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Prevalence of obesity and overweight in adults and children in Iran; a systematic review

Shahrzad Jafari-Adli, Zahra Jouyandeh, Mostafa Qorbani and 3 more

Journal of Diabetes & Metabolic Disorders · 2014

doi:10.1186/s40200-014-0121-2

Abstract

BACKGROUND: Obesity is one of the most important underlying risk factors for chronic disease. Dramatically increasing and following complication of obesity should be alerted to health politicians and practitioners to prevent associated health risks. This review aimed to give a better insight into the prevalence of obesity and overweight in different areas of Iran. METHOD: All published internal (SID, Irandoc, Iranmedex), and international (Web of Knowledge, Pubmed, Scopus) source studies, reported the prevalence of overweight/obesity among normal population samples, during Jan 2005 through Jan 2014, were assessed in this review. Paper selection processes were done by two researchers separately. Studies which met the eligible criteria were included in this review. RESULT: One hundred ninety three eligible studies enter into our review. Of 193 final selected studies, 86 (15 national, 71 sub national) of them were reported the prevalence of obesity/overweight in adult, and 107 studies (11 national, 96 sub national) in under-18 by individual. The range of overweight and obesity prevalence in national studies in adult, was 27.0-38.5 (95% CI: 26.8-27.1, 37.2-39.8), and 12.6-25.9 (95% CI: 12.2-13.0, 24.9-26.8), separately. In under-18 the range of overweight and obesity prevalence in national studies were 5.0-13.5 (95% CI: 4.5-5.5, 13.4-13.6), and 3.2-11.9 (95% CI: 3.0-3.4, 11.3-12.4). CONCLUSION: Obesity as an important public health problem has been discussed in recent few decades worldwide. Although the national reported prevalence of obesity in Iran was not considerably diverse, but remarkable differences were seen in the sub national prevalence which must be noticed more in political health programs especially among women and children.

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    Paknahad Z, Saboktagin M. Studying the Blood Pressure in Isfahan Rural Residents and Its Relationship with BMI. J Health Syst Res. 2010;6(3):506-512.

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    Naghashpour M, Shakerinejad G, Haghighizadeh M, Hajinajaf S, Jarvandi F. Prevalence of Obesity and its Association with Demographic Indices in Referents to University Jahad Khozestan Clinic. Jundishapur Sci Med J. 2011;10(1):21-35.

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    Sadeghi-Bazargani H, Jafarzadeh H, Fallah M, Hekmat S, Bashiri J, Hosseingolizadeh G, Soltanmohammadzadeh MS, Mortezazadeh A, ShakerA DM, Zohouri A, Khosravi O, Nasimidoust R, Malekpour N, Kharazmi E, Babaei M, Nadirmohammadi M, Mashhadi-Abdollahi E. Risk factor investigation for cardiovascular health through WHO STEPS approach in Ardabil. Iran Vasc Health Risk Manage. 2011;7:417.

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    Navadeh S, Sajadi L, Mirzazadeh A, Asgari F, Haghazali M. Housewives’ Obesity Determinant Factors in Iran; National Survey-Stepwise Approach to Surveillance. Iranian J Public Health. 2011;40(2):87.

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    Namayandeh S, Sadr S, Ansari Z, Rafiei M. A cross-sectional study of the prevalence of coronary artery disease traditional risk factors in Yazd urban population, Yazd healthy heart project. Iran Cardiovasc Res J. 2011;5(1):7-13.

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    Hosseini S, Cumming R, Sajjadi P, Bijani A. Chronic diseases among older people in Amirkola, northern Islamic Republic of Iran. EMHJ. 2011;17(11):843-849.

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    Faramarzi H, Bagheri P, Bahrampour A, Halimi L, Rahimi N, Ebrahimi M. The comparison of prevalence of diabete and hypertension between rural areas of fars and rural area of emro region. IJEM. 2011;13(2):157-164.

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    Moghadasi M, Naser K, Shakerian S, Razavi A. Prevalence of Overweight, Obesity and Physical Fitness in Shiraz Adolescents. Iranian J Endocrinol Metabo. 2011;12(5):476-482.

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    Mohammadi N, Shobeiri F, KHEIROLAHI A, OMIDI A, AMINI R. Frequency of Over Wieght & Obesity of Women in Referents to Medical and Health Centers in Hamadam City. Nasim-Danesh (Sci J Hamadan Nurs Midwifery Faculty). 2011;19(36):36-41.

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    Biglarian A, Seifi B, Bakhshi E, Mohammad K, Rahgozar M, Karimlou M, Serahati S. Low back pain prevalence and associated factors in Iranian population: findings from the national health survey. Pain ResTreatment. 2012;2012:5.

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    Gharakhanlou R, Farzad B, Agha-Alinejad H, Steffen LM, Bayati M. Anthropometric measures as predictors of cardiovascular disease risk factors in the urban population of Iran. Arq Bras Cardiol. 2012;98(2):126-135.

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    Zarei S, Bigizadeh S, Pourahmadi M, Ghobadifar MA. Chronic pain and its determinants: a population-based study in Southern Iran. Korean J Pain. 2012;25(4):245-253.

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    Najafipour H, Mirzazadeh A, Haghdoost A-A, Shadkam M, Afshari M, Moazenzadeh M, Nasri HR, Masoomi M, Mirzaiepour F, Sarvar Azimzadeh B, Forood A, Bahreini F, Mahmoudi MR, Sanjari M, Malek Mohamadi T, Banivaheb GH, Naderi MA, Moshtaghi Kashanian GH, Malekpour Afshar R, Ghazanfari Z, Navadeh S, Shah Esmaeili A. Coronary artery disease risk factors in an urban and peri-urban setting, Kerman, Southeastern Iran (KERCADR study): methodology and preliminary report. Iranian J Public Health. 2012;41(9):86-92.

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    Poorolajal J, Zamani R, Mir-Moeini R, Amiri B, Majzoobi M, Erfani H, Bathaei SJ. Five-year Evaluation of Chronic Diseases in Hamadan, Iran: 2005–2009. Iranian J Public Health. 2012;41(3):71.

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    Jafari E, Sebghatollahi V, Kolahdoozan S, Elahi E, Pourshams A. Body Mass Index and ABO Blood Groups amongDifferent Ethnicities of the Golestan Cohort Study Subjects. Govaresh. 2012;17(1):50-54.

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    Veghari G, Sedaghat M, Maghsodlo S, Banihashem S, Moharloei P, Angizeh A, Tazik E, Moghaddami A. Influence of education in the prevalence of obesity in Iranian northern adults. J Cardiovasc Disease Res. 2013;4(1):30-33.

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    Veghari G, Sedaghat M, Maghsodlo S, Banihashem S, Moharloei P, Angizeh A, Tazik E, Moghaddami A. Differences in the Prevalence of Obesity among Fars-Native, Turkman, and Sisstanish Ethnic Groups in Iranian Northern Adults in 2010. Intern Cardiovas Res J. 2013;7(2):56-61.

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    Hesar KM, Mollanovruzi A, Hamedinia M. The prevalence of obesity and its related factors in 30–50 year old women of neyshabur with an emphasis on physical activity. Iranian Journal of Endocrinology & Metabolism. 2013;14(5):472-478.

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    Rashidi H, Ramezani Tehrani F, Bahri Khomami M, Tohidi M, Azizi F. To what extent does the use of the Rotterdam criteria affect the prevalence of polycystic ovary syndrome? A community-based study from the Southwest of Iran. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2014;174:100-105.

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    Kabir A, Pourshams A, Khoshnia M, Malekzadeh F. Normal Limit for Serum Alanine Aminotransferase Level and Distribution of Metabolic Factors in Old Population of Kalaleh, Iran. Hepat Mon. 2013;13(10):e10640.

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    Jahangiri H, Norouzi A, Dadsetan P, Mirbagheri SA. Prevalence and correlates of obesity among older adults. Life Sci J. 2013;10(4s):90-96.

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    Valizadeh M, Sohbatloo F. Mousavinasab n. A Survey of Anthropometric Indices [Weight, Height, and Body Mass Index (BMI)] in Secondary School Girls of Zanjan 2004–2005. ZUMS J. 2005;13(52):30-36.

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    Mostafavi H, Dabagh Manesh M, Zare N. Prevalence of obesity and over weight in adolescents and adult population in Shiraz. Iranian J Endocrinol Metabol. 2005;7(1):57-66.

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    Soheilifar J, Emdadi M. Relation Between Breast Feeding with Overweight and Obesity in Hamadan Primary School Children. Scientific J Hamadan Univ Med Sci. 2005;12(2):54-57.

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    Nader F, Aramesh K. Assessment of the status of the health of shiraz’s primary schools’children; 2001–2002. J Mazandaran Univ Med Sci. 2005;15(46):56-64.

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    Bazhan M, Kalantari N, Ghaffarpoor M, Houshiar-Rad A, Alavi MH. Prevalence of obesity, fat distribution and its relationship with food consumption pattern in secondary school girls in Lahijan. Iranian J Endocrinol Metabol. 2005;7(1):37-46.

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    Jazayeri SMHM. Overweight and obesity among school-aged children of metropolitan Tehran. Iran Pakistan J Nutr. 2005;4(5):342-344.

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    Khaji A, Khodaii S, Karbakhsh M, Faeghi A, Azizi S, Firoozian A, Jafari J. Blood pressure and obesity in young adolescents in Tehran. Iran J Pediatr. 2006;16(1):45-50.

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    Montazery Fard F, Karaji Bani M, Dashipour A. The prevalence of obesity and wasting and their correlation with food intake in female junior school students in Zahedan, 2004. Iranian South Med J. 2006;9(1):66-76.

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    Moayeri H, Bidad K, Aghamohammadi A, Rabbani A, Anari S, Nazemi L, Gholami N, Zadhoush S, Nadia Hatmi Z. Overweight and obesity and their associated factors in adolescents in Tehran, Iran, 2004–2005. Eur J Pediatr. 2006;165(7):489-493.

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    Abtahi M, HoushiarRad A, Abdollahi M, Mazaheri N, Mohammadpour B. Prevalence of stunting, wasting and overweight among Iranian under 5 year-old children: A national study. Annals of Nutrition and Metabolism. 2007.

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    Amini M, Omidvar N, Kimiagar M. Prevalence of overweight and obesity among junior high school students in a district of Tehran. J Res Med Sci. 2007;12(6):315-319.

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    Haji Faraji M, Esfarjani F, Roustaee R, Khoshfetrat M, Kamrani Z. Assessment of Anthropometric Status of Adolescents in Public Guidance Schools in East Tehran, 2006. Iranian J Nutrit Sci Food Technol. 2007;2(2):37-43.

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    Maddah M. Overweight and obesity among Iranian female adolescents in Rasht: more overweight in the lower social group. Public Health Nutr. 2007;10(05):450-453.

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    Sadeghi M, Alizadeh F. Association between dental caries and body mass index-for-age among 6-11-year-old children in Isfahan in 2007. J Dental Res. 2007;1(3):119.

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    Mozaffari H, Nabaei B. Obesity and related risk factors. Indian J Pediatrics. 2007;74(3):265-267.

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    Gholamreza V, Mohsen S. The comparative study of body mass index distribution among preschool children in a 7 years period in north of Iran. J Appl Sci. 2007;7:2681-2685.

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    Ayatollahi S, Mostajabi F. Prevalence of obesity among schoolchildren in Iran. Obes Rev. 2007;8(4):289-291.

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    Dorosty AR, Karamsoltani Z, Jazayeri A, Siyasi F, Eshraghian MR. Association between obesity, food security and related family factors. J School Public Health InstitPublic Health Res. 2008;6(1):1-9.

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    Khabazkhoob M, Fotouhi A, Moradi A, Mohammad K. Thinness and Obesity Based on Body Mass Index in Dezfool Schoolchildren in 2004. Iranian J Epidemiol. 2008;3(3):35-43.

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    Taheri F, Kazemi T, Taghizadeh B, Najibi G. Prevalence of Overweight and Obesity in Birjand Adolescents. Iran J Endocrinol Metabol. 2008;10(2):121-126.

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    Golestan M, Akhavan-Karbasi S, Fallah-Tafti M, Sharafaddini M. Prevalence of Obesity, Overweight and Underweight in Guidance School Students. J Shahid Sadoughi Univer Med Sci. 2008;16(2):35-1.

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    Kelishadi R, Ardalan G, Gheiratmand R, Majdzadeh R, Hosseini M, Gouya M, Razaghi MR, Delavari A, Motaghian M, Barekati H, Mahmoud-Arabi MS, Lock K. Thinness, overweight and obesity in a national sample of Iranian children and adolescents: CASPIAN Study. Child Care Health Dev. 2008;34(1):44-54.

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    Dorosty AR, Baygi F, Eshraghian MR. Prevalence of obesity among school children in Neishabour (2005). J Qazvin Univer Med Sci. 2008;12(1):73-79.

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    Hajian K, Sajadi P, Rezvani A. Prevalence of overweight and underweight among primary school children aged 7–12 years (babol__awt_nokt_comma__ 2006). J Babol Univer Med Sci. 2008;10(3):83-91.

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    Bidad K, Anari S, Tavasoli S, Nazemi L, Gholami N, Zadhush S, Moayeri H. Dietary intakes of adolescent girls in relation to weight status. Iran J Public Health. 2008;37(1):114-118.

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    Alavian SM, Mohammad-Alizadeh AH, Esna-Ashari F, Ardalan G, Hajarizadeh B. Non alcoholic fatty liver disease prevalence among school aged children and adolescents in Iran and its association with biochemical and anthropometric measures. Liver Int. 2009;29(2):159-163.

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    Houshiar Rad A, Dorosty A, Kalantari N, Abdollahi M, Abtahi M. Prevalence of stunting, underweight, wasting and overweight among Iranian under-five-year-old children (2000–2002). Iran J Nutri Sci Food Technol. 2009;3(4):49-56.

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    Eftekhari M, Mozaffari-Khosravi H, Shidfar F. The relationship between BMI and iron status in iron-deficient adolescent Iranian girls. Public Health Nutr. 2009;12(12):2377-2381.

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    Akhavan-Karbasi S, Fallah R, Golestan M, Sadr-Bafghi M. Prevalence and Risk Factors of Obesity and Overweight among Primary School Children in Yazd. J Shahid Sadoughi Univer Med Sci. 2009;16(5):8-13.

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    Ataei N, Hosseini M, Iranmanesh M. The relationship of body mass index and blood pressure in Iranian children < 7 years old. J Trop Pediatr. 2009;ᅟ:5.

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    Maddah M, Rashidi A, Mohammadpour B, Vafa R, Karandish M. In-school snacking, breakfast consumption, and sleeping patterns of normal and overweight Iranian high school girls: a study in urban and rural areas in Guilan, Iran. J Nutr Educ Behav. 2009;41(1):27-31.

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    Taheri F, Kazemi T. Prevalence of overweight and obesity in 7 to 18 year-Old children in birjand/Iran. Iran J Pediatr. 2009;19(2):135-140.

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    Veghari G, Marjany A, Abdollahy A, Rahmani H, Molaei E, Hosseiny SA, Bemani M, Ebrahim Kordjazi M. The comparison of children physical growth status between turkman and Non-tutkman in rural area in gorgan, north of Iran. J Gorgan Univer Med Sci. 2009;11(3):47-52.

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    Salem Z, Vazirinejad R. Prevalence of obesity and metabolic syndrome in adolescent girls in South East of Iran. Pak J Med Sci. 2009;25(2):196-200.

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    Faghih S, Taleban F, Abadi A, Ansari N. Trends of overweight and obesity among 14–18 years old urban adolescent girls among senior high schools, Ahvaz, Iran. Iran J Diabetes Lipid Disord. 2009;1(1):19-26.

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    Maddah M. Risk factors for overweight in urban and rural school girls in Iran: skipping breakfast and early menarche. Int J Cardiol. 2009;136(2):235-238.

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    Maddah M. Overweight among rural girls in Iran: A terrifying prospects of cardiometabolic disorders. Int J Cardiol. 2009;132(3):442-444.

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    Fallahzadeh H, Golestan M, Rezvanian T, Ghasemian Z. Breast-feeding history and overweight in 11 to 13-year-old children in Iran. World J Pediatr. 2009;5(1):36-41.

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    Haeri Behbahani B, Dorosty AR, Eshraghian MR. Assessment of obesity in children: Fat mass index versus body mass index. Tehran Univer Med J. 2009;67(6):408-414.

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    Montazerifar F, Karajibani M, Rakhshani F, Hashemi M. Prevalence of underweight, overweight and obesity among high-school girls in Sistan va Baluchistan. East Mediterr Health J. 2009;15(5):1293-1300.

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    Fesharakinia A, Zarban A, Sharifzadeh G-R. Relationship of body mass index with serum lipids in elementary school students. Indian J Pediatrics. 2009;76(7):729-731.

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    Rahmanpour H, Heidari R, Mousavinasab S, Sharifi F, Fekri S. The Prevalence of Polycystic Ovarian Syndrome in 14–18 year old girls of Zanjan High Schools, 2008. ZUMS J. 2009;17(67):79-88.

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    Mirhosseini N-Z, Mohd Yusoff NA, Shahar S, Parizadeh SMR, Ghayour Mobarhen M, Shakery MT. Prevalence of the metabolic syndrome and its influencing factors among adolescent girls in Mashhad, Iran. Asia Pac J Clin Nutr. 2009;18(1):131.

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    Rafraf M, Gargari BP, Safaiyan A. Prevalence of prehypertension and hypertension among adolescent high school girls in Tabriz. Iran Food Nutri Bullet. 2010;31(3):461-465.

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    Ahmadi S, Shahsavari S, Ahmadi H, Tabatabaei Far T. Prevalence of Overweight, Obesity and Underweight Among High School Students in Sanandaj: 2006–2007. Iran J Endocrinol Metabol. 2010;12(2):153-159.

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    Mortazavi Z, Roudbari M. Breakfast Consumption and Body Mass Index in Primary, Secondary and High School Boys in Zahedan 2005–2006. Iran J Endocrinol Metabol. 2010;12(4):345-351.

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    Amidi Mazaheri M, Hoseini M. Prevalence of underweight, overweight and obesity among high school girls in Isfahan. J Health Syst Res. 2010;6(1):1-6.

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    Ahmadi E, Tehrani AR, Ahmadi A. Prevalence of obesity, overweight and underweight among elementary school children in southern Iran, 2009. Am J Appl Sci. 2010;7(11):1439.

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    Hosseini M, Ataei N, Aghamohammadi A, Yousefifard M, Taslimi S, Ataei F. The relation of body mass index and blood pressure in Iranian children and adolescents aged 7–18 years old. Iran J Public Health. 2010;39(4):126.

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    Salem Z, Vazirinejad R. Prevalence of the metabolic syndrome components among 7–11 year-old children in Rafsanjan, 2008. Iran J Nutri Sci Food Technol. 2010;5(2):63-71.

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    Pourghassem Gargari B, Hamed Behzad M, Seied Sajadi N, Kooshavar D, Karami S. Relation of Body Mass Index to Eating Attitude in Tabrizian High School Girls. Med J Tabriz Univer Med Sci Health Service. 2010;32(3):24-29.

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    Mohammadian S, Khoddam H, Kaveh M. Related factors of obesity and overweight among secondary school girls (Gorgan-Iran). J Gorgan Univer Med Sci. 2010;12(3):57-62.

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    Maddah M. Association of parental diabetes with overweight in Iranian children and adolescents. Int J Cardiol. 2010;144(1):126-128.

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    Vafa M, Afshari, Moslehi N, Salehpoor A, Hosaini F, Goharinezhad M, Zarif Yeganeh M, Hosaini S. Relationship Between Infant Nutrition Feeding and Childhood Obesity in First Grade Tehranian Students of Primary Schools, 2009. Iranian J Endocrinol Metab. 2011;12(5):505-512.

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    Dahri M, Safaria M, Hajifaraji M, Houshiar Rad A, Abadi A. The Association of Overweight and Obesity with Menarche Age and Nutritional Status in Girls Aged 11–15 in Mashhad. Med J Mashhad Univer Med Sci. 2011;53(4):245-253.

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    Maddah M, Shahraki T, Shahraki M. Underweight and overweight among children in Zahedan, south-east Iran. Public Health Nutr. 2010;13(10):1519-1521.

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    Ziaoddini H, Kelishadi R, Kamsari F, Mirmoghtadaee P, Poursafa P. First nationwide survey of prevalence of weight disorders in Iranian children at school entry. World J Pediatr. 2010;6(3):223-227.

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    Ahmadi S, Shahsavari S, Ahmadi H, Tabatabaeifar T. Prevalence of Overweight, Obesity and Underweight Among High School Students in Sanandaj: 2006–2007. Iran J Endocrinol Metabol. 2010;12(2):153-159.

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    Bazhan M, Kalantari N, Hoshyarrad A. Diet composition and risk of overweight and obesity in Iranian adolescent girls. RMJ. 2011;36(1):26-30.

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    Hosseini Kakhk SAR, Safari M, Hamedinia M. Health-Related Factors in Physical Fitness in 12–14 Year-old Male Adolescents in Sabzevar. Iran 2. 2011;18(1):55-66.

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    Mohkam M, Karimi A, Eslami N, Khatami A, Fallah F, Maham S, Jadali F, Abdollah Gorji F. Blood pressure screening in school-aged children in Tehran. Iran J Kidney Diseases. 2011;5(4):229-233.

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    Mirzaeian S, Fakhari M, Hassanzadeh AAE. Association between duration of breast feeding and subsequent overweight and obesity in female adolescents. Iranian J Nutri Sci Food Technol. 2011;6(2):65-74.

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    Hajian-Tilaki K, Sajjadi P, Razavi A. Prevalence of overweight and obesity and associated risk factors in urban primary-school children in Babol, Islamic Republic of Iran. East Mediterr Health J. 2011;17(2):109-114.

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    Alvani SR, Alvani S. The effect of obesity on self-esteem among pre university Iranian students in Kashan city of Iran April 2009. Eur J Soc Sci. 2011;24(1):48-54.

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    Gaeini A, Kashef M, Samadi A, Fallahi A. Prevalence of underweight, overweight and obesity in preschool children of Tehran, Iran. J Res Med Sci. 2011;16(6):821.

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    Veghari G. Related Factors among Iranian Northern School Children. J Biol Sci. 2011;11(8):487-491.

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    Mirmohammadi S-J, Hafezi R, Mehrparvar AH, Rezaeian B, Akbari H. Prevalence of overweight and obesity among Iranian school children in different ethnicities. Iran J Pediatr. 2011;21(4):514.

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    Taheri F, Zangoie M, Kazemi T, Zangoi Fard M, Movahed Fazel M. Prevalence of overweight and obesity in 11–15 years old (mid-school) students in Birjand, 2005. Modern Care (Scientific Quarterly of Birjand Nursing & Midwifery Faculty. 2011;8(2):58-64.

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    Zareei M, Hamedi Nia M, Haghighi A, Chamri M, Beroghani M. The epidemiology of overweight and obesity and their association with physical activity and dietary patterns in adolescents aged 12–14 in Sabzevar. J Iran Institute Health Sci Res. 2011;10(2):243-253.

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    Kajbaf TZ, Asar S, Alipoor MR. Relationship between obesity and asthma symptoms among children in Ahvaz, Iran: a cross sectional study. Ital J Pediatr. 2011;37(1):1.

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    Azarbayjani MA, Tojari F, Habibinejad M. The relation between obesity, physical activity and socioeconomic status among girl students living in northern Tehran. KAUMS J (FEYZ). 2011;15(2):132-138.

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    Ebrahimzadehkoor B, Kalantary N, Kabir MJ. Abadi AR Correlation between obesity, exclusively breast feeding and breast feeding duration among infants, Bandar Turkmen district Northern, Iran. J Gorgan Univer Med Sci. 2011;13(2):107-111.

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    Ebrahimzadeh B, Kalantari N, Abadi A. The prevalence of obesity and its relative factors among less than 5 years aged children, Bandar Turkmen district, Iran. J Kerman Univer Med Sci. 2012;19(4):384-391.

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    Mehrkash M, Kelishadi R, Mohammadian S, Mousavinasab F, Qorbani M, Hashemi MEF, Asayesh H, Poursafa P, Shafa N. Obesity and metabolic syndrome among a representative sample of Iranian adolescents. Southeast Asian J Tropical Med Public Health. 2012;43(3):756.

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