The Relationship Between Internet Addiction and Body Mass Index in Turkish Adolescents

The purpose of this study was to investigate Internet use patterns and Internet addiction among adolescents and to examine the correlation between Internet addiction and eating attitudes and body mass index (BMI). The study was conducted among 1,938 students, aged between 14 and 18 years. The Internet Addiction Test (IAT), the Eating Attitudes Test (EAT), and a sociodemographic query form were used to collect data. According to the IAT, 12.4% of the study sample met the criteria for Internet addiction. A significant positive correlation between BMI and the IAT (r=0.307; p<0.01) and weekly Internet use (r=0.215; p<0.01) was found. Nine students with Internet addiction (3.8%) and 90 with average Internet use (5.3%) were found to have a possible eating disorder (p>0.05). No relationship was found between the EAT and the IAT and duration of weekly Internet use. Linear regression analysis revealed a significant independent association of the IAT with BMI (r=0.235; p<0.001). These results indicate an association between Internet addiction and BMI. Further studies are needed to describe the causality of this association.

[1]  Fatih Canan,et al.  Evaluation of Psychometric Properties of the Internet Addiction Scale in a Sample of Turkish High School Students , 2009, Cyberpsychology Behav. Soc. Netw..

[2]  E J Button,et al.  Subclinical anorexia nervosa , 1981, Psychological Medicine.

[3]  J. Reilly Obesity in childhood and adolescence: evidence based clinical and public health perspectives , 2006, Postgraduate Medical Journal.

[4]  May R. Berenbaum,et al.  Caught in the Net , 2001 .

[5]  Xiao-fan Guo,et al.  Effects of television viewing on body fatness among Chinese children and adolescents. , 2012, Chinese medical journal.

[6]  Ronald Pies,et al.  Should DSM-V Designate "Internet Addiction" a Mental Disorder? , 2009, Psychiatry (Edgmont (Pa. : Township)).

[7]  Jee Hyun Ha,et al.  Psychiatric comorbidity assessed in Korean children and adolescents who screen positive for Internet addiction. , 2006, The Journal of clinical psychiatry.

[8]  W. Dietz,et al.  Long-term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922 to 1935. , 1992, The New England journal of medicine.

[9]  C. Ko,et al.  Psychiatric Comorbidity of Internet Addiction in College Students: An Interview Study , 2008, CNS Spectrums.

[10]  K. Flegal,et al.  Prevalence of overweight and obesity in the United States, 1999-2004. , 2006, JAMA.

[11]  J. Jensen Caught in the net , 2005 .

[12]  A. Müller,et al.  The relationship among compulsive buying, compulsive internet use and temperament in a sample of female patients with eating disorders. , 2012, European eating disorders review : the journal of the Eating Disorders Association.

[13]  G. Colditz,et al.  Weight gain in older adolescent females: the internet, sleep, coffee, and alcohol. , 2008, The Journal of pediatrics.

[14]  A. Johansson,et al.  Internet addiction: characteristics of a questionnaire and prevalence in Norwegian youth (12-18 years). , 2004, Scandinavian journal of psychology.

[15]  W H Dietz,et al.  Social and economic consequences of overweight in adolescence and young adulthood. , 1993, The New England journal of medicine.

[16]  Mark D. Griffiths,et al.  Does Internet and Computer "Addiction" Exist? Some Case Study Evidence , 2000, Cyberpsychology Behav. Soc. Netw..

[17]  J. Peters,et al.  Environmental contributions to the obesity epidemic. , 1998, Science.

[18]  S. Gortmaker,et al.  Do we fatten our children at the television set? Obesity and television viewing in children and adolescents. , 1985, Pediatrics.

[19]  T Guran,et al.  International epidemic of childhood obesity and television viewing. , 2011, Minerva pediatrica.

[20]  Louis Leung,et al.  Net-Generation Attributes and Seductive Properties of the Internet as Predictors of Online Activities and Internet Addiction , 2004, Cyberpsychology Behav. Soc. Netw..

[21]  G. Wilson,et al.  Eating disorders, obesity and addiction. , 2010, European eating disorders review : the journal of the Eating Disorders Association.

[22]  Gail M. Williams,et al.  Television watching from adolescence to adulthood and its association with BMI, waist circumference, waist-to-hip ratio and obesity: a longitudinal study , 2012, Public Health Nutrition.

[23]  F. Canan,et al.  The association between Internet addiction and dissociation among Turkish college students. , 2012, Comprehensive psychiatry.

[24]  M. Griffiths Internet Addiction - Time to be Taken Seriously? , 2000 .

[25]  D. Basu,et al.  Pattern of Internet use among professionals in India: Critical look at a surprising survey result , 2010, Industrial psychiatry journal.

[26]  C. Vandelanotte,et al.  Associations of Leisure-Time Internet and Computer Use With Overweight and Obesity, Physical Activity and Sedentary Behaviors: Cross-Sectional Study , 2009, Journal of medical Internet research.

[27]  Stéphanie Laconi,et al.  Internet Addiction Symptoms, Disordered Eating, and Body Image Avoidance , 2013, Cyberpsychology Behav. Soc. Netw..

[28]  Abdulbari Bener,et al.  Obesity and low vision as a result of excessive Internet use and television viewing , 2011, International journal of food sciences and nutrition.

[29]  D. Garner,et al.  The Eating Attitudes Test: an index of the symptoms of anorexia nervosa , 1979, Psychological Medicine.

[30]  Jaakko Kaprio,et al.  Are computer and cell phone use associated with body mass index and overweight? A population study among twin adolescents , 2007, BMC public health.

[31]  R. Kessler,et al.  Association between obesity and psychiatric disorders in the US adult population. , 2006, Archives of general psychiatry.

[32]  Jonathan Matusitz,et al.  Sedentarism: The Effects of Internet Use on Human Obesity in the United States , 2012, Social work in public health.

[33]  S. Grüsser,et al.  Specific cue reactivity on computer game-related cues in excessive gamers. , 2007, Behavioral neuroscience.

[34]  Dan J Stein,et al.  Problematic internet use: Proposed classification and diagnostic criteria , 2003, Depression and anxiety.

[35]  S. Virtanen,et al.  Use of information and communication technology and prevalence of overweight and obesity among adolescents , 2005, International Journal of Obesity.

[36]  S. Chinn,et al.  Prevalence and trends in overweight and obesity in three cross sectional studies of British children, 1974-94 , 2001, BMJ : British Medical Journal.

[37]  Chih-Hung Ko,et al.  The relationships between body mass index and television viewing, internet use and cellular phone use: the moderating effects of socio-demographic characteristics and exercise. , 2010, The International journal of eating disorders.

[38]  Aysegul Yolga Tahiroglu,et al.  Internet Use Among Turkish Adolescents , 2008, Cyberpsychology Behav. Soc. Netw..

[39]  Y Liu,et al.  Is there a relationship between Internet dependence and eating disorders? A comparison study of Internet dependents and non-Internet dependents , 2009, Eating and weight disorders : EWD.