PMID- 38545708
OWN - NLM
STAT- MEDLINE
DCOM- 20240329
LR  - 20240329
IS  - 2724-7031 (Electronic)
IS  - 0041-4131 (Linking)
VI  - 102
IP  - 3
DP  - 2024 Mar 5
TI  - Weight excess among high-school students: Relation with mental health and 
      sociodemographic factors.
PG  - 139-145
LID - 10.62438/tunismed.v102i3.4802 [doi]
AB  - INTRODUCTION: The escalating prevalence of adolescent obesity represents a 
      complex public health challenge, influenced by interactions of environmental, 
      socio-economic, and behavioral factors. Recent studies reveal a surge in 
      addictive substance use among adolescents, with non-substance addictions. 
      Overweight adolescents are particularly susceptible to risky behaviors. Tunisia 
      is not exempt from this issue, facing a rapidly increasing prevalence. AIM: Our 
      work aimed to assess the prevalence of obesity among adolescents and to explore 
      the connections between sociodemographic factors, mental health, and overweight 
      in this demographic group. METHODS: A cross-sectional study was led among sample 
      of Tunisian high school adolescents from Sousse. We enrolled study participants 
      through proportional stratified sampling. RESULTS: Our study included 
      1399students, predominantly female, with an average age of 17+/-1.5 years. The 
      average BMI (Body Mass Index) was 22.7+/-4.1 kg/m(2). According to the International 
      Obesity Task Force (IOTF), 20.4% were overweight, and 7% were obese, resulting in 
      an overall weight excess prevalence of 27.4%. Girls exhibited a higher weight 
      excess prevalence compared to boys. Multivariate analysis identified factors 
      associated with overweight and obesity, including maternal 
      self-employment(aOR=2.13,[1.35-3.35];p<0.001), regular physical activity 
      (aOR=0.61,[0.47-0.8];p<0.001), internet usage >/=2 hours 
      (aOR=0.70,[0.50-0.99];p=0.045), daily fruit-vegetable consumption 
      (aOR=1.51,[1.15-1.97]; p=0.003), possible alexithymia 
      (aOR=1.55,[1.07-2.22];p=0.018), probable anxiety (aOR=1.28,[0.87-1.89]; p=0.007), 
      very probable anxiety (aOR=1.61,[1.14-2.2]; p=0.037), and problematic 
      Facebook-use (aOR=0.67,[0.50-0.89]; p=0.006). CONCLUSION: Understanding factors 
      tied to excess weight in our social and cultural context is crucial in shaping 
      effective public health strategies. Interventions should adopt a multisectoral 
      approach specifically targeting working mothers within the adolescent's 
      socio-familial environment. It is fundamental also to address mental health 
      concerns, with a particular focus on alexithymia and anxiety.
FAU - Ouni, Ferdaous
AU  - Ouni F
AD  - Doctoral Commission "Health Science", Faculty of Medicine of Sousse, University 
      of Sousse, Sousse, Tunisia.
AD  - Farhat Hached Hospital, Department of Epidemiology (LR19SP03), 4000,Sousse, 
      Tunisia.
FAU - Ghammam, Rim
AU  - Ghammam R
AD  - University of Sousse, Faculty of Medicine of Sousse ,4000, Sousse, Tunisia.
AD  - Farhat Hached Hospital, Department of Epidemiology (LR19SP03), 4000,Sousse, 
      Tunisia.
FAU - Benfredj, Sihem
AU  - Benfredj S
AD  - University of Sousse, Faculty of Medicine of Sousse ,4000, Sousse, Tunisia.
AD  - Farhat Hached Hospital, Department of Epidemiology (LR19SP03), 4000,Sousse, 
      Tunisia.
FAU - Zammit, Nawel
AU  - Zammit N
AD  - University of Sousse, Faculty of Medicine of Sousse ,4000, Sousse, Tunisia.
AD  - Farhat Hached Hospital, Department of Epidemiology (LR19SP03), 4000,Sousse, 
      Tunisia.
FAU - Eleuch, Israr
AU  - Eleuch I
AD  - University of Sousse, Faculty of Medicine of Sousse ,4000, Sousse, Tunisia.
FAU - Chelly, Souhir
AU  - Chelly S
AD  - University of Sousse, Faculty of Medicine of Sousse ,4000, Sousse, Tunisia.
AD  - Farhat Hached hospital, Hospital Hygiene Service, 4000, Sousse, Tunisie.
FAU - Kalboussi, Houda
AU  - Kalboussi H
AD  - University of Sousse, Faculty of Medicine of Sousse ,4000, Sousse, Tunisia.
AD  - Farhat Hached Hospital, Department of occupational Health, (LR19SP03), 4000, 
      Sousse, Tunisia.
FAU - Maatoug, Jihen
AU  - Maatoug J
AD  - University of Sousse, Faculty of Medicine of Sousse ,4000, Sousse, Tunisia.
AD  - Farhat Hached Hospital, Department of Epidemiology (LR19SP03), 4000,Sousse, 
      Tunisia.
FAU - Harrabi, Imed
AU  - Harrabi I
AD  - University of Sousse, Faculty of Medicine of Sousse ,4000, Sousse, Tunisia.
AD  - Farhat Hached Hospital, Department of Epidemiology (LR19SP03), 4000,Sousse, 
      Tunisia.
FAU - Ghannem, Hassen
AU  - Ghannem H
AD  - University of Sousse, Faculty of Medicine of Sousse ,4000, Sousse, Tunisia.
AD  - Farhat Hached Hospital, Department of Epidemiology (LR19SP03), 4000,Sousse, 
      Tunisia.
LA  - eng
PT  - Journal Article
DEP - 20240305
PL  - Tunisia
TA  - Tunis Med
JT  - La Tunisie medicale
JID - 0413766
SB  - IM
MH  - Male
MH  - Humans
MH  - Female
MH  - Adolescent
MH  - *Pediatric Obesity/epidemiology
MH  - Overweight/epidemiology
MH  - Cross-Sectional Studies
MH  - Sociodemographic Factors
MH  - Mental Health
MH  - Body Mass Index
MH  - Students
MH  - Prevalence
OTO - NOTNLM
OT  - Obesity
OT  - addiction
OT  - adolescent
OT  - mental health
OT  - overweight
EDAT- 2024/03/28 06:45
MHDA- 2024/03/29 06:46
CRDT- 2024/03/28 04:33
PHST- 2024/01/24 00:00 [received]
PHST- 2024/02/03 00:00 [accepted]
PHST- 2024/03/29 06:46 [medline]
PHST- 2024/03/28 06:45 [pubmed]
PHST- 2024/03/28 04:33 [entrez]
AID - /article/view/4802 [pii]
AID - 10.62438/tunismed.v102i3.4802 [doi]
PST - epublish
SO  - Tunis Med. 2024 Mar 5;102(3):139-145. doi: 10.62438/tunismed.v102i3.4802.