Assessing body image issues and body satisfaction/dissatisfaction among Hmong American children 9–18 years of age using mixed methodology

This study investigated body image issues and the usefulness of self-reported measurements among Hmong American children, 9–18 years using mixed methodology. Twelve focus groups were conducted (n = 68) and a silhouette drawing instrument and six questions pertaining to body image were administered (n = 335). About 50% of the children were either overweight or obese and 23% were short statured relative to US norms. About 70% of the girls and 53% of the boys selected smaller body ideals than their perceived body sizes. Further, 21% of the girls and 31% of the boys were satisfied with their bodies. Children underestimated their weights and overestimated their heights. During focus groups children reported that parents, peers, and media influenced their body image perceptions. Our results indicate that the majority of Hmong children are dissatisfied with their bodies and tend to endorse American ideals of beauty and attractiveness rather than the heavier, traditional Hmong body ideals supported by their parents.     

An Open Trial of an Acceptance-Based Behavioral Intervention for Weight Loss

Innovative approaches are urgently needed to improve behavioral treatment for weight loss. The weight regain that is so common after treatment may be a result of an environment that makes it challenging to adhere, long-term, to a dietary and physical activity regimen. This study was designed to test, via a 12-week open trial, the preliminary feasibility, acceptability, effectiveness, and possible mechanisms of action of a behavioral treatment that was modified to incorporate acceptance-based therapy components designed to (a) bolster participants’ commitment to behavior change, (b) build distress-tolerance skills, and (c) promote mindful awareness of eating behaviors and goals. Participants (n = 29) were overweight or obese women. Among completers (n = 19; 34% attrition), weight loss averaged 6.6% of body weight at posttreatment and 9.6% at 6-month follow-up (n = 14; 52% attrition). Intention-to-treat weight losses were 4.5% at posttreatment and 6.6% at 6-month follow-up. Psychological variables targeted by the intervention (e.g., cognitive restraint, disinhibition, urge-related eating behavior, emotional eating, eating-related experiential acceptance, mindfulness and motivation) changed in the expected directions, and many of these changes were consistent with decreases in weight loss. Moreover, despite the limitations of the single-group design, this pilot study demonstrated the preliminary feasibility, acceptability, and effectiveness of a novel, acceptance-based behavioral treatment for obesity. One potential implication is that behaviorally based weight loss interventions might be improved by overlaying an acceptance-based framework.     

Holding fat stereotypes is associated with lower body dissatisfaction in normal weight Caucasian women who engage in body surveillance

This study examined the moderating effect of body surveillance on the relationship between fat stereotype endorsement and body dissatisfaction in normal weight women. Participants (N = 225) completed online measures of fat stereotyping, body surveillance, body dissatisfaction, and internalized thin ideals. After accounting for thin ideals, body surveillance moderated the relationship between fat stereotypes and body dissatisfaction. Contrary to hypotheses, higher fat stereotype endorsement predicted lower body dissatisfaction in women with higher body surveillance. Conversely, higher fat stereotype endorsement predicted greater body dissatisfaction in women with lower body surveillance. Thus, endorsing fat stereotypes appears protective against body dissatisfaction in normal weight women who extensively engage in body surveillance. For women who hold fat stereotypes and report high body surveillance, we propose that downward appearance comparison may create a contrast between themselves and the people with overweight whom they denigrate, thus improving body dissatisfaction.     

Weight and health status of inner city African American children: Perceptions of children and their parents

Poor socioeconomic status and African American (AA) ethnicity contribute to an increased risk of obesity for many inner city children. One hundred and forty six AA children and 108 AA parents attending an inner city health fair completed surveys regarding perceptions of their own (or their child's) weight and the impact of weight on health. The children were measured and their body mass indexes were calculated. Thirty-seven percent of the child respondents (n = 52) were at risk of overweight or overweight; of these, 67% perceived themselves as normal weight, and 77% thought their weight was healthy. Weighing more was felt to be healthy by 17% of children and 29% of parents. Of 39 parents whose children were at risk of overweight or overweight, 68% felt their child's weight was normal and 80% thought it was healthy. These results suggest that inner city AA children and their parents often do not recognize being overweight or the health implications of being overweight.     

Weight discrepancy and body appreciation among women in Poland and Britain

Previous studies have suggested that the process of transmigration has detrimental effects on the body image of migrants relative to women in the country of origin. In the present work, we examined the body image of Polish migrants in Britain (n = 153), Polish women in Poland (n = 153), and a comparison group of British White women (n = 110). Participants completed a measure of actual-ideal weight discrepancy and the Body Appreciation Scale (BAS). Contrary to hypotheses, our results showed that Polish women in Poland had significantly higher weight discrepancy than their counterparts in Britain. Further analyses showed that the BAS reduced to two dimensions among Polish participants, with Polish participants in Poland having significantly lower body appreciation than Polish migrants. We suggest that the sociocultural changes that have taken place in Eastern Europe may place women in that region at relatively high risk for developing negative body image.     

Positive fantasies or negative contrasts: The effect of media body ideals on restrained eaters’ mood,weight satisfaction,and food intake

Although viewing media body ideals promotes body dissatisfaction and problematic eating among women (e.g., extreme restraint/overeating), some argue that women only report such negative effects because they think that they are meant to (i.e., demand characteristics). Because restrained eaters are trying to lose weight, they might be vulnerable to such media exposure. However, because of demand characteristics, evidence is mixed. Therefore, we minimized demand characteristics and explored whether media body ideals would trigger restrained eaters to report negative (negative mood, weight dissatisfaction) or positive (positive mood, weight satisfaction) effects. We also hypothesized that this change (negative or positive) would encourage food intake. Restrained and unrestrained eaters (n = 107) memorized media or control images. Restrained eaters exposed to media images reported decreased weight satisfaction and increased negative mood, but their food intake was not significantly affected. Perhaps paying advertent attention to the images caused goal-related negative affect, which triggered restraint.     

Fiction, Fashion, and Function Finale: An Introduction and Conclusion to the Special Issue on Gendered Body Image, Part III

Culture specifies standards for women??s and men??s body appearance and display. In Western cultures, these standards are both concentrated and ubiquitous in the media, represented as gendered body ideals for citizens to aspire toward. Because gendered body ideals are revered, individuals try to construct and portray their body consistently with these ideals. Furthermore, because gendered body ideals are narrowly defined and restrictive, individuals constrict their behavior, relationships, and perceptions of themselves and others to fall within the parameters of these ideals. The third and final issue of this series showcases innovative studies within two streams. The first stream investigates the many ways individuals invest effort into constructing and/or portraying their body to fit the gendered body ideal. The second stream addresses the diverse ways internalization of these ideals constrict individuals?? relationships, freedoms, and perceptions of others?? bodies and lifestyles. We discuss the empirical articles alongside points raised in films by Jhally (2009) and Clark (2009) that emphasize how media portrayals of gendered body ideals foster body-related constructions and constrictions in viewers. We emphasize intersectionality when presenting the articles, recognizing that gender combines with multiple identities (e.g., sexual orientation, race, political affiliation, and age) as well as individual difference variables to mold the degree to which individuals construct and constrict themselves and others to fit gendered body ideals. We end with a discussion of how these articles can be used to generate social change by deconstructing and delegitimizing gendered body ideals.     

Pilot Trial of Acceptance-Based Behavioral Weight Loss and Neurocognition Among American Indians

Acceptance-based behavioral therapies (ABTs) for obesity may be superior to standard behavioral therapies but have not been adequately tested with American Indians (AIs). Neurocognitive function is also unexamined in relation to behavioral weight loss among AIs despite findings that neurocognition predicts outcomes in general samples, may help explain some of the benefits of ABTs, and may be relevant to marginalized groups. The primary objective of this pilot was to examine the feasibility/acceptability of ABT in an AI sample. Exploratory analyses examined the relationship between neurocognition and weight loss. Forty-eight AI adults with overweight/obesity (ages 43.3 ± 10.3 years, 85% female; baseline body mass index = 36.8 ± 4.4 kg/m²) enrolled in a 6-month open ABT weight loss trial. Feasibility indices, including screening/enrollment, session attendance, retention rates for posttreatment assessments, and program acceptability were examined. Percent weight loss (%WL) was assessed as well as fluid and crystalized neurocognition (National Institutes of Health Toolbox Cognition Battery [NIHTB-CB]). We enrolled 79% of the eligible sample and retained 75% (N = 36) at posttreatment assessments. Program completers lost an average of 5.2 ± 4.9% of initial body weight (d_z = 1.14), whereas intent-to-treat analyses show a mean loss of 4.1 ± 4.7%. Participants reported high satisfaction, effectiveness, and cultural appropriateness. Exploratory analyses of neurocognitive domains suggested that crystalized cognition was higher among completers, and higher baseline cognitive flexibility predicted greater %WL (β = .34, p = .05). ABT resulted in clinically significant weight loss in an AI sample. A controlled trial of ABT in a larger, more diverse sample is warranted to determine whether (a) the findings are robust, generalizable, and/or superior to other treatments and (b) neurocognitive factors moderate outcomes.     

Weighing the Evidence: Social Desirability, Eating Disorder Symptomatology, and Accuracy of Self-reported Body Weight Among Men and Women

Although self-reported measurement of body weight is commonly accepted practice, this method may yield inaccurate estimates varying by respondent gender, body mass index, and eating disorder symptomatology. Given the gendered nature of idealized body weight in the U.S., we examined whether or not these variables and positive impression management are associated with inaccurate weight reporting among undergraduates. College women (n?=?107) and men (n?=?48) from a small liberal arts school in the Northeastern U.S. self-reported height and weight, completed the Eating Disorder Examination Questionnaire, Personality Assessment Inventory-Positive Impression Management scale, and three scales from the Eating Disorder Inventory-3, and were then weighed. Paired t-tests compared self-reported and measured body weight for men and women separately, and respondents were then categorized as under- or over-reporters by gender. Independent samples t-tests were conducted separately for men and women comparing weight under- and over-reporters on BMI, levels of eating disorder symptomatology, and social desirability. Results indicate discrepancies between self-reported and measured body weight were significant. Among those who over-reported weight, men exhibited greater over-reporting than did women. Weight under-reporting was associated with higher BMI, and for women, lower eating disorder symptomatology and higher social desirability scores. There may be inaccuracies in self-reported weight based on positive impression management, BMI, and eating disorder symptomatology, but these appear to differ by gender. Future research should explore the roles of personality, social desirability, and competing pressures for muscularity versus thinness in weight reporting accuracy among men and women.     

Psychometric properties and measurement invariance of the Weight Self-Stigma Questionnaire and Weight Bias Internalization Scale in children and adolescents

Background/ObjectiveGiven the negative consequences of weight bias, including internalized weight stigma, on health outcomes, two instruments—the Weight Self-Stigma Questionnaire (WSSQ) and Weight Bias Internalization Scale (WBIS)—have been developed. However, their psychometric properties are yet to be tested for Asian pediatric populations. Method:Participants aged 8 to 12 years (N = 287; 153 boys) completed the WSSQ and the WBIS, and they were classified into either a group with overweight or a group without overweight based on self-reported weight and height. Results:Both WSSQ and WBIS had their factor structures supported by confirmatory factor analyses (CFAs). The measurement invariance of two-factor structure was further supported for WSSQ across gender and weight status. The measurement invariance of single-factor structure was supported for WBIS across gender but not across weight status. Conclusions:WSSQ and WBIS were both valid to assess the internalization of weight bias. However, the two instruments demonstrated different properties and should be applied in different situations.     

Do These Norms Make Me Look Fat? The Effect of Exposure to Others’ Body Preferences on Personal Body Ideals

In this study we examined the influence of normative body ideals in the form of perceived peer preferences on personal body ideals and body dissatisfaction Participants (N = 146 female college students) were exposed to the purported preferences of peers representing either relatively thin or heavy body ideals. Along with the normative body ideal manipulation, the gender of the purported peers was manipulated. Participants then selected their ideal for their own body and body dissatisfaction was measured. Women selected a thinner personal body ideal in the thin norm condition than in the heavy norm condition. This effect was seen irrespective of the gender of the purported peers. Body dissatisfaction was not influenced by the manipulation. The malleability of body image and the influence of social factors on ideal body size are discussed.     

Life Satisfaction, Dieting Behavior, and Weight Perceptions among College Students

This study examined the relationships among perceived life satisfaction, perceptions of body weight, and dieting behaviors among 522 college students. Adjusted multiple logistic regression analyses and multivariate models constructed separately were utilized for this study. Perceptions of underweight and extreme worry over weight were significantly associated with dissatisfaction with life for both males and females (p < 0.01). However, vomiting; perceptions of overweight; binge eating behavior; extreme worry over binge eating behavior; and engaging in binge eating behavior for more than one year were significantly related to dissatisfaction with life for only females (p < 0.01). In addition, both males and females were less likely to self-identify problematic disordered eating, with males being particularly less likely to report concern over extreme dieting behaviors. Results suggest that carefully designed educational and intervention efforts for college students with eating disorders must take gender differences into account. Programs for males may need to differ from those for females in terms of recruitment, intervention integrity, and evaluation considerations.

Low motor performance scores among overweight children: Poor coordination or morphological constraints?

This study examined whether lower motor performance scores can be full attributed to poor coordination, or whether weight related morphological constraints may also affect motor performance. Data for 666 children and adolescents from the longitudinal Western Australian Pregnancy Cohort (Raine) Study were grouped into normal weight, overweight and obese categories based on the International Obesity Task Force cut points. Participants completed the 10-item McCarron Assessment of Neuromuscular Development (MAND) at the 10 and 14 year follow-up. The prevalence of overweight and obese participants classified with mild or moderate motor difficulties was not different from the normal weight group at 10 years (χ² = 5.8 p = .215), but higher at 14 years (χ² = 11.3 p = .023). There were no significant differences in overall motor performance scores between weight status groups at 10 years, but at 14 years, the normal weight group achieved better scores than the obese group (p < .05). For specific items, the normal weight group consistently scored higher than the overweight and obese groups on the jump task at 10 (p < .001) and 14 (p < .01) years but lower on the hand strength task at both ages (p < .01). Our findings raise the question as to whether some test items commonly used for assessing motor competence are appropriate for an increasingly overweight and obese population.     

Weight status misperception among Mexican young adults

Individuals who misperceive their body size are at risk for eating disorders, unhealthy weight control practices, and obesity-related diseases. This study assessed the prevalence and demographic, behavioral, and psychosocial correlates of agreement between perceived (self-reported) and actual (measured) body mass index categories in a sample of Mexican college applicants aged 18-20 years (N=3622; 52% female). Under two thirds (63.1%) accurately reported their weight status categories. Reporting accuracy was lower among overweight and obese participants. In multivariate analyses, overestimating was associated with female gender, younger age, lower level of parent education, and more hours of daily TV viewing; underestimating was associated with male gender and older age. In within-gender analyses, overestimating was associated with hours of TV among men and underestimating was positively associated with depressive symptoms among women. This study adds to a growing international literature on body weight status misperception among adolescents and young adults.     

Contributions of weight perceptions to weight loss attempts: Differences by body mass index and gender

Previous studies have consistently observed that women are more likely to perceive themselves as overweight compared to men. Similarly, women are more likely than men to report trying to lose weight. Less is known about the impact that self-perceived weight has on weight loss behaviors of adults and whether this association differs by gender. We conducted a cross-sectional analysis among an employee sample (n = 899) to determine the association of self-perceived weight on evidence-based weight loss behaviors across genders, accounting for body mass index (BMI) and demographic characteristics. Women were more likely than men to consider themselves to be overweight across each BMI category, and were more likely to report attempting to lose weight. However, perceiving oneself to be overweight was a strong correlate for weight loss attempts across both genders. The effect of targeting accuracy of self-perceived weight status in weight loss interventions deserves research attention.     

Religion and Body Weight Among African-American Adults Attempting to Lose Weight: An Exploratory Study

Religion and body weight was explored at two time points among overweight and obese African-American adults. Baseline and follow-up data were collected from 26 adults participating in a weight loss intervention and analyzed using multiple regression analyses of religious measures, body weight, and other variables. Frequent church attendance was significantly associated with greater weight lost from baseline to 16-week follow-up. In this exploratory study, religious interactions and experiences may be involved in shaping body weight among African-Americans attempting to lose weight.

     

Dietary concern, weight fluctuation and weight status: further explorations of the restraint scale

The theory of restrained eating predicts that the Dietary Concern and Weight Fluctuation factors of the Restraint Scale should correlate with percentage overweight. However, Drewnowski, Riskey and Desor (1982) recently found that only Weight Fluctuation did in fact. The current study replicated that of Drewnowski el al. using a population which more closely resembled the one used in prior research on restraint. Correlations were computed between Restraint scores and both overweight and weight suppression, a second validational criterion with which indices of restraint should be related. Furthermore, since Drewnowski et al.'s results imply that it is Weight History rather than Dietary Concern which might be responsible for behavioral differences in restrained and unrestrained normals, the history of overweight among these two groups was examined. Contrary to Drewnowski et al., Dietary Concern was more strongly related to overweight than was Weight Fluctuation. Both factors correlated with weight suppression. Restrained normals had a much greater history of overweight than unrestrained normals, suggesting that previously observed similarities in behavior between restrained normals and obese individuals might be due to characteristics associated with the former group's prior overweight rather than with their current level of cognitive restraint.     

Looking Fat or Being Bad? Effects of Body Size and Eating Style on Peer Evaluation in Adolescents

The present study examined adolescents' peer evaluations when information about body size (normal vs. overweight) and eating style (healthy vs. unhealthy) was provided. A study was conducted with a sample of 90 adolescents. Adolescents judged their peers on information about body size, but also about their eating style. The effect of body size was qualified by gender: Male adolescents were more positive about normal body weight peers, whereas females did not distinguish between normal weight and overweight peers. The results imply that not only are the consequences of unhealthy eating important; the behavior itself is also important. This holds promise for addressing adolescents' eating behavior.     

Evidence That a Very Brief Psychological Intervention Boosts Weight Loss in a Weight Loss Program

Reducing morbidity and mortality associated with being overweight is a crucial public health goal. The aim of the present research was to test the efficacy of a very brief psychological intervention (a volitional help sheet) that could be used as an adjunct to standard weight loss programs to support increased weight loss in an overweight sample. Seventy-two overweight participants currently participating in a weight loss program were randomly allocated to either an intervention (volitional help sheet) condition or a control (distracter task) condition. The main outcome measure was weight at 1-month follow-up. Participants in both conditions lost significant amounts of weight, but those in the intervention condition lost significantly more than those in the control condition (d = 0.66). The findings support the efficacy of the volitional help sheet to promote additional weight loss in an overweight sample engaged in a weight loss program. The volitional help sheet therefore represents a very brief, low-cost intervention that could be used to supplement ongoing weight-loss programs.     

Beauty, Ethnicity, and Age: Does Internalization of Mainstream Media Ideals Influence Attitudes Towards Older Adults?

Mainstream North American media promotes the message that attaining a thin, youthful appearance is central to a woman’s value and social role while appearing older is highly undesirable. However, appearance ideals and attitudes toward aging differ substantially across cultural and ethnic groups, which may influence the degree to which one internalizes media ideals and holds anti-aging attitudes. Consequently, this study examined the relationships between internalization of the youthful, thin-ideal appearance perpetuated by mainstream North American media and attitudes toward the elderly in a sample of 281 undergraduate females under the age of 30 attending a university in the Western United States. Specifically, European American (n?=?115), Asian American/Pacific Islander (n?=?74), Hispanic/Latina (n?=?52), and African American (n?=?42) women voluntarily completed self-report measures of internalization of media ideals and attitudes towards older adults. Attitudes towards the elderly were significantly more negative at higher levels of internalization of North American appearance ideals, independent of ethnicity. These data suggest that internalization of North American appearance ideals perpetuated by media are related to negative attitudes towards older adults. Future research should investigate the influence of negative attitudes about aging on behaviors toward older adults or one’s own aging process.