Association Between Caffeine and Nicotine Use and Optimal Obesity Measures for Adolescents: A Refugee Adolescent Study.

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2025-07-17 DOI:10.1111/ijpo.70042

Basma Damiri, Hamza Abdul-Hafez, Motaz Saifi

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引用次数: 0

Abstract

Background: The weight impact of caffeine and nicotine use by adolescents, unlike adults, has not been conclusively determined. The prevalence of obesity among adolescents, especially in vulnerable populations such as refugee adolescents, is a crucial public health concern. The study aimed to investigate the prevalence of central obesity and its associated risk factors among refugee adolescents.

Methods: This cross-sectional study was conducted in 2022 on refugee teenagers aged 11-15 in four refugee camps in West Bank. Data was collected through surveys and anthropometric measurements to assess waist circumference, waist-to-hip ratio and body mass index. Statistical analyses evaluated the relationship between caffeine and nicotine use and central obesity measures while accounting for potential confounders.

Results: A total of 454 participants (51.3% boys, 48.7% girls) were included in the study. The median age was 14.49 years, with a median BMI of 21.7. The prevalence of overweight and obesity was 24% and 21.1%, respectively. 14.1% had high waist circumferences. The study found significant associations between central obesity and cigarette smoking (p = 0.03), waterpipe smoking (p = 0.008) and energy drink (p = 0.016) and coffee (p = 0.027) consumption. Adjusted multiple logistic regression revealed an association between overweight status and energy drink consumption (AOR = 3.035, p = 0.009) and the interaction between energy drink and coffee consumption (AOR = 3.924, p = 0.010). Obese status showed a significant association with waterpipe smoking (AOR = 2.975, p = 0.021).

Conclusion: Obesity is a significant health concern among Palestinian refugee adolescents, with various factors contributing to its prevalence. Central obesity, in particular, is associated with increased health risks, emphasising the importance of identifying its determinants, including caffeine and nicotine use among adolescents.

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青少年使用咖啡因和尼古丁与最佳肥胖措施之间的关系：一项难民青少年研究。

背景：与成年人不同，青少年使用咖啡因和尼古丁对体重的影响尚未得到最终确定。青少年，特别是难民青少年等弱势群体中肥胖的流行是一个重要的公共卫生问题。本研究旨在调查难民青少年中中心性肥胖的患病率及其相关危险因素。方法：本横断面研究于2022年对西岸四个难民营中11-15岁的难民青少年进行。数据收集通过调查和人体测量来评估腰围，腰臀比和身体质量指数。统计分析评估了咖啡因和尼古丁使用与中枢性肥胖测量之间的关系，同时考虑了潜在的混杂因素。结果：共纳入454名参与者（51.3%的男孩，48.7%的女孩）。中位年龄为14.49岁，中位BMI为21.7。超重和肥胖的患病率分别为24%和21.1%。14.1%的人腰围高。研究发现，中心性肥胖与吸烟（p = 0.03）、吸烟（p = 0.008）、饮用能量饮料（p = 0.016）和咖啡（p = 0.027）之间存在显著关联。调整后的多元logistic回归显示，超重状态与能量饮料消费之间存在相关性（AOR = 3.035, p = 0.009），能量饮料与咖啡消费之间存在交互作用（AOR = 3.924, p = 0.010）。肥胖状况与水烟吸烟有显著相关性（AOR = 2.975, p = 0.021）。结论：肥胖是巴勒斯坦难民青少年的一个重大健康问题，其流行有多种因素。特别是中心性肥胖与健康风险增加有关，强调了确定其决定因素的重要性，包括青少年对咖啡因和尼古丁的使用。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.