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巴西南部公立学校女青少年的父母教养方式、身体不满和体重控制行为。

Parental practices, body dissatisfaction and weight control practices in female adolescents from public schools in southern Brazil.

机构信息

Graduate Program in Health Sciences: Gynecology and Obstetrics, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.

Graduate Program in Collective Health, Universidade do Vale do Rio dos Sinos (UNISINOS), São Leopoldo, Brazil.

出版信息

Br J Nutr. 2021 Aug 14;126(3):470-480. doi: 10.1017/S0007114520004250. Epub 2020 Nov 3.

Abstract

The objective was to verify the association between body dissatisfaction (BD) - constituted by the desire to lose weight - with family and personal aspects related to the shape of the body and weight control practices in female adolescents. A cross-sectional, observational epidemiological study with adolescents aged 12-19 years, enrolled in classes of the 8th and 9th years of public schools belonging to the urban area of the city of Caxias do Sul/Rio Grande do Sul, Brazil, was conducted. A self-applicable questionnaire was used. BD was assessed using a silhouette scale. Multivariate regression was performed using Poisson regression with robust variation, hierarchically using a pre-established conceptual model, using the prevalence ratio (PR) adjusted with 95 % CI as a measure of effect. A significance level of 5 % (P ≤ 0·05) was considered. Among the 685 female students, 77·2 % had BD. The father's incentive to diet sometimes (PR 1·19; 95 % CI 1·07, 1·32; P ≤ 0·001) and always (PR 1·15; 95 % CI 1·03, 1·28; P ≤ 0·001), trying to lose weight (PR 1·63; 95 % CI 1·33, 1·99; P ≤ 0·001), dieting five times or more (PR 1·22; 95 % CI 1·09, 1·36; P ≤ 0·001) and skipping meals less than once a week (PR 1·16; 95 % CI 1·04, 1·29; P = 0·026) increased the chances of having BD. In conclusion, among the investigated parents' behaviours, only the father's incentive to go on a diet was associated with BD. Adolescent weight control practices increased the chances of having BD. Thus, it facilitates the identification of this condition at an early stage, enabling adequate treatment and prevention of health complications.

摘要

目的是验证身体不满(BD)-由减肥的愿望构成-与与身体形状和体重控制实践相关的家庭和个人方面之间的关联,在女性青少年中。这是一项横断面、观察性流行病学研究,研究对象为年龄在 12-19 岁的青少年,他们就读于巴西卡西亚斯杜苏尔/南里奥格兰德州城市区公立学校的 8 年级和 9 年级。使用了一份自我适用的问卷。BD 使用轮廓量表进行评估。使用泊松回归进行多变量回归,使用稳健变化分层进行,使用预先确定的概念模型,使用调整后的患病率比(PR)和 95%置信区间(CI)作为效应测量值。考虑到 5%的显著性水平(P ≤ 0.05)。在 685 名女学生中,77.2%有 BD。父亲有时(PR 1.19;95%CI 1.07,1.32;P ≤ 0.001)和总是(PR 1.15;95%CI 1.03,1.28;P ≤ 0.001)鼓励节食,试图减肥(PR 1.63;95%CI 1.33,1.99;P ≤ 0.001),节食五次或更多次(PR 1.22;95%CI 1.09,1.36;P ≤ 0.001)和每周少吃一次或更少的次数(PR 1.16;95%CI 1.04,1.29;P = 0.026)增加了出现 BD 的机会。综上所述,在所调查的父母行为中,只有父亲的节食激励与 BD 相关。青少年的体重控制实践增加了出现 BD 的机会。因此,它有助于在早期识别这种情况,从而能够进行适当的治疗和预防健康并发症。

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