Joanne Karam

Dr. Joanne Karam


Research Focus & Metrics

Academic Career Length

6Years (2021-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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12 April 2021 in Nutrients
Verified
Journal Article
Open access
PDF file
JKJoanne Karam
Joanne Karam
MBMaria del Mar Bibiloni
Maria del Mar Bibiloni
MSMireille Serhan
Mireille Serhan
Josep TurJosep Tur
Josep Tur
Scarce studies described eating habits and diet quality among university students in Lebanon. The aim of this study is to assess the rate of adherence to the Mediterranean diet (MedDiet) among Lebanese university students. A cross-sectional nutritional survey was carried out on 525 students (53% men, 18–25 years old) from the University of Balamand, Lebanon. Adherence to the MedDiet was assessed using a validated 14-item MedDiet adherence score. Mean adherence to the MedDiet was 7.96 (standard deviation 2.2), and it was adequate in 59% of participants. Adherence to the MedDiet was higher in older students and nonsmokers. Legumes, vegetables, fruits, and nuts were consumed according to the MedDiet standards among a minimum of 48.4% and a maximum of 69.5% of participants. Chicken, turkey, or rabbit was preferred by 66.9% of participants instead of beef, pork, hamburgers, or sausages; however, just 56.2% of participants showed adequate intake of red meat, hamburger, or meat products. Only 28.8% of them referred to an adequate intake of fish or shellfish. Most of the participants (86.3%) used olive oil as the main added fat, and 67.2% reported a low intake of butter and derivatives. Sofrito was also very usual among participants (79.6%). Only half of the studied sample reported an adequate intake of sweet or carbonated beverages and commercial sweets or pastries. Among the assessed sample, half the participants showed adequate adherence to the MedDiet; however, the mean of adherence among the sample is low.

13 September 2023 in Nutrients
Verified
Journal Article
Open access
PDF file
JKJoanne Karam
Joanne Karam
CBCarol Bouteen
Carol Bouteen
YMYara Mahmoud
Yara Mahmoud
Josep TurJosep Tur
Josep Tur
CBCristina Bouzas
Cristina Bouzas
Well-being is not only defined as being physically healthy; multiple factors can affect a person’s well-being. Social media is strongly correlated with the body dissatisfaction of an individual. High exposure to lean and toned body shapes has created new standards and “idealized” body types. The aim of this article was to assess the relationship between social media and body image among university students in Lebanon. Data were obtained from 292 university students (median age: 22 years), selected from different Lebanese regions by using convenience sampling. Demographic data, social media addiction, body satisfaction, levels of physical activity, eating behaviors, and ultimate well-being were expressed as median and interquartile range. People who relied more on social media were younger than those who did not. Individuals addicted to social media had higher odds of having moderate and marked body image concerns. A significant association was found between social media addiction and emotional overeating, food responsiveness, and feeling hunger. These findings stress the need for rising regional and national awareness among social media users, especially the younger ones, and the implementation of intervention and prevention techniques to help prevent body image dissatisfaction, disordered eating patterns, and the alteration of overall well-being.

10 June 2025 in Discover Public Health
Verified
Journal Article
Open access
PDF file
RNRamona Nasr
Ramona Nasr
ESEman Swaidan
Eman Swaidan
CHChadia Haddad
Chadia Haddad
WJWissam Jreije
Wissam Jreije
ARAbir Abdel Rahman
Abir Abdel Rahman
JKJoanne Karam
Joanne Karam
Diabetes is a major health and economic concern on a global scale. This study focuses on Type 2 Diabetes Mellitus (T2DM) and investigates the relationship

14 January 2025 in BMC Public Health
Verified
Journal Article
Open access
PDF file
RNRamona Nasr
Ramona Nasr
SSSamantha Abi Saab
Samantha Abi Saab
NNNada Nasr
Nada Nasr
CHChadia Haddad
Chadia Haddad
ESEman Swaidan
Eman Swaidan
JKJoanne Karam
Joanne Karam
Lebanon has experienced a series of devastating crises that continue to have significant adverse effects on the mental health of parents and their children, especially those who are unemployed, burdened with debt or financial difficulties, and have pre-existing mental health conditions. Accordingly, this study aimed to assess the effect of financial insecurities on parents in Lebanon amid the multiple crises, and the impact of parents’ mental health on their children’s emotional and behavioral wellbeing. A cross-sectional study including 589 parents in Lebanon was performed using convenience sampling of parents of any gender with children aged 4 to 18 from the five Lebanese governorates. The study collected the sociodemographic data of the participants and incorporated supplementary measures such as the Parental Stress Scale (PSS), Pediatric Symptom Checklist (PSC), and the InCharge Financial Distress/Financial Well-Being (IFDFW) scale. Statistical tests included bivariate analysis, ANOVA test, linear regression, and mediation analyses. A total of 589 parents, primarily mothers, participated in this study. Most children were males in elementary school. Bivariate analyses revealed that parents with non-Lebanese nationality, primary education, employment, or children in technical schools reported significantly higher PSS and PSC scores. Negative correlations were observed between the IFDFW scale and both PSS (r=-0.200, p < 0.001) and PSC scores (r=-0.086, p = 0.038), indicating lower stress and symptoms with improved financial well-being. Multivariable analysis showed that higher PSC scores, age, complementary education, and Lebanese nationality were associated with increased parental stress, while unemployment, lower age, and higher IFDFW were associated with reduced stress. Similarly, higher PSC scores were linked to increased parental stress, age, non-Lebanese nationality, and IFDFW, whereas university education, higher GPA, and residence outside Beirut/Mount Lebanon were associated with reduced PSC scores. Mediation analysis indicated that parental stress fully mediated the relationship between IFDFW and PSC scores, underscoring the impact of financial well-being on a child’s psychological symptoms via parental stress. The study revealed significant financial distress and low financial well-being among participants amid Lebanon’s economic crisis, with a notable mediated association between financial well-being, parental stress, and child mental health symptoms. Parental stress was heightened among those with lower education levels, non-Lebanese nationality, and employment in low-wage jobs, with children from these families exhibiting elevated mental health symptoms. Additionally, regional factors and socioeconomic status played a role, as children in urbanized areas and technical schools reported higher distress. Targeted interventions are urgently recommended to alleviate financial and emotional burdens on families and ensure improved mental well-being for both parents and children.

7 September 2023 in Research Square
Verified
Preprint
Open access
PDF file
RNRamona Nasr
Ramona Nasr
ESEman Swaidan
Eman Swaidan
CHChadia Haddad
Chadia Haddad
WJWissam Jre
Wissam Jre
JKJoanne Karam
Joanne Karam
Background Diabetes is a major health and economic concern on a global scale. This study focuses on Type 2 Diabetes Mellitus (T2DM) and its association with self-care practices and emotional distress. T2DM is recognized as a priority noncommunicable disease, associated with increased premature death rates. Methodology: The study used a quantitative research methodology, collecting data through an online survey disseminated via social media with a total of 426 participants diagnosed with T2D to investigate the impact of self-care and distress on diabetic patients in Lebanon during a period of multiple crises. The study analyzed the participants' sociodemographic characteristics, diabetes distress, self-care activities, and physical activity levels. Results The results show insufficient self-care practices in different areas, with emotional distress and lack of physician support negatively impacting self-care. There was a positive association between physical activity and self-care practices. Education and family history of diabetes also influenced self-care. Conclusion Given the economic and healthcare challenges in Lebanon, the study highlights the need for tailored interventions to address diabetes distress and encourage self-care activities. Telemedicine, behavioral strategies, and psychosocial interventions are recommended to enhance diabetes management. In summary, this research offers valuable insights into the challenges faced by diabetic patients in times of multiple crises, highlighting the importance of comprehensive support mechanisms and interventions.