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一项关于超重儿童在体重管理项目中身体感知和满意度的纵向研究。

A longitudinal investigation of overweight children's body perception and satisfaction during a weight management program.

机构信息

Department of Nutrition and Dietetics, Monash University, Notting Hill, Victoria, Australia.

Public Health Group, Sansom Institute of Health Research, University of South Australia, South Australia, Australia.

出版信息

Appetite. 2015 Feb;85:48-51. doi: 10.1016/j.appet.2014.11.009. Epub 2014 Nov 13.

DOI:10.1016/j.appet.2014.11.009
PMID:25447017
Abstract

BACKGROUND

The Children's Body Image Scale (CBIS) is a measure of body perception and satisfaction. Obesity has a negative impact on children's body satisfaction. This study aimed to (1) determine the construct validity of the CBIS in a purely overweight/obese sample, and (2) explore longitudinal changes in body perception and satisfaction in overweight/obese children participating in a six month weight management program delivered to parents. Data were self-reported by overweight/obese 5 to 9 year old children (n = 127) over a 36 month period.

FINDINGS

The CBIS demonstrated good construct validity (Rho: range 0.38 to 0.71, p < 0.05). Accuracy in body size perception did not alter significantly over time (Rho: range 0.45 to 0.59, p < 0.001). No consistent differences in body satisfaction by age or sex were observed. Body satisfaction improved after the six month weight management intervention (mean difference = 0.74, 95% CI 0.15-1.26) which was maintained at 36 month follow up.

CONCLUSION

The CBIS is a useful measure to monitor overweight/obese children's body satisfaction. In this cohort, it is suggestive that the child weight management program delivered to parents did not impact negatively on children's body satisfaction.

摘要

背景

儿童身体意象量表(CBIS)是一种衡量身体感知和满意度的工具。肥胖对儿童的身体满意度有负面影响。本研究旨在:(1)确定 CBIS 在纯粹超重/肥胖样本中的结构效度;(2)探索参加父母指导的六个月体重管理计划的超重/肥胖儿童的身体感知和满意度的纵向变化。超重/肥胖的 5 至 9 岁儿童(n=127)在 36 个月的时间内自行报告数据。

结果

CBIS 表现出良好的结构效度(Rho:范围为 0.38 至 0.71,p<0.05)。随着时间的推移,身体大小感知的准确性没有显著变化(Rho:范围为 0.45 至 0.59,p<0.001)。未观察到年龄或性别的身体满意度存在一致差异。经过六个月的体重管理干预后,身体满意度得到改善(平均差异=0.74,95%置信区间 0.15-1.26),在 36 个月的随访中仍保持不变。

结论

CBIS 是一种监测超重/肥胖儿童身体满意度的有用工具。在本队列中,提示向父母提供的儿童体重管理计划对儿童的身体满意度没有负面影响。

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