Relationship of Overweight and Obesity with Body Self-Image Dissatisfaction in Urban Mediterranean Adolescents

Escrivá, Dolores; Moreno-Latorre, Esther; Caplliure-Llopis, Jordi; Benet, Inmaculada; Barrios, Carlos

doi:10.3390/ijerph18157770

Cited by 10 publications

(8 citation statements)

References 42 publications

(59 reference statements)

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“…Finally, in the multivariate analysis, BI dissatisfaction (desire for a smaller body size) remained strongly associated with overweight/obesity in the present study. This result corroborate with other studies, which indicate that adolescents with overweight or obesity are prone to develop BI dissatisfaction, like this other psychological comorbidities, including emotional and behavioral disorders, anxiety, and low self-esteem [47][48][49] .…”

Section: Accepted Manuscriptsupporting

confidence: 92%

Body image and association with BMI, and purgative behaviours for weight control in adolescents aged 11–14 years

Rossi

Silva²,

Costa³

et al. 2022

Br J Nutr

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We aimed to evaluate the association of overweight/obesity based in body mass index (BMI) and purgative behaviors with body image (BI). Methods: Cross-sectional study, with probabilistic sample of 976 adolescents, aged 11 to 14 years, from the city of Florianópolis, Brazil. Multivariate analyses were performed. Overweight (including obesity), and four variables related to purgative methods for body weight control or eating behavior were evaluated as outcomes, while body image satisfaction was the primary independent variable in each model. Models were controlled for age, gender, type of school (public or private), intake of fruit and vegetables, number of daily meals, and physical activity scores levels. A total of 31.4% of adolescents wanted to enlarge their silhouette and 45.6% wanted to reduce it. Among overweight/obese adolescents, 9.6% were satisfied with their bodies, while 89.8% wanted to reduce it, while among the not overweight/obese adolescents, 45.4% wanted to enlarge their silhouette (p<0.001). Multivariate analysis showed that the odds for overweight/obesity is higher among adolescents who wanted to reduce their silhouette (OR=11.20; 95%CI=5.55-22.58). Adolescents who want to reduce their silhouette are more likely to use diuretics (OR=3.08; CI=1.78-5.32) and to use laxatives (OR=2.10; CI=1.20-3.68). A significant association was also found between dissatisfaction with BI and overeating (among those who want to enlarge their silhouette: OR=1.78; CI=1.12-2.85 and among those who want to reduce their silhouette: OR=1.81; CI=1.03-3.19). Conclusion: BI dissatisfaction was associated with overweight/obesity, as well with overeating, and the use of purgative methods.

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Section: Accepted Manuscriptsupporting

confidence: 92%

Body image and association with BMI, and purgative behaviours for weight control in adolescents aged 11–14 years

Rossi

Silva²,

Costa³

et al. 2022

Br J Nutr

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“…What is also a possibility is that due to weight stigmatization and body shaming, excessive weight students tend to answer the behavior questions with more socially desirable answers [ 30 ]. Body dissatisfaction among adolescents is also a major reason for unhealthy behaviors among both categories, excessive weight and underweight [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Excessive Weight and Underweight and Its Associated Knowledge and Lifestyle Behaviors among Urban Private School-Going Adolescents in New Delhi

et al. 2021

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With rapid urbanization and the Indian nutrition transition, Indian adolescents face a high risk of developing an energy imbalance. This study aims to assess the prevalence of excessive weight, underweight, and associated knowledge and lifestyle behaviors among private school-going adolescents in Delhi. A cross-sectional study was conducted in students (6th–7th grades) of eight randomly selected private schools in Delhi, India in 2019. A self-administered survey was used to assess students’ dietary-and-physical-activity-related knowledge and behavior. Anthropometric measurements (height, weight, and waist circumference) were also conducted. Out of 1567 participants, 7.2% were underweight, 61.3% normal, and 31.5% excess in weight. Underweight was associated with significantly more eating whilst studying for exams (relative risk ratio (RRR) 1.7 (1.0–2.9)). Excessive weight was associated with less incorrect knowledge on behaviors causing overweight (RRR 0.7 (0.5–0.9)), more often reading nutritional labels of packed food items (RRR 0.6 (0.4–0.9)), and less frequent vegetable-intake (RRR 0.7 (0.4–0.9)). Underweight students showed more suboptimal knowledge and unhealthy behaviors, whilst students with excessive weight showed more correct knowledge and healthy behaviors. This study highlights the immediate need for effective health-promoting interventions focused on the importance of healthy lifestyle at least in underweight adolescents.

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“…Although developed to be applied to samples of patients with anorexia and bulimia nervosa, the BSQ-34 is flexible enough, in its detailing of the construct, to be used in samples of patients who may present body dissatisfaction in the absence of an eating disorder, such as patients with obesity, patients with body dysmorphic disorder, or patients looking for cosmetic or plastic surgery [74][75][76][77][78][79]. It remains advisable to use the longer, original version of the tool in the clinical setting since the detailed definition of the construct allows a more precise estimation of it in the candidate.…”

Section: Discussionmentioning

confidence: 99%

Psychometric properties of the Italian body shape questionnaire: an investigation of its reliability, factorial, concurrent, and criterion validity

et al. 2022

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Purpose This study was set up to investigate the reliability, factorial, concurrent, and criterion validity of the Italian version of the 34-item Body Shape Questionnaire (BSQ) and its shorter versions. Methods The study included 231 patients diagnosed with an eating disorder and 58 putatively healthy people (comparison sample). The Italian BSQ-34 was administered to participants together with the Hamilton Depression Rating Scale and the Hamilton Anxiety Rating Scale. Information on body mass index, caloric intake at baseline, and the number of episodes of self-vomiting per week was also acquired. Results Cronbach’s alpha of BSQ-34 was 0.971 (95% confidence interval [CI] 0.965–0.976) in patients and 0.960 (0.944–0.974) in controls. Test–retest stability in patients (n = 69), measured with intraclass correlation coefficient, was 0.987 (0.983–0.991). Confirmatory factor analysis of the single-factor model yielded acceptable fit for all versions of the BSQ. On all BSQ versions, patients scored higher than controls with a large effect size when calculated as Cliff’s delta. BMI and mean caloric intake at baseline had a stronger association with BSQ-34 than levels of anxiety and depression. The analysis with the receiver operating characteristics (ROC) curve showed that the BSQ-34 distinguished patients with an eating disorder from controls with good accuracy (Area Under the Curve = 86.5; 95% CI 82.2–90.7). Conclusion The Italian version of the BSQ possesses good psychometric properties, in both the long and the shortened versions, and it can be applied to measure body dissatisfaction for both clinical and research purposes. Level of evidence Level III, Evidence obtained from well-designed cohort or case–control analytic studies.

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Relationship of Overweight and Obesity with Body Self-Image Dissatisfaction in Urban Mediterranean Adolescents

Cited by 10 publications

References 42 publications

Body image and association with BMI, and purgative behaviours for weight control in adolescents aged 11–14 years

Body image and association with BMI, and purgative behaviours for weight control in adolescents aged 11–14 years

Prevalence of Excessive Weight and Underweight and Its Associated Knowledge and Lifestyle Behaviors among Urban Private School-Going Adolescents in New Delhi

Psychometric properties of the Italian body shape questionnaire: an investigation of its reliability, factorial, concurrent, and criterion validity

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