Negative familial weight talk and weight bias internalization in a US sample of children and adolescents.

Autor: Rancaño KM; Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts, USA., Puhl R; Department of Human Development & Family Sciences, University of Connecticut, Storrs, Connecticut, USA., Skeer M; Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts, USA., Eliasziw M; Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts, USA., Must A; Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts, USA.
Jazyk: angličtina
Zdroj: Pediatric obesity [Pediatr Obes] 2024 May; Vol. 19 (5), pp. e13108. Date of Electronic Publication: 2024 Feb 20.
DOI: 10.1111/ijpo.13108
Abstrakt: Background: Negative familial weight talk may contribute to higher weight bias internalization in pre- and early adolescents (hereafter referred to as children) and may differ by gender, weight status, and race and ethnicity.
Objective: Examine the relationship between negative familial weight talk and weight bias internalization and examine differences by gender, weight status, and race and ethnicity.
Methods: We cross-sectionally analysed 5th-7th graders (10-15 years old) living in Massachusetts (n = 375, 52.3% girls, 21.3% BMI ≥85th percentile, 54.8% non-Hispanic White). Negative familial weight talk frequency during the past 3 months was self-reported and discretized as 'never,' 'occasionally' (1-9 times) and 'often' (>9 times); the Modified Weight Bias Internalization Scale assessed weight bias internalization. Generalized linear models estimated the relationship between negative familial weight talk and weight bias internalization and sub-analyses estimated the relationship across gender, weight status, and race and ethnicity. Results are summarized as ratios of means (RoM).
Results: Children experiencing negative familial weight talk occasionally (RoM = 1.12, p = 0.024) and often (RoM = 1.48, p < 0.001) had significantly higher weight bias internalization than children who never experienced it. In sub-analyses, experiencing negative familial weight talk often was associated with higher weight bias internalization among girls (RoM = 1.66, p < 0.001), boys (RoM = 1.32, p = 0.007), children with BMI <85th percentile (RoM = 1.44, p = 0.007) and BMI ≥85th percentile (RoM = 1.39, p = 0.001), and non-Hispanic White children (RoM = 1.78, p < 0.001), but not Hispanic (RoM = 1.25, p = 0.085) or non-Hispanic Black children (RoM = 1.20; p = 0.31).
Conclusions: Frequent negative familial weight talk was associated with higher weight bias internalization across gender and weight status and in non-Hispanic White children only.
(© 2024 World Obesity Federation.)
Databáze: MEDLINE
Externí odkaz: