Adolescents' self‐perceived and actual weight: Which plays a dominant role in weight loss behaviour in Lebanon?

Assaad, Sarah; Anouti, Sirine; Naja, Farah; Nasreddine, Lara; Hwalla, Nahla; Sibai, Abla Mehio

doi:10.1111/cch.12512

Cited by 6 publications

(4 citation statements)

References 32 publications

(43 reference statements)

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“…Our findings are somewhat similar to the findings from a study in Iran reporting that 40% of the children misperceived their body size by either overestimating underweight or underestimating obesity status [ 61 ]. In a study conducted in Lebanon using a sample of 278 adolescents aged 13–17 years, a third (30.5%) of the adolescents and more than half (56.8%) of the obese adolescents underestimated their weight [ 32 ]. In our study, BMI was compared with body fatness measured using the DDM and the results showed that children were 3 and 19 times more likely to underestimate overweight and obesity, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, girls who wanted to be fatter had significantly higher BMI (p<0.001) than the girls who wanted to be thinner [31]. Findings from a prospective cohort study involving 278 adolescents aged13 to 17 years by Assaad and colleagues [32] reported that 39.9% and 10.1% perceived themselves as obese and overweight, respectively. The study also reported a fair agreement (60.8%, kappa statistic [κ] = 0.319) between measured BMI percentile and self-perceived BMI.…”

Section: Introductionmentioning

confidence: 98%

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Level of agreement between objectively determined body composition and perceived body image in 6- to 8-year-old South African children: The Body Composition–Isotope Technique study

et al. 2020

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To assess the level of agreement between body size self-perception and actual body size determined by body mass index (BMI) z-score and body fatness measured by the deuterium dilution method (DDM) in South African children aged 6-8 years. A cross-sectional sample of 202 children (83 boys and 119 girls) aged 6-8 years from the Body Composition-Isotope Technique study (BC-IT) was taken. Subjective measures of body image (silhouettes) were compared with the objective measures of BMI z-score and body fatness measured by the DDM. The World Health Organization BMI z-scores were used to classify the children as underweight, normal, overweight, or obese. DDM-measured fatness was classified based on the McCarthy centile curves set at 2nd, 85th and 95th in conjunction with fatness cutoff points of 25% in boys and 30% in girls. Data were analyzed using SPSS v26. Of 202 children, 32.2%, 55.1%, 8.8%, and 2.4% perceived their body size as underweight, normal, overweight, and obese, respectively. Based on BMI z-score, 18.8%, 72.8%, 6.9%, and 1.5% were classified as underweight, normal, overweight, and obese, respectively. Body fatness measurement showed that 2.5%, 48.0%, 21.8%, and 29.7% were underweight, normal weight, overweight, and obese, respectively. The application of silhouettes and BMI zscores resulted in either overestimation or underestimation of own body size. Overall, the levels of agreements (kappa, κ) between body size perception, body fatness, and BMI for age respectively, were small (κ = 0.083, p = 0.053 and κ = 0.154, p<0.001). Level of agreement between body size perception, body fatness, and BMI z-score was poor. The use of silhouettes made children either overestimate their own body size while being underweight or underestimate their own body size while being overweight or obese. Given the potential

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Level of agreement between objectively determined body composition and perceived body image in 6- to 8-year-old South African children: The Body Composition–Isotope Technique study

et al. 2020

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“…Such imprecision of self-perceptions may lead to inappropriate weight management strategies. Hence, addressing children's perceptions of their body may be more important for interventions than focussing solely on their actual body size (Assaad et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Healthy lifestyles and body mass index as correlates of body image dissatisfaction in primary schoolchildren

Calmeiro¹,

Pereira²

2019

Acta Gymnica

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body mass index (BMI) in children aged 6-11 years old. Generally, girls tend to prefer a thinner body while boys prefer a larger body. Dissatisfaction with the body increases with age as adolescents become more aware of social-prescribed ideals of the body and are more vulnerable to comparison with peers (Dion et al., 2016; Ricciardelli & McCabe, 2001). The relationship of body image with BMI is particularly alarming as the prevalence of overweight and obesity in children (7-9 years old) is as high as 31.5% (Padez, Fernandes, Mourão, Moreira, & Rosado, 2004). In addition, in a study conducted with Portuguese children (7-10 years old), BMI predicted 25.6% in boys and 30.8% girls' dissatisfaction with their body shape (Coelho, Padez, Moreira, Rosado, & Mourao-Carvalha, 2013). Duchin et al. (2014) further confirmed BMI as the strongest predictor of body image dissatisfaction of 5-12-year-olds; in addition, body image dissatisfaction may have a long-term negative effect as it significantly influenced further weight gain

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“…As a primary dimension of body image central to emotional well-being, weight perceptions play an important role in body management [ 5 ]. Previous studies have suggested that self-perceived weight status was a stronger predictor of weight control effort and practices than the actual weight status [ 6 , 7 ]. Evidence from a recent systematic review confirmed that perceived overweight was associated with weight loss attempts, as well as weight control strategies [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Relationships of weight perceptions with weight control related behaviors among Chinese children and adolescents: A school-based study in Zhejiang Province

Yu,

Dong,

et al. 2023

PLoS ONE

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Objectives Weight perceptions have been implicated in weight control related behaviors among children and adolescents, yet studies in mainland China are scarce. We examined the associations of self-perceived weight status and weight misperception with weight control related behaviors in Chinese middle and high school students. Methods We used cross-sectional data from the 2017 Zhejiang Youth Risk Behavior Survey which that included 17,359 Chinese students, with 8,616 boys and 8,743 girls. Perceived weight status, as well as height, weight and weight control related behaviors information was collected via a self-reported questionnaire. Odds ratios (ORs) with 95% confidence intervals (CIs) calculated by multinomial logistic regression were used to assess the relationships between weight perceptions and weight control related behaviors. Results Among the 17,359 students aged 9 to 18 years, the mean (SD) age was 15.72 (1.64) years. Overall, 34.19% of children and adolescents perceived themselves as overweight and the prevalence of weight misperception was 45.44%, with 35.54% overestimation and 9.90% underestimation. Children and adolescents perceiving themselves as overweight were more likely to have weight control behaviors, with OR was 2.60 (95% CI: 2.39–2.83) for weight control attempt, 2.48 (2.28–2.70) for exercising, 2.85 (2.60–3.11) for dieting, 2.01 (1.51–2.68) for taking laxatives, 2.09 (1.67–2.02) for taking diet pills, and 2.39 (1.94–2.94) for fasting, respectively, compared to those with right weight status. Among children and adolescents with overestimating weight status, the OR was 2.40 (2.22–2.59), 2.50 (2.31–2.70), 2.85 (2.61–3.11), 1.81 (1.39–2.37), 2.20 (1.77–2.74), and 2.16 (1.77–2.63) for weight control attempt, exercising, dieting, taking laxatives, taking diet pills, and fasting, relative to those with accurate weight perception. Conclusions Self-perceived overweight and weight misperception are prevalent in Chinese children and adolescents, and positively associated with weight control related behaviors.

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Adolescents' self‐perceived and actual weight: Which plays a dominant role in weight loss behaviour in Lebanon?

Abstract: Background: The decision to lose weight among adolescents is complex and is guided by a

Cited by 6 publications

References 32 publications

Level of agreement between objectively determined body composition and perceived body image in 6- to 8-year-old South African children: The Body Composition–Isotope Technique study

Level of agreement between objectively determined body composition and perceived body image in 6- to 8-year-old South African children: The Body Composition–Isotope Technique study

Healthy lifestyles and body mass index as correlates of body image dissatisfaction in primary schoolchildren

Relationships of weight perceptions with weight control related behaviors among Chinese children and adolescents: A school-based study in Zhejiang Province

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