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ISSN 0128-7680

Home / Regular Issue / JST Vol. 31 (3) Apr. 2023 / JST-3319-2021


Sociodemographic Characteristics, Dietary Intake, and Body Image Dissatisfaction Among Saudi Adolescent Girls

Abeer Ahmad Bahathig, Hazizi Abu Saad, Nor Baizura Md Yusop, Nurul Husna Mohd Sukri and Maha M. Essam El-Din

Pertanika Journal of Science & Technology, Volume 31, Issue 3, April 2023


Keywords: Body image dissatisfaction, dietary intake, obesity, Saudi female, unhealthy food, waist-to-height ratio

Published on: 7 April 2023

This study assesses sociodemographic characteristics, dietary intake and body image dissatisfaction (BID) among Saudi adolescent girls. A total of 399 girls ages 13-14 were randomly selected from intermediate schools in Arar, Saudi Arabia. Data on anthropometric measurements, sociodemographic characteristics, dietary intake and body image (BI) were collected. Multiple linear regression was used to predict the association between variables. Most adolescents had a normal weight based on their body mass index (BMI), normal waist circumference (WC), and normal waist-to-height ratio (WHtR). Fried chicken and Kabsa rice were the most frequently consumed foods; most girls consumed excessive fat. Most girls had BID (81.5%), and 51.4% desired to lose weight. BMI was positively correlated with age and current BI (p<0.001) and negatively associated with dairy product intake (p=0.004) and desired BI (p<0.001). WC had a positive association with age (p=0.001) and current BI (p<0.001) and a negative association with dairy product intake, cereal and grain intake (p=0.001) and ideal BI (p<0.001). WHtR was positively associated with current BI (p<0.001) and negatively associated with cereal and grain intake (p=0.005), dairy product intake and desired BI (p<0.001). Although most participants had a normal weight, they consumed excessive fat and were dissatisfied with their BI, which are significant predictors of obesity. Saudi adolescent girls require nutritional interventions to help them transition to a healthy diet, positive BI and healthy lifestyle.

  • Al Bahhawi, T., Doweri, A. A., Sawadi, R. M., Awaji, M. Y., Jarad, M. M., Sulays, Z. Y., & Madkor, K. A. (2018). Consumption habits of pregnant women in the Jazan region, Saudi Arabia: A descriptive study. BMC Research Notes, 11(1), Article 817.

  • Albataineh, S. R., Badran, E. F., & Tayyem, R. F. (2019). Dietary factors and their association with childhood obesity in the Middle East: A systematic review. Nutrition and Health, 25(1), 53-60.

  • Albawardi, N. M., AlTamimi, A. A., AlMarzooqi, M. A., Alrasheed, L., & Al-Hazzaa, H. M. (2021). Associations of body dissatisfaction with lifestyle behaviors and socio-demographic factors among Saudi females attending fitness centers. Frontiers in Psychology, 12, Article 199., H. M. (2018). Physical inactivity in Saudi Arabia revisited: A systematic review of inactivity prevalence and perceived barriers to active living. International Journal of Health Sciences, 12(6), 50-64.

  • Al-Kutbe, R., Payne, A., de Looy, A., & Rees, G. A. (2017). A comparison of nutritional intake and daily physical activity of girls aged 8-11 years old in Makkah, Saudi Arabia according to weight status. BMC Public Health, 17(1), 1-9.

  • Almajwal, A., AL-zahrani, S., Abulmeaty, M., Alam, I., Razzak, S., & Alqahtani, A. (2018). Development of food frequency questionnaire (FFQ) for the assessment of dietary intake among overweight and obese Saudi young children. Nutrire, 43(1), Article 29.

  • Alzamil, H. A., Alhakbany, M. A., Alfadda, N. A., Almusallam, S. M., & Al-Hazzaa, H. M. (2019). A profile of physical activity, sedentary behaviors, sleep, and dietary habits of Saudi college female students. Journal of Family & Community Medicine, 26(1), 1-8.

  • Axxya Systems. (2019). Nutritionist ProDiet Analysis. 2014.

  • Ayed, H. B., Yaich, S., Jemaa, M. B., Hmida, M. B., Trigui, M., Jedidi, J., Sboui, I., Karray, R., Feki, H., Mejdoub, Y., Kassis, M., & Damak, J. (2019). What are the correlates of body image distortion and dissatisfaction among school-adolescents? International Journal of Adolescent Medicine and Health, 33(5), 1-12.

  • Baceviciene, M., Jankauskiene, R., & Balciuniene, V. (2020). The role of body image, disordered eating and lifestyle on the quality of life in Lithuanian university students. International Journal of Environmental Research and Public Health, 17(5), Article 1593.

  • Bahathig, A. A., Saad, H. A., Yusop, N. B. M., Shukri, N. H. M., & El-Din, M. M. E. (2021). Relationship between physical activity, sedentary behavior, and anthropometric measurements among Saudi female adolescents: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(16), Article 8461.

  • Bell, M. J., Zeiler, M., Herrero, R., Kuso, S., Nitsch, M., Etchemendy, E., Fonseca-Baeza, S., Oliver, E., Adamcik, T., Karwautz, A., Wagner, G., Banos, R., Botella, C., Gorlich, D., Jacobi, C., & Waldherr, K. (2019). Healthy Teens@ School: Evaluating and disseminating transdiagnostic preventive interventions for eating disorders and obesity for adolescents in school settings. Internet Interventions, 16, 65-75.

  • Bel-Serrat, S., Heinen, M. M., Mehegan, J., O’Brien, S., Eldin, N., Murrin, C. M., & Kelleher, C. C. (2018). School sociodemographic characteristics and obesity in schoolchildren: Does the obesity definition matter? BMC Public Health, 18(1), 1-12.

  • Bray, I., Slater, A., Lewis-Smith, H., Bird, E., & Sabey, A. (2018). Promoting positive body image and tackling overweight/obesity in children and adolescents: A combined health psychology and public health approach. Preventive Medicine, 116, 219-221.

  • Cafri, G., Yamamiya, Y., Brannick, M., & Thompson, J. K. (2005). The influence of sociocultural factors on body image: A meta-analysis. Clinical Psychology: Science and Practice, 12(4), 421-433.

  • Cardinal, T. M., Kaciroti, N., & Lumeng, J. C. (2006). The figure rating scale as an index of weight status of women on videotape. Obesity, 14(12), 2132-2135.

  • CDC. (2021). Childhood Obesity Facts, Prevalence of Childhood Obesity in the United States. Center for Disease Control and Prevention.

  • Cid, J. A., Ramírez, C. A., Rodríguez, J. S., Conde, A. I., Jáuregui-Lobera, I., Martín, G. H., & Ríos, P. B. (2018). Self-perception of weight and physical fitness, body image perception, control weight behaviors and eating behaviors in adolescents. Nutrición Hospitalaria: Organo Oficial De La Sociedad Española De Nutrición Parenteral Y Enteral, 35(5), 1115-1123.

  • Cruz-Sáez, S., Pascual, A., Wlodarczyk, A., & Echeburúa, E. (2020). The effect of body dissatisfaction on disordered eating: The mediating role of self-esteem and negative affect in male and female adolescents. Journal of Health Psychology, 25(8), 1098-1108.

  • Delgado-Floody, P., Caamaño-Navarrete, F., Jerez-Mayorga, D., Guzmán-Guzmán, I. P., Cofré-Lizama, A., & Martínez-Salazar, C. (2018). Body image dissatisfaction and its association with antropometrics parameters, weight status and self-esteem in Chilean schoolchildren. Archivos Latinoamericanos De Nutricion, 68(4).

  • Draper, C. E., Grobler, L., Micklesfield, L. K., & Norris, S. A. (2015). Impact of social norms and social support on diet, physical activity and sedentary behaviour of adolescents: A scoping review. Child: Care, Health and Development, 41(5), 654-667.

  • Düzçeker, Y., Akgül, S., Durmaz, Y., Yaman, M., Örs, S., Tüzün, Z., Büyüktuncer, Z., & Kanbur, N. (2021). Is Ramadan fasting correlated with disordered eating behaviours in adolescents? Eating Disorders, 29(1), 74-87.

  • El Kabbaoui, M., Chda, A., Bousfiha, A., Aarab, L., Bencheikh, R., & Tazi, A. (2018). Prevalence of and risk factors for overweight and obesity among adolescents in Morocco. Eastern Mediterranean Health Journal, 24(6), 512-521.

  • Farias, R. R., Martins, R. B., Ulrich, V., Kanan, J. H. C., Silva, I. G. D., & Resende, T. D. L. (2018). Body image satisfaction, sociodemographic, functional and clinical aspects of community-dwelling older adults. Dementia & Neuropsychologia, 12, 306-313.

  • Gaddad, P., Pemde, H. K., Basu, S., Dhankar, M., & Rajendran, S. (2018). Relationship of physical activity with body image, self esteem sedentary lifestyle, body mass index and eating attitude in adolescents: A cross-sectional observational study. Journal of Family Medicine and Primary Care, 7(4), 775-779.

  • Gosadi, I. M., Alatar, A. A., Otayf, M. M., AlJahani, D. M., Ghabbani, H. M., AlRajban, W. A., Alrsheed, A. M., & Al-Nasser, K. A. (2017). Development of a Saudi food frequency questionnaire and testing its reliability and validity. Saudi Medical Journal, 38(6), 636-641.

  • Hackshaw, A. (2014). A Concise Guide to Observational Studies in Healthcare. John Wiley & Sons.

  • Hijji, T. M., Saleheen, H., & AlBuhairan, F. S. (2021). Underweight, body image, and weight loss measures among adolescents in Saudi Arabia: Is it a fad or is there more going on? International Journal of Pediatrics and Adolescent Medicine, 8(1), 18-24.

  • Kerkadi, A., Sadig, A. H., Bawadi, H., Al Thani, A. A. M., Al Chetachi, W., Akram, H., Al-Hazzaa, H. M., & Musaiger, A. O. (2019). The relationship between lifestyle factors and obesity indices among adolescents in Qatar. International Journal of Environmental Research and Public Health, 16(22), Article 4428.

  • Khalaf, A., Westergren, A., Berggren, V., Ekblom, Ö., & Al-Hazzaa, H. M. (2015). Perceived and ideal body image in young women in South Western Saudi Arabia. Journal of Obesity, 2015, Article 697163.

  • Kops, N. L., Bessel, M., Knauth, D. R., Caleffi, M., & Wendland, E. M. (2019). Body image (dis) satisfaction among low-income adult women. Clinical Nutrition, 38(3), 1317-1323.

  • Latiff, A. A., Muhamad, J., & Rahman, R. A. (2018). Body image dissatisfaction and its determinants among young primary-school adolescents. Journal of Taibah University Medical Sciences, 13(1), 34-41.

  • Lemeshow, S., Hosmer, D. W., Klar, J., Lwanga, S. K., & World Health Organization. (1990). Adequacy of Sample Size in Health Studies. Chichester: Wiley.

  • Lynch, E., Liu, K., Wei, G. S., Spring, B., Kiefe, C., & Greenland, P. (2009). The relation between body size perception and change in body mass index over 13 years: The coronary artery risk development in young adults (CARDIA) study. American Journal of Epidemiology, 169(7), 857-866.

  • Maffeis, C., Banzato, C., Talamini, G., & Italian, O. S. G. (2008). Waist-to-height ratio, a useful index to identify high metabolic risk in overweight children. The Journal of Pediatrics, 152(2), 207-213.

  • McElhone, S., Kearney, J. M., Giachetti, I., Zunft, H. J. F., & Martínez, J. A. (1999). Body image perception in relation to recent weight changes and strategies for weight loss in a nationally representative sample in the European Union. Public Health Nutrition, 2(1a), 143-151.

  • Moehlecke, M., Blume, C. A., Cureau, F. V., Kieling, C., & Schaan, B. D. (2020). Self-perceived body image, dissatisfaction with body weight and nutritional status of Brazilian adolescents: A nationwide study. Jornal de Pediatria, 96, 76-83.

  • Moradi-Lakeh, M., El Bcheraoui, C., Afshin, A., Daoud, F., AlMazroa, M. A., Al Saeedi, M., Basulaiman, M., Memish, Z. A., Al Rabeeah, A. A., & Mokdad, A. H. (2017). Diet in Saudi Arabia: Findings from a nationally representative survey. Public Health Nutrition, 20(6), 1075-1081.

  • Motlagh, M., Shirvani, S., Hassanzadeh-Rostami, Z., Taheri, M., & Ghadimi, R. (2018). Assessment of overweight and obesity in Iranian adolescents: Optimal cut-off values of anthropometric indices. Eastern Mediterranean Health Journal, 24(10), 975-987.

  • Musharrafieh, U., Tamim, H., Houry, R., & AlBuhairan, F. (2020). A nationwide study of asthma correlates among adolescents in Saudi Arabia. Asthma Research and Practice, 6, 1-8.

  • Radwan, H., Hasan, H. A., Ismat, H., Hakim, H., Khalid, H., Al-Fityani, L., Mohammed, R., & Ayman, A. (2019). Body mass index perception, body image dissatisfaction and their relations with weight-related behaviors among university students. International Journal of Environmental Research and Public Health, 16(9), Article 1541.

  • Ribeiro-Silva, R. D. C., Fiaccone, R. L., Conceição-Machado, M. E. P. D., Ruiz, A. S., Barreto, M. L., & Santana, M. L. P. (2018). Body image dissatisfaction and dietary patterns according to nutritional status in adolescents. Jornal de Pediatria, 94(2), 155-161.

  • Sánchez, G. F. L., Suárez, A. D., & Smith, L. (2018). Analysis of body image and obesity by Stunkard’s silhouettes in 3-to 18-year-old Spanish children and adolescents. Anales de Psicología, 34(1), 167-172.

  • Shaban, L. H., Vaccaro, J. A., Sukhram, S. D., & Huffman, F. G. (2016). Perceived body image, eating behavior, and sedentary activities and body mass index categories in Kuwaiti female adolescents. International Journal of Pediatrics, 2016, Article 1092819.

  • Song, S., & Shim, J. E. (2019). Trends in dietary intake of total fat and fatty acids among Korean adolescents from 2007 to 2017. Nutrients, 11(12), Article 3073.

  • Stunkard, A. J. (1983). Use of the Danish adoption register for the study of obesity and thinness. Research publications - Association for Research in Nervous and Mental Disease, 60, 115-120.

  • Tabbakh, T., & Freeland-Graves, J. H. (2016). The home environment: A mediator of nutrition knowledge and diet quality in adolescents. Appetite, 105, 46-52.

  • Voelker, D. K., Reel, J. J., & Greenleaf, C. (2015). Weight status and body image perceptions in adolescents: current perspectives. Adolescent Health, Medicine and Therapeutics, 6, 149-158.

  • Weinberger, N. A., Kersting, A., Riedel-Heller, S. G., & Luck-Sikorski, C. (2016). Body dissatisfaction in individuals with obesity compared to normal-weight individuals: A systematic review and meta-analysis. Obesity Facts, 9(6), 424-441.

  • WHO. (2021a). Adolescent Health and Development. World Health Organisation.

  • WHO. (2021b). Growth Reference Data for 5-19 Years. World Health Organisation.

  • WHO. (2021c). Noncommunicable Diseases; Unhealthy Food. World Health Organisation.

  • WHO. (2021d). Obesity and overweight. World Health Organisation.