Ethnic and racial differences in body size perception and satisfaction

Kronenfeld, Lauren W.; Reba-Harrelson, Lauren; Holle, Ann Von; Reyes, Mae Lynn; Bulik, Cynthia M.

doi:10.1016/j.bodyim.2009.11.002

Cited by 149 publications

(148 citation statements)

References 23 publications

(38 reference statements)

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“…For that reason, our results are generalizable to Northern Europe or similar European countries only. We had no additional data on ethnicity, which could have introduced non-differential misclassification and loss of power (25) . Third, the sample yields a high prevalence of asthma.…”

Section: Discussionmentioning

confidence: 99%

Validation of self-reported figural drawing scales against anthropometric measurements in adults

Dratva

Bertelsen

Janson

et al. 2016

Public Health Nutr.

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Objective: The aim of the present study was to validate figural drawing scales depicting extremely lean to extremely obese subjects to obtain proxies for BMI and waist circumference in postal surveys. Design: Reported figural scales and anthropometric data from a large populationbased postal survey were validated with measured anthropometric data from the same individuals by means of receiver-operating characteristic curves and a BMI prediction model. Setting: Adult participants in a Scandinavian cohort study first recruited in 1990 and followed up twice since. Subjects: Individuals aged 38-66 years with complete data for BMI (n 1580) and waist circumference (n 1017). Results: Median BMI and waist circumference increased exponentially with increasing figural scales. Receiver-operating characteristic curve analyses showed a high predictive ability to identify individuals with BMI > 25·0 kg/m 2 in both sexes. The optimal figural scales for identifying overweight or obese individuals with a correct detection rate were 4 and 5 in women, and 5 and 6 in men, respectively. The prediction model explained 74 % of the variance among women and 62 % among men. Predicted BMI differed only marginally from objectively measured BMI. Conclusions: Figural drawing scales explained a large part of the anthropometric variance in this population and showed a high predictive ability for identifying overweight/obese subjects. These figural scales can be used with confidence as proxies of BMI and waist circumference in settings where objective measures are not feasible. The obesity epidemic has drawn attention to the role of metabolic factors in the aetiology of non-communicable diseases. Considerable evidence points to the adverse impact of obesity on cardiometabolic and respiratory diseases (1,2) . Obesity's adverse effect may be related to metabolic and inflammatory pathways (3,4) and/or actual weight of body fat (5,6) . In clinical and epidemiological studies, BMI or waist-to-hip ratio is most commonly used to define anthropometric status. These proxies of body fat are related to clinical health † C Svanes and FG Real share last authorship.

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Section: Discussionmentioning

confidence: 99%

Validation of self-reported figural drawing scales against anthropometric measurements in adults

Dratva

Bertelsen

Janson

et al. 2016

Public Health Nutr.

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“…Adults were queried on perception of current, healthy, and ideal body size and dissatisfaction with size using figural stimuli scales matched to BMI; the scale has validity and test-retest reliability for a wide range of subjects. 13,14 Children completed a 19-page standardized face-to-face questionnaire in English, either independently or with aid from research staff, consisting of questions assessing the child's perception of his/her weight status, perception of current, healthy and ideal body size, dissatisfaction with size, perception of mother's size, and what constitutes an underweight, normal-weight, and overweight/obese BMI.…”

Section: Subjectsmentioning

confidence: 99%

“…16,17 National guidelines and normative data link the Stunkard figural stimuli with BMI; the scale has validity and test-retest reliability for a wide range of subjects. 13,14 Adults were asked to specify the child's body size by selecting if the child was "underweight," "normal," or "overweight. "…”

Section: Perceptionmentioning

confidence: 99%

Size Misperception Among Overweight and Obese Families

et al. 2014

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BACKGROUND: Perception of body size is a key factor driving health behavior. Mothers directly influence children's nutritional and exercise behaviors. Mothers of ethnic minority groups and lower socioeconomic status are less likely to correctly identify young children as overweight or obese. Little evaluation has been done of the inverse-the child's perception of the mother's weight. OBJECTIVE: To determine awareness of weight status among mother-child dyads (n=506). DESIGN: Cross-sectional study conducted in an outpatient pediatric dental clinic of Columbia University Medical Center, New York, NY. PARTICIPANTS: Primarily Hispanic (82.2 %) mothers (n= 253), 38.8±7.5 years of age, and children (n=253), 10.5± 1.4 years of age, responding to a questionnaire adapted from the validated Behavioral Risk Factor Surveillance System. MAIN MEASURES: Anthropometric measures-including height, weight, and waist circumference-and awareness of self-size and size of other generation were obtained. KEY RESULTS: 71.4 % of obese adults and 35.1 % of overweight adults underestimated size, vs. 8.6 % of normal-weight (NW) adults (both p < 0.001). Among overweight and obese children, 86.3 % and 62.3 % underestimated their size, vs. 14.9 % NW children (both p<0.001). Among mothers with overweight children, 80.0 % underestimated their child's weight, vs. 7.1 % of mothers with NW children (p<0.001); 23.1 % of mothers with obese children also underestimated their child's weight (p < 0.01). Among children with obese mothers, only 13.0 % correctly classified the adult's size, vs. 76.5 % with NW mothers (p<0.001). Among obese mothers, 20.8 % classified overweight body size as ideal, vs. 1.2 % among NW mothers (p<0.001). CONCLUSION: Overweight/obese adults and children frequently underestimate their size. Adults misjudge overweight/obese children as being of normal weight, and children of obese mothers often underestimate the adult's size. Failure to recognize overweight/obesity status among adults and children can lead to prolonged exposure to obesity-related comorbidities.

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“…Four studies conducted with Native Americans found high levels of BID (Kronenfeld et al, 2010;Rinderknecht & Smith, 2002;Story et al, 1997;Story et al, 1994). Rinderknecht and Smith (2002) incorporated BID, perceptions of healthy body weight, and the prevalence of obesity in a sample of 155 Native American youth.…”

Section: Body Image Dissatisfactionmentioning

confidence: 99%

“…The authors noted that, of the Indigenous Americans studied, approximately half expressed BID and a desire to be thinner. Kronenfeld et al (2010) also assessed BID, though in a much smaller sample of thirty-six adult Native American women. While this sample was small, and was therefore not discussed at length, Kronenfeld et al (2010) reported levels of BID among these women similar to those of European Americans…”

Section: Body Image Dissatisfactionmentioning

confidence: 99%

Body Image Dissatisfaction (BID) from an Indigenous Alaska Native Female Perspective (A Pilot Study)

Naegele¹,

Cook²

2017

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The study was conducted as a preliminary inves ga on regarding body image dissa sfac on (BID) in Indigenous females living in Alaska. As BID has been a notable area of concern for European American females, and a growing concern for several other cultural groups in North America, it is important to determine whether BID is a concern for the Alaska Na ve popula on. The research was comprised of qualita ve interviewing methods. Interviews were conducted with Alaska Na ve female par cipants between the ages of 18 and 23 years who were a ending the University of Alaska Fairbanks. Research ques ons addressed whether or not Indigenous Alaska Na ve females experience BID, and if so how BID develops and manifests for this popula on. The study found that all par cipants experienced BID as young adults. The manifesta on of BID varied on an individual basis, as seen in other research fi ndings. Par cipants provided sugges ons for working with Indigenous Alaskan females in regards to BID.

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Ethnic and racial differences in body size perception and satisfaction

Cited by 149 publications

References 23 publications

Validation of self-reported figural drawing scales against anthropometric measurements in adults

Validation of self-reported figural drawing scales against anthropometric measurements in adults

Size Misperception Among Overweight and Obese Families

Body Image Dissatisfaction (BID) from an Indigenous Alaska Native Female Perspective (A Pilot Study)

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