Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada.
Division of Endocrinology, The Hospital for Sick Children, Toronto, Ontario, Canada.
Clin Obes. 2024 Aug;14(4):e12664. doi: 10.1111/cob.12664. Epub 2024 Apr 15.
Gender dysphoria (GD) and obesity share commonalities, including associations with mental health comorbidities, disordered eating, body dissatisfaction and may intensify with physical and developmental changes during adolescence. While associations of obesity and gender diversity have been identified, rates of gender diversity among adolescents with obesity remain unclear. The aim was to examine gender diversity among adolescents with obesity in a weight management programme. A single-centre cross-sectional questionnaire study was conducted. Eligible adolescents received the Gender Identity/GD Questionnaire for Adolescents and Adults (GIDYQ-AA), a validated instrument measuring gender diversity and GD. Gender identities, sexual orientations, questionnaire scores, and frequency of GD (GIDYQ-AA score <3) were determined. The relationship of GIDYQ-AA scores and BMI Z-score (BMIz) was assessed. Of 72 consenting youth, 29 assigned females (AF) and 17 assigned males (AM) completed GIDYQ-AA and demographic questions. Seventeen (59%) AF reported non-heterosexual orientations, and 6 (21%) reported non-cisgender identities. One (6%) AM reported non-cisgender identity. Two (4%) AF individuals had GD based on GIDYQ-AA scores. GIDYQ-AA scores did not correlate with BMIz. In conclusion, adolescents with obesity, particularly AF with non-heterosexual orientation, reported high rates of non-cisgender identity and GD. Routine screening for gender-related concerns in weight management settings may be warranted.
性别焦虑（GD）和肥胖存在共同之处，包括与心理健康共病、饮食失调、身体不满的关联，并且可能随着青春期的身体和发育变化而加剧。虽然已经确定了肥胖和性别多样性之间的关联，但肥胖青少年中性别多样性的比例仍不清楚。本研究旨在检查肥胖青少年在体重管理计划中的性别多样性。进行了一项单中心横断面问卷调查研究。符合条件的青少年接受了青少年和成人性别认同/性别焦虑症问卷（GIDYQ-AA），这是一种用于测量性别多样性和 GD 的经过验证的工具。确定了性别认同、性取向、问卷评分以及 GD 的频率（GIDYQ-AA 评分<3）。评估了 GIDYQ-AA 评分与 BMI Z 评分（BMIz）之间的关系。在 72 名同意的青少年中，有 29 名被分配为女性（AF），17 名被分配为男性（AM），他们完成了 GIDYQ-AA 和人口统计学问题。17 名 AF（59%）报告了非异性恋取向，6 名（21%）报告了非顺性别认同。1 名 AM（6%）报告了非顺性别认同。根据 GIDYQ-AA 评分，有 2 名 AF 个体患有 GD。GIDYQ-AA 评分与 BMIz 不相关。总之，肥胖青少年，尤其是具有非异性恋取向的 AF，报告了较高的非顺性别认同和 GD 发生率。在体重管理环境中可能需要对与性别相关的问题进行常规筛查。
