Assessing weight perception accuracy to promote weight loss among U.S. female adolescents: A secondary analysis

Yost, Jennifer; Krainovich-Miller, Barbara; Budin, Wendy; Norman, Robert
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p465
Academic Journal
Background: Overweight and obesity have become a global epidemic. The prevalence of overweight and obesity among U.S. adolescents has almost tripled in the last 30 years. Results from recent systematic reviews demonstrate that no single, particular intervention or strategy successfully assists overweight or obese adolescents in losing weight. An understanding of factors that influence healthy weight-loss behaviors among overweight and obese female adolescents promotes effective, multi-component weight-loss interventions. There is limited evidence demonstrating associations between demographic variables, body-mass index, and weight perception among female adolescents trying to lose weight. There is also a lack of previous studies examining the association of the accuracy of female adolescents' weight perception with their efforts to lose weight. This study, therefore, examined the associations of body-mass index, weight perception, and weight-perception accuracy with trying to lose weight and engaging in exercise as a weight-loss method among a representative sample of U.S. female adolescents. Methods: A nonexperimental, descriptive, comparative secondary analysis design was conducted using data from Wave II (1996) of the National Longitudinal Study of Adolescent Health (Add Health). Data representative of U.S. female adolescents (N = 2216) were analyzed using STATA statistical software. Descriptive statistics and survey weight logistic regression were performed to determine if demographic and independent (body-mass index, weight perception, and weight perception accuracy) variables were associated with trying to lose weight and engaging in exercise as a weight-loss method. Results: Age, Black or African American race, body-mass index, weight perception, and weight perceptions accuracy were consistently associated with the likeliness of trying to lose weight among U.S. female adolescents. Age, body-mass index, weight perception, and weight-perception accuracy were positively associated (p < 0.05) with trying to lose weight. Black/African American subjects were significantly less likely than their White counterparts to be trying to lose weight. There was no association between demographic or independent variables and engaging in exercise as a weight-loss method. Conclusions: Findings suggest that factors influencing weight-loss efforts, including age, race, body-mass index, weight perception, and weight-perception accuracy, should be incorporated into existing or new multi-component weight-loss interventions for U.S. adolescent females in order to help reduce the national epidemic of overweight and obesity among U.S. female adolescents.


Related Articles

  • Obesidade e transtornos alimentares: a coexistência de comportamentos alimentares extremos em adolescentes. Lofrano-Prado, Mara Cristina; do Prado, Wagner Luiz; de Piano, Aline; Dâmaso, Ana Raimunda // ConScientiae Saude;2011, Vol. 10 Issue 3, p579 

    Introduction: Adolescence is a period of biopsychosocial changes, in which concerns with the body can lead to inadequate eating habits. Objective: To describe possible relationships between obesity and eating disorders in adolescents by means of a critical literature review. Methods: Studies...

  • Motivational Interviewing as an intervention to increase adolescent self-efficacy and promote weight loss: Methodology and design. Walpole, Beverly; Dettmer, Elizabeth; Morrongiello, Barbara; McCrindle, Brian; Hamilton, Jill // BMC Public Health;2011, Vol. 11 Issue 1, p459 

    Background: Childhood obesity is associated with serious physiological and psychological consequences including type 2 diabetes, higher rates of depression and low self-esteem. With the population of overweight and obese youth increasing, appropriate interventions are needed that speak to the...

  • ‘Adventure therapy’ combined with cognitive-behavioral treatment for overweight adolescents. Jelalian, E.; Mehlenbeck, R.; Lloyd-Richardson, E. E.; Birmaher, V.; Wing, R. R. // International Journal of Obesity;Jan2006, Vol. 30 Issue 1, p31 

    Objective:Since peers have such an important influence on adolescents, we evaluated the efficacy of adding peer-based ‘adventure therapy’ to a standard cognitive-behavioral weight control program for overweight adolescents.Methods:Adolescents (N=76) aged 13–16 years and 20 to...

  • Weight loss in obese female adolescents affects blood pressure. Hemsley Jr., Stanley E. // American Family Physician;8/1/1995, Vol. 52 Issue 2, p603 

    Reports that weight loss in obese adolescent females is associated with a decline in diastolic blood pressure. Subjects of the study; Type of diet administered to study subjects; Inclusion of nutritional, behavioral and exercise counselling to the program; Weekly monitoring of study subjects;...

  • Treating the obese teenager. Dietz, William; Rolls, Barbara J.; Stice, Eric; Yanovski, Jack A. // Patient Care;10/15/2001, Vol. 35 Issue 19, p57 

    Provides information on the treatment of obesity among teenagers. Discussion on body mass index; Medical screening suggested to assess obesity; Health risk of obesity; Evaluation of weight loss programs.

  • Weight Loss Reduces Liver Fat and Improves Hepatic and Skeletal Muscle Insulin Sensitivity in Obese Adolescents. Vitola, Bernadette E.; Deivanayagam, Sheela; Stein, Richard I.; Mohammed, Balsamanirina S.; Magkos, Faidon; Kirk, Erik P.; Klein, Samuel // Obesity (19307381);Sep2009, Vol. 17 Issue 9, p1744 

    Obesity in adolescents is associated with metabolic risk factors for type 2 diabetes, particularly insulin resistance and excessive accumulation of intrahepatic triglyceride (IHTG). The purpose of this study was to evaluate the effect of moderate weight loss on IHTG content and insulin...

  • Weight loss improves insulin sensitivity in obese teenagers.  // Contemporary Pediatrics;Jul2013, Vol. 30 Issue 7, p8 

    This article discusses research on the effect of weight loss on insulin sensitivity of adolescents who are at risk for type 2 diabetes, referencing the study "Threshold for Improvement in Insulin Sensitivity With Adolescent Weight Loss" by P. Abrams in a 2013 issue of the "Journal of Pediatrics."

  • The pursuit of thinness: a study of Dublin schoolgirls aged 15 y. Ryan, Y M; Gibney, M J; Flynn, M A T // International Journal of Obesity & Related Metabolic Disorders;May1998, Vol. 22 Issue 5, p485 

    Despite increasing trends in the prevalence of overweight and obesity, fatness phobia is common during female adolescence. This study has demonstrated a high level of dissatisfaction with body weight in a sample of Dublin schoolgirls aged 15 y. Of 420 subjects, 59% reported that they wanted to...

  • Children's weight-loss camps: psychological benefit or jeopardy? Walker, L L M; Gately, P J; Bewick, B M; Hill, A J // International Journal of Obesity & Related Metabolic Disorders;Jun2003, Vol. 27 Issue 6, p748 

    OBJECTIVES: To investigate the change in body image, self-esteem, and worries in obese adolescents attending a residential, weight-loss camp. DESIGN: A longitudinal intervention study, with a nonintervention comparison group of lean adolescents. PARTICIPANTS: A total of 57 obese adolescents...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics