Imagem corporal e indicadores antropométricos em adolescentes vivendo com HIV

Abstract

The aim of this study was to compare body image and anthropometric indicators among adolescents living with HIV and healthy adolescents (control group). In addition, we verified the associations of anthropometric indicators, infection/treatment, sexual maturity, and sociodemographic characteristics with body image in adolescents living with HIV. One hundred and eleven adolescents aged 10 to 15 years were divided into those living with HIV (n = 57) and a control group (n = 54). Body image was investigated using an eight-point body silhouette scale. Body weight, height, circumferences, and skinfolds were measured. Body image dissatisfaction was found in 54.4% of the adolescents living with HIV, with 38.6% of them wishing to increase their body size. Conversely, body image dissatisfaction was due to the desire to reduce body size in the control group (40.7%). No difference between the HIV and control groups was found for the anthropometric indicators analyzed. Gender (β = -0.52), age (β = 0.18), body weight (β = 0.07), body mass index (β = -0.19), and upper arm muscle area (β = -0.08) explained 42% of the variation in the body image score of adolescents living with HIV. Thinness is the main reason for body image dissatisfaction in adolescents living with HIV. Almost half the body dissatisfaction of adolescents living with HIV was explained by demographic and anthropometric variables.

Body image and antiretroviral therapy adherence among people living with HIV: a protocol for a systematic review and meta-analysis

“…29 Similarly, different approaches have been used to measure body image, including the Body Change and Distress Questionnaire-Short Form, 30 the use of a select set of items from an HIV Symptom Index, 31 and a figure rating scale composed of a set of silhouettes representing a continuum of body shapes ranging from thinness to obesity. 32 Some of these existing measurement approaches may not adequately capture the concept of body image. For example, the figure rating scale calculates a person's body image score as the difference between the ideal and the real silhouette.…”