Evaluation of Body Mass Index Among Medical Students
Main Article Content
Abstract
Background: Body Mass Index (BMI) is a crucial indicator of health status, particularly among medical students who are future healthcare providers. Understanding BMI distribution and its associated factors within this population can inform targeted health interventions.
Objective: This study aimed to evaluate the BMI distribution among medical students at Tikrit University College of Medicine and examine its association with demographic factors, eating habits, and health-related behaviors.
Methods: A cross-sectional study was conducted from August 1st to August 25th, 2023. Data were collected using an online survey administered via Google Forms, with a total of 217 medical students participating. The survey gathered information on demographics, eating habits, and health behaviors. BMI was calculated from self-reported height and weight. Data were analyzed using SPSS version 27, with descriptive statistics and Chi-square tests used to assess associations between variables.
Results: 79.3% females and 20.7% males were recruited into the study The mean BMI among the students was 23.61 (SD = 4.27). The majority of students were in the normal weight category (61%), followed by overweight (23%), obese (8%), and underweight (8%). A significant association was found between marital status and BMI categories (P < 0.05), with being married linked to being overweight or obese. However, no significant associations were observed between BMI and other variables such as smoking, alcohol consumption, or dietary habits.
Conclusion: Most medical students at Tikrit University College of Medicine have a normal BMI, but a considerable proportion are overweight or obese, highlighting the need for health promotion strategies. These findings suggest that further interventions may be necessary to address overweight and obesity within this population.
Article Details

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References
I. The GBD 2015 Obesity Collaborators. Health Effects of Overweight and Obesity in 195 Countries over 25 Years. New England Journal of Medicine. 2017;377(1): 13–27.
https://doi.org/10.1056/NEJMoa1614362.
II. Nuttall FQ. Body Mass Index: Obesity, BMI, and Health: A Critical Review. Nutrition Today. 2015;50(3): 117.
https://doi.org/10.1097/NT.0000000000000092.
III. Corica D, Aversa T, Valenzise M, Messina MF, Alibrandi A, De Luca F, et al. Does Family History of Obesity, Cardiovascular, and Metabolic Diseases Influence Onset and Severity of Childhood Obesity? Frontiers in Endocrinology. 2018;9. https://doi.org/10.3389/fendo.2018.00187.
IV. Sattar A, Baig S, Rehman NU, Bashir MB. FACTORS AFFECTING BMI: Assessment of the effect of sociodemographic factors on BMI In the population of Ghulam Mohammad Abad Faisalabad. The Professional Medical Journal. 2013;20(06): 956–964. https://doi.org/10.29309/TPMJ/2013.20.06.1827.
V. Slattery M, McDonald A, Bild D, Caan B, Hilner J, Jacobs D, et al. Associations of body fat and its distribution with dietary intake, physical activity, alcohol, and smoking in blacks and whites. The American Journal of Clinical Nutrition. 2000;55(5): 943–949.
https://doi.org/10.1093/ajcn/55.5.943.
VI. Markowitz JS. Body Mass Index (BMI). In: Markowitz JS (ed.) Mortality and Its Risk Factors Among Professional Athletes: A Comparison Between Former NBA and NFL Players. Cham: Springer International Publishing; 2018. p. 39–49. https://doi.org/10.1007/978-3-319-77203-5_5. [Accessed 21st August 2024].
VII. WHO. Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight [Accessed 21st August 2024].
VIII. Cruz-Domínguez M del P, González-Márquez F, Ayala-López EA, Vera-Lastra OL, Rendón GHV, Zarate-Amador A, et al. Overweigth, obesity, metabolic syndrome and waist/height index in health staff. Revista Médica del Instituto Mexicano del Seguro Social. 2015;53(S1): 36–41.
IX. Fekih-Romdhane F, Daher-Nashif S, Alhuwailah AH, Al Gahtani HMS, Hubail SA, Shuwiekh HAM, et al. The prevalence of feeding and eating disorders symptomology in medical students: an updated systematic review, meta-analysis, and meta-regression. Eating and weight disorders: EWD. 2022;27(6): 1991–2010.
https://doi.org/10.1007/s40519-021-01351-w.
X. Alzahrani SH, Saeedi AA, Baamer MK, Shalabi AF, Alzahrani AM. Eating Habits Among Medical Students at King Abdulaziz University, Jeddah, Saudi Arabia. International Journal of General Medicine. 2020;13: 77–88.
https://doi.org/10.2147/IJGM.S246296.
XI. Bede F, Cumber SN, Nkfusai CN, Venyuy MA, Ijang YP, Wepngong EN, et al. Dietary habits and nutritional status of medical school students: the case of three state universities in Cameroon. The Pan African Medical Journal. 2020;35(15). https://doi.org/10.11604/pamj.2020.35.15.18818.
XII. Thomas E, M G. Prevalence and Determinants of Overweight and Obesity among Medical Students. National Journal of Physiology, Pharmacy and Pharmacology. 2019;10(1): 42–42. https://doi.org/10.5455/njppp.2020.10.1035506112019.
XIII. Asghar A, Masood Shah A, Ali Hussain A, Tahir A, Asghar H. Frequency of Pre-obesity and Obesity in Medical Students of Karachi and the Predisposing Lifestyle Habits. Cureus. 2019;11(1): e3948. https://doi.org/10.7759/cureus.3948.
XIV. Ye RZ, Richard G, Gévry N, Tchernof A, Carpentier AC. Fat Cell Size: Measurement Methods, Pathophysiological Origins, and Relationships With Metabolic Dysregulations. Endocrine Reviews. 2022;43(1): 35–60.
https://doi.org/10.1210/endrev/bnab018.
XV. Birbrair A, Zhang T, Wang ZM, Messi ML, Enikolopov GN, Mintz A, et al. Role of Pericytes in Skeletal Muscle Regeneration and Fat Accumulation. Stem Cells and Development. 2013;22(16): 2298–2314.
https://doi.org/10.1089/scd.2012.0647.
XVI. Aarsland A, Chinkes D, Wolfe R. Hepatic and whole-body fat synthesis in humans during carbohydrate overfeeding. The American Journal of Clinical Nutrition. 2000;65(6): 1774–1782. https://doi.org/10.1093/ajcn/65.6.1774.
XVII. Frey M. How to Use Quick Body Measurements to Calculate Body Fat Percentage. Verywell Fit. https://www.verywellfit.com/how-to-use-body-fat-percentage-calculator-3858855 [Accessed 22nd August 2024].
XVIII. LeWine HE. Abdominal fat and what to do about it. Harvard Health.
https://www.health.harvard.edu/staying-healthy/abdominal-fat-and-what-to-do-about-it [Accessed 22nd August 2024].
XIX. Montague CT, O’Rahilly S. The perils of portliness: causes and consequences of visceral adiposity. Diabetes. 2000;49(6): 883–888. https://doi.org/10.2337/diabetes.49.6.883.
XX. Kern PA, Ranganathan S, Li C, Wood L, Ranganathan G. Adipose tissue tumor necrosis factor and interleukin-6 expression in human obesity and insulin resistance. American Journal of Physiology-Endocrinology and Metabolism. 2001;280(5): E745–E751.
https://doi.org/10.1152/ajpendo.2001.280.5.E745.
XXI. Marette A. Molecular mechanisms of inflammation in obesity-linked insulin resistance. International Journal of Obesity. 2003;27(S3): S46–S48. https://doi.org/10.1038/sj.ijo.0802500.
XXII. Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, et al. Prevalence of Obesity, Diabetes, and Obesity-Related Health Risk Factors, 2001. JAMA. 2003;289(1): 76.
https://doi.org/10.1001/jama.289.1.76.
XXIII. Strumos S. The Real Way To Lose Fat (Men Vs Women!). Medium. 2019.
https://medium.com/@sstrumos/the-real-way-to-lose-fat-men-vs-women-b368372cbee7 [Accessed 16th December 2024].
XXIV. BMI Calculator - Calculate Body Mass Index | How to Use BMI Calculator. beatXP Blog. https://www.beatxp.com/blog/bmi-calculator-online-and-how-to-use-bmi-calculator/ [Accessed 16th December 2024].
XXV. Zierle-Ghosh A, Jan A. Physiology, Body Mass Index. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024.
http://www.ncbi.nlm.nih.gov/books/NBK535456/ [Accessed 21st August 2024].
XXVI. Powell-Wiley TM, Poirier P, Burke LE, Després JP, Gordon-Larsen P, Lavie CJ, et al. Obesity and Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation. 2021;143(21): e984–e1010.
https://doi.org/10.1161/CIR.0000000000000973.
XXVII. Chiolero A. Why causality, and not prediction, should guide obesity prevention policy. The Lancet Public Health. 2018;3(10): e461–e462. https://doi.org/10.1016/S2468-2667(18)30158-0.
XXVIII. Encyclopedia of Mental Health. Academic Press; 2015.
XXIX. Cutillas AB, Herrero E, de San Eustaquio A, Zamora S, Perez-Llamas F. Prevalence of underweight, overweight and obesity, energy intake and dietary caloric profile in university students from the region of Murcia (Spain). Nutrición Hospitalaria. 2013;28(3): 683–689.
XXX. Olearo B, Del Castillo JMS, Boselli PM, Micó L. Assessment of body composition, through anthropometric and non-anthropometric methods, of university students from Valencia (Spain). Nutricion hospitalaria. 2014;30(4): 911–918.
XXXI. Peltzer K, Pengpid S, Samuels TA, Özcan NK, Mantilla C, Rahamefy OH, et al. Prevalence of overweight/obesity and its associated factors among university students from 22 countries. International journal of environmental research and public health. 2014;11(7): 7425–7441.
XXXII. Gopalakrishnan S, Ganeshkumar P, Prakash M, Amalraj V. Prevalence of overweight/obesity among the medical students, Malaysia. The Medical Journal of Malaysia. 2012;67(4): 442–444.
XXXIII. Caballero B. The Global Epidemic of Obesity: An Overview. Epidemiologic Reviews. 2007;29(1): 1–5. https://doi.org/10.1093/epirev/mxm012.
XXXIV. World Health Organization. Obesity and overweight. 2009.
XXXV. FAO, IFAD, UNICEF, WFP, WHO. The State of Food Security and Nutrition in the World 2017. Building Resilience for Peace and Food Security |Policy Support and Governance| Food and Agriculture Organization of the United Nations. https://www.fao.org/policy-support/tools-and-publications/resources-details/en/c/1107528/ [Accessed 22nd August 2024].
XXXVI. WHO. One in eight people are now living with obesity. https://www.who.int/news/item/01-03-2024-one-in-eight-people-are-now-living-with-obesity [Accessed 21st August 2024].
XXXVII. Lau DCW, Douketis JD, Morrison KM, Hramiak IM, Sharma AM, Ur E, et al. 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children [summary]. Canadian Medical Association Journal. 2007;176(8): S1–S13.
https://doi.org/10.1503/cmaj.061409.
XXXVIII. Bleich SN, Cutler D, Murray C, Adams A. Why Is the Developed World Obese? Annual Review of Public Health. 2008;29(Volume 29, 2008): 273–295. https://doi.org/10.1146/annurev.publhealth.29.020907.090954.
XXXIX. Drewnowski A, Specter S. Poverty and obesity: the role of energy density and energy costs. The American Journal of Clinical Nutrition. 2004;79(1): 6–16. https://doi.org/10.1093/ajcn/79.1.6.
XL. Nestle M. Obesity. Halting the obesity epidemic: a public health policy approach. Public Health Reports. 2000;115(1): 12–24.
https://doi.org/10.1093/phr/115.1.12.
XLI. James WPT. The fundamental drivers of the obesity epidemic. Obesity Reviews. 2008;9(s1): 6–13. https://doi.org/10.1111/j.1467-789X.2007.00432.x.
XLII. Masand PS. Weight gain associated with psychotropic drugs. Expert Opinion on Pharmacotherapy. 2000;1(3): 377–389. https://doi.org/10.1517/14656566.1.3.377.
XLIII. Baum CL. The effects of cigarette costs on BMI and obesity. Health Economics. 2009;18(1): 3–19. https://doi.org/10.1002/hec.1340.
XLIV. Memon AN, Gowda AS, Rallabhandi B, Bidika E, Fayyaz H, Salib M, et al. Have Our Attempts to Curb Obesity Done More Harm Than Good? Cureus. 2020; https://doi.org/10.7759/cureus.10275.
XLV. Bojanowska E, Ciosek J. Can We Selectively Reduce Appetite for Energy-Dense Foods? An Overview of Pharmacological Strategies for Modification of Food Preference Behavior. Current Neuropharmacology. 2016;14(2): 118–142. https://doi.org/10.2174/1570159X14666151109103147.
XLVI. Kopelman PG, Stock MJ, [eds.]. Clinical obesity in adults and children.. 2nd ed. Malden, Mass: Blackwell Pub; 2005.
XLVII. WHO. WHO | Obesity and overweight. https://web.archive.org/web/20081218104805/http://www.who.int/dietphysicalactivity/publications/facts/obesity/en/ [Accessed 22nd August 2024].
XLVIII. Ding Y, Zou R, Judd RL, Zhong J. Effects of Gender Difference on Cardiac Myocyte Dysfunction in Streptozotocin-Induced Diabetic Rats. Endocrine. 2006;29(1): 135–142.
https://doi.org/10.1385/ENDO:29:1:135.
XLIX. WHO. WHO | Physical Inactivity: A Global Public Health Problem.
https://web.archive.org/web/20140213190030/http://www.who.int/dietphysicalactivity/factsheet_inactivity/en/index.html [Accessed 22nd August 2024].
L. Salmon J, Timperio A. Prevalence, Trends and Environmental Influences on Child and Youth Physical Activity. In: Tomkinson GR, Olds TS (eds.) Medicine and Sport Science. Basel: KARGER; 2007. p. 183–199.
https://doi.org/10.1159/000101391. [Accessed 22nd August 2024].
LI. Albuquerque D, Nóbrega C, Manco L, Padez C. The contribution of genetics and environment to obesity. British Medical Bulletin. 2017;123(1): 159–173. https://doi.org/10.1093/bmb/ldx022.
LII. Walley AJ, Asher JE, Froguel P. The genetic contribution to non-syndromic human obesity. Nature Reviews Genetics. 2009;10(7): 431–442. https://doi.org/10.1038/nrg2594.
LIII. Farooqi IS, O’Rahilly S. Genetics of Obesity in Humans. Endocrine Reviews. 2006;27(7): 710–718. https://doi.org/10.1210/er.2006-0040.
LIV. Mehta MD. A STUDY OF PREVALENCE OF OBESITY AMONG MEDICAL STUDENTS AND ITS RELATION WITH FOOD HABITS AND EXERCISE. INDIAN JOURNAL OF APPLIED RESEARCH. 2023;
LV. Almadani M, Zeen MA, Alanazi MM, Alshebaily AK, Alhayyaf HH. Prevalence and determinants of obesity among medical students at Al Maarefa University, Saudi Arabia, 2022. Medical Science. 2023;27(132): 1–7.
https://doi.org/10.54905/disssi/v27i132/e114ms2864.
LVI. Verma A, Chauhan S, Lazarus A, Kale S. A cross-sectional assessment of obesity among medical students of central India. Asian Journal of Medical Sciences. 2024;15(5): 168–172.
https://doi.org/10.3126/ajms.v15i5.63561.
LVII. Sharma S, Nuzhat Q, Kumar S. Prevalence of obesity among undergraduate medical students at the tertiary care center of North India. National Journal of Physiology, Pharmacy and Pharmacology. 2023;14(5): 1.
https://doi.org/10.5455/njppp.2023.13.09465202304102023.
LVIII. Diani YH, Novelyn S, Cing JM, Suryowati T, Aritonang CRL, Daroedono E, et al. Prevalence of Overweight and Obesity among Medical Students across Indonesia: A Literature Review. Asian Journal of Biology. 2023;18(2): 34–45. https://doi.org/10.9734/ajob/2023/v18i2341.
LIX. Blüher M. Obesity: global epidemiology and pathogenesis. Nature Reviews Endocrinology. 2019;15(5): 288–298.
https://doi.org/10.1038/s41574-019-0176-8.
LX. Collaboration PS. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. The Lancet. 2009;373(9669): 1083–1096.
https://doi.org/10.1016/S0140-6736(09)60318-4.
LXI. Neovius K, Johansson K, Kark M, Neovius M. Obesity status and sick leave: a systematic review. Obesity Reviews. 2009;10(1): 17–27. https://doi.org/10.1111/j.1467-789X.2008.00521.x.
LXII. Puhl R, Brownell KD. Bias, Discrimination, and Obesity. Obesity Research. 2001;9(12): 788–805. https://doi.org/10.1038/oby.2001.108.
LXIII. Haslam DW, James WPT. Obesity. The Lancet. 2005;366(9492): 1197–1209.
https://doi.org/10.1016/S0140-6736(05)67483-1.
LXIV. Grundy SM. Obesity, Metabolic Syndrome, and Cardiovascular Disease. The Journal of Clinical Endocrinology & Metabolism. 2004;89(6): 2595–2600. https://doi.org/10.1210/jc.2004-0372.
LXV. Bray GA. Medical Consequences of Obesity. The Journal of Clinical Endocrinology & Metabolism. 2004;89(6): 2583–2589.
https://doi.org/10.1210/jc.2004-0535.
LXVI. Dentali F, Squizzato A, Ageno W. The Metabolic Syndrome as a Risk Factor for Venous and Arterial Thrombosis. Seminars in Thrombosis and Hemostasis. 2009;35: 451–457.
https://doi.org/10.1055/s-0029-1234140.
LXVII. Shoelson SE, Herrero L, Naaz A. Obesity, Inflammation, and Insulin Resistance. Gastroenterology. 2007;132(6): 2169–2180. https://doi.org/10.1053/j.gastro.2007.03.059.
LXVIII. Bazire P. Obesity-related disease. Dr Bazire. https://drbazire.uk/blog/obesity-related-disease/ [Accessed 16th December 2024].
LXIX. Arnett DK, Blumenthal RS, Albert MA, Buroker AB, Goldberger ZD, Hahn EJ, et al. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019;140(11).
https://doi.org/10.1161/CIR.0000000000000678.
LXX. U.S. Department of Health and Human Services. 2015-2020 Dietary Guidelines | health.gov. https://health.gov/our-work/nutrition-physical-activity/dietary-guidelines/previous-dietary-guidelines/2015 [Accessed 22nd August 2024].
LXXI. Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, et al. 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation.
;129(25_suppl_2). https://doi.org/10.1161/01.cir.0000437739.71477.ee.
LXXII. Tate DF, Jeffery RW, Sherwood NE, Wing RR. Long-term weight losses associated with prescription of higher physical activity goals. Are higher levels of physical activity protective against weight regain?2. The American Journal of Clinical Nutrition. 2007;85(4): 954–959.
https://doi.org/10.1093/ajcn/85.4.954.
LXXIII. Shick SM, Wing RR, Klem ML, McGUIRE MT, Hill JO, Seagle H. Persons Successful at Long-term Weight Loss and Maintenance Continue to Consume a Low-energy, Low-fat Diet. Journal of the American Dietetic Association. 2000;98(4): 408–413. https://doi.org/10.1016/S0002-8223(98)00093-5.
LXXIV. Strychar I. Diet in the management of weight loss. Canadian Medical Association Journal. 2006;174(1): 56–63.
https://doi.org/10.1503/cmaj.045037.
LXXV. Bennett W. Dietary Treatments of Obesity. Annals of the New York Academy of Sciences. 2000;499(1): 250–263.https://doi.org/10.1111/j.1749-6632.1987.tb36216.x.
LXXVI. Johnston BC, Kanters S, Bandayrel K, Wu P, Naji F, Siemieniuk RA, et al. Comparison of Weight Loss Among Named Diet Programs in Overweight and Obese Adults: A Meta-analysis. JAMA. 2014;312(9): 923.
https://doi.org/10.1001/jama.2014.10397.
LXXVII. Heymsfield SB, Wadden TA. Mechanisms, Pathophysiology, and Management of Obesity. Longo DL (ed.) New England Journal of Medicine. 2017;376(3): 254–266.
https://doi.org/10.1056/NEJMra1514009.
LXXVIII. Wood S. Diet Drug Orlistat Linked to Kidney, Pancreas Injuries. Medscape.
https://www.medscape.com/viewarticle/740855 [Accessed 22nd August 2024].
LXXIX. Rucker D, Padwal R, Li SK, Curioni C, Lau DCW. Long term pharmacotherapy for obesity and overweight: updated meta-analysis. BMJ. 2007;335(7631): 1194–1199.
https://doi.org/10.1136/bmj.39385.413113.25.
LXXX. Serralde-Zúñiga AE, Gonzalez Garay AG, Rodríguez-Carmona Y, Melendez G. Fluoxetine for adults who are overweight or obese. Cochrane Metabolic and Endocrine Disorders Group (ed.) Cochrane Database of Systematic Reviews. 2019;2022(8). https://doi.org/10.1002/14651858.CD011688.pub2.
LXXXI. Colquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. Cochrane Metabolic and Endocrine Disorders Group (ed.) Cochrane Database of Systematic Reviews. 2014;2014(10). https://doi.org/10.1002/14651858.CD003641.pub4.
LXXXII. Chang SH, Stoll CRT, Song J, Varela JE, Eagon CJ, Colditz GA. The Effectiveness and Risks of Bariatric Surgery: An Updated Systematic Review and Meta-analysis, 2003-2012. JAMA Surgery. 2014;149(3): 275.
https://doi.org/10.1001/jamasurg.2013.3654.
LXXXIII. Yoshino M, Kayser BD, Yoshino J, Stein RI, Reeds D, Eagon JC, et al. Effects of Diet versus Gastric Bypass on Metabolic Function in Diabetes. New England Journal of Medicine. 2020;383(8): 721–732. https://doi.org/10.1056/NEJMoa2003697.
LXXXIV. Sjöström L, Narbro K, Sjöström CD, Karason K, Larsson B, Wedel H, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. The New England Journal of Medicine. 2007;357(8): 741–752. https://doi.org/10.1056/NEJMoa066254.
LXXXV. Niranjan A, Pandey A, Arya V, Takhelchangbam N. Prevalence of obesity and overweight and factors associated with it among medical students of Bundelkhand region: A cross-sectional study. Asian Journal of Medical Sciences. 2023;14(10): 96–102. https://doi.org/10.3126/ajms.v14i10.55869.
LXXXVI. Ilić M, Pang H, Vlaški T, Grujičić M, Novaković B. Prevalence and associated factors of overweight and obesity among medical students from the Western Balkans (South-East Europe Region). BMC Public Health. 2024;24(1): 29.
https://doi.org/10.1186/s12889-023-17389-7.
LXXXVII. Hamed M, Zaghloul A, Halawani SH, Fatani BA, Alshareef B, Almalki A, et al. Prevalence of Overweight/Obesity Associated With Anemia Among Female Medical Students at Umm Al-Qura University in Makkah, Saudi Arabia: A Cross-Sectional Study. Cureus. 2024; https://doi.org/10.7759/cureus.57081.
LXXXVIII. Sato K. Relationship between marital status and body mass index in Japan. Review of Economics of the Household. 2021;19(3): 813–841. https://doi.org/10.1007/s11150-020-09503-0.
LXXXIX. Nikolic Turnic T, Jakovljevic V, Strizhkova Z, Polukhin N, Ryaboy D, Kartashova M, et al. The Association between Marital Status and Obesity: A Systematic Review and Meta-Analysis. Diseases. 2024;12(7): 146.
https://doi.org/10.3390/diseases12070146.
XC. Jeffery RW, Rick AM. Cross‐Sectional and Longitudinal Associations between Body Mass Index and Marriage‐Related Factors. Obesity Research. 2002;10(8): 809–815.
https://doi.org/10.1038/oby.2002.109.
XCI. Platikanova M, Yordanova A, Hristova P. Dependence of Body Mass Index on Some Dietary Habits: An Application of Classification and Regression Tree. Iranian Journal of Public Health. 2022;51(6): 1283–1294.
https://doi.org/10.18502/ijph.v51i6.9672.
XCII. Mõttus R, Realo A, Allik J, Deary IJ, Esko T, Metspalu A. Personality traits and eating habits in a large sample of Estonians. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association. 2012;31(6): 806–814
https://doi.org/10.1037/a0027041.
XCIII. Pfeiler TM, Egloff B. Personality and eating habits revisited: Associations between the big five, food choices, and Body Mass Index in a representative Australian sample. Appetite. 2020;149: 104607. https://doi.org/10.1016/j.appet.2020.104607.
XCIV. Brown RE, Canning KL, Fung M, Jiandani D, Riddell MC, Macpherson AK, et al. Calorie Estimation in Adults Differing in Body Weight Class and Weight Loss Status. Medicine and science in sports and exercise. 2016;48(3): 521–526. https://doi.org/10.1249/MSS.0000000000000796.
XCV. Ravelli MN, Schoeller DA. Traditional Self-Reported Dietary Instruments Are Prone to Inaccuracies and New Approaches Are Needed. Frontiers in Nutrition. 2020;7: 90. https://doi.org/10.3389/fnut.2020.00090.
XCVI. Ottawa (Emeritus) JMLP of EU of. A Dictionary of Epidemiology. Oxford University Press, USA; 2000.
XCVII. Mirmiran P, Bahadoran Z, Gaeini Z. Common Limitations and Challenges of Dietary Clinical Trials for Translation into Clinical Practices. International Journal of Endocrinology and Metabolism. 2021;19(3).
https://doi.org/10.5812/ijem.108170.
XCVIII. Jeong SM, Lee DH, Rezende LFM, Giovannucci EL. Different correlation of body mass index with body fatness and obesity-related biomarker according to age, sex and race-ethnicity. Scientific Reports. 2023;13: 3472. https://doi.org/10.1038/s41598-023-30527-w.
XCIX. Davidson K. Is BMI an Accurate Predictor of Health?. Healthline.
https://www.healthline.com/nutrition/is-bmi-accurate [Accessed 25th August 2024].
C. Duren DL, Sherwood RJ, Czerwinski SA, Lee M, Choh AC, Siervogel RM, et al. Body Composition Methods: Comparisons and Interpretation. Journal of diabetes science and technology (Online). 2008;2(6): 1139–1146.