Zeller Meg H, Ingerski Lisa M, Wilson Lindsay, Modi Avani C
Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, OH, USA.
Clin Pediatr (Phila). 2010 Apr;49(4):330-6. doi: 10.1177/0009922809346571. Epub 2010 Jan 13.
To assess weight stigma, self-perception of weight status, and factors contributing to accurate self-perception of weight status in obese youth presenting for treatment at a hospital-based multidisciplinary weight management program.
Participants (N = 97; mean age = 8.56 +/- 1.66 years) used a figural rating scale to assess weight stigma and their current and ideal body type, and Sizing Me Up, a measure of obesity-specific health-related quality of life (HRQOL).
The majority endorsed negative/stereotypical attributes toward an obese body type, chose an average or underweight figure as their ideal, and 39% misperceived their weight status. Older child age and greater HRQOL impairment were significant predictors (P < .01) of correct self-perception.
Pediatricians may find that talking with the elementary school-aged patient and family about whether weight/size affects their day-to-day life will prove to be a salient and neutral opening to discussing the child's obesity and need for intervention.
评估在一家医院多学科体重管理项目中接受治疗的肥胖青少年的体重耻辱感、体重状况自我认知，以及有助于准确自我认知体重状况的因素。
参与者（N = 97；平均年龄 = 8.56 ± 1.66岁）使用形象评定量表评估体重耻辱感以及他们当前和理想的体型，并使用“审视自己”这一工具来衡量与肥胖相关的特定健康相关生活质量（HRQOL）。
大多数人认可对肥胖体型的负面/刻板印象属性，选择平均或体重不足的体型作为他们的理想体型，并且39%的人错误认知了自己的体重状况。年龄较大的儿童以及更高的HRQOL损害是正确自我认知的显著预测因素（P < 0.01）。
儿科医生可能会发现，与小学年龄的患者及其家人谈论体重/体型是否影响他们的日常生活，将被证明是讨论儿童肥胖问题及其干预需求的一个显著且中立的开端。
