Body Weight Misperception in Adolescence and Incident Obesity in Young Adulthood
Body Weight Misperception in Adolescence and Incident Obesity in Young Adulthood
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DOI：
10.1177/0956797614566319
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发表时间：
2015-04-01
影响因子：
8.2
通讯作者：
Terracciano, Antonio
中科院分区：
文献类型：
--
作者：
Sutin, Angelina R.;Terracciano, Antonio
对体重的误解在青春期很常见。体重正常的青少年如果错误地认为自己超重，往往会采取不利于健康的饮食习惯和行为，从而导致肥胖。为了检验这种误解是否与成年早期的肥胖风险有关，我们分析了来自全国青少年健康纵向研究的数据（N = 6523；基线平均年龄= 16岁；58%为女性）。在12年的随访期间，误以为自己超重的青少年比正确认识自己体重的青少年更容易肥胖（优势比= 1.41,95%可信区间=[1.22,1.64]）。尽管对体重误解的几率在两性中都很明显，但男孩（比女孩高1.89）比女孩（高1.29）的几率要大得多。目前的研究表明，基于体重的自我污名化，就像基于体重的社会污名化一样，是偶发性肥胖的一个强大的风险因素。这一发现强调了解决不准确的体重认知的重要性，即使在体重正常的青少年中也是如此。
Misperceptions of one's weight are common in adolescence. Adolescents of normal weight who misperceive themselves as being overweight tend to engage in unhealthy dieting practices and behaviors that are conducive to obesity. To examine whether this misperception is associated with a risk of obesity during early adulthood, we analyzed data from the National Longitudinal Study of Adolescent Health (N = 6,523; mean age at baseline = 16 years; 58% female). Adolescents who misperceived themselves as being overweight had greater odds of becoming obese over the 12-year follow-up period than adolescents who perceived their weight accurately (odds ratio = 1.41, 95% confidence interval = [1.22, 1.64]). Although the increase in the odds associated with misperception of weight was apparent for both sexes, it was significantly stronger among boys (1.89 greater odds) than among girls (1.29 greater odds). The present research indicates that weight-based self-stigmatization, much like weight-based social stigmatization, is a powerful risk factor for incident obesity. This finding underscores the importance of addressing inaccurate body weight perceptions, even among adolescents of normal weight.