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

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2024-02-20 DOI:10.1111/ijpo.13108

Katherine M. Rancaño, Rebecca Puhl, Margie Skeer, Misha Eliasziw, Aviva Must

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Abstract

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.

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美国儿童和青少年样本中的负面家庭体重谈话和体重偏差内化。

背景：负面的家庭体重谈话可能会导致学龄前和青少年（以下简称儿童）体重偏差内化程度较高，并可能因性别、体重状况、种族和民族而有所不同：研究消极的家庭体重谈话与体重偏差内化之间的关系，并研究不同性别、体重状况、种族和民族之间的差异：我们对居住在马萨诸塞州的 5-7 年级学生（10-15 岁）进行了横截面分析（n = 375，52.3% 为女生，21.3% BMI ≥ 85 百分位数，54.8% 为非西班牙裔白人）。在过去 3 个月中，负面的家庭体重谈话频率是自我报告的，并分为 "从未"、"偶尔"（1-9 次）和 "经常"（大于 9 次）；修正体重偏差内化量表评估体重偏差内化情况。广义线性模型估计了负面家庭体重谈话与体重偏差内化之间的关系，子分析估计了不同性别、体重状况、种族和民族之间的关系。结果汇总为平均值之比（RoM）：结果：偶尔（RoM = 1.12，p = 0.024）和经常（RoM = 1.48，p = 0.024）经历负面家庭体重谈话的儿童的体重偏差内化率分别为 0.01%和 0.01%：在不同性别和体重状况的儿童中，以及仅在非西班牙裔白人儿童中，经常性的负面家庭体重谈话与较高的体重偏差内化相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.