Department of Pediatrics and Psychiatry, University of California, San Diego, La Jolla, California, USA.
J Adolesc Health. 2010 Sep;47(3):263-9. doi: 10.1016/j.jadohealth.2010.02.009. Epub 2010 Apr 14.
To examine parent and family variables in relation to adolescent weight-control and eating behaviors, body satisfaction, and importance of thinness among overweight adolescents.
This study examined parent-reported use of weight-control behaviors (i.e., healthy and unhealthy behaviors, behavioral changes, other diet strategies), parent psychosocial functioning (i.e., depression, self-esteem, body satisfaction, importance of thinness), and family functioning (i.e., cohesion and adaptability) in relation to adolescent weight-control and eating behaviors, body satisfaction, and importance of thinness. Surveys were completed by 103 overweight (body mass index, >or=85th percentile) adolescents (aged 12-20 yr), and their parents. Height and weight were also measured. Linear regression equations were used for continuous outcomes and logistic regression equations for dichotomous outcomes.
Adolescent report of lower body satisfaction and engagement in more "severe" or less healthy forms of weight-control behavior were associated with parent weight-control behaviors. Adolescent report of overeating was associated with lower scores of family cohesion and adaptability. Adolescent report of lower body satisfaction was positively associated with parent report of body satisfaction and self-esteem. Adolescent report of greater importance placed on thinness was associated with parent report of lower self-esteem.
Findings indicate that several parent and family variables are associated with weight-control behaviors, episodes of overeating, and body satisfaction and importance of thinness among overweight adolescents. Parent weight-control behaviors and adolescent cognitions about body image may be important variables to target within intervention research and treatment programs for overweight youth.
研究与超重青少年的青少年体重控制和饮食行为、身体满意度以及对苗条的重视有关的父母和家庭变量。
本研究考察了父母报告的体重控制行为（即健康和不健康的行为、行为改变、其他饮食策略）、父母的心理社会功能（即抑郁、自尊、身体满意度、对苗条的重视）和家庭功能（即凝聚力和适应性）与青少年的体重控制和饮食行为、身体满意度和对苗条的重视之间的关系。调查由 103 名超重（体重指数≥第 85 百分位数）青少年（年龄 12-20 岁）及其父母完成。身高和体重也进行了测量。线性回归方程用于连续结果，逻辑回归方程用于二分类结果。
青少年报告的身体满意度较低，以及参与更“严重”或不太健康的体重控制行为，与父母的体重控制行为有关。青少年报告的暴食与家庭凝聚力和适应性得分较低有关。青少年报告的身体满意度较低与父母报告的身体满意度和自尊较高呈正相关。青少年报告的对苗条的重视程度越高，与父母报告的自尊越低呈正相关。
研究结果表明，一些父母和家庭变量与超重青少年的体重控制行为、暴食发作以及身体满意度和对苗条的重视有关。父母的体重控制行为和青少年对身体形象的认知可能是超重青少年干预研究和治疗计划中需要关注的重要变量。
