Crisp A H
Int J Obes. 1977;1(3):231-8.
Adolescent attitudes to body shape and weight are radically different between the sexes. Females, within a very short time of crossing their pubertal "threshold", usually wish to minimise their shape and often construe themselves as "fat" when it is evident that they are not in fact obese. The majority attempt to "diet" and often succeed, at least intermittently, in substantially reducing the amount of carbohydrate in their daily food intake. This "fatness" of females has important biological and social functions, being closely related to sexual reproductive tasks and being also an important aspect of their appearance and "attractiveness". In contrast, males rarely have such concern about their shape unless they are massively obese or have major gender identity problems. Fatness in both sexes is also associated with growth rate, being greater in those who reach puberty early. Such "puppy fat" together with the commonplace adolescent female's attitude to her own shape are, in the face of adolescent psychosocial stress, contributory factors to the development of anorexia nervosa (the thin/fat syndrome) in many such women who would otherwise tend to obesity. The relevance of body weight and fatness for the pubertal "threshold" process and the mobilisation of this as a central mechanism within the disorder is discussed.
青少年对体型和体重的态度在性别之间存在根本差异。女性在跨越青春期“门槛”后的很短时间内，通常希望使自己的体型最小化，并且当很明显她们实际上并不肥胖时，往往会认为自己“胖”。大多数女性试图“节食”，并且常常至少间歇性地成功大幅减少日常食物摄入中的碳水化合物量。女性的这种“肥胖感”具有重要的生物学和社会功能，与性生殖任务密切相关，也是她们外貌和“吸引力”的一个重要方面。相比之下，男性很少如此关注自己的体型，除非他们极度肥胖或有严重的性别认同问题。两性的肥胖也与生长速度有关，青春期早的人肥胖程度更高。面对青少年心理社会压力，这种“婴儿肥”以及青春期常见的女性对自身体型的态度，是许多原本倾向于肥胖的女性发展为神经性厌食症（瘦/胖综合征）的促成因素。本文讨论了体重和肥胖对青春期“门槛”过程的相关性，以及将其作为该疾病核心机制的作用。
