Ballarin Giada, Gallè Francesca, Dinacci Lucia, Liberti Federica, Cunti Antonia, Valerio Giuliana
Department of Medical, Movement and Wellbeing Sciences, University of Naples "Parthenope", 80133 Naples, Italy.
Children (Basel). 2024 Jun 30;11(7):805. doi: 10.3390/children11070805.
(1) Background: Body image dissatisfaction has been commonly reported in adolescents with overweight/obesity and has been related to a lack of motivation to change lifestyle behaviors. Plus, a better perception of physical fitness has been related to a higher self-perception in physical aspect and social items in youths. (2) Methods: A total of 120 (59.2% males, mean age of 12.3 ± 0.9 years) middle-school adolescents participated in the present study. Anthropometric measurements were assessed following the standard procedures. Body weight perception and body image satisfaction were assessed using the Silhouette Figure Body Images Test. Self-perception profile, perceived physical fitness, and perceived difficulties in conducting physical tasks were assessed by using structured questionnaires. (3) Results: Overweight was present in 27.5% adolescents and obesity in 32.5%. A total of 89.7% of adolescents with obesity did not have a real perception of his/her weight status and 84.6% of adolescents with obesity were not satisfied with his/her body image. The self-perception of physical appearance, perceived difficulties in running, perceived overall fitness, and perceived speed/agility were lower in adolescents who were unsatisfied with their body image. Body image satisfaction was positively associated with the self-perception of physical appearance and overall fitness and negatively associated with perceived difficulties in running, independently of sex, age, and BMI. (4) Conclusions: Adolescents with obesity did not have a real perception of their weight status and were unsatisfied with their body image. The positive association between body satisfaction, a better perception of overall fitness, and less difficulties in conducting physical tasks suggests the protective role of the components of physical activity and health-related fitness on body acceptance in a critical period of life.
（1）背景：超重/肥胖青少年中普遍存在身体形象不满的情况，且这与缺乏改变生活方式行为的动机有关。此外，对身体素质的更好认知与青少年在身体方面和社交方面的更高自我认知有关。（2）方法：共有120名（59.2%为男性，平均年龄12.3±0.9岁）初中青少年参与了本研究。按照标准程序进行人体测量。使用轮廓图身体图像测试评估体重认知和身体形象满意度。通过结构化问卷评估自我认知概况、感知到的身体素质以及进行体育任务时感知到的困难。（3）结果：27.5%的青少年超重，32.5%的青少年肥胖。共有89.7%的肥胖青少年对自己的体重状况没有真实认知，84.6%的肥胖青少年对自己的身体形象不满意。对身体形象不满意的青少年在身体外观的自我认知、跑步时感知到的困难、整体身体素质感知以及速度/敏捷性感知方面较低。身体形象满意度与身体外观的自我认知和整体身体素质呈正相关，与跑步时感知到的困难呈负相关，且不受性别、年龄和BMI的影响。（4）结论：肥胖青少年对自己的体重状况没有真实认知，且对自己的身体形象不满意。身体满意度、对整体身体素质的更好认知以及进行体育任务时较少困难之间的正相关表明，在生命的关键时期，身体活动和与健康相关的身体素质的组成部分对身体接纳具有保护作用。
