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. 2022 Mar 12;21(1):589-597.
doi: 10.1007/s40200-022-01021-3. eCollection 2022 Jun.

Body awareness mediates the relationship between body mass index and lipid profiles in adolescents

Murat Açik  1 , Feray Çağiran Yilmaz  1
Affiliations

Body awareness mediates the relationship between body mass index and lipid profiles in adolescents

Murat Açik et al. J Diabetes Metab Disord. .

Abstract

Aim: The purposes of this study were to 1) investigate the relationship between body awareness and anthropometric measurements and lipid profile in adolescents, 2) determine the potential mediating effect of body awareness due to body mass index (BMI) on lipid profiles.

Materials and methods: The study was carried out with 272 volunteer adolescents between the ages of 10-18 who applied to a private nutrition and counseling clinic. Anthropometric measurements of the participants were evaluated including body height body weight, waist and neck, and mid-upper arm circumference. The lipid profile including total cholesterol, high density lipoprotein-cholesterol (HDL-c), low density lipoprotein-cholestero (LDL-c) and triglyceride was analyzed. A body awareness questionnaire (BAQ), a seven-point Likert-type questionnaire consisting of 18 statements, was administered and questionnaire is interpreted on the total score, and the higher score reflects better body sensitivity. Correlation analysis, linear regression analysis, and path analysis were performed.

Results: Body awareness scores were negatively associated with all anthropometric measurements, namely, BMI, body weight and fat percentage waist and neck and mid-upper arm circumference (all p < 0.05). Body awareness was found to have a negative linear regression relationship with lipid profiles except than HDL-c. The results of path analysis showed that the direct effect of lipid profiles in relation to BMI and the indirect effect of BAQ was statistically significant. This result indicates that body awareness partial mediated the relationship between BMI and lipid profiles.

Conclusion: The research results suggested that increased body awareness is associated body awareness with a lower risk and a decreased body awareness is associated with a higher risk of developing obesity and dyslipidemia.

Keywords: Adolescents; Body awareness; Dyslipidemia; Lipid profile; Obesity.

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Conflict of interest statement

Conflict of interestAuthors declare that there is no confict of interest.

Figures

Fig. 1
Fig. 1
Represent a single mediator model used to test the association between the body mass index (BMI) (i.e., independent variable) and markers of lipid profile (total cholesterol, LDL-c, HDL-c and triglyceride) (i.e., dependent variable), body awareness as mediators: Path c, represents the simple total effect of BMI on markers of lipid profile, without adjusting for mediators; Represents the direct and indirect effects (product of Paths α and β, α × β) of BMI on markers of lipid profile after controlling for the effect of the mediator (body awareness). BMI, body mass index; HDL-c, high density lipoprotein-cholesterol; LDL-c, high density lipoprotein-cholesterol
Fig. 2
Fig. 2
Results from path analysis for predicting the association lipid profile with BMI and body awareness. BMI, body mass index; HDL-c, high density lipoprotein-cholesterol; LDL-c, high density lipoprotein-cholesterol. ***p < 0.001, **p < 0.01
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