Sánchez-Johnsen Lisa A P, Fitzgibbon Marian L, Martinovich Zoran, Stolley Melinda R, Dyer Alan R, Van Horn Linda
University of Hawai'i at Mãnoa, Honolulu, Hawaii 96813, USA.
Obes Res. 2004 Apr;12(4):652-60. doi: 10.1038/oby.2004.75.
To date, no studies have examined dietary intake, physical activity, and body image in a large sample of Latin-American and black women recruited using the same methodology. The aim of this study was to examine three potential correlates of obesity (dietary intake, body image, and physical activity) in a large sample of Latin-American and black women across the weight spectrum.
Participants were black (n = 271) and Latin-American (n = 234) adult women who completed a 24-hour dietary recall and physical activity and body image questionnaires.
After controlling for BMI, education, marital status, and number of children, black women consumed more kilocalories, dietary fat (grams), and percent calories from fat than Latin-American women, who consumed more carbohydrates (grams) and dietary fiber (total and soluble). Black women engaged in more sedentary behavior than Latin-American women. Although Latin-American women weighed less than black women, they perceived their current body image as heavier and reported greater body image dissatisfaction than black women. Black women also reported a higher ideal body image than Latin-American women.
The combined effect of a diet higher in calories and fat, increased sedentary behavior, and more accepting body image could account for higher rates of obesity among black women. Future studies should further explore cultural attitudes and beliefs related to weight that could provide information for the development of culturally competent obesity interventions.
迄今为止,尚无研究使用相同方法对大量拉丁裔和黑人女性样本的饮食摄入、身体活动及身体形象进行考察。本研究的目的是在一个涵盖不同体重范围的大量拉丁裔和黑人女性样本中,考察肥胖的三个潜在相关因素(饮食摄入、身体形象和身体活动)。
参与者为黑人(n = 271)和拉丁裔(n = 234)成年女性,她们完成了24小时饮食回顾以及身体活动和身体形象问卷调查。
在对体重指数、教育程度、婚姻状况和子女数量进行控制后,黑人女性摄入的千卡、膳食脂肪(克)以及来自脂肪的热量百分比均高于拉丁裔女性,而拉丁裔女性摄入的碳水化合物(克)和膳食纤维(总膳食纤维和可溶性膳食纤维)更多。黑人女性比拉丁裔女性有更多久坐行为。尽管拉丁裔女性体重低于黑人女性,但她们认为自己当前的身体形象更重,且报告的身体形象不满程度高于黑人女性。黑人女性报告的理想身体形象也高于拉丁裔女性。
高热量和高脂肪饮食、久坐行为增加以及对身体形象更为接纳的综合影响,可能是黑人女性肥胖率较高的原因。未来的研究应进一步探索与体重相关的文化态度和观念,为制定具有文化适应性的肥胖干预措施提供信息。