Department of Health Research, Hacettepe University Institute of Public Health, Ankara, Türkiye.
University of Nebraska Medical Center, College of Public Health, Omaha, USA.
Turk J Pediatr. 2023;65(1):24-34. doi: 10.24953/turkjped.2022.511.
This study aimed to validate the Turkish version of Collins` Body Figure Perceptions and Preferences (BFPP) scale. The second aim of this study was to investigate the relationship between body image dissatisfaction (BID) and body esteem (BE), and between body mass index (BMI) and BID, among Turkish children.
A descriptive cross-sectional study was conducted among 2066 4th grade children (mean age was 10.06 ± 0.37 years) in Ankara, Turkey. The Feel-Ideal Difference (FID) index from Collins BFPP was used to assess the degree of BID. FID ranges from -6 to +6, with scores below or above 0 indicating BID. Collins BFPPs test-retest reliability was evaluated in a subset of 641 children. The Turkish version of the BE Scale for Adolescents and Adults was used to evaluate the children BE.
More than half of the children were dissatisfied with their own body images (57.8% of girls vs. 42.2% of boys, p < .05). The lowest BE score in both genders was among adolescents who desired to be thinner (p < .01). The criterion-related validity of Collins BFPP, in relation to BMI and weight, was at an acceptable level in girls (BMI rho= 0.69, weight rho= 0.66) and boys (BMI rho= 0.58, weight rho= 0.57), and was statistically significant in all cases (p < .01). The test-retest reliability coefficients of Collins BFPP were found to be moderately high for both girls (rho=0.72) and boys (rho=0.70).
Collins BFPP scale is a reliable and valid tool for Turkish children aged 9-11 years. This study demonstrates that more Turkish girls than boys were dissatisfied with their bodies. Children who were affected by overweight/obesity and underweight had a higher BID than those with a normal weight. It is important to evaluate adolescents BE and BID in addition to their anthropometric measurements during their regular clinical follow-up.
本研究旨在验证柯林斯身体形象感知和偏好（BFPP）量表的土耳其版本。本研究的第二个目的是调查土耳其儿童的身体形象不满（BID）与身体自尊（BE）之间的关系，以及身体质量指数（BMI）与 BID 之间的关系。
在土耳其安卡拉对 2066 名 4 年级儿童（平均年龄为 10.06±0.37 岁）进行了描述性横断面研究。柯林斯 BFPP 的感觉理想差异（FID）指数用于评估 BID 的程度。FID 的范围为-6 到+6，得分低于或高于 0 表示 BID。在 641 名儿童的子集中评估了柯林斯 BFPP 的测试-重测信度。使用青少年和成人身体自尊量表的土耳其版本评估儿童的身体自尊。
超过一半的儿童对自己的身体形象不满意（女孩为 57.8%，男孩为 42.2%，p<0.05）。在两性中，最不满意自己身体形象的是希望自己更瘦的青少年（p<0.01）。柯林斯 BFPP 与 BMI 和体重的相关性效度在女孩（BMI rho=0.69，体重 rho=0.66）和男孩（BMI rho=0.58，体重 rho=0.57）中处于可接受水平，在所有情况下均具有统计学意义（p<0.01）。柯林斯 BFPP 的测试-重测信度系数在女孩（rho=0.72）和男孩（rho=0.70）中均为中度高。
柯林斯 BFPP 量表是一种适用于 9-11 岁土耳其儿童的可靠有效的工具。本研究表明，与男孩相比，更多的土耳其女孩对自己的身体不满意。超重/肥胖和体重不足的儿童比体重正常的儿童有更高的 BID。在对青少年进行常规临床随访时，除了进行体格测量外，还应评估其身体自尊和 BID。
