Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts, USA.
Department of Human Development & Family Sciences, University of Connecticut, Storrs, Connecticut, USA.
Pediatr Obes. 2024 May;19(5):e13108. doi: 10.1111/ijpo.13108. Epub 2024 Feb 20.
Negative familial weight talk may contribute to higher weight bias internalization in pre- and early adolescents (hereafter referred to as children) and may differ by gender, weight status, and race and ethnicity.
Examine the relationship between negative familial weight talk and weight bias internalization and examine differences by gender, weight status, and race and ethnicity.
We cross-sectionally analysed 5th-7th graders (10-15 years old) living in Massachusetts (n = 375, 52.3% girls, 21.3% BMI ≥85th percentile, 54.8% non-Hispanic White). Negative familial weight talk frequency during the past 3 months was self-reported and discretized as 'never,' 'occasionally' (1-9 times) and 'often' (>9 times); the Modified Weight Bias Internalization Scale assessed weight bias internalization. Generalized linear models estimated the relationship between negative familial weight talk and weight bias internalization and sub-analyses estimated the relationship across gender, weight status, and race and ethnicity. Results are summarized as ratios of means (RoM).
Children experiencing negative familial weight talk occasionally (RoM = 1.12, p = 0.024) and often (RoM = 1.48, p < 0.001) had significantly higher weight bias internalization than children who never experienced it. In sub-analyses, experiencing negative familial weight talk often was associated with higher weight bias internalization among girls (RoM = 1.66, p < 0.001), boys (RoM = 1.32, p = 0.007), children with BMI <85th percentile (RoM = 1.44, p = 0.007) and BMI ≥85th percentile (RoM = 1.39, p = 0.001), and non-Hispanic White children (RoM = 1.78, p < 0.001), but not Hispanic (RoM = 1.25, p = 0.085) or non-Hispanic Black children (RoM = 1.20; p = 0.31).
Frequent negative familial weight talk was associated with higher weight bias internalization across gender and weight status and in non-Hispanic White children only.
负面的家庭体重言论可能会导致青少年（以下简称儿童）内化更高的体重偏见，并且这种影响可能因性别、体重状况和种族及民族而有所不同。
本研究旨在探讨负面家庭体重言论与体重偏见内化之间的关系，并检验其在性别、体重状况和种族及民族方面的差异。
我们对马萨诸塞州的 5 至 7 年级学生（10-15 岁）进行了横断面分析（n=375，52.3%为女孩，21.3%的 BMI≥85 百分位，54.8%为非西班牙裔白人）。在过去 3 个月中，自我报告了负面家庭体重言论的频率，并将其离散化为“从不”、“偶尔”（1-9 次）和“经常”（>9 次）；使用改良的体重偏见内化量表评估体重偏见内化程度。广义线性模型估计了负面家庭体重言论与体重偏见内化之间的关系，亚分析则估计了这种关系在性别、体重状况和种族及民族方面的差异。结果以均值比（RoM）表示。
偶尔经历负面家庭体重言论（RoM=1.12，p=0.024）和经常经历负面家庭体重言论（RoM=1.48，p<0.001）的儿童比从未经历过的儿童有更高的体重偏见内化程度。在亚分析中，经常经历负面家庭体重言论与女孩（RoM=1.66，p<0.001）、男孩（RoM=1.32，p=0.007）、BMI<85 百分位的儿童（RoM=1.44，p=0.007）和 BMI≥85 百分位的儿童（RoM=1.39，p=0.001）以及非西班牙裔白种儿童（RoM=1.78，p<0.001）的体重偏见内化程度较高相关，但与西班牙裔（RoM=1.25，p=0.085）或非西班牙裔黑种儿童（RoM=1.20；p=0.31）无关。
频繁的负面家庭体重言论与性别和体重状况有关，且仅与非西班牙裔白种儿童的体重偏见内化程度较高有关。
