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Journal of Pediatric Endocrinology and Metabolism

Editor-in-Chief: Kiess, Wieland

Ed. by Bereket, Abdullah / Cohen, Pinhas / Darendeliler, Feyza / Dattani, Mehul / Gustafsson, Jan / Luo, Feihong / Mericq, Veronica / Roth, Christian / Toppari, Jorma

Editorial Board Member: Battelino, Tadej / Buyukgebiz, Atilla / Cassorla, Fernando / Chrousos, George P. / Cutfield, Wayne / Fideleff, Hugo L. / Hershkovitz, Eli / Hiort, Olaf / LaFranchi, Stephen H. / Lanes M. D., Roberto / Mohn, Angelika / Root, Allen W. / Rosenfeld, Ron G. / Werther, George / Zadik, Zvi

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Volume 29, Issue 11 (Nov 2016)

Issues

Association of short stature with life satisfaction and self-rated health in children and adolescents: the CASPIAN-IV study

Shahrzad Jafari-Adli
  • Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular – Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran (Islamic Republic of)
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/ Mostafa Qorbani
  • Department of Community, Alborz University of Medical Science, Karaj, Iran (Islamic Republic of)
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/ Ramin Heshmat
  • Corresponding author
  • Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran (Islamic Republic of)
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/ Shirin Hasani Ranjbar
  • Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular – Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran (Islamic Republic of)
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/ Ehsaneh Taheri
  • Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran (Islamic Republic of)
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/ Mohammad Esmaeil Motlagh
  • Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran (Islamic Republic of)
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/ Mehdi Noorozi
  • Substance Abuse and Dependence Research Centre, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran (Islamic Republic of)
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/ Omid Safari
  • Department of Pediatrics, Alborz University of Medical Sciences, Karaj, Iran (Islamic Republic of)
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/ Gita Shafiee
  • Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran (Islamic Republic of)
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/ Fatemeh Rezaei
  • Department of Social Medicine, Medical School, Jahrom University of Medical Sciences, Jahrom, Iran (Islamic Republic of)
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/ Saeid Safiri
  • Managerial Epidemiology Research Center, Department of Public Health, School of Nursing and Midwifery, Maragheh University of Medical Sciences, Maragheh, Iran (Islamic Republic of)
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/ Roya Kelishadi
  • Corresponding author
  • Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular – Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran (Islamic Republic of)
  • Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran (Islamic Republic of)
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Published Online: 2016-10-18 | DOI: https://doi.org/10.1515/jpem-2016-0215

Abstract

Background:

Data on stature in Iranian children and adolescents at national level are limited. The purpose of this study was to investigate the association of short stature with life satisfaction (LS) and self-rated health (SRH) in children and adolescents.

Methods:

Data were obtained from a nationwide survey entitled childhood and adolescence surveillance and prevention of adult non-communicable disease (CASPIAN IV). Participants were 14,880 children and adolescents, aged 6–18 years, who were selected using multistage, cluster sampling method from rural and urban areas of 30 provinces of Iran. LS and SRH were evaluated for every participant by the validated questionnaire prepared based on the global school-based student health survey of the World Health Organization (WHO). Height was measured according to the standard protocol. Short stature was defined as height less than −2 standard deviation (SD) below the mean height for age and sex.

Results:

Overall, 13,484 participants with a mean (SD) age of 12.5 (3.36) years (49.24% girls, 50.75% boys) completed the study (response rate 90.6%). The prevalence of short stature, poor SRH and life dissatisfaction was 9%, 20.04% and 20.09%, respectively. Although in the univariate model, participants with short stature had significantly lower odds of LS [odds ratio (OR): 0.83, 95% confidence interval (CI): 0.71–0.97] and good SRH (OR: 0.79, 95% CI: 0.68–0.92), in the multivariate model, only the association of short stature with good SRH remained statistically significant (OR: 0.82, 95% CI: 0.69–0.98).

Conclusions:

Results of the present study show that participants with short stature are at the greater risk of poor SRH and decreased LS in comparison with the subjects with normal height.

Keywords: children and adolescents; Iran; life satisfaction; self-rated health; short stature

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About the article

Received: 2016-05-28

Accepted: 2016-08-29

Published Online: 2016-10-18

Published in Print: 2016-11-01


Author contributions: All the authors have accepted responsibility for the entire content of this submitted article and approved submission.

Research funding: None declared.

Employment or leadership: None declared.

Honorarium: None declared.

Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis and interpretation of data; in the writing of the report or in the decision to submit the report for publication.


Citation Information: Journal of Pediatric Endocrinology and Metabolism, ISSN (Online) 2191-0251, ISSN (Print) 0334-018X, DOI: https://doi.org/10.1515/jpem-2016-0215.

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