- World Health Organization. Mental health: strengthening our response. Geneva: WHO; 2022 [accessed 3 July 2026]. Available from: https:// www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response
2. National Library of Medicine. Mental health [MeSH]. Bethesda (MD): NLM; 1967. Available from: https://www.ncbi.nlm.nih.gov/mesh/68008603
3. National Library of Medicine. Psychological distress [MeSH]. Bethesda (MD): NLM; 2020. Available from: https://www.ncbi.nlm.nih.gov/mesh/?term=psychological+distress
4. Noorbala AA, Faghihzadeh S, Kamali K, Bagheri YS, Hajebi A, Mousavi MT, et al. Mental health survey of the Iranian adult population in 2015. Archives of Iranian Medicine. 2017;20(3):128-34.
5. Noorbala AA, Maleki A, Bagheri Yazdi SA, Faghihzadeh E, Hoseinzadeh Z, Hajibabaei M, et al. Survey on mental health status in Iranian population aged 15 and above one year after the outbreak of COVID-19 disease: a population-based study. Archives of Iranian Medicine. 2022;25(4):201-8. doi:10.34172/aim.2022.35
6. Milliken CS, Auchterlonie JL, Hoge CW. Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. JAMA. 2007;298 (18):2141-8. doi:10.1001/jama.298.18.2141
7. Asare-Doku W, Donnir GM, Ayuurebobi Ae-Ngibise K, Peprah J, Awuviry-Newton K, Acquah F. Psychiatric disorders among the military in West Africa: a systematic narrative review. Behavioral Sciences. 2021;11(10):138. doi:10.3390/bs111001 38
8. Britt TW, Sipos ML, Klinefelter Z, Adler AB. Determinants of mental and physical health treatment-seeking among military personnel. British Journal of Psychiatry. 2020;217(2):420-6. doi:10.11 92/bjp.2019.155
9. Chui Z, Leightley D, Jones M, Landau S, McCrone P, Hayes RD, et al. Mental health problems and admissions to hospital for accidents and injuries in the UK military: a data linkage study. PLoS One. 2023;18(1):e0280938. doi:10.1371/journal.pone.02 80938
10. Finnegan A, Randles R. Prevalence of common mental health disorders in military veterans: using primary healthcare data. BMJ Military Health. 2023;169(6):523-8. doi:10.1136/bmjmilitary-2021-002045
11. Soltani-Shal R, Marzabadi EA, Eskandari M. Psychopathological and psychological consequences of navy military forces' jobs: A qualitative study. Journal of Military Medicine. 2017;19(1):72-83.
12. Hoge CW, Auchterlonie JL, Milliken CS. Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. JAMA. 2006; 295(9):1023-32. doi:10.1001/jama.295.9.1023
13. Misra A, Khurana L. Obesity and the metabolic syndrome in developing countries. The Journal of Clinical Endocrinology & Metabolism. 2008;93 (11_supplement_1):s9-30. doi:10.1210/jc.2008-1595
14. Williamson V, Rossetto A, Murphy D. Relationship between obesity and health problems in help-seeking military veterans. BMJ Military Health. 2020; 166(4):221-6. doi:10.1136/jramc-2019-001155
15. Kelly T, Yang W, Chen CS, Reynolds K, He J. Global burden of obesity in 2005 and projections to 2030. International Journal of Obesity. 2008;32(9):1431-7. doi:10.1038/ijo.2008.102
16. National Library of Medicine. Obesity [MeSH]. Bethesda (MD): NLM. Available from: https:// www.ncbi.nlm.nih.gov/mesh/68009765
17. National Library of Medicine. Overweight [MeSH]. Bethesda (MD): NLM; 2006. Available from: https://www.ncbi.nlm.nih.gov/mesh/68050177
18. National Library of Medicine. Obesity, abdominal [MeSH]. Bethesda (MD): NLM; 2010. Available from: https://www.ncbi.nlm.nih.gov/mesh/68056128
19. Hossain P, Kawar B, El Nahas M. Obesity and diabetes in the developing world—a growing challenge. New England Journal of Medicine. 2007;356(3):213-5. doi:10.1056/NEJMp068177
20. World Health Organization. 2016 STEPS country report: Iran (Islamic Republic of) [Internet]. Geneva: WHO; 2016 [accessed 3 July 2026]. Available from: https://www.who.int/publications/m/item/2016-steps-country-report-iran-islamic-republic-of
21. Moura J, Aboul-Enein BH, Bernstein J, Kruk J. Selected weight management interventions for military populations in the United States: a narrative report. Nutrition and Health. 2017;23(2):67-74. doi:10.1177/0260106017704797
22. Omar A, Leong HL, Moy FM. Trend and prevalence of overweight and obesity among the military population - a systematic review. Preprints. 2020. doi:10.20944/preprints202008.0311.v1
23. Vahdaninia V. Introducing a Conceptual Policymaking Model for Tackling Obesity among the Military Personnel of Islamic Republic of Iran. Journal of Military Medicine. 2020;22(3):221-34. doi:10.30491/JMM.22.3.221
24. Stegerhoek P, Kooijman K, Ziesemer K, IJzerman H, Kuijer PP, Verhagen E. Risk factors for adverse health in military and law enforcement personnel; an umbrella review. BMC Public Health. 2024;24(1): 3151. doi:10.1186/s12889-024-20553-2
25. Jacobson IG, Harbertson J, Sharifian N, Rull RP, Steele CT, Russell DW. Sleep health among US Navy afloat versus ashore personnel in the Millennium Cohort Study. Journal of Sleep Research. 2024;33(6):e14207. doi:10.1111/jsr.142 07
26. Beliveau PJ, Boulos D, Zamorski MA. Contribution of mental and physical disorders to disability in military personnel. Occupational Medicine. 2018;68(5):332-9. doi:10.1093/occmed/kqy066
27. Hruby A, Lieberman HR, Smith TJ. Symptoms of depression, anxiety, and post-traumatic stress disorder and their relationship to health-related behaviors in over 12,000 US military personnel: Bi-directional associations. Journal of Affective Disorders. 2021;283:84-93. doi:10.1016/j.jad.2021. 01.029
28. Klemanski DH, Mennin DS, Borelli JL, Morrissey PM, Aikins DE. Emotion‐related regulatory difficulties contribute to negative psychological outcomes in active‐duty Iraq war soldiers with and without posttraumatic stress disorder. Depression and Anxiety. 2012;29(7):621-8. doi:10.1002/da.21 914
29. Smith TJ, White A, Hadden L, Marriott BP. Associations between mental health disorders and body mass index among military personnel. American Journal of Health Behavior. 2014;38 (4):529-40. doi:10.5993/AJHB.38.4.6
30. Sargent C, Gebruers C, O’Mahony J. A review of the physiological and psychological health and wellbeing of naval service personnel and the modalities used for monitoring. Military Medical Research. 2017;4(1):1. doi:10.1186/s40779-016-0112-3
31. Tanofsky-Kraff M, Sbrocco T, Theim KR, Cohen LA, Mackey ER, Stice E, et al. Obesity and the US military family. Obesity (Silver Spring). 2013;21 (11):2205-20. doi:10.1002/oby.20566
32. Shankle SL, Smith LH. Depression and Obesity in US Military Service Members and Veterans: A Systematic Review. Military Medicine. 2026;191(3-4):e529-39. doi:10.1093/milmed/usaf376
33. Sharifian N, Ray TN, Jacobson IG, Klimek-Johnson P, McMaster HS, Geronimo-Hara TR, et al. Bidirectional associations between probable eating disorders and mental health conditions among military service members and veterans. American Journal of Epidemiology. 2025;194(6):1621-30. doi:10.1093/aje/kwae205
34. Xavier Martins LC. Hypertension, physical activity and other associated factors in military personnel: A cross-sectional study. Baltic Journal of Health and Physical Activity. 2018;10(4):15. doi:10.29359/ BJHPA.10.4.15
35. Payab M, Hasani-Ranjbar S, Merati Y, Esteghamati A, Qorbani M, Hematabadi M, et al. The prevalence of metabolic syndrome and different obesity phenotype in Iranian male military personnel. American Journal of Men's Health. 2017;11(2):404-13. doi:10.1177/1557988316683120
36. Heshmat R, Khashayar P, Aghaei Meybodi H, Rezaei Homami M, Larijani B. The appropriate waist circumference cut-off for Iranian population. Acta Medica Indonesiana. 2010;42(4):209-15.
37. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2nd ed. Sydney: Psychology Foundation; 1995. Available from: https://www.psy.unsw.edu.au/dass/
38. Antony MM, Bieling PJ, Cox BJ, Enns MW, Swinson RP. Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment. 1998;10(2):176-81. doi:10.1037/1040-3590.10.2.176
39. Habibi M, Dehghani M, Pooravari M, Salehi S. Confirmatory Factor Analysis of Persian Version of Depression, Anxiety and Stress (DASS-42): Non-Clinical Sample. Razavi Journal of Medicine. 2017;5(4):1-7. doi:10.30483/RIJM.2018.90