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Majzoub, A., Arafa, M., El Ansari, W., Mahdi, M., Agarwal, A., Al-Said, S. & Elbardisi, H. (2020). Correlation of oxidation reduction potential and total motile sperm count: its utility in the evaluation of male fertility potential. Asian Journal of Andrology, 22(3), 317-322
Open this publication in new window or tab >>Correlation of oxidation reduction potential and total motile sperm count: its utility in the evaluation of male fertility potential
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2020 (English)In: Asian Journal of Andrology, ISSN 1008-682X, E-ISSN 1745-7262, Vol. 22, no 3, p. 317-322Article in journal (Refereed) Published
Abstract [en]

Oxidative stress (OS) is detrimental to sperm functions, and the oxidation reduction potential (ORP) is a good measure of OS as it considers the balance between oxidants and reductants. Total motile sperm count (TMSC) is viewed as the single most important semen analysis parameter that can predict male infertility severity, and its correlation with ORP has never been undertaken. The objectives of this study were to assess the correlation between ORP and TMSC, to identify the ORP cutoff value based on the TMSC result, and to compare this cutoff value with previously reported ORP cutoff values in literature. One thousand one hundred and sixty-eight infertile patients and 100 fertile controls were enrolled. Demographic and semen data of the participants were retrieved and analyzed. Wilcoxon's rank-sum test compared variables between infertile men and fertile controls; Spearman's correlation assessed the static ORP (sORP)-TMSC relationship for the whole sample and among each group individually. Using a 20×106TMSC threshold, receiver operator characteristic (ROC) analysis determined the sORP cutoff associated with the highest predictive values. TMSC was significantly negatively correlated with sORP across all participants (r = 0.86, P < 0.001), among infertile patients (r = 0.729, P < 0.001), and among fertile controls (r = 0.53, P < 0.001). A 20-million TMSC threshold determined an sORP cutoff value of 2.34 mV/106sperm/ml to be associated with 82.9% sensitivity, 82.8% specificity, 91.5% positive predictive value (PPV), 68.5% negative predictive value (NPV), and 82.9% overall accuracy. Compared with previously reported cutoff values in searched literature, the 2.34 mV/106sperm/ml cutoff value identified in our study yielded the highest overall diagnostic accuracy in the evaluation of infertile men.

Place, publisher, year, edition, pages
Wolters Kluwer, 2020
Keywords
male infertility, oxidation reduction potential, oxidative stress, total motile sperm
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Individual and Society VIDSOC
Identifiers
urn:nbn:se:his:diva-18412 (URN)10.4103/aja.aja_75_19 (DOI)000530722200015 ()31339113 (PubMedID)2-s2.0-85083546157 (Scopus ID)
Available from: 2020-04-30 Created: 2020-04-30 Last updated: 2020-05-25Bibliographically approved
Elbardisi, H., El Ansari, W., Majzoub, A. & Arafa, M. (2020). Does varicocelectomy improve semen in men with azoospermia and clinically palpable varicocele?. Andrologia, 52(2), Article ID e13486.
Open this publication in new window or tab >>Does varicocelectomy improve semen in men with azoospermia and clinically palpable varicocele?
2020 (English)In: Andrologia, ISSN 0303-4569, E-ISSN 1439-0272, Vol. 52, no 2, article id e13486Article in journal (Refereed) Published
Abstract [en]

The effectiveness of varicocelectomy in nonobstructive azoospermia is controversial. The current study assessed the efficacy of microsurgical subinguinal varicocelectomy in nonobstructive azoospermic men with palpable varicocele and to evaluate predictive parameters of outcome. We reviewed the records of 723 patients who had microsurgical varicocelectomy and diagnostic testicular biopsy between 2012 and 2016 at a tertiary medical centre. Data pertaining to the physical, laboratory (semen analysis and hormonal profile) and histopathology features were examined, exploring the predictors of improvement in semen analysis post-varicocelectomy. In total, 42 patients with mean age 35.71 +/- 6.35 years were included. After a mean varicocelectomy follow-up of 6.7 months, motile spermatozoa in the ejaculate could be observed in 11 patients (26.2). Out of all the factors examined, only testicular histopathology significantly predicted post-varicocelectomy outcome, where 8/11 patients exhibited hypospermatogenesis, and 3/11 Sertoli cell-only regained spermatozoa in semen. Microsurgical varicocelectomy in nonobstructive azoospermic men with clinically palpable varicocele can result in sperm appearance in the ejaculate with the highest success expected in hypospermatogenesis.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2020
Keywords
nonobstructive azoospermia, spermatozoa, varicocele, varicocelectomy
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Individual and Society VIDSOC
Identifiers
urn:nbn:se:his:diva-18034 (URN)10.1111/and.13486 (DOI)000501904700001 ()31825116 (PubMedID)2-s2.0-85076342227 (Scopus ID)
Available from: 2019-12-27 Created: 2019-12-27 Last updated: 2020-02-24Bibliographically approved
Al-Yahri, O., Abdelaal, A., El Ansari, W., Farghaly, H., Murshed, K., Zirie, M. A. & Al Hassan, M. S. (2020). First ever case report of co-occurrence of hobnail variant of papillary thyroid carcinoma and intrathyroid parathyroid adenoma in the same thyroid lobe. International journal of surgery case reports, 70, 40-52
Open this publication in new window or tab >>First ever case report of co-occurrence of hobnail variant of papillary thyroid carcinoma and intrathyroid parathyroid adenoma in the same thyroid lobe
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2020 (English)In: International journal of surgery case reports, ISSN 2210-2612, E-ISSN 2210-2612, Vol. 70, p. 40-52Article in journal (Refereed) Published
Abstract [en]

Introduction: The hobnail variant of papillary thyroid cancer (PTC) is rare. Intrathyroid parathyroid adenoma (ITPA) is also rare. Co-ocurrence of PTC and ITPA in the same thyroid lobe is extremely rare. Likewise, primary hyperparathyroidism with such non-medullary thyroid carcinoma is rare. The specific molecular profile of hobnail PTC (HPTC) is different from the classic, poorly differentiated and anaplastic variants and may contribute to its aggressive behavior. HPTC's genetic profile remains unclear. Presentation of case: A 61-year-old woman presented to our endocrine clinic with generalized aches, bone pain, polyuria, and right neck swelling of a few months’ duration. Laboratory findings revealed hypercalcemia and hyperparathyroidism. Ultrasound of the neck showed 4.6 cm complex nodule within the right thyroid lobe. Sestamibi scan suggested parathyroid adenoma in the right thyroid lobe. Fine-needle aspiration (FNA) revealed atypical follicular lesion of undetermined significance. She underwent right lobectomy, which normalized the intraoperative intact parathyroid hormone levels. Final pathology with immunohistochemical stains demonstrated HPTC and IPTA (2 cm each). Next-generation sequencing investigated the mutation spectrum of HPTC and detected BRAFV600E mutation. Conclusions: A parathyroid adenoma should not exclude the diagnosis of thyroid carcinoma. Thyroid evaluation is needed for patients with primary hyperparathyroidism to prevent missing concurrent thyroid cancers. Cytomorphologic features to distinguish thyroid from parathyroid cells on FNA cytology must be considered. Immunohistochemical stains are important. BRAFV600E is the most common mutation in HPTC. This is possibly the first reported case of HPTC and ITPA co-occurring within the same thyroid lobe. Studies that define other molecular abnormalities may be useful as therapeutic targets. © 2020 The Author(s)

Place, publisher, year, edition, pages
Elsevier, 2020
Keywords
BRAFV600E mutation, Hobnail papillary thyroid carcinoma, Molecular profile, Neck mass, Parathyroid adenoma
National Category
Cancer and Oncology Surgery
Research subject
Individual and Society VIDSOC
Identifiers
urn:nbn:se:his:diva-18458 (URN)10.1016/j.ijscr.2020.04.025 (DOI)32408235 (PubMedID)2-s2.0-85084347570 (Scopus ID)
Available from: 2020-05-25 Created: 2020-05-25 Last updated: 2020-05-26
El Ansari, W., Salam, A. & Suominen, S. (2020). Is alcohol consumption associated with poor perceived academic performance?: Survey of undergraduates in Finland. International Journal of Environmental Research and Public Health, 17(4), Article ID 1369.
Open this publication in new window or tab >>Is alcohol consumption associated with poor perceived academic performance?: Survey of undergraduates in Finland
2020 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 4, article id 1369Article in journal (Refereed) Published
Abstract [en]

The relationship between academic performance and alcohol consumption among students remains inconsistent. We assessed this relationship, controlling for sociodemographic characteristics across seven faculties at the University of Turku (1177 undergraduates). An online questionnaire assessed: seven sociodemographic characteristics (age, gender, year/discipline of study, accommodation type, being in intimate relationship, parental education, and income sufficiency); two perceived academic performance (students’ subjective importance of achieving good grades and students’ appraisal of their academic performance compared to peers); and six alcohol consumption behaviors (length of time, amount consumed, frequency, heavy episodic drinking, problem drinking, and possible alcohol dependence). Simple logistic regression assessed relationships between sociodemographic and academic variables with alcohol consumption behaviors; multiple logistic regression assessed the same relationships after controlling for all other variables. Students reported long duration and large amount of drinking (46% and 50%), high frequency of drinking (41%), heavy episodic drinking (66%), problem drinking (29%), and possible alcohol dependence (9%). After controlling, gender was associated with all alcohol consumption behaviors, followed by religiosity (associated with four alcohol behaviors), living situation, marital status, age (each associated with two alcohol behaviors), and parental education and year of study (each associated with one alcohol behavior). Study discipline, income sufficiency, importance of achieving good grades, and academic performance compared to peers were not associated with any alcohol behaviors. Universities need to assess problem drinking and alcohol use disorders among students. Prevention strategies are required to reduce risk. Health promotion efforts could focus on beliefs and expectations about alcohol and target student groups at risk for more efficient and successful efforts. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.

Place, publisher, year, edition, pages
MDPI, 2020
Keywords
Alcohol dependence, Heavy episodic drinking, Problem drinking, Sociodemographic and educational characteristics, University students
National Category
Public Health, Global Health, Social Medicine and Epidemiology Substance Abuse
Research subject
Individual and Society VIDSOC
Identifiers
urn:nbn:se:his:diva-18291 (URN)10.3390/ijerph17041369 (DOI)000522388500245 ()32093287 (PubMedID)2-s2.0-85079892417 (Scopus ID)
Available from: 2020-03-06 Created: 2020-03-06 Last updated: 2020-04-23Bibliographically approved
Abdulrazzaq, S., Elhag, W., El Ansari, W., Mohammad, A. S., Sargsyan, D. & Bashah, M. (2020). Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities?. Obesity Surgery, 30, 1219-1229
Open this publication in new window or tab >>Is Revisional Gastric Bypass as Effective as Primary Gastric Bypass for Weight Loss and Improvement of Comorbidities?
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2020 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 30, p. 1219-1229Article in journal (Refereed) Published
Abstract [en]

Background: Revisional gastric bypass (R-RYGB) surgery is utilized for the management of inadequate weight loss or weight regain observed after some cases of bariatric surgeries. Data on the mid-term effectiveness of primary gastric bypass (P-RYGB) compared to R-RYGB (e.g., post sleeve gastrectomy or gastric banding) are controversial. Methods: Retrospective chart review of all patients who received P-RYGB and R-RYGB (January 2011 - June 2015) at our center. One hundred and twenty patients who underwent P-RYGB and 34 R-RYGB who completed 18 months follow-up were included. We compared the effectiveness of P-RYGB with R-RYGB by assessing four anthropometric, two glycemic, and four lipid parameters, as well as the control of type 2 diabetes (T2DM), hypertension and dyslipidemia in terms of remission, improvement, persistence, relapse and de novo. The current study also assessed mortality and complications rates. Results: There were no significant differences in the baseline characteristics of patients who received P-RYGB with those who received R-RYGB in terms of age, gender and preoperative BMI. However, at 18 months: a) Patients who received P-RYGB had lower mean weight (P = 0.001) and BMI (P <0.001), reflected by a higher mean delta BMI (P = 0.02), TWL%(P <0.0001) and EWL%(P < 0.0001); b) No differences were observed between the two patients groups in terms of glycemic parameters, lipid profiles, and control of T2DM, hypertension, and dyslipidemia; and, c) No deaths were reported among both patients groups, and complication rates were comparable. Conclusion: Although R-RYGB effectively addressed inadequate weight loss, weight regain and recurrence of comorbidities after restrictive bariatric surgery, R-RYGB resulted in inferior weight loss compared to P-RYGB. There were no significant differences between the two procedures in terms of their clinical control of T2DM, hypertension and dyslipidemia. Both procedures exhibited comparable complication rates. 

Place, publisher, year, edition, pages
Springer, 2020
Keywords
Dyslipidemia, Hypertension, Primary gastric bypass, Revisional Gastric bypass, Type 2 diabetes, Weight loss outcome
National Category
Surgery
Research subject
Individual and Society VIDSOC
Identifiers
urn:nbn:se:his:diva-18125 (URN)10.1007/s11695-019-04280-x (DOI)000516090000001 ()31865551 (PubMedID)2-s2.0-85077172688 (Scopus ID)
Available from: 2020-01-10 Created: 2020-01-10 Last updated: 2020-04-22Bibliographically approved
El Ansari, W. & El-Menyar, A. (2020). Is routine preoperative esophagogastroduodenscopy prior to bariatric surgery mandatory?: Protocol for a systematic review and meta-analysis. International Journal of Surgery Protocols, 22, 1-5
Open this publication in new window or tab >>Is routine preoperative esophagogastroduodenscopy prior to bariatric surgery mandatory?: Protocol for a systematic review and meta-analysis
2020 (English)In: International Journal of Surgery Protocols, ISSN 2468-3574, Vol. 22, p. 1-5Article in journal (Refereed) Published
Abstract [en]

Introduction: Routine preoperative esophagogastroduodenscopy (p-EGD) prior to bariatric surgery (BS) is currently widely undertaken, and hence an important issue with many clinical and financial repercussions. Yet, the true extent of why p-EGD is routinely undertaken for all bariatric patients remains not well understood. Methods and analysis: To address this, we will undertake a systematic review and meta-analysis of routine p-EGD prior to BS from around the world. This protocol describes the methodological approach to be adopted and outlines the search strategies and eligibility criteria that will be employed to identify and select studies, and the way by which data from the selected studies will be extracted for analysis. PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), WHO International Clinical Trials Registry Platform, Cochrane Library, MEDLINE, Scopus, clinicaltrials.gov and Google scholar will be searched from 01 January 2000 to 30 April 2019 for original studies written in English that provided prevalence estimates of the outcomes of routine p-EGD prior to BS. STROBE criteria will assess the methodological quality of the selected studies. The use of fixed or random effects model will depend on the results of statistical tests for heterogeneity. Publication bias will be visually estimated by assessing funnel plots. Pooled estimates will be calculated. This protocol conforms to the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines and has been submitted for registration at the PROSPERO International Prospective Register of systematic reviews. No ethical clearance is required for this study. This review will be published in a peer- reviewed journal and will be presented at various national and international conferences. © 2020 The Author(s)

Place, publisher, year, edition, pages
Elsevier, 2020
Keywords
Bariatric, Esophagogastroduodenoscopy, Metanalysis, Preoperative, Systematic review, article, bariatric surgery, Cochrane Library, controlled clinical trial (topic), human, Medline, meta analysis, practice guideline, preoperative evaluation, prevalence, publication bias
National Category
Public Health, Global Health, Social Medicine and Epidemiology Surgery Infectious Medicine
Research subject
Individual and Society VIDSOC
Identifiers
urn:nbn:se:his:diva-18449 (URN)10.1016/j.isjp.2020.04.001 (DOI)32405604 (PubMedID)2-s2.0-85084178342 (Scopus ID)
Available from: 2020-05-14 Created: 2020-05-14 Last updated: 2020-05-26Bibliographically approved
Shahid, F., El Ansari, W., Ben-Gashir, M. & Abdelaal, A. (2020). Laparoscopic hydrocelectomy of the canal of Nuck in adult female: Case report and literature review. International journal of surgery case reports, 66, 338-341, Article ID S2210-2612(19)30674-1.
Open this publication in new window or tab >>Laparoscopic hydrocelectomy of the canal of Nuck in adult female: Case report and literature review
2020 (English)In: International journal of surgery case reports, ISSN 2210-2612, E-ISSN 2210-2612, Vol. 66, p. 338-341, article id S2210-2612(19)30674-1Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Among adult females, Hydrocele of Canal of Nuck (HCN) is a very rare condition. The majority of the reported cases of HCN were not conclusively diagnosed until surgery was performed on a suspected inguinal hernia. To the best of our knowledge, this is the first case of laparoscopically operated HCN in adult female in Middle East and North Africa Region, and the fourth such case worldwide.

PRESENTATION OF CASE: A 36-year-old female presented with a painful small swelling in the right groin of 3 months duration. The swelling extended to the right labia majora while standing, and disappeared when the patient was in prone position. There was no lymph node enlargement, no other masses in the abdomen, and no swelling in the contralateral side. Ultrasonography was undertaken and the patient was admitted electively for laparoscopic exploration and repair of non-complicated right inguinal hernia. She was known to have dyslipidemia on medications. Further history and physical examination were unremarkable. Intraoperatively it was diagnosed to be right-sided HCN which was excised and repaired by mesh fixation using transabdominal preperitoneal (TAPP) approach. Her follow up course was unremarkable.

CONCLUSIONS: This case expands the clinical and intraoperative potential differential diagnosis of adult female groin masses. Surgeons should consider such cases when they observe such swellings intraoperatively. Laparoscopic TAPP approach in such cases is a superior diagnostic and treatment modality.

Place, publisher, year, edition, pages
Elsevier, 2020
Keywords
Adult female, Case report, Hernia, Hydrocele, Inguinal swelling, Laparoscopic TAPP
National Category
Surgery
Research subject
Individual and Society VIDSOC
Identifiers
urn:nbn:se:his:diva-18309 (URN)10.1016/j.ijscr.2019.11.040 (DOI)000512901400075 ()31918159 (PubMedID)2-s2.0-85077337061 (Scopus ID)
Available from: 2020-03-13 Created: 2020-03-13 Last updated: 2020-04-22Bibliographically approved
El Ansari, W. & El-Ansari, K. (2020). Missing Something? Comparisons of Effectiveness and Outcomes of Bariatric Surgery Procedures and Their Preferred Reporting: Refining the Evidence Base. Obesity Surgery
Open this publication in new window or tab >>Missing Something? Comparisons of Effectiveness and Outcomes of Bariatric Surgery Procedures and Their Preferred Reporting: Refining the Evidence Base
2020 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428Article, review/survey (Refereed) Epub ahead of print
Abstract [en]

Comparisons of effectiveness of bariatric surgery (BS) procedures encompass weight loss, metabolic/clinical outcomes, and improvements or worsening of comorbidities. Post-operative physical activity (PA) and diet influence such outcomes but are frequently not included in comparisons of effectiveness. We assessed the value and necessity of including post-operative PA/diet data when comparing effectiveness of BS. Including post-operative PA/diet data has significant benefits for BS and patients. The paper proposes an explicit preferred reporting system (Preferred REporting of post-operative PHYsical activity and Diet data in comparisons of BS effectiveness: PRE-PHYD Bariatric). Including post-operative PA/diet data could result in more accurate appraisals of effectiveness of BS procedures. This could translate into better 'individualized' BS by achieving a better 'fit' between patient and procedure.

Place, publisher, year, edition, pages
Springer, 2020
Keywords
Bariatric surgery, Diet, Effectiveness, Outcomes, Physical activity, Post-operative, Preferred reporting
National Category
Surgery
Research subject
Individual and Society VIDSOC
Identifiers
urn:nbn:se:his:diva-18464 (URN)10.1007/s11695-020-04659-1 (DOI)000533135100004 ()32415632 (PubMedID)2-s2.0-85084989598 (Scopus ID)
Available from: 2020-05-29 Created: 2020-05-29 Last updated: 2020-06-02Bibliographically approved
Saafan, T., El Ansari, W., Al-Yahri, O., Eleter, A., Eljohary, H., Alfkey, R., . . . El Osta, A. (2019). Assessment of PULP score in predicting 30-day perforated duodenal ulcer morbidity, and comparison of its performance with Boey and ASA, a retrospective study. Annals of Medicine and Surgery, 42, 23-28
Open this publication in new window or tab >>Assessment of PULP score in predicting 30-day perforated duodenal ulcer morbidity, and comparison of its performance with Boey and ASA, a retrospective study
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2019 (English)In: Annals of Medicine and Surgery, ISSN 2049-0801, Vol. 42, p. 23-28Article in journal (Refereed) Published
Abstract [en]

Background: /aim: Scores commonly employed to risk stratify perforated peptic ulcer patients include ASA (American Society of Anesthesiologists), Boey and peptic ulcer perforation score (PULP). However, few studies assessed and compared the accuracy indices of these three scores in predicting post PPU repair 30-day morbidity. We assessed accuracy indices of PULP, and compared them to Boey and ASA in predicting post perforated duodenal (PDU) ulcer repair 30-day morbidity. Methods: Retrospective chart review of all PDU patients (perforated duodenal ulcers only) at the largest two hospitals in Qatar (N = 152). Data included demographic, clinical, laboratory, operative, and post repair 30-day morbidity. Area under the Curve (AUC), sensitivity and specificity were computed for each of the 3 scores. Multivariate logistic regression assessed the accuracy indices of each score. Results: All patients were males (M age 37.41 years). Post PDU repair 30-day morbidity was 10.5% (16 morbidities). Older age, higher ASA (≥3), Boey (≥1) or PULP (≥8) scores, shock on admission and preoperative comorbidities; and conversely, lower hemoglobin and albumin were all positively significantly associated with higher post PDU 30-day morbidity. PULP displayed the largest AUC (72%), and was the only score to significantly predict 30-day morbidity. The current study is the first to report the sensitivity and specificity of these three scores for post PDU repair 30-day morbidity; and first to assess accuracy indices for PULP in predicting post PDU repair 30-day morbidity. Conclusion: PULP score had the largest AUC and was the only score to significantly predict post PDU repair 30-day morbidity. © 2019 The Author(s)

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
ASA, Boey, Perforated duodenal ulcer, Perforated peptic ulcer, Perforated peptic ulcer score, PULP
National Category
Surgery
Research subject
Individual and Society VIDSOC
Identifiers
urn:nbn:se:his:diva-16939 (URN)10.1016/j.amsu.2019.05.001 (DOI)000468373600006 ()2-s2.0-85065728629 (Scopus ID)
Available from: 2019-06-03 Created: 2019-06-03 Last updated: 2020-05-26Bibliographically approved
El Ansari, W. & Berg-Beckhoff, G. (2019). Association of health status and health behaviors with weight satisfaction vs. Body image concern: Analysis of 5888 undergraduates in Egypt, Palestine, and Finland. Nutrients, 11(12), Article ID 2860.
Open this publication in new window or tab >>Association of health status and health behaviors with weight satisfaction vs. Body image concern: Analysis of 5888 undergraduates in Egypt, Palestine, and Finland
2019 (English)In: Nutrients, ISSN 2072-6643, E-ISSN 2072-6643, Vol. 11, no 12, article id 2860Article in journal (Refereed) Published
Abstract [en]

Little is known about the relationships between weight satisfaction, body image concern, healthy nutrition, health awareness, and physical activity among college students across culturally different countries. We assessed country and sex-specific associations between health status (self-rated health, depression, BMI), healthy behavior (healthy nutrition, physical activity, health awareness), weight satisfaction, and body image concern via a cross-sectional survey (5888 undergraduates) in Egypt, Palestine, and Finland. This health and wellbeing survey employed identical self-administered paper questionnaires administered at several Universities in two Eastern Mediterranean countries (Egypt, Palestine—Gaza Strip), and an online-survey comprising the same questions in Finland. Regression analyses were employed. Health status variables exhibited the strongest associations; high BMI and more depressive symptoms were more often among students satisfied with their weight (except in Palestine), but they were positively associated with body image concern irrespective of country or gender. Self-rated health was not associated with body image concern or weight satisfaction. Healthy behaviors were not associated with body image concern or weight satisfaction. Depressive symptoms and BMI were the most prominent predictors for body image concern. There were country-specific consistent results when using the body image concern score. Further research is necessary to compare body image across different cultures and countries. 

Place, publisher, year, edition, pages
MDPI, 2019
Keywords
body image, college students, depressive symptoms, health awareness, health behaviors, healthy nutrition, physical activity, weight satisfaction, adolescent, adult, article, awareness, Beck Depression Inventory, body mass, body weight management, body weight satisfaction, cross-sectional study, depression, female, health behavior, health status, human, income, Likert scale, major clinical study, male, nutrition, obesity, physical well-being, practice guideline, questionnaire, self rated general health, social stratification, university student
National Category
Public Health, Global Health, Social Medicine and Epidemiology Nutrition and Dietetics
Research subject
Individual and Society VIDSOC
Identifiers
urn:nbn:se:his:diva-17991 (URN)10.3390/nu11122860 (DOI)000506917800022 ()31766557 (PubMedID)2-s2.0-85075404215 (Scopus ID)
Available from: 2019-12-11 Created: 2019-12-11 Last updated: 2020-01-31
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0961-1302

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