Body weight overestimation increases the risk of incident overweight among adolescents: Findings from a cohort study in Vietnam

Background: Overweight and obesity pose significant global health concerns, particularly among children and adolescents. This study aimed to examine the association between body weight misperception and the risk of incident overweight among Vietnamese adolescents over the three-year period. Methods:...

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Main Authors: Xuan Minh Tri Tran, Hoang Thuy Linh Nguyen, Thao Vi Tran, Sharifullah Alemi, Kaoruko Seino, Thang Van Vo, Keiko Nakamura
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Clinical Epidemiology and Global Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213398425002271
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author Xuan Minh Tri Tran
Hoang Thuy Linh Nguyen
Thao Vi Tran
Sharifullah Alemi
Kaoruko Seino
Thang Van Vo
Keiko Nakamura
author_facet Xuan Minh Tri Tran
Hoang Thuy Linh Nguyen
Thao Vi Tran
Sharifullah Alemi
Kaoruko Seino
Thang Van Vo
Keiko Nakamura
author_sort Xuan Minh Tri Tran
collection DOAJ
description Background: Overweight and obesity pose significant global health concerns, particularly among children and adolescents. This study aimed to examine the association between body weight misperception and the risk of incident overweight among Vietnamese adolescents over the three-year period. Methods: Data from the Hue Adolescents Cohort Study were used, including 353 secondary school students (mean age 11.60 ± 0.36 at baseline, 47.0 % girls), who completed questionnaires and anthropometric assessments. Based on the concordance between self-perceived and objectively measured body weight status, participants were categorized into three groups: underestimation, accurate perception, or overestimation. Logistic regression analysis, adjusted for socio-demographic characteristics and lifestyle behaviors, was conducted to assess the relationship between weight misperception and incident overweight. Results: Approximately half of the students exhibited body weight misperceptions, with males more likely to underestimate and females more likely to overestimate their weight. The cumulative and annual rates of incident overweight were 16.2 % and 5.0 %, respectively. Over the three-year follow-up, students who overestimated their body weight had significantly higher odds of developing overweight compared to those who accurate self-perception (adjusted odds ratio [aOR] = 2.855, 95 % confidence interval [CI] 1.163, 7.009). In contrast, students who underestimated their weight had lower odds of developing overweight (aOR = 0.323, 95 % CI 0.133, 0.786). Conclusions: This study highlights a notable incidence of overweight among Vietnamese adolescents and underscores the importance of addressing accurate body weight perceptions as part of strategies to prevent overweight.
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spelling doaj-art-73d2a490db7646d8a8ce5f1b64d9949b2025-07-26T05:23:18ZengElsevierClinical Epidemiology and Global Health2213-39842025-09-0135102138Body weight overestimation increases the risk of incident overweight among adolescents: Findings from a cohort study in VietnamXuan Minh Tri Tran0Hoang Thuy Linh Nguyen1Thao Vi Tran2Sharifullah Alemi3Kaoruko Seino4Thang Van Vo5Keiko Nakamura6Department of Global Health Entrepreneurship, Division of Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, 113-8519, Japan; Faculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue, 530000, Viet NamFaculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue, 530000, Viet NamDepartment of Global Health Entrepreneurship, Division of Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, 113-8519, Japan; Faculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue, 530000, Viet NamDepartment of Global Health Entrepreneurship, Division of Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, 113-8519, Japan; RIKEN Center for Brain Science, Saitama, 351-0106, JapanDepartment of Global Health Entrepreneurship, Division of Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, 113-8519, Japan; National Institute of Public Health, Saitama, 351-0197, JapanFaculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue, 530000, Viet NamDepartment of Global Health Entrepreneurship, Division of Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, 113-8519, Japan; Corresponding author. Department of Global Health Entrepreneurship, Division of Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8519, Japan.Background: Overweight and obesity pose significant global health concerns, particularly among children and adolescents. This study aimed to examine the association between body weight misperception and the risk of incident overweight among Vietnamese adolescents over the three-year period. Methods: Data from the Hue Adolescents Cohort Study were used, including 353 secondary school students (mean age 11.60 ± 0.36 at baseline, 47.0 % girls), who completed questionnaires and anthropometric assessments. Based on the concordance between self-perceived and objectively measured body weight status, participants were categorized into three groups: underestimation, accurate perception, or overestimation. Logistic regression analysis, adjusted for socio-demographic characteristics and lifestyle behaviors, was conducted to assess the relationship between weight misperception and incident overweight. Results: Approximately half of the students exhibited body weight misperceptions, with males more likely to underestimate and females more likely to overestimate their weight. The cumulative and annual rates of incident overweight were 16.2 % and 5.0 %, respectively. Over the three-year follow-up, students who overestimated their body weight had significantly higher odds of developing overweight compared to those who accurate self-perception (adjusted odds ratio [aOR] = 2.855, 95 % confidence interval [CI] 1.163, 7.009). In contrast, students who underestimated their weight had lower odds of developing overweight (aOR = 0.323, 95 % CI 0.133, 0.786). Conclusions: This study highlights a notable incidence of overweight among Vietnamese adolescents and underscores the importance of addressing accurate body weight perceptions as part of strategies to prevent overweight.http://www.sciencedirect.com/science/article/pii/S2213398425002271AdolescentsBody weightMisperceptionOverweight
spellingShingle Xuan Minh Tri Tran
Hoang Thuy Linh Nguyen
Thao Vi Tran
Sharifullah Alemi
Kaoruko Seino
Thang Van Vo
Keiko Nakamura
Body weight overestimation increases the risk of incident overweight among adolescents: Findings from a cohort study in Vietnam
Clinical Epidemiology and Global Health
Adolescents
Body weight
Misperception
Overweight
title Body weight overestimation increases the risk of incident overweight among adolescents: Findings from a cohort study in Vietnam
title_full Body weight overestimation increases the risk of incident overweight among adolescents: Findings from a cohort study in Vietnam
title_fullStr Body weight overestimation increases the risk of incident overweight among adolescents: Findings from a cohort study in Vietnam
title_full_unstemmed Body weight overestimation increases the risk of incident overweight among adolescents: Findings from a cohort study in Vietnam
title_short Body weight overestimation increases the risk of incident overweight among adolescents: Findings from a cohort study in Vietnam
title_sort body weight overestimation increases the risk of incident overweight among adolescents findings from a cohort study in vietnam
topic Adolescents
Body weight
Misperception
Overweight
url http://www.sciencedirect.com/science/article/pii/S2213398425002271
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