身高和体重筛查的认知及其与身体意象的关联：一项对小学低年级儿童的横断面研究。

Perceptions of height and weight screening and associations with body image: a cross-sectional study in early primary school children.

机构信息

Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway

Centre of Obesity Research (ObeCe), St. Olavs Hospital, Trondheim, Norway.

出版信息

BMJ Paediatr Open. 2024 Jun 8;8(1):e002568. doi: 10.1136/bmjpo-2024-002568.

DOI:10.1136/bmjpo-2024-002568

PMID:38851222

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11163671/

Abstract

BACKGROUND

Despite parental concern, few studies have investigated children's experiences with school-based screening of growth deviations. This study aimed to explore perceptions of height and weight screening and associations with body size dissatisfaction (BSD) among third-grade children aged 8-9 years in central Norway.

METHODS

In a cross-sectional study between November 2021 and April 2022, perceptions of height and weight screening and BSD were assessed individually among 209 children (49% girls) through researcher-assisted interviews.

RESULTS

Most children indicated satisfaction with the screening by selecting a happy emoji, whereas only 1% indicated dissatisfaction, by selecting an unhappy emoji. However, 23%-30% selected a neutral emoji, indicating either neutrality or a response between satisfaction and dissatisfaction. No difference in the perception of height and weight screening was found between genders or body mass index (BMI). Children with parents from non-Western countries had a higher risk of being less satisfied with the height screening (OR=3.0, 95% CI 1.2 to 7.3) than those from Western origin, and children attending schools with lower socioeconomic status (SES) had increased risk of being less satisfied with both height (OR=5.5, 95% CI 2.2 to 13.5) and weight screening (OR=4.0, 95% CI 1.7 to 9.3), compared with children from schools with medium-high SES. Twenty-three percent reported BSD, in which 14% and 9% desired a thinner or larger body, respectively, independent of gender and BMI. No association was found between BSD and the perception of weighing (OR=1.1, 95% CI 0.6 to 2.4), however, BSD was associated with being more satisfied with height screening (OR=0.3, 95% CI 0.1 to 0.8).

CONCLUSION

In the present sample, most children indicated satisfaction with school-based height and weight screening, with no differences between gender or BMI category. However, more children of non-Western origin and from areas with low SES reported less satisfaction with the screening, independent of BSD.

摘要

背景

尽管家长们很关心，但很少有研究调查过孩子们对学校进行生长偏差筛查的体验。本研究旨在探讨挪威中部 8-9 岁三年级儿童对身高和体重筛查的看法，以及这些看法与身体大小不满（BSD）之间的关系。

方法

在 2021 年 11 月至 2022 年 4 月期间进行的一项横断面研究中，通过研究人员协助的访谈，单独评估了 209 名儿童（49%为女孩）对身高和体重筛查以及 BSD 的看法。

结果

大多数儿童通过选择一个开心的表情符号表示对筛查满意，而只有 1%的儿童通过选择一个不开心的表情符号表示不满意。然而，23%-30%的儿童选择了一个中立的表情符号，这表明他们的反应既不是满意也不是不满意。性别或身体质量指数（BMI）之间对身高和体重筛查的看法没有差异。来自非西方国家的父母的孩子对身高筛查的满意度较低的风险较高（OR=3.0，95%CI 1.2 至 7.3），而来自社会经济地位（SES）较低的学校的孩子对身高（OR=5.5，95%CI 2.2 至 13.5）和体重筛查（OR=4.0，95%CI 1.7 至 9.3）的满意度较低，与来自 SES 中等偏上的学校的孩子相比。23%的儿童报告 BSD，其中 14%和 9%分别希望自己的身体更瘦或更大，独立于性别和 BMI。BSD 与对称重的看法没有关联（OR=1.1，95%CI 0.6 至 2.4），但是，BSD 与对身高筛查更满意有关（OR=0.3，95%CI 0.1 至 0.8）。