Document Type : Research Article (s)

Authors

1 Department of Educational Psychology, Faculty of Psychology and Education, Allameh Tabataba’ee University, Tehran, Iran

2 Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Background: With the increasing prevalence of obesity among adolescents, many studies have been conducted on the impact of body mass index (BMI) on adolescents’ health-related quality of life. The objective of this research was to study the association among eating behavior constructs, anthropometric parameters of BMI, and health-related quality of life (HRQOL).
Methods: Random cluster sampling was employed to select 250 female high school students and their mothers in six schools located in District 3 of Tehran, Iran, in October 2017. The research tools were: Child Eating Behavior Questionnaire (CEBQ), Short Form of Health-Related Quality of Life Questionnaire for Children and Adolescents (Kidscreen-10), and BMI measurements. Data were analyzed by Pearson correlation coefficient and analysis of variance.
Results: The findings of the research showed a significant indirect correlation between certain practices of eating behavior with HRQOL variables such as emotional over-eating (r=“0.13”, P=0.038) and emotional under-eating (r=“0.14”, P=0.022); a weak significant indirect correlation was further observed between slowness in eating (r=“0.11”, P=”0.078”) and variables of HRQOL. The results showed no association between BMI and HRQOL.
Conclusion: The present study showed that controlling behaviors such as slowness in eating, emotional over-eating, and emotional under-eating are able to significantly improve the quality of life regardless of anthropometric indices. Eating behaviors ultimately make up a major component of adolescents’ lifestyle; therefore, they play a key role in improving their quality of life.

Keywords

1. Noohi Sh., Hatami HR, Janbozorgi M, Banijamali A. Efficacy of Comprehensive Training of Health-Based Parenting Skills to Mothers on Modification of Eating Behaviors of Over Weight Children. Journal of Knowledge and Health in Basic Medical Sciences. 2016;11(3):17-24. doi: 10.22100/jkh.v11i3.1346. Persian.## 2. Haraldstad K, Christophersen KA, Eide H, Nativg GK, Helseth S; KIDSCREEN Group Europe. Health related quality of life in children and adolescents: reliability and validity of the Norwegian version of KIDSCREEN-52 questionnaire, a cross sectional study. Int J Nurs Stud. 2011;48(5):573-81. doi: 10.1016/j.ijnurstu.2010.10.001. [PubMed: 21067750]. ## 3. Frontini R, Crespo C, Carona C, Canavarro MC. Health-Related Quality of Life and its Correlates in Children with Cerebral Palsy: An Exploratory Study. Journal of Developmental and Physical Disabilities. 2012;24(2),181-196. doi: 10.1007/s10882-011-9265-x. ## 4. Ravens-Sieberer U, Erhart M, Rajmil L, Herdman M, Auquier P, Bruil J, et al. Reliability, construct and criterion validity of the KIDSCREEN-10 score: a short measure for children and adolescents’ well-being and health-related quality of life. Qual Life Res. 2010;19(10):1487-500. doi: 10.1007/s11136-010-9706-5. [PubMed: 20668950]. [PubMed Central: PMC2977059]. ## 5. Moatt JP, Fyfe MA, Heap E, Mitchell LJM, Moon F, Walling CA. Reconciling nutritional geometry with classical dietary restriction: Effects of nutrient intake, not calories, on survival and reproduction. Aging Cell. 2019;18(1):e12868. doi: 10.1111/acel.12868. [PubMed: 30456818]. [PubMed Central: PMC6352320]. ## 6. Farhat T, Iannotti RJ, Summersett-Ringgold F. Weight, Weight Perceptions, and Health-Related Quality of Life Among a National Sample of US Girls. J Dev Behav Pediatr. 2015;36(5):313-23. doi: 10.1097/DBP.0000000000000172. [PubMed: 25961900]. [PubMed Central: PMC4489551]. ## 7. World Health Organization [Internet]. BMI chart for girls 5-19 years. [Cited 2007 Mar 1). Available from: http://www.who.int/growthref/who2007_bmi_for_age/en/.## 8. Dasht Bozorgi Z, Askary P. Validity and reliability of the children’s eating behavior questionnaire in Ahvaz city. Journal of Psychology New Ideas. 2017;1(2),27-34. Persian. 9. Nik-Azin A, Naenian MR, Shairi MR. Validity and Reliability of the Health Related Quality of Life Questionnaire (Kidscreen-52) In a Sample of Iranian Students. JCHR. 2014;3(3):210-224. ## 10. Anderson LM, Reilly EE, Schaumberg K, Dmochowski S, Anderson DA. Contributions of mindful eating, intuitive eating, and restraint to BMI, disordered eating, and meal consumption in college students. Eat Weight Disord. 2016;21(1):83-90. doi: 10.1007/s40519-015-0210-3. [PubMed: 26243300]. ## 11. Mason AE, Epel ES, Kristeller J, Moran PJ, Dallman M, Lustig RH, et al. Effects of a mindfulness-based intervention on mindful eating, sweets consumption, and fasting glucose levels in obese adults: data from the SHINE randomized controlled trial. J Behav Med. 2016;39(2):201-13. doi: 10.1007/s10865-015-9692-8. [PubMed: 26563148]. [PubMed Central: PMC4801689]. ## 12. Leong SL1, Madden C, Gray A, Waters D, Horwath C. Faster self-reported speed of eating is related to higher body mass index in a nationwide survey of middle-aged women. J Am Diet Assoc. 2011;111(8):1192-7. doi: 10.1016/j.jada.2011.05.012. [PubMed: 21802566]. ## 13. Feng X, Mosimah CI, Sizemore G, Goyat R, Dwibedi N. Impact of mindful self-care and perceived stress on the health related quality of life among young-adult students in West Virginia. Journal of Human Behavior in the Social Environment. 2019;29:26-36. doi: 10.1080/10911359.2018.1470953. ## 14. Moor KR., Scott AJ, McIntosh WD. Mindful Eating and Its Relationship to Body Mass Index and Physical Activity Among University Students. Mindfulness. 2013;4(3):269-274. doi: 10.1007/s12671-012-0124-3. ## 15. Kearney DJ, McDermott K, Martinez M, Simpson TL. Association of participation in a mindfulness program with bowel symptoms, gastrointestinal symptom-specific anxiety and quality of life. Alimentary Pharmacology and Therapeutics. 2011;34(3):363-373. doi: 10.1111/j.1365-2036.2011.04731.x. ## 16. Kofman MD, Lent MR, Swencionis C. Maladaptive eating patterns, quality of life, and weight outcomes following gastric bypass: results of an Internet survey. Obesity. 2010;18(10):1938-43. doi: 10.1038/oby.2010.27. [PubMed: 20168309]. ## 17. Kristeller JL, Wolever RQ. Mindfulness-based eating awareness training for treating binge eating disorder: the conceptual foundation. Eat Disord. 2011;19(1):49-61. doi: 10.1080/10640266.2011.533605. [PubMed: 21181579]. ## 18. van Strien T, Winkens L, Toft MB, Pedersen S, Brouwer I, Visser M, et al. The mediation effect of emotional eating between depression and body mass index in the two European countries Denmark and Spain. Appetite. 2016;105:500-8. doi: 10.1016/j.appet.2016.06.025. [PubMed: 27329926]. ## 19. Hayaki J. Negative reinforcement eating expectancies, emotion dysregulation, and symptoms of bulimia nervosa. Int J Eat Disord. 2009;42(6):552-6. doi: 10.1002/eat.20646. [PubMed: 19172595]. ## 20. Lafrance Robinson A, Kosmerly S, Mansfield-Green S, Lafrance G. Disordered eating behaviors in an undergraduate sample: Associations among gender, body mass index, and difficulties in emotion regulation. Canadian Journal of Behavioral Science. 2014;46(3):320-326. doi: 10.1037/a0031123. ## 21. Bailey-Davis L, Poulsen MN, Hirsch AG, Pollak J, Glass TA, Schwartz BS. Home Food Rules in Relation to Youth Eating Behaviors, Body Mass Index, Waist Circumference, and Percent Body Fat. J Adolesc Health. 2017;60(3):270-276. doi: 10.1016/j.jadohealth.2016.09.020. [PubMed: 27889403]. [PubMed Central: PMC5326588]. ##