ORIGINAL ARTICLE
Distribution and association of weight-loss diet programs with body mass index and health status among students at Al-Hussein Bin Talal University, Jordan
 
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1
Department of Medical Analysis, Princess Aisha Bint Al-Hussein College of Nursing and Medical Sciences, Al-Hussein Bin Talal University, Ma'an, JORDAN
 
2
Faculty of Public Health & Health Informatics, Umm Al Qura University, Makkah, SAUDI ARABIA
 
 
Publication date: 2022-09-05
 
 
Electron J Gen Med 2022;19(6):em414
 
KEYWORDS
ABSTRACT
Introduction:
Many people today, even those with a healthy body mass index (BMI), misperceive their body image and attempt an unhealthy diet regimen to lose weight. The present study aimed to investigate the distribution of weight-loss diet programs among undergraduate students at Al-Hussein Bin Talal University (AHU), Jordan, and to study the association of these strategies with students’ BMI and health status.

Material and Methods:
1,200 questionnaires were distributed for undergraduate students at AHU, then the data were collected and analyzed using SPSS version 21.

Results:
The results show that 43.53% (8.50% males & 91.50% females) of respondents were following weight-loss diet programs. Dieting students had a significantly higher mean BMI value (25.67±2.86), compared to non-dieting students (23.23±3.70). “To look better” was found to be the most common reason for trying a weight-loss diet program. Additionally, a significant correlation (p=0.008) was found between skipping breakfast and the occurrence of irregular and painful periods among dieting students.

Conclusion:
Weight-loss diet programs, which involve several unhealthy practices, are widely practiced among AHU undergraduate students, leading to the development of a variety of dietary side effects. Hence, more caution must be taken when attempting weight-loss diet programs.

 
REFERENCES (52)
1.
Williams EP, Mesidor M, Winters K, Dubbert PM, Wyatt SB. Overweight and obesity: Prevalence, consequences, and causes of a growing public health problem. Curr Obes Rep. 2015;4(3):363-70. https://doi.org/10.1007/s13679... PMid:26627494.
 
2.
Swallen KC, Reither EN, Haas SA, Meier AM. Overweight, obesity, and health-related quality of life among adolescents: The national longitudinal study of adolescent health. Pediatrics. 2005;115(2):340-7. https://doi.org/10.1542/peds.2... PMid:15687442.
 
3.
Kreider RB, Serra M, Beavers KM, et al. A structured diet and exercise program promotes favorable changes in weight loss, body composition, and weight maintenance. J Am Diet Assoc. 2011;111(6):828-43. https://doi.org/10.1016/j.jada... PMid:21616195.
 
4.
Wyatt SB, Winters KP, Dubbert PM. Overweight and obesity: Prevalence, consequences, and causes of a growing public health problem. Am J med Sci. 2006;331(4):166-74. https://doi.org/10.1097/000004... PMid:16617231.
 
5.
Cannon CP, Kumar A. Treatment of overweight and obesity: Lifestyle, pharmacologic, and surgical options. Clin Cornerstone. 2009;9(4):55-68. https://doi.org/10.1016/S1098-....
 
6.
Binkiewicz-Glińska A, Bakula S, Kusiak-Kaczmarek M, et al. Obesity prevention in children and adolescents–Current recommendations. Polish Ann Med. 2012;19(2):158-62. https://doi.org/10.1016/j.poam....
 
7.
Wilborn C, Backham J, Campbell B, et al. Obesity: Prevalence, theories, medical consequences, management, and research directions. J Int Soc Sports Nutr. 2005;2(2):4-31. https://doi.org/10.1186/1550-2... PMid:18500955 PMCid:PMC2129146.
 
8.
Bray GA, Frühbeck G, Ryan DH, WildingJPH. Management of obesity. Lancet. 2016;387(10031):1947-56. https://doi.org/10.1016/S0140-....
 
9.
Jovanović Ž, Crncevic-orlicZ, Stimac D, et al. Effects of obesity reduction on cardiovascular risk factors: Comparison of individual and group treatment--substudy of the Croatian Healthy Weight Loss Programme. Coll Antropol. 2009;33(3):751-7.
 
10.
Kushner RF. Medical management of obesity. Semin Gastrointest Dis. 2002;13:123-32.
 
11.
Swinburn BA, Caterson I, Seidell JC, James WPT. Diet, nutrition and the prevention of excess weight gain and obesity. Public Health Nutr. 2004;7(1A):123-46. https://doi.org/10.1079/PHN200... PMid:14972057.
 
12.
Puhkala J, Kukkonen-Harjula K, Mansikkamaki K, et al. Lifestyle counseling to reduce body weight and cardiometabolic risk factors among truck and bus drivers--a randomized controlled trial. Scand J Work Environ Health. 2015;41(1):54-64. https://doi.org/10.5271/sjweh.... PMid:25310464.
 
13.
Miller WM, Franklin BA, Nori Janosz KE, Vial C, kaitner R, McCullough PA. Advantages of group treatment and structured exercise in promoting short-term weight loss and cardiovascular risk reduction in adults with central obesity. Metab Syndr Relat Disord. 2009;7(5):441-6. https://doi.org/10.1089/met.20... PMid:19450156.
 
14.
Li Z, Hong K, Wong E, Maxwell M, Heber D. Weight cycling in a very low‐calorie diet programme has no effect on weight loss velocity, blood pressure and serum lipid profile. Diabetes Obes Metab. 2007;9(3):379-85. https://doi.org/10.1111/j.1463... PMid:17391166.
 
15.
Sacks FM, Bray GA, Carey VJ, et al. Comparison of weight-loss diets with different compositions of fat, protein, and carbohydrates. N Engl J Med. 2009;360(9):859-73. https://doi.org/10.1056/NEJMoa... PMid:19246357 PMCid:PMC2763382.
 
16.
Kerksick C, Thomas A, Campbell B, et al. Effects of a popular exercise and weight loss program on weight loss, body composition, energy expenditure and health in obese women. Nutr Metab (Lond). 2009;6:23. https://doi.org/10.1186/1743-7... PMid:19442301 PMCid:PMC2693519.
 
17.
Westman EC, Yancy WS, Edman JS, Tomlin KF, Perkins CE. Effect of 6-month adherence to a very low carbohydrate diet program. Am J Med. 2002;113(1):30-6. https://doi.org/10.1016/S0002-....
 
18.
Olendzki BC, Ma Y, Schneider KL, et al. A simple dietary message to improve dietary quality: Results from a pilot investigation. Nutrition. 2009;25(7-8):736-44. https://doi.org/10.1016/j.nut.... PMid:19359142.
 
19.
O’Keefe JH, Gheewala NM, O’Keefe JO. Dietary strategies for improving post-prandial glucose, lipids, inflammation, and cardiovascular health. J Am Coll Cardiol. 2008; 51(3):249-55. https://doi.org/10.1016/j.jacc... PMid:18206731.
 
20.
Menon VB, Baxmann AC, Froeder L, Martini LA, Heilberg IP. Effects of calcium supplementation on body weight reduction in overweight calcium stone formers. Urol Res. 2009;37(3):133-9. https://doi.org/10.1007/s00240... PMid:19326108.
 
21.
Major GC, Alarie FP, Dore J, Tremblay A. Calcium plus vitamin D supplementation and fat mass loss in female very low-calcium consumers: Potential link with a calcium-specific appetite control. Br J Nutr. 2008;101(5):659-63. https://doi.org/10.1017/S00071... PMid:19263591.
 
22.
Tsai AG, Wadden TA. Systematic review: An evaluation of major commercial weight loss programs in the United States. Ann Intern Med. 2005;142(1):56-66. https://doi.org/10.7326/0003-4....
 
23.
Tsai AG, Wadden TA. The evolution of very‐low‐calorie diets: An update and meta‐analysis. Obesity (Silver Spring). 2006;14(8):1283-93. https://doi.org/10.1038/oby.20... PMid:16988070.
 
24.
Shapses SA, Riedt CS. Bone, body weight, and weight reduction: What are the concerns? J Nutr. 2006;136(6):1453-6. https://doi.org/10.1093/jn/136... PMid:16702302 PMCid:PMC4016235.
 
25.
Meyers LD, Hellwig JP, Otten JJ. Dietary reference intakes: The essential guide to nutrient requirements. Washington, DC:National Academies Press;2006.
 
26.
Manolagas SC, O’Brien CA, Almeida M. The role of estrogen and androgen receptors in bone health and disease. Nat Rev Endocrinol. 2013;9(12):699-712. https://doi.org/10.1038/nrendo... PMid:24042328 PMCid:PMC3971652.
 
27.
Fuqua JS, Rogol AD. Neuroendocrine alterations in the exercising human: Implications for energy homeostasis. Metabolism. 2013;62(7):911-21. https://doi.org/10.1016/j.meta... PMid:23415825.
 
28.
Chen Y-T, Tenforde AS, Fredericson M. Update on stress fractures in female athletes: Epidemiology, treatment, and prevention. Curr MRev usculoskelet Med. 2013;(2):173-81. https://doi.org/10.1007/s12178... PMid:23536179 PMCid:PMC3702771.
 
29.
Williams NI, Leidy HJ, Hill BR, Lieberman JL, Legro RS, De Souza MJ. Magnitude of daily energy deficit predicts frequency but not severity of menstrual disturbances associated with exercise and caloric restriction. Am J Physiol Endocrinol Metab. 2015;308(1):E29-39. https://doi.org/10.1152/ajpend... PMid:25352438 PMCid: PMC4281686.
 
30.
Zed PJ, Abu_Laban RB, Balen RM, et al. Incidence, severity and preventability of medication-related visits to the emergency department: A prospective study. CMAJ. 2008;178(12):1563-9. https://doi.org/10.1503/cmaj.0... PMid:18519904 PMCid:PMC2396352.
 
31.
Katan MB. Weight-loss diets for the prevention and treatment of obesity. N Engl J Med. 2009;360(9):923-5. https://doi.org/10.1056/NEJMe0... PMid:19246365.
 
32.
Kelly AS, Barlow SE, Rao G, et al. Severe obesity in children and adolescents: Identification, associated health risks, and treatment approaches: A scientific statement from the American Heart Association. Circulation. 2013;128(15): 1689-712. https://doi.org/10.1161/CIR.0b... PMid:24016455.
 
33.
Almaiman A, Al Wutayd O. Assessment of the side effects of random weight-loss diet programs (protein-based) on health in a Saudi Community. Int J Pharm Phytopharm Res. 2019;9(6):39-46.
 
34.
Acharya SD, Elci OU, Sereika SM, et al. Adherence to a behavioral weight loss treatment program enhances weight loss and improvements in biomarkers. Patient Prefer Adherence. 2009;3:151-60. https://doi.org/10.2147/PPA.S5... PMid:19936157 PMCid:PMC2778406.
 
35.
Sarwer DB, von Sydow Green A, Vetter ML, Wadden TA. Behavior therapy for obesity: Where are we now? Curr Opin Endocrinol Diabetes Obes. 2009;16(5):347-52. https://doi.org/10.1097/MED.0b... PMid:19623061.
 
36.
Freire R. Scientific evidence of diets for weight loss: Different macronutrient composition, intermittent fasting, and popular diets. Nutrition. 2020;69:110549. https://doi.org/10.1016/j.nut.... PMid:31525701.
 
37.
Butryn ML, Kerrigan SG, Kelly MC. Self-guided weight loss. Encyclopedia Body Image Human Appearance. 2012;2:718-23. https://doi.org/10.1016/B978-0....
 
38.
Haghighi M, Jahangard L, Ahmadpanah M, Bajoghli H, Holsboer-Trachsler E, Brand S. The relation between anxiety and BMI–is it all in our curves? Psychiatry Res. 2016;235:49-54. https://doi.org/10.1016/j.psyc... PMid:26708439.
 
39.
Robinson RF, Griffith JR, Nahata MC, Mahan JD, Casavant MJ. Herbal weight-loss supplement misadventures per a regional poison center. Ann Pharmacother. 2004;38(5):787-90. https://doi.org/10.1345/aph.1D... PMid:15044657.
 
40.
Yen C-C, Tung C-W, Chang C-W, Tsai C-C, Hsu M-C, Wu Y-T. Potential risk of higenamine misuse in sports: Evaluation of lotus plumule extract products and a human study. Nutrients. 2020;12(2):285. https://doi.org/10.3390/nu1202... PMid:31973198 PMCid:PMC7070534.
 
41.
Vanherweghem J-L. Misuse of herbal remedies: the case of an outbreak of terminal renal failure in Belgium (Chinese herbs nephropathy). J Altern Complement Med. 1998;4(1):9-13. https://doi.org/10.1089/acm.19... PMid:9553830.
 
42.
Shaw D. Toxicological risks of Chinese herbs. Planta Med. 2010;76(17):2012-8. https://doi.org/10.1055/s-0030... PMid:21077025.
 
43.
Garaulet M, Gómez-Abellán P. Timing of food intake and obesity: A novel association. Physiol Behav. 2014;134:44-50. https://doi.org/10.1016/j.phys... PMid:24467926.
 
44.
de Castro JM. When, how much and what foods are eaten are related to total daily food intake. Br J Nutr. 2009;102(8):1228-37. https://doi.org/10.1017/S00071... PMid:19650955.
 
45.
Wicherski J, Schlesinger S, Fischer F. Association between breakfast skipping and body weight—A systematic review and meta-analysis of observational longitudinal studies. Nutrients. 2021;13(1):272. https://doi.org/10.3390/nu1301... PMid:33477881 PMCid:PMC7832891.
 
46.
Sievert K, Hussain SM, Page MJ, et al. Effect of breakfast on weight and energy intake: Systematic review and meta-analysis of randomised controlled trials. BMJ, 2019;364:I42. https://doi.org/10.1136/bmj.l4... PMid:30700403 PMCid:PMC6352874.
 
47.
Mubki T, Rudnicka L, Olszewska M, Shapiro J. Evaluation and diagnosis of the hair loss patient: part I. History and clinical examination. J Am Acad Dermatol. 2014;71(3):415. e1-5. https://doi.org/10.1016/j.jaad... PMid:25128118.
 
48.
Guo EL, Katta R. Diet and hair loss: Effects of nutrient deficiency and supplement use. Dermatol Pract Concept. 2017;7(1):1-10. https://doi.org/10.5826/dpc.07... PMid:28243487 PMCid:PMC5315033.
 
49.
Fujiwara T, Nakata R. Current problems of food intake in young women in Japan: Their influence on female reproductive function. Reprod Med Biol. 2004;3(3):107-14. https://doi.org/10.1111/j.1447... PMid:29699189 PMCid:PMC5906838.
 
50.
Fujiwara T. Diet during adolescence is a trigger for subsequent development of dysmenorrhea in young women. Int J Food Sci Nutr. 2007;58(6):437-44. https://doi.org/10.1080/096374... PMid:17710588.
 
51.
Dandotiya D, Priya A, Toppo M, Melwani V, Sethia S. Effect of skipping breakfast on young girls’ menstruation. Ind J Youth Adolesc Health. 2017;4(3):17-20. https://doi.org/10.24321/2349.....
 
52.
Fujiwara T. Skipping breakfast is associated with dysmenorrhea in young women in Japan. Int J Food Sci Nutr. 2003;54(6):505-9. https://doi.org/10.1080/096374... PMid:14522696.
 
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