Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males
Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males
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DOI：
10.1016/j.jadohealth.2005.12.001
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发表时间：
2006-08-01
影响因子：
7.6
通讯作者：
Story, Mary
中科院分区：
文献类型：
--
作者：
Neumark-Sztainer, Dianne;Paxton, Susan J.;Story, Mary
目的：本研究解决了“身体满意度重要吗？”这个问题。方法：EAT-II 项目对 1999 年（时间 1）至 2004 年（时间 2）期间的 2516 名青少年进行了种族和社会经济多样化的抽样调查。检查了时间 1 时的身体满意度与时间 2 时的健康行为之间的关联，调整了社会人口统计特征和时间 1 的健康行为，并调整或不调整了体重指数 (BMI)。结果：在女性中，较低的身体满意度预示着较高水平的节食、不健康和非常不健康的体重控制行为和暴饮暴食，以及较低水平的体力活动和水果和蔬菜摄入量。调整体重指数后，身体满意度与节食、非常不健康的体重控制行为和体力活动之间的关联仍然具有统计学意义。在男性中，较低的身体满意度预示着较高水平的节食、健康、不健康和非常不健康的体重控制行为、暴饮暴食和吸烟，以及较低水平的体力活动。在调整体重指数后，身体满意度与节食、不健康的体重控制行为和暴饮暴食之间的关联仍然具有统计学意义。结论：研究结果表明，一般来说，较低的身体满意度并不能成为进行健康体重管理行为的动力，而是预测可能使青少年面临体重增加和整体健康状况较差风险的行为。对青少年的干预措施应努力提高身体满意度，并避免可能导致身体满意度下降的信息。 (c) 2006 Society for Adolescent Medicine.版权所有。
Purpose: This study addresses the question, "Does body satisfaction matter?" by examining longitudinal associations between body satisfaction and weight-related health-promoting and health-compromising behaviors five years later among adolescents.Methods: Project EAT-II followed an ethnically and socioeconomically diverse sample of 2516 adolescents from 1999 (Time 1) to 2004 (Time 2). Associations between body satisfaction at Time 1 and health behaviors at Time 2 were examined, adjusting for sociodemographic characteristics and Time 1 health behaviors, with and without adjustment for body mass index (BMI).Results: In females, lower body satisfaction predicted higher levels of dieting, unhealthy and very unhealthy weight control behaviors and binge eating, and lower levels of physical activity and fruit and vegetable intake. After adjusting for BMI, associations between body satisfaction and dieting, very unhealthy weight control behaviors, and physical activity remained statistically significant. In males, lower body satisfaction predicted higher levels of dieting, healthy, unhealthy, and very unhealthy weight control behaviors, binge eating, and smoking, and lower levels of physical activity. After adjusting for BMI, associations between body satisfaction and dieting, unhealthy weight control behavior, and binge eating remained statistically significant.Conclusions: The study findings indicate that, in general, lower body satisfaction does not serve as a motivator for engaging in healthy weight management behaviors, but rather predicts the use of behaviors that may place adolescents at risk for weight gain and poorer overall health. Interventions with adolescents should strive to enhance body satisfaction and avoid messages likely to lead to decreases in body satisfaction. (c) 2006 Society for Adolescent Medicine. All rights reserved.