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[墨西哥哈利斯科州瓜斯曼城本科青少年中自我认知或通过体重指数测量的超重情况及体重控制行为]

[Perceived or BMI-measured overweight and weight control behaviors in undergraduate adolescents from Ciudad Guzmán, Jalisco, México].

作者信息

Hidalgo-Rasmussen Carlos Alejandro, Ramírez-López Guadalupe, Montaño Espinoza Rosa, Hidalgo-San Martín Alfredo

机构信息

Centro Universitario del Sur. Universidad de Guadalajara, Unidad de Investigación Epidemiológica y en Servicios de Salud del Adolescente (UIESSA), Instituto Mexicano del Seguro Social (IMSS), Universidad de Santiago de Chile.

出版信息

Arch Latinoam Nutr. 2012 Mar;62(1):44-52.

Abstract

The aim was to evaluate associations between weight control behaviors and overweight measured by BMI, overweight perception or inaccurate weight perception. 492 undergraduate adolescents from 17 to 19 years old participated in the study. A self-administered questionnaire on line was applied and weight and height were measured. Statistical analysis included weighted kappa and multivariate logistic regression. The concordance between weight perception and that evaluated by BMI was 78.7%, weight kappa = 0.62. Adolescents who perceived overweight tried to lose weight, exercised and ate less food more frequently than those who were overweight evaluated by BMI. A quarter tried to lose weight eventhough they did not perceive or were actually overweight. The odds of trying to lose weight were higher in men and women who perceived overweight (OR = 18.7, CI 95% 6.3-55.3 and OR = 10.4, IC 95% 4.5-24.2, respectively) andwomen who overestimated overweight (OR = 6.0, CI 95% 2.8-12.7). The odds of tying to lose weight when weight was underestimated were less in men (OR = 0.03, CI 95% 0.01-0.12) and women (OR = 0.19, IC 95% 0.05-0.70). In conclusion the behavior of trying to lose weight was better explained among adolescents of both genders who perceived overweight and among girls who overestimated it.

摘要

目的是评估体重控制行为与通过体重指数(BMI)测量的超重、超重认知或体重认知不准确之间的关联。492名17至19岁的本科青少年参与了该研究。采用了一份在线自填问卷,并测量了体重和身高。统计分析包括加权kappa和多变量逻辑回归。体重认知与BMI评估结果之间的一致性为78.7%,体重kappa = 0.62。与BMI评估为超重的青少年相比,认为自己超重的青少年更频繁地尝试减肥、锻炼和减少食物摄入量。四分之一的人即使没有超重认知或实际上并不超重也会尝试减肥。认为自己超重的男性和女性(分别为OR = 18.7,95%CI 6.3 - 55.3和OR = 10.4,95%IC 4.5 - 24.2)以及高估超重的女性(OR = 6.0,95%CI 2.8 - 12.7)尝试减肥的几率更高。当体重被低估时,男性(OR = 0.03,95%CI 0.01 - 0.12)和女性(OR = 0.19,95%IC 0.05 - 0.70)尝试减肥的几率较低。总之,在认为自己超重的青少年以及高估超重的女孩中,尝试减肥的行为能得到更好的解释。

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