Satisfaction with body weight among adolescents with excess weight: findings from a cross-sectional population-based study.

Satisfaction with body weight among adolescents with excess weight: findings from a cross-sectional population-based study.
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DOI:
10.1590/1516-3180.2020.0007.r1.10062020
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发表时间:
2020-09
期刊:
Sao Paulo medical journal = Revista paulista de medicina
影响因子:
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通讯作者:
Mattei, Josiemer
Mattei, Josiemer
中科院分区:
其他
文献类型:
--
作者:
Martini, Mariana Contiero San;Assumpção, Daniela de;Barros, Marilisa Berti de Azevedo;Barros Filho, Antonio de Azevedo;Mattei, Josiemer

文献摘要

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超重或肥胖的人经常低估自己的体型,他们不太可能把自己的体重状况视为健康问题,从而改变生活方式。根据社会人口因素、发病率和健康相关行为,估计超重/肥胖青少年对体重满意的比例。在巴西坎皮纳斯市(SP)的10至19岁青少年中进行的横断面人群研究。样本(n = 217)包括自我报告体重和身高的参与者,根据世界卫生组织推荐的年龄分界点的身体质量指数(BMI),他们被归类为超重或肥胖。在“你想增重还是减重?”这个问题上,回答“不”(即没有变化)的参与者被认为对自己的体重感到满意。使用逻辑回归计算优势比和95%置信区间(95% CI)。超重青少年对体重满意的比例为75.8% (95% CI: 65.3-83.9),肥胖青少年对体重满意的比例为24.2% (95% CI: 16.1-34.7) (P < 0.01)。15 - 19岁(10 - 14岁)、出生在坎皮纳斯以外(坎皮纳斯本地)、拥有≥8台家用电器(坎皮纳斯本地)和报告≥两种健康问题(坎皮纳斯本地)的个体满意度较低。超过一半的超重青少年和近四分之一的肥胖青少年对自己的体重感到满意。这些结果支持在巴西青少年中制定健康体重管理策略的必要性。
Individuals who are overweight or obese often underestimate their size, and they are less likely to consider their weight status to be a health problem and consequently to make lifestyle changes. To estimate the proportion of satisfaction with weight among adolescents classified as overweight/obese, according to sociodemographic factors, morbidities and health-related behaviors. Cross-sectional population-based study conducted among adolescents aged 10 to 19 years in the city of Campinas (SP), Brazil. The sample (n = 217) included participants with self-reported weight and height who were classified as overweight or obese, based on body mass index (BMI) according to age-specific cutoff points recommended by the World Health Organization. Participants whose answer to the question: “Would you like to gain or lose weight?” was “no” (i.e. no change) were deemed to be satisfied with their body weight. Odds ratios and 95% confidence intervals (95% CI) were calculated using logistic regression. The proportions of the respondents who were satisfied with their weight were 75.8% (95% CI: 65.3-83.9) among the overweight adolescents and 24.2% (95% CI: 16.1-34.7) among the obese adolescents (P < 0.01). Satisfaction was lower among individuals aged 15 to 19 years (versus 10 to 14 years), those born outside of Campinas (versus in Campinas), those with ≥ 8 household appliances (versus < 8), and those reporting ≥ two health complaints (versus none). More than half of the overweight adolescents and almost a quarter of the obese adolescents were satisfied with their weight. These results support the need for strategies for healthy weight management among Brazilian adolescents.