Cachelin F M, Striegel-Moore R H, Elder K A
Department of Psychology, Wesleyan University, Middletown, CT 06459-0408, USA.
Obes Res. 1998 Jan;6(1):62-8. doi: 10.1002/j.1550-8528.1998.tb00316.x.
Recently, a shift in obesity treatment away from emphasizing ideal weight loss goals to establishing realistic weight loss goals has been proposed; yet, what constitutes "realistic" weight loss for different populations is not clear. This study examined notions of realistic shape and weight as well as body size assessment in a large community-based sample of African-American, Asian, Hispanic, and white men and women. Participants were 1893 survey respondents who were all dieters and primarily overweight. Groups were compared on various variables of body image assessment using silhouette ratings. No significant race differences were found in silhouette ratings, nor in perceptions of realistic shape or reasonable weight loss. Realistic shape and weight ratings by both women and men were smaller than current shape and weight but larger than ideal shape and weight ratings. Compared with male dieters, female dieters considered greater weight loss to be realistic. Implications of the findings for the treatment of obesity are discussed.
最近，有人提议将肥胖治疗的重点从强调理想的体重减轻目标转向设定现实的体重减轻目标；然而，对于不同人群而言，什么构成“现实的”体重减轻尚不清楚。本研究在一个以社区为基础的大型样本中，对非裔美国人、亚洲人、西班牙裔和白人男性及女性的现实体型和体重观念以及身体尺寸评估进行了调查。参与者为1893名接受调查的受访者，他们均为节食者且主要超重。使用轮廓评级对各群体在身体形象评估的各种变量上进行了比较。在轮廓评级、对现实体型或合理体重减轻的认知方面，未发现显著的种族差异。女性和男性对现实体型和体重的评级均小于当前体型和体重，但大于理想体型和体重评级。与男性节食者相比，女性节食者认为更大程度的体重减轻是现实的。文中讨论了这些研究结果对肥胖治疗的启示。
