2006, Number 4
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Rev Biomed 2006; 17 (4)
Higher BMI means greater body image dissatisfaction.
Casillas-Estrella M, Montaño-Castrejón N, Reyes-Velázquez V, Bacardí-Gascón M, Jiménez-Cruz A
Language: Spanish
References: 23
Page: 243-249
PDF size: 75.58 Kb.
ABSTRACT
Background. Social pressure causes people outside the “norm” established by society to develop different degrees of body image dissatisfaction (BID). Consequently, different psychosocial alterations such as isolation, low self-esteem, anxiety, and even depression could result.
Objective. The objective of this study was to determine the degree of BID in people who attend a primary care university center.
Method. One hundred and fifty eight patients seeking medical assistance agreed to participate in this study. They were asked to select a figure from the modified Stunkard pictogram, which they most believed to represent their personal body image and their desired body image. Weight, length, and waist circumference were obtained from all the participants. A Spearman correlation was utilized to determine if there was an association between body mass index (BMI) and the degree of BID; t-tests for independent samples were used to assess the differences of BID and abdominal obesity, overweight, obesity, gender, and history of obesity before age 15.
Results: A positive correlation between degree of BID and BMI (O.544, P ‹ 0.01) was shown. Normal BMI had an average BID score of 0.9, overweight 1.7, and obese 2.6. Women (P ‹ 0.01) as well as people with abdominal adiposity (P ‹ 0.0001), or who were overweight or obese (P ‹ 0.001), as well as those with childhood history of fat excess had higher degrees of BID.
Recommendations. It is necessary to establish comprehensive obesity prevention programs including different levels of contingencies, structures, institutions, sectors and risk factors, in all stages of life.
REFERENCES
1.- Puhl R, Brownell K. Psychosocial origins of obesity stigma: toward changing a powerfull and pervasive bias. International Association for the Study of Obesity, Obes Rev 2003; 4:213-27.
2.- Guinn B, Semper T, Jorgensen L, Skaggs S. Body image perception in female Mexican-American Adolescents. J Sch Health 1997; 67:112-5.
3.- Stunkard A. Stigmatization of obesity in medieval times. Asia and Europe. Int J Obes 1998; 22:1141-4.
4.- Puhl R, Brownell K. Bias, Discrimination and obesity. Obes Res 2001; 9:788-805.
5.- Wardle J, Waller J, Fox E. Age of onset and body dissatisfaction in obesity. Addict Behav 2002; 27:561-73.
6.- Strauss R. Childhood obesity and self esteem. Pediatrics. 2000; 105; 1:e15.
7.- Teachman B, Brownell K. Implicit anti-fat bias among health professionals: is anyone immune? Int J Obes 2001; 25:1525-31.
8.- Rand C, Wright B. Continuity and change in the evaluation of ideal and acceptable body sizes across a wide age span. Int J Eat Disord 2000; 28:90-100.
9.- Jimenez Cruz A, Leon J, Bacardí-Gascón M. Gender and ethnic differences of Mexican children’s attitudes toward a drawing of an obese peer. Asia Pac J Clin Nutr 2004; 13 (Suppl):S142.
10.- Castellon A, Bacardí M, Jiménez Cruz A. Perception of healthy and obese Mexican teenagers towards their obese peer. Obes Res 2004; 12 (Suppl): A72-P274.
11.- Jimenez Cruz A, Garcia JL, Castellon, A. Bacardí M. Attitudes toward obese adults and children among Mexican teachers, parents, and health personnel. Obes Res 2005;13 (Suppl): A155-601P.
12.- Instituto Nacional de Estadistica. Articulo en linea. Disponible en http:www.inegi.gov.mx. Accesado en Julio 2006.
13.- Expert Panel on the Identification, Evaluation, and Treatment of Overweight Adults. Clinical Guidelines on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults: Executive Summary. Am J Clin Nut 1998;68:899-917.
14.- Mirza N, Davis D ,Yanovsi J.Body dissatisfaction, self-esteem, and overweight among inner-city Hispanic children and adolescents. J Adolesc Health 2005; 36:267e16-20.
15.- Gila A, Castro J, Toro J, et al. Subjective body image dimensions in normal female population: Evolution through adoloscence and early adulthood. Int J Psychol and Psychol Ther 2004; 4:1-10.
16.- Wardle J, Waller J. Fox E. Age of onset and body dissatisfaction in obesity. Addictive behaviors.2002;27:561-73.
17.- Bhuiyan A, Gustat J, Srinivasan S, Berenson G. Differences in body shape representations among young adults from a biracial (black-white), semirural community. Am J Epidemiol 2003; 158:792-7.
18.- Welch C, Gross S, Bronner Y, Dewberry-Moore N, Page DM. Discrepeancies in body imagen perception among fourth-grade public school children from urban, suburban, and rural Maryland. J Am Diet Assoc 2004; 104:1080-5.
19.- Guinn B, Semper T, Jorgensen L, et al. Body image perception in female Mexican-American adolescents. J Sch Health 1997; 67:112-5.
20.- Vazquez R, López X, Alvarez G, Mancilla J, Oliva A. Insatisfaccion corporal e influencia de los modelos esteticos en ninos y jovenes varones mexicanos.Enseñanza e investigacion en psicologia.2006;11;1:185-97.
21.- Leonhard M, Barry J. Body image and obesity:effects of gender and weight on perceptual measures of body image.Addict Behav 1998; 23:31-4.
22.- Sánchez-Johnsen L, Fitzgibbon M, Martinovich Z, Stolley MR, Dyer AR, Van Horn L. Ethnic differences in correlates of obesity between Latin-American and Black Women. Obes Res 2004; 12:652-60.
23.- Jackson TD, Grilo CM, Masheb RM. Teasing history, onset of obesity, current eating disorder psychopathology, body dissatisfaction, and psychological functioning in binge eating disorer. Obes Res 2000; 8:451-8.