Fu Lianguo, Wang Haijun, Sun Lili, Yang Yide, Li Xiaohui, Wang Shuo, Meng Xiangkun, Wang Zhenghe, Ma Jun
Department of Preventive Medicine, Bengbu Medical College, Bengbu 233030, China.
Institute of Child and Adolescent Health, School of Public Health, Peking University.
Zhonghua Liu Xing Bing Xue Za Zhi. 2015 Apr;36(4):318-22.
To analyze the correlation between children and adolescents' body shape parameters and parent's dissatisfaction on it.
Stratified cluster sampling method was used to select students and their parents, and height, weight, waist circumference (WC), hip circumference (HC), skinfold thichness of the students were measured. Body image from parents was studied through the 'Ma body figural shape'. Correlation between body shape parameters and dissatisfaction towards them from the parents was analyzed under both simple- and multiple-level methods.
The overall prevalence of dissatisfaction on body-shapes from parents was 69.0%, including 28.6% of the parents expecting children to be fat (PEBF) while, 40.4% of the parents expecting their children to be thin (PEBT). In males, parameters as height, weight, WC, HC, skin fold thickness, BMI in PEBT were 1.9 cm, 11.9 kg, 13.2 cm, 8.8 cm, 32.3 mm, 4.7 kg/m² respectively, all higher than the satisfaction from the parents (PBIS) (all P < 0.05), and these parameters were 2.3 cm, 7.1 kg, 7.2 cm, 5.8 cm, 14.1 mm, 2.3 kg/m² higher in PBIS than that of PEBF, respectively (all P < 0.05). In females, parameters as weight, WC, HC, skinfold thickness, BMI in PEBT appeared to be 8.6 kg, 9.1 cm, 6.6 cm, 21.9 mm, 3.5 kg/m² higher than that of PBIS (all P < 0.01), and were 5.5 kg, 5.9 cm, 5.4 cm, 10.4 mm, 1.8 kg/m² higher in PBIS than that of PEBF, respectively, plus the difference of height was 3.6 cm more (P < 0.01). Differences of body shape on parameters between PEBT and PBIS were larger in primary school students than in middle school students. However, the differences of body shape parameters between PBIS and PEBF appeared higher in middle school students than in primary school male students, but were higher in female students in primary than in middle school students.
The prevalence of body dissatisfaction related to children and adolscents' body shape parameters from parents was high. Parents in the PEBT group seemed to have paid more attention to children's body shape parameters at low age. However, parents in PEBF group might have paid more attention to children's body shape parameters at high age in males or at low age in females.
分析儿童青少年身体形态参数与家长对其不满意程度之间的相关性。
采用分层整群抽样方法选取学生及其家长，测量学生的身高、体重、腰围（WC）、臀围（HC）、皮褶厚度。通过“马氏体型图”研究家长的身体意象。采用单因素和多因素分析方法分析身体形态参数与家长对其不满意程度之间的相关性。
家长对孩子身体形态不满意的总体发生率为69.0%，其中期望孩子胖的家长占28.6%（PEBF），期望孩子瘦的家长占40.4%（PEBT）。在男性中，PEBT组的身高、体重、腰围、臀围、皮褶厚度、BMI分别为1.9厘米、11.9千克、13.2厘米、8.8厘米、32.3毫米、4.7千克/平方米，均高于家长满意组（PBIS）（均P<0.05），且这些参数在PBIS组分别比PEBF组高2.3厘米、7.1千克、7.2厘米、5.8厘米、14.1毫米、2.3千克/平方米（均P<0.05）。在女性中，PEBT组的体重、腰围、臀围、皮褶厚度、BMI分别比PBIS组高8.6千克、9.1厘米、6.6厘米、21.9毫米、3.5千克/平方米（均P<0.01），在PBIS组分别比PEBF组高5.5千克、5.9厘米、5.4厘米、10.4毫米、1.8千克/平方米，身高差异多3.6厘米（P<0.01）。PEBT与PBIS组身体形态参数差异在小学生中大于中学生。然而，PBIS与PEBF组身体形态参数差异在中学生男性中高于小学男生，但在女生中是小学高于中学。
家长对儿童青少年身体形态参数不满意的发生率较高。PEBT组家长似乎在孩子年龄较小时更关注其身体形态参数。然而，PEBF组家长在男性孩子年龄较大时或女性孩子年龄较小时可能更关注其身体形态参数。
