Parent-adolescent dyadic associations among weight misperceptions, weight change behaviors, and dietary intakes.

Parent-adolescent dyadic associations among weight misperceptions, weight change behaviors, and dietary intakes.
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DOI:
10.1016/j.appet.2022.106004
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发表时间:
2022-07-01
期刊:
影响因子:
5.4
通讯作者:
Heron, Kristin E.
Heron, Kristin E.
中科院分区:
医学2区
文献类型:
--
作者:
Romano, Kelly A.;Heron, Kristin E.

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先前的研究表明,个体的实际和感知身体状态之间的较大差异与他们参与体重变化行为有关。然而,它仍然是未知的,这些内在的协会是否延伸到父母,青少年的二元水平。为了解决这一研究空白,本研究探讨了父母和青少年的体重误解(个人自我报告的体重指数和感知的体重状态之间的差异)相对于参与者自己和他们的二元合作伙伴的体重变化行为和饮食摄入量之间的关联。参与者包括一个大型社区样本的父母-青少年二人组(N= 1,606二人组),他们完成了国家癌症研究所的FLASHE研究。演员-伴侣相互依赖模型检查了参与者的体重误解(过度和不足的看法)相对于他们自己和他们的二元伴侣的一般体重变化行为(当前的体重减轻和增加行为)和低营养(例如,加工食品)和营养丰富(例如,水果/蔬菜)的饮食摄入量。多个自我和跨二元成员协会被确定为不同的方向的重量误解,体重控制行为类型,以及二元成员是否是父母或青少年。例如,青少年对体重的认知不足与他们自己(而不是他们父母)当前使用减肥行为的可能性较低有关,而表现出体重认知不足的父母不太可能在个人层面上报告减肥行为,并且不太可能有报告减肥行为的青少年。这些结果表明,在父母-青少年二元背景下的体重误解和体重控制行为之间的关联是复杂的,并且这些关联中涉及个体间和个体内的过程。这些知觉影响对父母-青少年二人组健康饮食行为和不良饮食行为的影响值得在未来的研究中进一步探讨。
Prior research has shown that larger differences between individuals’ actual and perceived bodily states are associated with their engagement in weight change behaviors. However, it remains unknown whether these intrapersonal associations extend to the parent-adolescent dyadic level. To address this research gap, the present study examined associations between parents’ and adolescents’ weight misperceptions (discrepancies between individuals’ self-reported body mass indices and perceived weight statuses) relative to participants’ own and their dyadic partners’ weight change behaviors and dietary intakes. Participants included a large community sample of parent-adolescent dyads (N=1,606 dyads) who completed the National Cancer Institute’s FLASHE Study. Actor-partner interdependence models examined dyadic associations among participants’ weight misperceptions (over- and under-perceptions) relative to their own and their dyadic partners’ general weight change behaviors (current weight loss and gain behaviors), and low nutrient (e.g., processed foods) and nutrient-dense (e.g., fruits/vegetables) dietary intakes. Multiple intrapersonal and cross-dyad member associations were identified that varied based on the direction of weight misperceptions, the weight control behavior type, and whether the dyadic member was a parent or adolescent. For example, adolescents’ weight under-perception was associated with a lower likelihood of their own, but not their parents’, current weight loss behavior use, whereas parents who exhibited weight under-perception were less likely to report weight loss behaviors at the intrapersonal level and were less likely to have adolescents who reported weight loss behaviors. These results suggest that associations among weight misperceptions and weight control behaviors within the parent-adolescent dyadic context are complex, and that both inter- and intra-individual processes are implicated in these associations. The impact of these perceptual influences on parent-adolescent dyads’ use of both healthy and disordered eating behaviors warrants further exploration in future research.
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