Prevalence of weight status and associated factors of underweight among the medical students in Iran

F. Karimpour, S. Afroughi
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Abstract

Background: Increasing weight abnormalities among university students is a challenging problem around the world. Published studies most researched overweight/obesity and its contributing variables in this population. However, underweight can threat health and wellbeing of the students during academic period. The Objective of the present study was to investigate the prevalence of weight status and to explore associated factors of underweight among the students from Yasuj University of Medical Sciences. Methods: In a cross-sectional study, a random sample including 455 students were recruited from Yasuj University of Medical Sciences, Iran, during 2018-2019. Academic, socio-demographic and anthropometric characteristics of the students were gathered through a structured questionnaire. Body mass index was determined and classified according to the World Health Organization reference. Descriptive statistics were used to summarize data in numbers and percentages. The relationships of students’ characteristics with their weight status were checked using Chi-square test. Factors associated with underweight occurrence in students were detected by analyzing multiple binary logistic regression model and adjusted odds ratio. Result: Of the total participated students 87.5% were 19-24 years old and 66.2% were female. The mean ± standard deviation of students’ weight and BMI were 61.42±11.51and 22.14±3.36, respectively. The prevalence of underweight, normal weight and overweight/obesity among students were 15%, 66.15 and 18.9%, respectively. Among the considered variables, age (OR: 0.78 95% CI: 0.63,0.97), gender (OR:2.o8 95% CI: 1.o8, 3.99), number of educational term (OR:1.25, 95% CI: 1.06, 1.47) and father’s occupation (Or:2.13 95% CI:1.14, 3.99) were significantly associated with the underweight occurrence in students. Conclusion. The prevalence of underweight and overweight/obesity among studied university students were high. The younger students, female students, students at higher number of educational term and students with fathers not an employee were at higher risk of being underweight. Suitable programs to promote healthy diets and practices among university students must be provided.
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伊朗医学生体重状况及体重不足的相关因素
背景:越来越多的大学生体重异常是一个具有挑战性的问题。已发表的研究大多研究超重/肥胖及其在这一人群中的影响变量。然而,在学习期间,体重不足会威胁到学生的健康和幸福。摘要本研究的目的是调查安江医科大学学生体重现况,并探讨体重不足的相关因素。方法:采用横断面研究方法,2018-2019年从伊朗Yasuj医科大学随机招募455名学生。通过结构化问卷收集学生的学术、社会人口统计学和人体测量学特征。身体质量指数是根据世界卫生组织的参考来确定和分类的。描述性统计用于以数字和百分比汇总数据。采用卡方检验检验学生性格特征与体重状况的关系。通过多元二元logistic回归模型和校正优势比分析,找出学生体重过轻的相关因素。结果:参与调查的学生中,年龄在19-24岁的占87.5%,女性占66.2%。学生体重和BMI的平均值±标准差分别为61.42±11.51和22.14±3.36。学生体重过轻、正常体重和超重/肥胖的患病率分别为15%、66.15%和18.9%。在考虑的变量中,年龄(OR: 0.78 95% CI: 0.63,0.97),性别(OR:2。8 95%置信区间:1。8, 3.99)、教育年限(OR:1.25, 95% CI: 1.06, 1.47)和父亲职业(OR: 2.13, 95% CI:1.14, 3.99)与学生体重过轻发生率显著相关。被调查的大学生中体重过轻和超重/肥胖的患病率很高。年龄较小的学生、女学生、受教育年限较长的学生以及父亲没有工作的学生体重过轻的风险较高。必须提供适当的方案来促进大学生的健康饮食和习惯。
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