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The purpose of this study was to investigate the association of individual and environmental indicators with body mass-index-for-age-z-score (BAZ) of female adolescents living in the North-West of Iran.

In this cross-sectional study, 380 female adolescents aged 16-18 years were selected from two major ethnic groups (Azeri and Kurd) in Urmia city selected by stratified cluster sampling method. In total, 13 high schools (9 public and 4 private) were selected across all municipality zones of Urmia city. BAZ was calculated by Anthro-Plus software. Demographic and socioeconomic information of samples were collected by a questionnaire through interviews. Home environment features (including physical activity facilities, television, computer games and social media use, food consumption habits and family rules) and school environment features (including socioeconomic status [SES], physical activity facilities, food consumption habits) were evaluated by two separate self-constructed questionnaires via an interview with adolescents and schools’ deans, respectively.

Azeri adolescents had parents with higher education and job level and higher SES compared to Kurds (p = 0.000). A higher percent of Azeri adolescents were obese than their Kurd counterparts (p = 0.006). No association was found between individual factors and BAZ in each ethnic group. Considering home environment characteristics, in Kurd adolescents, the maternal occupational level was positively associated with BAZ (p = 0.02). With regard to school environmental features, accessibility of physical activity facilities in school was inversely associated with BAZ only in Kurds (p = 0.005).

To the best of the authors’ knowledge, this is the first study to investigate various environmental factors in association with adolescent’s overweight/obesity prevalence in different ethnical groups in northwest Iran.

The purpose of this paper is to develop the C-shaped quality function deployment (QFD) 3D Matrix for service applications.

The C-shaped QFD 3D Matrix proposed by Vezzetti et al. (2016) has been developed for simultaneous analysis of the relationships among three sets of factors of customer requirements, service design characteristics and service performance indicators. The three sets of factors have been determined and based on their interrelationships, 3D and concurrent houses of quality have been formed. Then, service design characteristics and service performance indicators have been prioritized. The obtained priorities have been also compared with traditional concurrent model of QFD.

The findings obtained from the traditional and developed approach seem different, implying that applying the C-shaped QFD 3D Matrix provides a more real perspective of concurrent engineering and the results in different set of priorities of service factors.

The case study was limited to banking services. If the developed approach is used in other institutes, the prioritization of service design characteristics and service performance indicators might be changed.

Compared to Vezzetti et al. (2016) who proposed the C-shaped QFD 3D Matrix for analyzing interrelationships among two customers and a provider, or two providers and a customer, in this paper, the C-shaped QFD 3D Matrix has been developed for analyzing interrelationships among three sets of factors of customer requirements, service design characteristics and service performance indicators.