Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Universidade Federal Rural do Rio de Janeiro, Seropédica, RJ, Brazil.
Rev Paul Pediatr. 2020 Mar 16;38:e2018383. doi: 10.1590/1984-0462/2020/38/2018383. eCollection 2020.
To investigate the association between weight status and anthropometric indicators of adiposity with body esteem.
Cross-sectional study including 305 adolescents from a public school in Rio de Janeiro, Brazil. Data were collected by a self-administered questionnaire and anthropometric measurements. The Body-Esteem Scale for Adolescents and Adults was used to evaluate total body esteem and the "appearance", "weight", and "attribution" domains. Body mass index (weight/stature2) was applied to assess weight status and waist circumference, the central body adiposity. The association between indicators of adiposity and body esteem was assessed using Student's t-test or Mann-Whitney's test and linear regression models, stratified by sex and age group.
Overweight/obesity was observed in 46% of younger adolescents (10 to 13 year-old girls, 10 to 14 year-old boys), 38% of older boys (15 to 18 year old), and 16% of older girls (14 to 18 year old). For both boys and girls in the younger age group, body mass index and waist circumference (as continuous variables) were inversely associated with total body esteem and weight domain. Overweight/obesity was associated with the appearance body esteem domain only among younger male adolescents; no association was found between either the body mass index or waist circumference and the attribution domain.
Indicators of adiposity were associated with low body esteem. These findings underscore the fact that considering adolescents' feelings concerning their body and appearance is important to promote a healthy control of weight.
研究体重状况和肥胖的人体测量指标与身体自尊之间的关系。
本横断面研究纳入了巴西里约热内卢一所公立学校的 305 名青少年。通过自填式问卷和人体测量收集数据。使用青少年和成人身体自尊量表评估总体身体自尊以及“外貌”、“体重”和“归因”领域。应用体质指数（体重/身高 2 ）评估体重状况和腰围，即中心性肥胖。采用学生 t 检验或曼-惠特尼 U 检验和线性回归模型，按性别和年龄组分层，评估肥胖指标与身体自尊之间的关系。
在较年轻的青少年（10 至 13 岁女孩，10 至 14 岁男孩）中，46%超重/肥胖；在年龄较大的男孩（15 至 18 岁）中，38%超重/肥胖；在年龄较大的女孩（14 至 18 岁）中，16%超重/肥胖。对于年龄较小的男孩和女孩，体质指数和腰围（连续变量）与总体身体自尊和体重域呈负相关。超重/肥胖仅与年轻男性青少年的外貌身体自尊域相关；体质指数或腰围与归因域均无相关性。
肥胖指标与低身体自尊有关。这些发现强调了考虑青少年对自己身体和外貌的感受对于促进健康的体重控制很重要的事实。
