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran aut Larijani Bagher Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran aut Qorbani Mostafa Non-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran aut Quality of Life Research Springer International Publishing 24/1(2015-01-01), 263-272 0962-9343 24:1<263 2015 24 11136 https://doi.org/10.1007/s11136-014-0757-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0757-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Heshmat Ramin Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Kelishadi Roya Pediatrics Department, Faculty of Medicine, Child Growth and Development Research Center, Isfahan University of Medical Sciences, Isfahan, Iran aut NATIONALLICENCE 700 1- Motamed-Gorji Nazgol Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Motlagh Mohammad-Esmaeil Department of Pediatrics, Ahvaz University of Medical Sciences, Ahvaz, Iran aut NATIONALLICENCE 700 1- Ardalan Gelayol Pediatrics Department, Faculty of Medicine, Child Growth and Development Research Center, Isfahan University of Medical Sciences, Isfahan, Iran aut NATIONALLICENCE 700 1- Arifirad Tahereh Department of Exercise Physiology, Science and Research Branch, Islamic Azad University, Tehran, Iran aut NATIONALLICENCE 700 1- Rastad Hadith Research Development Center, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Asayesh Hamid Department of Medical Emergencies, Qom University of Medical Sciences, Qom, Iran aut NATIONALLICENCE 700 1- Djalalinia Shirin Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Larijani Bagher Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Qorbani Mostafa Non-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/1(2015-01-01), 263-272 0962-9343 24:1<263 2015 24 11136