Document Type : original article
Authors
1 Visiting Scholar, Indiana University, School of Public Health, Department of Kinesiology, USA
2 Department of Physical Education, Urmia Branch, Islamic Azad University, Urmia, Iran
3 Ph.D in Sport Sciences, Department of Physical Education, Farhangian University, Gorgan, Iran
4 Department of Physical Education, Marand Branch, Islamic Azad University, Marand, Iran
5 Department of Physical Education and Sport Sciences, Tabriz Branch, Islamic Azad University, Tabriz, Iran
Abstract
Background: Although the impact of physical activity on controlling or reducing obesity has been well documented, the components that can affect this relationship have not been well defined. Hence, the current study aimed at examining the relationship between physical activity and adiposity in children with a consideration of self-esteem and body-image as mediators.
Methods: This study followed a descriptive-correlational design. In Total, 384 children (average age of 7.67 ± 0.82 years) from Gorgan, Iran, in 2022 participated in this study. Physical Activity Behavior in Leisure-Time Scale, Rosenberg Self-Esteem Scale, and Multidimensional Body-Self Relations Questionnaire–Appearance Scales were used for assessing Physical activity, self-esteem, and body-image, respectively. BMI was calculated for assessing adiposity. Structural equation modeling was implemented for analyzing the collected data.
Results: Our sample had relatively low levels of physical activity and boys had higher levels of physical activity than girls (3.48 vs. 2.04 days/weeks, respectively, t=5.79, P<0.001). Physical activity had inversely affected BMI (T=-7.769). Moreover, Physical activity positively affected self-esteem (T=6.967) and body-image (T=4.740). Finally, self-esteem and body-image significantly mediated the association between physical activity and BMI (P<0.001).
Conclusion: Overall, self-esteem and body-image can be considered as psychological predictors of obesity. In addition, physical activity and obesity are critical concerns about children. Accordingly, it is necessary to adopt appropriate strategies for enhancing active lifestyle among this population.
Keywords
- Ipsen, D.H.; Tveden-Nyborg, P.; Lykkesfeldt, J. Dyslipidemia: Obese or Not Obese—That Is Not the Question. Curr. Obes. Rep. 2016, 5, 405–412.
- Vekic, J.; Zeljkovic, A.; Stefanovic, A.; Jelic-Ivanovic, Z.; Spasojevic-Kalimanovska, V. Obesity and Dyslipidemia. Metabolism 2019, 92, 71–81.
- Pygeyre, M.; Meyre, D. Monogenetic Obesity. In Pediatric Obesity: Etiology, Pathogenesis and Treatment (Contemporary Endocrinology), 2nd ed.; Freemark, S.M., Robert, C., Atkins, V., Eds.; Springer International Publishing: Bern, Switzerland, 2018; pp. 135–152.
- Gupta, P.P.; Fonarow, G.C.; Horwich, T.B. Obesity and the Obesity Paradox in Heart Failure. CJC 2015, 31, 195–202.
- Yousefi, R.; Mottaghi, A.; Saidpour, A. Spirulina Platensis Effectively Ameliorates Anthropometric Measurements and Obesity-Related Metabolic Disorders in Obese or Overweight Healthy Individuals: A Randomized Controlled Trial. Complement. Ther. Med. 2018, 40, 106–112.
- Vignerová, J.; Humeníková, L.; Brabec, M.; Riedlová, J. Long-Term Changes in Body Weight, BMI and Adiposity Rebound among Children and Adolescents in the Czech Republic. Econ. Hum. Biol. 2007, 5, 409–425.
- WHO. Report of the Commission on Ending Childhood Obesity. 2016. http://www.who.int/end-childhood-obesity/en/. Accessed 29 Jan 2016.
- LeMura LM, Maziekas MT. Factors that alter body fat, body mass, and fat free mass in pediatric obesity. Med Sci Sports Exerc. 2002; 34:487–96.
- Yaali R, Naeimi Kia M, Gholami A. Effect of weight transfer training on static and dynamic balance of older women. Res Sport Manage Mot Behav. 2018; 8(16):47-59.
- Naeimikia M, Izanloo Z, Gholami A, Ahar S. The Effect of task training with increased cognitive load on the traits related to balance in elderly males. J Geriatr Nurs. 2018; 4(3):43-53.
- Gholidahaneh MG, Ghorbani S, Esfahaninia A. Effects of Basic Psychological Needs Satisfaction in the Physical Education on Leisure-Time Physical Activity Behavior of Primary School Students: Mediating Role of Autonomous Motivation. Int J Sch Health. 2020; 7(2):46-53.
- Dana A, Christodoulides E. The Effects of a Period of Selected Physical Activity on Improving Manipulative and Locomotors Skills of Children with Neuropsychological Learning Disabilities. Journal of Rehabilitation Sciences & Research. 2020; 7(1):25-30.
- Ghorbani S, Afshari M, Eckelt M, Dana A, Bund A. Associations between Physical Activity and Mental Health in Iranian Adolescents during the COVID-19 Pandemic: An Accelerometer-Based Study. Children.2021; 8(11):1022.
- Baniasadi T, Ranjbari S, Dana A, Mofrad SK. Objectively-Measured Physical Activity and Health-Related Quality of Life among Children with High and Low Socioeconomic Status. In15th Conference OF Baltic Society of Sport Sciences. 2022 Apr 28 (p. 119).
- Naeimikia M, Gholami A. Effect of Physical Activity on the Level of Perceived Mental Pressure during Home Quarantine due to Coronavirus Outbreak. The Scientific Journal of Rehabilitation Medicine. 2020; 9(3):217-224. Doi:10.22037/jrm.2020.114158.2503.
- Abdoshahi M, Gholami A, Naeimikia M. The correlation of Autonomy Support with Intrinsic Motivation, Anxiety, and Intention to Do Physical Activities in Children. International Journal of Pediatrics. 2022; 10(3):15623-15629. Doi:10.22038/IJP.2022.63021.4810.
- Gholami A, Rostami S. Effect of a Fun Virtual Purposeful Active Play Program on Children's Physical Fitness during Home Quarantine due to the Outbreak of Covid-19. Motor Behavior. 2021; 13(44):171-190. Doi:10.22089/mbj.2021.10913.1980.
- World Health Organization. WHO guidelines on physical activity and sedentary behavior. World Health Organization. https://apps.who.int/iris/handle/10665/336656. License: CC BY-NC-SA 3.0 IGO. 2020.
- Jimenez-Pavon D, Kelly J, Reilly JJ. Associations between objectively measured habitual physical activity and adiposity in children and adolescents: systematic review. Int J Pediatr Obes. 2010; 5:3–18.
- Remmers T, Sleddens EF, Gubbels JS, de Vries SI, Mommers M, Penders J, Kremers SPJ, Thijs C. Relationship between physical activity and the development of body mass index in children. Med Sci Sports Exerc. 2014; 46:177–84.
- Gholami A, Abani Arani M, Ghasemi A, Ghafari B. The Effect of Selected Rainbow Parachute Games on Motor and Social Development of Preschool Children. Motor Behavior. 2016; 8(24):189-204. doi: 10.22089/mbj.2016.791.
- Naeimikia M, Gholami A, Najafzadeh F. Effect of Participation in a Course of Recreational Sports Activity on the Self-Efficacy and Resilience of the Physical Education Teachers. Sports Psychology. 2021; 1400(1):51-62. doi: 10.52547/mbsp.6.1.51.
- Mohammad Gholinejad P, Hojjati H, Ghorbani S. The Effect of Aerobic Exercise on Body Composition and Muscle Strength of Female Students at Elementary Schools of Ali Abad Katoul in 2018. Int J School Health, 2019; 6(4): 27-33.
- Ghorbani S, Rezaeeshirazi R, Shakki M, Noohpisheh S, Farzanegi P. The role of BMI, physical activity and the use of electronic devices in the status of trunk abnormalities in male adolescents. J Gorgan Univ Med Sci. 2020; 22(3):129-136.
- Espana-Romero V, Mitchell JA, O’Neil JP, Pate R. Objectively measured sedentary time, physical activity and markers of body fat in preschool children. Pediatr Exerc Sc. 2013; 25:154–63.
- Janz KF, Levy SM, Burns TL, Torner JC, Willing MD, Warren DDS. Fatness, physical activity, and television viewing in children during the adiposity rebound period: the Iowa bone development study. Prev Med. 2002; 35: 563–71.
- Jago R, Baranowski T, Baranowski JC, Thompson D, Greaves KA. BMI from 3–6 y of age is predicted by TV viewing and physical activity, not diet. Int J Obes (Lond). 2005; 29:557–64.
- Heelan KA, Eisenmann JC. Physical activity, media time, and body composition in young children. J Phys Act Health. 2006; 2:200–9.
- Al-Hazzaa HM, Al-Rasheedi AA. Adiposity and physical activity levels among preschool children in Jeddah, Saudi Arabia. Saudi Med J. 2007; 28:766–73.
- Leppanen MH, Nystrom CD, Henriksson P, Pomeroy J, Ruiz JR, Ortega FB, Cadenas-Sánchez C, Löf M. Physical activity intensity, sedentary behavior, body composition and physical fitness in 4-year-old children: results from the ministop trial. Int J Obes. 2016; 40:1126–33.
- Dana A, Ranjbari S, Baniasadi T, Mofrad SK. Effects of a Competence-Based Intervention in Physical Education on enhancing students’ physical activity level: An Accelerometer-Based Study. In15th Conference OF Baltic Society of Sport Sciences. 2022 Apr 28 (p. 27).
- Dana A, Nodeh H, Salehian M, Mokari Saei S, Sarvari S. Smartphone Usage Status, Sleep Pattern, Health-Related Quality of Life, and Physical Activity among Adolescents from before to during the COVID-19 Confinement: A Cross-Sectional Study. Int J School Health.2021.
- Mohammadi H, Nafei H, Baniasadi T, Chaharbaghi Z. Accelerometer-Based Physical Activity and Health-Related Quality of Life in Children with ADHD. Int J Pediatr. 2022; 10(7): 16362-16369. Doi: 10.22038/ijp.2022.63699.4847.
- Hashemi Motlagh S, Baniasadi T, Chaharbaghi Z, Moradi L. The Effects of Socioeconomic Status on Physical Activity in Children: Mediating Role of Motivation. Int J Pediatr. 2022. Doi: 10.22038/ijp.2022.63421.4834.
- Sheikh M, Bay N, Ghorbani S, Esfahaninia A. Effects of Peers on Motivation and Physical Activity Behavior of Adolescent Students: An Investigation of Trans-Contextual Model. Int J School Health. 2021; 8(1):47-54.
- Incledon E, Wake M, Hay M. Psychological predictors of adiposity: systematic review of longitudinal studies. Int J Pediatr Obes. 2011 Jun; 6(2-2):e1-11.
- Wardle J, Cooke L. The impact of obesity on psychological well-being. Best Pract Res Clin Endocrinol Metab. 2005; 19(3):421–40.
- Zametkin AJ, Zoon CK, Klein HW Munson S. Psychiatric aspects of child and adolescent obesity: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry. 2004; 43:134–50.
- Hebebrand J, Herpertz-Dahlmann B. Psychological and psychiatric aspects of pediatric obesity. Child Adolesc Psychiatr Clin N Am. 2009; 18:49–65.
- Neumark-Sztainer D, Goeden C, Story M Wall M. Associations between body satisfaction and physical activity in adolescents: Implications for programs aimed at preventing a broad spectrum of weight-related disorders. Eat Disord. 2004; 12(2):125–37.
- Parsons TJ, Power C, Logan S Summerbell CD. Childhood predictors of adult obesity: A systematic review. Int J Obes Relat Metab Disord. 1999; 23 Suppl 8:S1–107.
- Kołoło, H.; Guszkowska, M.; Mazur, J.; Dzielska, A. Self-efficacy, self-esteem and body image as psychological determinants of 15-year-old adolescents’ physical activity levels. Hum. Mov. 2012, 13, 264–270.
- Vani, M. F., Murray, R. M., & Sabiston, C. M. (2021). Body image and physical activity. In Z. Zenko & L. Jones (Eds.), Essentials of exercise and sport psychology: An open access textbook (pp. 150–175). Society for Transparency, Openness, and Replication in Kinesiology. https://doi.org/10.51224/B1007.
- Zamani Sani SH, Fathirezaie Z, Brand S, Pühse U, Holsboer-Trachsler E, Gerber M, Talepasand S. Physical activity and self-esteem: testing direct and indirect relationships associated with psychological and physical mechanisms. Neuropsychiatr Dis Treat. 2016; 12:2617-2625.
- Gaddad P, Pemde HK, Basu S, Dhankar M, Rajendran S. Relationship of physical activity with body image, self-esteem, sedentary lifestyle, body mass index and eating attitude in adolescents: A cross-sectional observational study. J Family Med Prim Care. 2018 Jul-Aug; 7(4):775-779.
- Rosenberg M. Society and the Adolescent Self-Image. Princeton, NJ: Princeton. University Press. 1965.
- Cash, T.F. Multidimensional body-self relations questionnaire (MBSRQ). In T. Wade (Ed.), Encyclopedia of feeding and eating disorders (pp. 978-981). Singapore: Springer. 2015.