Multimodal Body Representation of Obese Children and Adolescents before and after Weight-Loss Treatment in Comparison to Normal-Weight Children

Mölbert, Simone Claire; Sauer, Helene; Dammann, Dirk; Zipfel, Stephan; Teufel, Martin; Junne, Florian; Enck, Paul; Giel, Katrin Elisabeth; Mack, Isabelle

doi:10.1371/journal.pone.0166826

Cited by 26 publications

(30 citation statements)

References 42 publications

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“…There are similar patterns concerning other aspects of body image between individuals with obesity and with anorexia nervosa as well: Recent studies examining body image in individuals with obesity found evidence that obese individuals are not generally biased in estimating their own body size but cognitive-affective factors are likely to play an important role (33). Obese children and adolescents did also not differ in their body size estimation from normal weight children and adolescents (34). To the best of our knowledge, possible common mechanisms have still to be determined.…”

Section: Discussionmentioning

confidence: 92%

Perceived Stress Mediates the Relationship of Body Image and Depressive Symptoms in Individuals With Obesity

Ziser¹,

Finklenburg²,

Behrens³

et al. 2019

Front. Psychiatry

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Obesity is a world-wide increasing condition classified by a BMI ≥ 30 kg/m2 that is frequently accompanied by various somatic comorbidities as well as an increased risk for mental comorbidities. Studies show associations of obesity with symptoms of depression, lower quality of life, and higher (perceived) stress compared to the general population. Body image has also been shown to play an important role in eating and weight disorders. The present study therefore aims to contribute to the understanding of the relationship of body image, perceived stress, and symptoms of depression in a morbidly obese population. N = 579 individuals with obesity were included upon presentation at a university clinic. The hypothesized mediating role of perceived stress in the relationship of body image dimensions and symptoms of depression could be confirmed. The results underline the importance of identifying promising stress management techniques and addressing perceived stress e.g. through mindfulness based approaches in the (lifestyle and/or weight) interventions for obesity taking into account the specific stressors of obesity affected individuals such as body image.

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Section: Discussionmentioning

confidence: 92%

Perceived Stress Mediates the Relationship of Body Image and Depressive Symptoms in Individuals With Obesity

Ziser¹,

Finklenburg²,

Behrens³

et al. 2019

Front. Psychiatry

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“…A number of recent studies have reported disruption of tactile distance perception in clinical disorders (e.g., Keizer et al., 2011, 2012; Scarpina et al., 2014; Spitoni et al., 2015; Mölbert et al., 2016; Engel and Keizer, 2017). For example, Keizer and colleagues (Keizer et al., 2011, 2012) found that in comparison with healthy controls, patients with anorexia nervosa overestimated tactile distances on both the belly and hand.…”

Section: Integration Of Tactile Information With Representations Of Bmentioning

confidence: 99%

A Conceptual Model of Tactile Processing across Body Features of Size, Shape, Side, and Spatial Location

2019

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The processing of touch depends of multiple factors, such as the properties of the skin and type of receptors stimulated, as well as features related to the actual configuration and shape of the body itself. A large body of research has focused on the effect that the nature of the stimuli has on tactile processing. Less research, however, has focused on features beyond the nature of the touch. In this review, we focus on some features related to the body that have been investigated for less time and in a more fragmented way. These include the symmetrical quality of the two sides of the body, the postural configuration of the body, as well as the size and shape of different body parts. We will describe what we consider three key aspects: (1) how and at which stages tactile information is integrated between different parts and sides of the body; (2) how tactile signals are integrated with online and stored postural configurations of the body, regarded as priors; (3) and how tactile signals are integrated with representations of body size and shape. Here, we describe how these different body dimensions affect integration of tactile information as well as guide motor behavior by integrating them in a single model of tactile processing. We review a wide range of neuropsychological, neuroimaging, and neurophysiological data and suggest a revised model of tactile integration on the basis of the one proposed previously by Longo et al.

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“…Childhood overweight and obesity are increasing globally, with adverse physical and psychosocial consequences on health and quality of life [1]. Body image-or the perception and thoughts about one's body-has been reported as one of the main factors related to psychological well-being that are more seriously compromised in obesity [2,3]. Moreover, body dissatisfaction seems to increase with overweight status [2,4].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, body dissatisfaction seems to increase with overweight status [2,4]. Although weight loss and improved body appearance could represent primary motivators for Physical Activity (PA) in obese children [5], it is still unclear whether weight loss might induce changes in the body representation of obese children [3]. In particular, it is still unclear whether Sustainability 2020, 12, 1128 2 of 13 low levels of PA are determinants or consequences of body dissatisfaction [6].…”

Section: Introductionmentioning

confidence: 99%

Changes in Physical Activity, Motor Performance, and Psychosocial Determinants of Active Behavior in Children: A Pilot School-Based Obesity Program

et al. 2020

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The obesity epidemic and the decline of fitness among children highlights the need for suitable interventions designed to promote Physical Activity (PA) and healthy habits. The purpose of our pilot study was to assess the feasibility of a school-based program among overweight and obese children, by examining changes in their body composition, PA, physical fitness, and some psychosocial determinants of active behavior. An additional objective was to investigate the reciprocal relationship over time between PA and body image. Self-reported PA and health-related fitness tests were administered to 18 overweight and obese children (11.3 ± 0.4 years), before and after a 6-month intervention including nutritional education, skill-learning, playful physical activities, and exercise training. Participants were assessed on body composition, perceived physical ability, body image, and pleasant and unpleasant psychobiosocial states towards PA. After treatment, children showed decreased body mass index, body fat percentage, arm and waist circumferences, and skinfold thickness. Actual and perceived physical abilities, body image, and PA also improved over six months. Cross-lagged correlations suggest body image to be an antecedent to being physically active. Results showed that the multi-component school program may have sustainable benefits in reducing adiposity indicators and improving exercise adherence, physical fitness, and psychological well-being.

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Multimodal Body Representation of Obese Children and Adolescents before and after Weight-Loss Treatment in Comparison to Normal-Weight Children

Cited by 26 publications

References 42 publications

Perceived Stress Mediates the Relationship of Body Image and Depressive Symptoms in Individuals With Obesity

Perceived Stress Mediates the Relationship of Body Image and Depressive Symptoms in Individuals With Obesity

A Conceptual Model of Tactile Processing across Body Features of Size, Shape, Side, and Spatial Location

Changes in Physical Activity, Motor Performance, and Psychosocial Determinants of Active Behavior in Children: A Pilot School-Based Obesity Program

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