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肥胖的青少年男孩是否忽视了一项重大的健康风险?

Are obese adolescent boys ignoring an important health risk?

作者信息

Steen S N, Wadden T A, Foster G D, Andersen R E

机构信息

Department of Psychiatry, University of Pennsylvania, Philadelphia 19104-2648, USA.

出版信息

Int J Eat Disord. 1996 Nov;20(3):281-6. doi: 10.1002/(SICI)1098-108X(199611)20:3<281::AID-EAT7>3.0.CO;2-K.

Abstract

OBJECTIVE

The present study assessed satisfaction with weight, shape, and physical appearance, as well as the frequency of weight reduction efforts, in four well-defined groups of adolescents: (1) normal-weight girls; (2) normal-weight boys; (3) obese girls; and (4) obese boys.

METHOD

Subjects were selected from 453 females and 355 males from a parochial school. In addition to the measurements of height and weight, adolescents completed a series of questionnaires on weight and dieting, weight and figure satisfaction, parents' attitudes toward weight, and anxiety.

RESULTS

Only 49% of obese boys had tried to lose weight over the past year as compared to 90% of the obese girls (p < .001). Only 13% of the obese boys were currently dieting as compared to 62% of the obese girls (p < .001). Despite the relative equivalence of weight in the obese boys and girls, the boys perceived themselves to be less overweight (p < .05) and happier with their looks (p < .001) than obese girls. Thirty-three percent of normal-weight girls were dieting, and 70% had attempted weight loss over the past year. They were significantly less happy with their weight and figure than were average-weight boys (p < .001) and, remarkably, did not differ significantly from overweight boys on these measures.

DISCUSSION

Obese adolescent males, in particular, need to be educated about the potential liabilities of their excess weight and encouraged to take appropriate action to correct it.

摘要

目的

本研究评估了四类明确的青少年群体对体重、体型和外貌的满意度,以及减肥尝试的频率,这四类群体分别为:(1)体重正常的女孩;(2)体重正常的男孩;(3)肥胖女孩;(4)肥胖男孩。

方法

从一所教会学校的453名女性和355名男性中选取研究对象。除了测量身高和体重外,青少年还完成了一系列关于体重与节食、体重与体型满意度、父母对体重的态度以及焦虑的问卷。

结果

在过去一年中,只有49%的肥胖男孩尝试过减肥,而肥胖女孩的这一比例为90%(p < .001)。目前只有13%的肥胖男孩在节食,而肥胖女孩的这一比例为62%(p < .001)。尽管肥胖男孩和女孩的体重相对相当,但男孩认为自己的超重程度较低(p < .05),对自己外貌的满意度高于肥胖女孩(p < .001)。33%体重正常的女孩在节食,70%在过去一年中尝试过减肥。她们对自己体重和体型的满意度明显低于体重正常的男孩(p < .001),而且值得注意的是,在这些指标上与超重男孩没有显著差异。

讨论

特别是肥胖的青少年男性,需要了解超重可能带来的危害,并鼓励他们采取适当行动加以纠正。

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