Peer, parent, and media influences on the development of weight concerns and frequent dieting among preadolescent and adolescent girls and boys
Peer, parent, and media influences on the development of weight concerns and frequent dieting among preadolescent and adolescent girls and boys
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DOI：
10.1542/peds.107.1.54
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发表时间：
2001-01-01
期刊：
影响因子：
8
通讯作者：
Colditz, GA
中科院分区：
文献类型：
--
作者：
Field, AE;Camargo, CA;Colditz, GA
Objective.前瞻性地评估同龄人、父母和媒体对体重问题和频繁节食的影响。前瞻性队列研究。每年向美国各地的参与者邮寄纪念品。对1996年和1997年完成问卷调查的6770名女孩和5287名男孩进行了为期一年的随访，其中1996年的年龄在9岁至14岁之间。发病的高度关注的体重和节食经常控制体重。在一年的随访中，6%的女孩和2%的男孩变得非常关注体重，2%的女孩和1%的男孩成为持续节食者。同伴的影响可以忽略不计。与年龄和体重指数无关，女孩（比值比[OR]：1.9; 95%置信区间[CI]：1.1-3.1）和男孩（OR：2.7; 95% CI：1.1-6.4）都努力在媒体上看起来像同性人物，他们比同龄人更有可能变得非常关心自己的体重。此外，两个女孩（或：2.3; 95%可信区间：1.1-5.0）和男孩（OR：2.6; 95%CI：1.1-6.0），他们报告说他们的瘦/缺乏脂肪对他们的父亲很重要，比他们的同龄人更有可能成为不断节食者。我们的研究结果表明，父母和媒体的影响发展的体重问题和体重控制的做法之间的青春期前和青少年。然而，在这些影响的相对重要性方面存在性别差异。
Objective. To assess prospectively the influence of peers, parents, and the media on the development of weight concerns and frequent dieting.Design. Prospective cohort study.Setting. Questionnaires mailed annually to participants throughout the United States.Participants. One-year follow-up of 6770 girls and 5287 boys who completed questionnaires in 1996 and 1997 and were between 9 and 14 years of age in 1996.Main Outcome Measure. Onset of high levels of concern with weight and dieting frequently to control weight.Results. During 1 year of follow-up, 6% of girls and 2% of boys became highly concerned with weight and 2% of girls and 1% of boys became constant dieters. Peer influence was negligible. Independent of age and body mass index, both girls (odds ratio [OR]): 1.9; 95% confidence interval [CI]: 1.1-3.1) and boys (OR: 2.7; 95% CI: 1.1-6.4) who were making a lot of effort to look like same-sex figures in the media were more likely than their peers to become very concerned with their weight. Moreover, both girls (OR: 2.3; 95% CI: 1.1-5.0) and boys (OR: 2.6; 95% CI: 1.1-6.0) who reported that their thinness/lack of fat was important to their father were more likely than their peers to become constant dieters.Conclusions. Our results suggest that parents and the media influence the development of weight concerns and weight control practices among preadolescents and adolescents. However, there are gender differences in the relative importance of these influences.