Department of Human Nutrition, Foods and Exercise, Virginia Polytechnic Institute and State University (Virginia Tech), Blacksburg, VA 24061, USA.
Department of Human Nutrition, Foods and Exercise, 327 Wallace Hall, 295 West Campus Drive, Virginia Tech, Blacksburg, VA 24061, USA.
Public Health. 2019 Jun;171:135-138. doi: 10.1016/j.puhe.2019.04.007. Epub 2019 May 24.
This study examines the relationships among self-reported body mass index (BMI), weight perception, and weight intention of rural Appalachian middle school students in southwest Virginia where there are higher rates of health disparities influenced by culture, economic distress, and geographic barriers.
This was a cross-sectional observational study.
Sixth and seventh grade students (n = 492) in seven, rural, southwest Appalachian Virginia middle schools participated in this study in the spring of 2015.
A relatively high percentage of students classified as overweight/obese based on self-reported BMI (n = 196, 39.8%), yet only 29.3% (n = 144) of students believed themselves to be overweight. More boys (48.3%) than girls (29.8%) were classified based on self-reported BMI to be overweight, yet 44.9% of girls indicated the desire to lose weight.
Distinct differences between sexes were found, where more boys were classified as overweight/obese and more girls wanted to lose weight. Previous studies have shown that perspectives of overweight/obese differ in Appalachian communities. These results emphasize the need for both region-specific and sex-specific programs for healthy body weights particularly in rural Appalachian United States.
本研究旨在探讨美国弗吉尼亚州西南部阿巴拉契亚农村地区中学生自我报告的体重指数（BMI）、体重感知和体重意向之间的关系。该地区存在因文化、经济困境和地理障碍导致的健康差异，其发生率较高。
这是一项横断面观察性研究。
2015 年春季，来自弗吉尼亚州西南部 7 所农村阿巴拉契亚地区中学的六、七年级学生（n=492）参与了本研究。
根据自我报告的 BMI，相当大比例的学生被归类为超重/肥胖（n=196，39.8%），但只有 29.3%（n=144）的学生认为自己超重。根据自我报告的 BMI，更多的男生（48.3%）被归类为超重，而女生（29.8%）则更多，然而 44.9%的女生表示希望减肥。
研究发现，性别之间存在明显差异，更多的男孩被归类为超重/肥胖，而更多的女孩希望减肥。之前的研究表明，阿巴拉契亚社区对超重/肥胖的看法存在差异。这些结果强调了针对特定地区和性别的健康体重计划的必要性，特别是在美国农村阿巴拉契亚地区。
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