[go: up one dir, main page]
More Web Proxy on the site http://driver.im/ Skip to main content
Springer Nature Link
Log in

Role of anthropometric factors, self-perception, and diet on weight misperception among young adolescents: a cross-sectional study

  • Original Article
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Purpose

Adolescence overweight and obesity have increased considerably, and the misperception of their weight status could reduce the efficiency of intervention programs. The aim of this study was to evaluate the prevalence rate of misperception and to assess the relationship between weight perception and anthropometric parameters, self-perception, physical activity, and adherence to the Mediterranean diet.

Methods

A total of 1643 young adolescents (11–16 years old) were surveyed in a cross-sectional investigation during two scholastic years (period October–May of 2012–2013 and 2013–2014) in 15 secondary schools of Sicily, southern Italy. Data on demographic information, anthropometric characteristics (bioelectrical impedance), physical activity level, The Children and Youth Physical Self-Perception Profile, weight perception, and dietary habits (KIDMED) were collected.

Results

Misperception was found in the 27.6 % of the young adolescents, and boys were more likely to underestimate their weight status, while girls had a high percentage of overestimation. The strong association with weight misperception was with socioeconomic status, waist circumference, physical activities, and physical self-worth. Moreover, a good adherence to the Mediterranean diet was inversely associated with both overestimation and underestimation in both boys and girls.

Conclusion

These findings highlight that almost one-third of the participants had a weight misperception that was associated with several anthropometric, social, and lifestyle factors. Future intervention to prevent overweight and obesity should consider not only gender-specific differences, but also parental SES, perception, and satisfaction of body weight status.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
£29.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (United Kingdom)

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. van Stralen MM, te Velde SJ, van Nassau F, Brug J, Grammatikaki E, Maes L et al (2012) Weight status of European preschool children and associations with family demographics and energy balance-related behaviours: a pooled analysis of six European studies. Obes Rev 13(Suppl 1):29–41. doi:10.1111/j.1467-789X.2011.00959.x

    Article  PubMed  Google Scholar 

  2. Freedman DS, Wang J, Thornton JC, Mei Z, Sopher AB, Pierson RN Jr et al (2009) Classification of body fatness by body mass index-for-age categories among children. Arch Pediatr Adolesc Med 163(9):805–811. doi: 10.1001/archpediatrics.2009.104

    Article  PubMed  PubMed Central  Google Scholar 

  3. Llewellyn A, Simmonds M, Owen CG, Woolacott N (2016) Childhood obesity as a predictor of morbidity in adulthood: a systematic review and meta-analysis. Obes Rev 17(1):56–67. doi:10.1111/obr.12316

    Article  CAS  PubMed  Google Scholar 

  4. Hermoso M, Tabacchi G, Iglesia-Altaba I, Bel-Serrat S, Moreno-Aznar LA, Garcia-Santos Y et al (2010) The nutritional requirements of infants. Towards EU alignment of reference values: the EURRECA network. Matern Child Nutr 6(Suppl 2):55–83. doi:10.1111/j.1740-8709.2010.00262.x

    Article  PubMed  Google Scholar 

  5. Grosso G, Marventano S, Giorgianni G, Raciti T, Galvano F, Mistretta A (2014) Mediterranean diet adherence rates in Sicily, southern Italy. Public Health Nutr 17(9):2001–2009. doi:10.1017/S1368980013002188

    Article  PubMed  Google Scholar 

  6. Grosso G, Pajak A, Mistretta A, Marventano S, Raciti T, Buscemi S et al (2014) Protective role of the Mediterranean diet on several cardiovascular risk factors: evidence from Sicily, southern Italy. Nutr Metab Cardiovasc Dis NMCD 24(4):370–377. doi:10.1016/j.numecd.2013.09.020

    Article  CAS  PubMed  Google Scholar 

  7. Grosso G, Galvano F (2016) Mediterranean diet adherence in children and adolescents in southern European countries. NFS J 3:13–19

    Article  Google Scholar 

  8. Gitau TM, Micklesfield LK, Pettifor JM, Norris SA (2014) Eating attitudes, body image satisfaction and self-esteem of South African Black and White male adolescents and their perception of female body silhouettes. J Child Adolesc Mental Health 26(3):193–205. doi:10.2989/17280583.2014.901224

    Article  Google Scholar 

  9. Raudsepp L, Hannus A (2002) Children and adolescents’ physical self-perceptions as related to moderate to vigorous physical activity and physical fitness. Pediatr Exerc Sci 14(1):97–106. doi:10.1123/pes.14.1.97

    Article  Google Scholar 

  10. Martin MA, May AL, Frisco ML (2010) Equal weights but different weight perceptions among US adolescents. J Health Psychol 15(4):493–504. doi:10.1177/1359105309355334

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kuchler F, Variyam JN (2003) Mistakes were made: misperception as a barrier to reducing overweight. Int J Obes Relat Metab Dis J Int Assoc Study Obes 27(7):856–861. doi:10.1038/sj.ijo.0802293

    Article  CAS  Google Scholar 

  12. Zipfel S, Giel KE, Bulik CM, Hay P, Schmidt U (2015) Anorexia nervosa: aetiology, assessment, and treatment. Lancet Psychiatry 2(12):1099–1111. doi:10.1016/S2215-0366(15)00356-9. [Epub 2 Oct 2015]

    Article  PubMed  Google Scholar 

  13. Whitehead R (1995) A study of children’s physical self-perceptions using an adapted physical self-perception profile questionnaire. Pediatric Exerc Sci 7:133–152. doi:10.1123/pes.7.2.132

    Article  Google Scholar 

  14. Grosso G, Mistretta A, Turconi G, Cena H, Roggi C, Galvano F (2013) Nutrition knowledge and other determinants of food intake and lifestyle habits in children and young adolescents living in a rural area of Sicily, South Italy. Public Health Nutr 16(10):1827–1836. doi:10.1017/S1368980012003965

    Article  PubMed  Google Scholar 

  15. Turconi G, Bazzano R, Roggi C, Cena H (2010) Reliability and relative validity of a quantitative food-frequency questionnaire for use among adults in Italian population. Int J Food Sci Nutr 61(8):846–862. doi:10.3109/09637486.2010.495329

    Article  PubMed  Google Scholar 

  16. Vereecken CA, Rossi S, Giacchi MV, Maes L (2008) Comparison of a short food-frequency questionnaire and derived indices with a seven-day diet record in Belgian and Italian children. Int J Public Health 53(6):297–305. doi:10.1007/s00038-008-7101-6

    Article  PubMed  Google Scholar 

  17. Serra-Majem L, Ribas L, Ngo J, Ortega RM, Garcia A, Perez-Rodrigo C et al (2004) Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr 7(7):931–935. doi:10.1079/PHN2004556

    Article  PubMed  Google Scholar 

  18. Bray GA, DeLany JP, Harsha DW, Volaufova J, Champagne CC (2001) Evaluation of body fat in fatter and leaner 10-y-old African American and White children: the Baton Rouge Children’s Study. Am J Clin Nutr 73(4):687–702

    Article  CAS  Google Scholar 

  19. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ (Clin Res Ed) 320(7244):1240–1243

    Article  CAS  Google Scholar 

  20. Crossley KL, Cornelissen PL, Tovee MJ (2012) What is an attractive body? Using an interactive 3D program to create the ideal body for you and your partner. PLoS One 7(11):e50601. doi:10.1371/journal.pone.0050601

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Oellingrath IM, Hestetun I, Svendsen MV (2016) Gender-specific association of weight perception and appearance satisfaction with slimming attempts and eating patterns in a sample of young Norwegian adolescents. Public Health Nutr 19(2):265–274. doi:10.1017/S1368980015001007

    Article  PubMed  Google Scholar 

  22. Neumark-Sztainer D, Paxton SJ, Hannan PJ, Haines J, Story M (2006) Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males. J Adolesc Health Off Publ Soc Adolesc Med 39(2):244–251. doi:10.1016/j.jadohealth.2005.12.001

    Article  Google Scholar 

  23. Lubans DR, Cliff DP (2011) Muscular fitness, body composition and physical self-perception in adolescents. J Sci Med Sport/Sports Med Aust 14(3):216–221. doi:10.1016/j.jsams.2010.10.003

    Article  Google Scholar 

  24. Grosso G, Marventano S, Buscemi S, Scuderi A, Matalone M, Platania A et al (2013) Factors associated with adherence to the Mediterranean diet among adolescents living in Sicily, Southern Italy. Nutrients 5(12):4908–4923. doi:10.3390/nu5124908

    Article  PubMed  PubMed Central  Google Scholar 

  25. Bonaccio M, Di Castelnuovo A, Costanzo S, De Lucia F, Olivieri M, Donati MB et al (2013) Nutrition knowledge is associated with higher adherence to Mediterranean diet and lower prevalence of obesity. Results from the Moli-sani study. Appetite 68:139–146. doi:10.1016/j.appet.2013.04.026

    Article  PubMed  Google Scholar 

  26. Pauline M, Selvam S, Swaminathan S, Vaz M (2012) Body weight perception is associated with socio-economic status and current body weight in selected urban and rural South Indian school-going children. Public Health Nutr 15(12):2348–2356. doi:10.1017/S1368980012000134

    Article  PubMed  Google Scholar 

  27. Zhao M, Zhang M, Zhou X, Yang H, Yang Y, Yang N (2012) Weight misperception and its barriers to keep health weight in Chinese children. Acta Paediatr 101(12):e550–e556. doi:10.1111/apa.12011

    Article  PubMed  Google Scholar 

  28. Goodman E (1999) The role of socioeconomic status gradients in explaining differences in US adolescents’ health. Am J Public Health 89(10):1522–1528

    Article  CAS  Google Scholar 

  29. Frederick CB, Snellman K, Putnam RD (2014) Increasing socioeconomic disparities in adolescent obesity. Proc Natl Acad Sci USA 111(4):1338–1342. doi:10.1073/pnas.1321355110

    Article  CAS  PubMed  Google Scholar 

  30. Grosso G, Marventano S, Galvano F, Pajak A, Mistretta A (2014) Factors associated with metabolic syndrome in a mediterranean population: role of caffeinated beverages. J Epidemiol/Jpn Epidemiol Assoc 24(4):327–333. doi:10.2188/jea.JE20130166

    Article  Google Scholar 

  31. Bonaccio M, Di Castelnuovo A, Bonanni A, Costanzo S, De Lucia F, Persichillo M et al (2014) Decline of the Mediterranean diet at a time of economic crisis. Results from the Moli-sani study. Nutr Metab Cardiovasc Dis NMCD 24(8):853–860. doi:10.1016/j.numecd.2014.02.014

    Article  CAS  PubMed  Google Scholar 

  32. Barriuso L, Miqueleiz E, Albaladejo R, Villanueva R, Santos JM, Regidor E (2015) Socioeconomic position and childhood-adolescent weight status in rich countries: a systematic review, 1990–2013. BMC Pediatr 15:129. doi:10.1186/s12887-015-0443-3

    Article  PubMed  PubMed Central  Google Scholar 

  33. Babic MJ, Morgan PJ, Plotnikoff RC, Lonsdale C, White RL, Lubans DR (2014) Physical activity and physical self-concept in youth: systematic review and meta-analysis. Sports Med 44(11):1589–1601. doi:10.1007/s40279-014-0229-z

    Article  Google Scholar 

  34. Datar A, Chung PJ (2016) Accuracy of weight perceptions in a nationally representative cohort of US 8th grade adolescents. Acad Pediatr 16(3):267–274. doi:10.1016/j.acap.2015.06.003

    Article  PubMed  Google Scholar 

  35. Prioste A, Fonseca H, Pereira CR, Sousa P, Gaspar P, do Ceu Machado M (2016) Pathways between BMI and adherence to weight management in adolescence. Int J Adolesc Med Health. doi:10.1515/ijamh-2016-0018 [Epub ahead of print]

    Article  PubMed  Google Scholar 

  36. Altenburg TM, Singh AS, Te Velde S, De Bourdeaudhuij I, Lien N, Bere E, et al. (2016) Actual and perceived weight status and its association with slimming and energy-balance related behaviours in 10- to 12-year-old European children: the ENERGY-project. Pediatr Obes. doi:10.1111/ijpo.12120 [Epub ahead of print]

    Article  PubMed  Google Scholar 

  37. Sonneville KR, Thurston IB, Milliren CE, Gooding HC, Richmond TK (2016) Weight misperception among young adults with overweight/obesity associated with disordered eating behaviors. Int J Eat Dis. doi:10.1002/eat.22565 [Epub ahead of print]

    Article  Google Scholar 

  38. Fulkerson JA, Sherwood NE, Perry CL, Neumark-Sztainer D, Story M (2004) Depressive symptoms and adolescent eating and health behaviors: a multifaceted view in a population-based sample. Prev Med 38(6):865–875. doi:10.1016/j.ypmed.2003.12.028

    Article  PubMed  Google Scholar 

  39. Jacka FN, Kremer PJ, Berk M, de Silva-Sanigorski AM, Moodie M, Leslie ER et al (2011) A prospective study of diet quality and mental health in adolescents. PLoS One 6(9):e24805. doi:10.1371/journal.pone.0024805

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Jacka FN, Rothon C, Taylor S, Berk M, Stansfeld SA (2013) Diet quality and mental health problems in adolescents from East London: a prospective study. Soc Psychiatry Psychiatr Epidemiol 48(8):1297–1306. doi:10.1007/s00127-012-0623-5

    Article  PubMed  Google Scholar 

  41. Voltas N, Arija V, Aparicio E, Canals J (2016) Longitudinal study of psychopathological, anthropometric and sociodemographic factors related to the level of Mediterranean diet adherence in a community sample of Spanish adolescents. Public Health Nutr 19(10):1812–1822. doi:10.1017/S1368980015003560

    Article  PubMed  Google Scholar 

  42. Costarelli V, Koretsi E, Georgitsogianni E (2013) Health-related quality of life of Greek adolescents: the role of the Mediterranean diet. Qual Life Res Int J Qual Asp Treat Care Rehabil 22(5):951–956. doi:10.1007/s11136-012-0219-2

    Article  CAS  Google Scholar 

  43. Alipour B, Abbasalizad Farhangi M, Dehghan P, Alipour M (2015) Body image perception and its association with body mass index and nutrient intakes among female college students aged 18–35 years from Tabriz, Iran. Eat Weight Dis EWD 20(4):465–471. doi:10.1007/s40519-015-0184-1

    Article  Google Scholar 

  44. Cromley T, Knatz S, Rockwell R, Neumark-Sztainer D, Story M, Boutelle K (2012) Relationships between body satisfaction and psychological functioning and weight-related cognitions and behaviors in overweight adolescents. J Adolesc Health Off Publi Soc Adolesc Med 50(6):651–653. doi:10.1016/j.jadohealth.2011.10.252

    Article  Google Scholar 

  45. Vossbeck-Elsebusch AN, Waldorf M, Legenbauer T, Bauer A, Cordes M, Vocks S (2015) Overestimation of body size in eating disorders and its association to body-related avoidance behavior. Eat Weight Dis EWD 20(2):173–178. doi:10.1007/s40519-014-0144-1

    Article  Google Scholar 

  46. Grosso G, Mistretta A, Marventano S, Purrello A, Vitaglione P, Calabrese G et al (2014) Beneficial effects of the mediterranean diet on metabolic syndrome. Curr Pharm Des 20(31):5039–5044. doi:10.2174/1381612819666131206112144

    Article  CAS  PubMed  Google Scholar 

  47. Marventano S, Kolacz P, Castellano S, Galvano F, Buscemi S, Mistretta A et al (2015) A review of recent evidence in human studies of n-3 and n-6 PUFA intake on cardiovascular disease, cancer, and depressive disorders: does the ratio really matter? Int J Food Sci Nutr 66(6):611–622. doi:10.3109/09637486.2015.1077790

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Laboratorio di Nutrizione Clinica, Dipartimento Biomedico di Medicina Interna e Specialistica (DIBIMIS), P. Giaccone Policlinico, University of Palermo, Via del Vespro 129, 90127, Palermo, Italy

    Silvio Buscemi

  2. Department of Medical and Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, Section of Hygiene and Preventive Medicine, University of Catania, Catania, Italy

    Stefano Marventano, Francesca Nolfo, Stefania Rametta, Gabriele Giorgianni, Marina Marranzano & Antonio Mistretta

  3. Department of Biomedical and Biotechnological Sciences, Section of Pharmacology and Biochemistry, University of Catania, Catania, Italy

    Sabrina Castellano

  4. Department of School Policies, Municipality of Catania, 95131, Catania, CT, Italy

    Margherita Matalone

Authors
  1. Silvio Buscemi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Stefano Marventano
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sabrina Castellano
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Francesca Nolfo
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Stefania Rametta
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Gabriele Giorgianni
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Margherita Matalone
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Marina Marranzano
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Antonio Mistretta
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Silvio Buscemi.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study were approved by the ethics committee of the University of Catania and the Department of School Policies of Catania.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Buscemi, S., Marventano, S., Castellano, S. et al. Role of anthropometric factors, self-perception, and diet on weight misperception among young adolescents: a cross-sectional study. Eat Weight Disord 23, 107–115 (2018). https://doi.org/10.1007/s40519-016-0306-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40519-016-0306-4

Keywords

Search

Navigation