Nikniaz Zeinab, Mahdavi Reza, Amiri Samira, Ostadrahimi Alireza, Nikniaz Leila
Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Eat Behav. 2016 Aug;22:5-9. doi: 10.1016/j.eatbeh.2016.03.018. Epub 2016 Mar 24.
The prevalence of body image dissatisfaction is considered high in both developed and developing countries. It has been shown that many factors affect the body image dissatisfaction. However, because of the economical and cultural differences, it seems that these affecting factors should be determined in each region. So, the present study was designed to evaluate the prevalence and associated factors with body image dissatisfaction and distortion among Iranian women. Body image perception was analyzed in 500 women through the Stunkard figure rating system. The International Physical Activity Questionnaire was used for assessing physical activity level. The information about age, marital status and socioeconomic status was recorded by general questionnaire. The one-way ANOVA and regression were used for statistical analysis. By increasing the BMI categories from underweight to obesity, participants tended to perceive their body size thinner than real body size. The regression models indicated that the body image distortion was significantly increased with increasing the BMI (p=0.002) and physical activity level (p=0.008). Besides, dissatisfaction by being heavier than ideal was significantly associated with higher BMI (OR (95% CI). 1.21 (1.03, 1.17)). Considering the high prevalence of body image dissatisfaction among Iranian women, for preventing psychological problems and eating disorders, appropriate public health programs for increasing awareness about healthy body size were needed.
在发达国家和发展中国家，身体形象不满的患病率都被认为很高。研究表明，许多因素会影响身体形象不满。然而，由于经济和文化差异，似乎这些影响因素在每个地区都应该被确定。因此，本研究旨在评估伊朗女性身体形象不满和扭曲的患病率及其相关因素。通过斯图卡德体型评定系统对500名女性的身体形象认知进行了分析。使用国际体力活动问卷来评估体力活动水平。通过一般问卷记录年龄、婚姻状况和社会经济状况等信息。采用单因素方差分析和回归分析进行统计分析。随着体重指数类别从体重过轻增加到肥胖，参与者倾向于认为自己的体型比实际体型更瘦。回归模型表明，随着体重指数（p = 0.002）和体力活动水平（p = 0.008）的增加，身体形象扭曲显著增加。此外，比理想体重更重所导致的不满与更高的体重指数显著相关（比值比（95%置信区间）。1.21（1.03，1.17））。考虑到伊朗女性身体形象不满的高患病率，为预防心理问题和饮食失调，需要开展适当的公共卫生项目以提高对健康体型的认识。
