Open Access Highly Accessed Research article

The association of self-esteem, depression and body satisfaction with obesity among Turkish adolescents

Dilek Ozmen1*, Erol Ozmen2, Dilek Ergin3, Aynur Cakmakci Cetinkaya1, Nesrin Sen3, Pinar Erbay Dundar4 and E Oryal Taskin2

Author Affiliations

1 Department of Public Health Nursing, School of Health, Celal Bayar University, Manisa, Turkey

2 Department of Psychiatry, School of Medicine, Celal Bayar University, Manisa, Turkey

3 Department of Paediatric Nursing, School of Health, Celal Bayar University, Manisa, Turkey

4 Department of Public Health, School of Medicine, Celal Bayar University, Manisa, Turkey

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BMC Public Health 2007, 7:80  doi:10.1186/1471-2458-7-80

Published: 16 May 2007

Abstract

Background

The purpose of this study was to determine the prevalence of overweight and obesity and to examine the effects of actual weight status, perceived weight status and body satisfaction on self-esteem and depression in a high school population in Turkey.

Methods

A cross-sectional survey of 2101 tenth-grade Turkish adolescents aged 15–18 was conducted. Body mass index (BMI) was calculated using weight and height measures. The overweight and obesity were based on the age- and gender-spesific BMI cut-off points of the International Obesity Task Force values. Self-esteem was measured using the Rosenberg Self-Esteem Scale, and depression was measured using Children's Depression Inventory. Logistic regression analysis was used to examine relationships among the variables.

Results

Based on BMI cut-off points, 9.0% of the students were overweight and 1.1% were obese. Logistic regression analysis indicated that (1) being male and being from a higher socio-economical level were important in the prediction of overweight based on BMI; (2) being female and being from a higher socio-economical level were important in the prediction of perceived overweight; (3) being female was important in the prediction of body dissatisfaction; (4) body dissatisfaction was related to low self-esteem and depression, perceived overweight was related only to low self-esteem but actual overweight was not related to low self-esteem and depression in adolescents.

Conclusion

The results of this study suggest that school-based adolescents in urban Turkey have a lower risk of overweight and obesity than adolescents in developed countries. The findings of this study suggest that psychological well-being of adolescents is more related to body satisfaction than actual and perceived weight status is.