年轻人的身体不满、内化体重偏见与生活质量。
Body dissatisfaction, internalized weight bias and quality of life in young men and women.
机构信息
Centre for Rural Health, College of Health and Medicine, University of Tasmania, E, Rm 003, Locked Bag 1322, Launceston, TAS, 7250, Australia.
School of Medicine, Western Sydney University, Sydney, Australia.
出版信息
Qual Life Res. 2019 Jul;28(7):1825-1833. doi: 10.1007/s11136-019-02140-w. Epub 2019 Feb 19.
PURPOSE
We examined the relative importance of body dissatisfaction (BD) and internalized weight bias (IWB) in accounting for variance in quality of life (QoL) impairment in an ethnically diverse sample of college students (n = 630) and potential moderation of these associations by sex.
METHODS
Participants completed an online survey that included established measures of BD, IWB and QoL. Regression models were used to examine the relative contributions of BD and IWB in accounting for variance in physical and mental QoL impairment.
RESULTS
BD and IWB were highly correlated with bivariate analysis in both women (r = .76) and men (r = .60). In multivariable analysis, IWB was found to be associated with both physical (b = - 1.33, 95% CI - 1.93, - 0.72) and mental (b = - 2.58, 95% CI - 3.45, - 1.72) QoL impairment, whilst BD was not associated with impairment in either physical (b = - 0.29, 95% CI - 0.68, 0.09) or mental (b = - 0.48, 95% CI - 1.03, 0.07) QoL. While levels of both BD and IWB were higher for women than for men, sex did not moderate the association between either BD or IWB and either physical or mental QoL.
CONCLUSIONS
The findings support the view that IWB warrants greater attention in interventions seeking to reduce the adverse impact of BD in both women and men and both normal-weight and overweight individuals.
目的
我们考察了身体不满（BD）和内化体重偏见（IWB）在解释不同种族大学生（n=630）生活质量（QoL）受损差异中的相对重要性，并考察了这些关联是否受到性别的调节。
方法
参与者完成了一项在线调查，其中包括对 BD、IWB 和 QoL 的既定测量。回归模型用于检验 BD 和 IWB 在解释身体和心理 QoL 受损差异方面的相对贡献。
结果
BD 和 IWB 在女性（r=.76）和男性（r=.60）的双变量分析中高度相关。在多变量分析中，发现 IWB 与身体（b=−1.33，95%CI−1.93，−0.72）和心理（b=−2.58，95%CI−3.45，−1.72）QoL 受损均相关，而 BD 与身体（b=−0.29，95%CI−0.68，0.09）或心理（b=−0.48，95%CI−1.03，0.07）QoL 受损均不相关。虽然 BD 和 IWB 的水平在女性中均高于男性，但性别并未调节 BD 或 IWB 与身体或心理 QoL 之间的任何关联。
结论
这些发现支持了这样一种观点，即 IWB 在干预措施中应得到更多关注，以减少 BD 在女性和男性、正常体重和超重个体中的不良影响。
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