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Body image disturbance in anorexia nervosa: beyond body image.

In this paper the literature on body image disturbance in anorexic patients is reviewed. After a decade of experimental investigation of body image in anorexia nervosa, where old and new techniques have been used and where a large number of correlations have been identified, what do we really know? The findings have been conflicting but some regularities exist. It is hypothesized that the conflicting results may be related to the presence of different subgroups among anorexics and different types of body image disturbance. Body size estimation is only one dimension of body image perception. Likewise, body size overestimation is only one aspect of body image perception. Likewise, body size overestimation is only one aspect of body image disturbance. Some, but not all anorexics, overestimate their body size, and those who do, seem to have poor prognosis. Body size overestimation is not confined to anorexics. It is not known whether it is a function of a general perceptual/cognitive disorder, but it does seem to be stable over time. The implications of the presence of other psychiatric conditions in anorexic patients are discussed and suggestions for future research and for practice are made.

Anorexia Nervosa↗

Fat-free mass and total body water of infants estimated from total body electrical conductivity measurements.

Total body electrical conductivity measurements can be used in conjunction with suitable calibration curves to quantitate fat-free mass and total body water. A study was designed to evaluate whether calibration curves, derived from miniature piglets, can be used to translate total body electrical conductivity measurements of human infants into estimates of total body water and fat-free mass. Thirty-four, healthy 2-, 4-, 8-, and 12-wk-old infants were studied. A comparison of the physical dimensions of infants and piglets indicated no large discrepancies in their body geometries that would invalidate the calibration from this standpoint. Estimates of fat-free mass, fat, and total body water were evaluated by comparison with the body composition of reference infants of comparable description. There was excellent agreement between the total body electrical conductivity-derived estimates and reference body composition values, suggesting that the calibration procedure is adequate. Thus, the total body electrical conductivity technique can be used to estimate the body composition of normal young infants without subjecting them to risk or discomfort.

Adipose Tissue↗

Body weight, body fat distribution, and hormonal replacement therapy in early postmenopausal women.

Body weight was measured, and body fat distribution was determined by dual energy x-ray in early postmenopausal women given either oral calcium (500 mg/day; control group; n = 12) or hormonal replacement therapy (HRT), a combination of estradiol valerate (2 mg/day for 21 days) with cyproterone acetate (1 mg/day in the last 10 days of the treatment cycle; n = 15). There were no differences in basal body weight or body fat distribution in the two groups before the study. In the control group, a significant (P < 0.05) increase in body weight (from 63.6 +/- 2.2 to 65.2 +/- 1.9 kg [corrected] after 12 months) paralleled a slight, but significant (P < 0.05), increase in total body fat mass (from 23.8 +/- 2.2 to 24.7 +/- 2.2 kg), with an increase in fat in the trunk (from 10.2 +/- 0.4 to 11.3 +/- 0.4 kg; P < 0.01) and arms (from 2.4 +/- 0.5 to 2.7 +/- 0.2 kg; P < 0.05). These findings demonstrate a shift to a prevalent central android fat distribution after 12 months of observation in untreated postmenopausal women. Conversely, in the HRT group, total body bone mineral showed a significant (from 1089 +/- 28 to 1106 +/- 29 mg/cm2; P < 0.05) increase after 12 months, with no significant increase in body weight (from 62.2 +/- 1.6 to 62.7 +/- 1.6 kg), and no modifications in trunk (from 10.0 +/- 0.2 to 9.8 +/- 0.3 kg) and arm (from 2.43 +/- 0.2 to 2.5 +/- 0.1 kg) fat, but a significant increase in leg fat (from 7.1 +/- 0.3 to 8.3 +/- 0.4 kg; P < 0.05). The present results suggest that HRT can counteract at least in part the postmenopausal increase in body weight and body fat and prevent central body fat distribution after menopause.

Adipose Tissue↗

The Q223R polymorphism of the leptin receptor gene is significantly associated with obesity and predicts a small percentage of body weight and body composition variability.

Genetic variation at the leptin receptor gene locus may play an important role in the pathophysiology of human obesity, a leptin-resistant state. Previous studies exploring potential associations between leptin receptor gene polymorphisms and obesity have reported conflicting results. The aim of this study was to evaluate a genetically homogeneous population for associations between body composition variables and three common leptin receptor gene polymorphisms (K109R, Q223R, and K656N) that have potential functional significance as well as to assess the contributions of these polymorphisms to the variability of obesity. One hundred and eighteen consecutively enrolled subjects (62 women: mean age, 17.5 +/- 1.6 yr; body mass index range, 16.2-30.1; 56 men: mean age, 17.8 +/- 1.8 yr; body mass index range, 15.4-35.9) were genotyped for the three polymorphisms, and their body mass index, sum of 4 skinfolds, fat-free mass, percent fat mass, serum leptin levels, caloric intake, fat intake, and exercise patterns were determined. Allele frequencies were estimated by the gene-counting method, and genotype distributions between 89 normal weight (body mass index, < or =25 kg/m(2)) and 29 overweight-obese (body mass index, >25 kg/m(2)) subjects were compared using chi(2) test (using codominant, dominant, and recessive models). Analysis of covariance was also performed to evaluate associations between the polymorphisms and body composition variables after controlling for potential confounders. For the Q223R polymorphism, there was a higher prevalence of the R223 allele in the homozygous form among overweight-obese subjects vs. normal weight subjects (20.7% vs. 4.5%; P = 0.01). Furthermore, simple and multiple regression analyses revealed that the R223 allele in the homozygous form is a significant predictor of both body mass index (P = 0.015) and percent fat mass (P = 0.02) even after adjusting for age and gender and explains 4.5% of the variance in percent fat mass and 5% of the variance in body mass index. There was no significant difference in allele frequencies or genotype distributions for the K109R or K656N polymorphisms. These findings support the hypothesis that the Q223R polymorphism (but not the K109R or K656N polymorphism) of the leptin receptor gene is associated with obesity and predicts a small percentage of body weight and body composition variability in a genetically homogeneous population.

Adolescent↗

Body mass reduction markedly improves muscle performance and body composition in obese females aged 61-75 years: comparison between the effects exerted by energy-restricted diet plus moderate aerobic-strength training alone or associated with rGH or nandrolone undecanoate.

OBJECTIVE: To investigate the effectiveness of a body mass reduction programme entailing diet caloric restriction and moderate physical activity with or without supplementary treatment with recombinant (r) GH or steroids to improve body composition and muscle performance in severely obese women aged 61-75 years. METHODS: Twenty women were randomly assigned to one of three groups: body mass reduction alone; body mass reduction plus rGH; body mass reduction plus nandrolone undecanoate. Body composition, isotonic muscle strength and anaerobic power output during jumping were determined before and after the 3-week period. RESULTS: Whatever the experimental group considered, body mass (P<0.01), body mass index (P<0.05) and fat mass (P<0.05) decreased significantly, whereas muscle strength and power increased significantly (P<0.05) after the intervention. CONCLUSION: Small body mass reductions after 3 weeks of energy-restricted diet combined with moderate aerobic and strength exercise are associated with significant improvements in upper and lower limb muscle strength and power and reduction of fat mass in severely obese women aged 61-75 years. Although the association of rGH or nandrolone undecanoate does not appear to exert additional effects on body composition and muscle performance attained by body mass reduction alone, further additional studies with larger study groups, different dosages and more prolonged periods are required for definitive conclusions to be drawn.

Aged↗

The effects of different percentages of dietary fat intake, exercise, and calorie restriction on body composition and body weight in obese females.

PURPOSE: The goal of this study was to determine the effect of varying the amount of dietary fat, while holding calories at 1,200 kcals/day, on body weight and percent body fat in 35 obese women. DESIGN: A pretest, midtest, posttest experimental design was employed, and subjects were randomly divided into one of four dietary fat groups, with 10%, 20%, 30%, or 40% of caloric intake as dietary fat. INTERVENTION: Subjects consumed 1,200 kcals/day and a specified percentage of total energy as fat, depending on their dietary group. Protein was held constant at 20%. All subjects engaged in a five day/week walking program. SETTING: Participants were recruited from the general community using newspaper advertisements. SUBJECTS: Thirty-five obese women 25 to 45 years of age (means=38 +/- 4.97) served as subjects. All were at least 20% above ideal weight and 30% to 52% body fat. MEASURES: Percent body fat, body weight, and anthropomorphic measurements were taken at baseline, six and 12 weeks. Dietary intake was recorded daily by each subject, and exercise walking logs were maintained by each participant. RESULTS: All subjects lost body weight and body fat; however, there were no significant differences in the rate or amount of body weight or percent body fat lost across the four groups during the intervention. CONCLUSIONS: It appears that during calorie restriction and exercise for 12 weeks, percent of calories derived from dietary fats does not influence loss of body weight or percent body fat in adult obese women.

Adult↗

Serial measurements of body composition and total body mineral content in dialysis and nondialysis patients with renal failure.

Thirty-two patients with chronic renal failure, and 68 patients on maintenance hemodialysis underwent serial total body neutron activation over periods of time ranging from 23 to 159 months. Measurements of total body potassium (TBK), total body sodium (TBNa), total body calcium (TBCa), total body phosphorus (TBPhos), and total body chloride (TBC1) were performed. The results were normalized by lean body mass (LBM) or kilogram body weight (BW). The TBNa/LBM and TBC1/BW decreased during the first 36 months of measurements in the dialysis males, while there was no change in the nondialysis males. The TBNa/LBM, TBC1/LBM and TBC1/BW decreased during the first 36 months of monitoring the dialysis females, while a decrease in the LBM was the only change in the nondialysis females. In patients with an increasing K ratio (observed/predicted TBK), the TBNa/LBM and TBCa/LBM decreased and the LBM/BW increased. Similarly, in patients with an increasing Ca ratio (observed/predicted TBCa), the TBCa/LBM and TBPhos increased. The increasing K ratio in dialysis patients with a decreasing TBNa/LBM probably represents an improvement in nutritional status. The increasing TBPhos in dialysis patients with an increasing Ca ratio may represent an increase in skeletal tissue and/or soft tissue calcification. In dialysis females, the total body nitrogen is not different from controls. The total body fat, as a percentage of body weight, is greater in dialysis patients than in controls.

Adolescent↗

Skinfold thickness measurements are better predictors of body fat percentage than body mass index in male Spanish children and adolescents.

OBJECTIVE: To develop equations, from some simple anthropometric measurements, for the prediction of body density from underwater weighing in male spanish children and adolescents. SUBJECTS: One hundred and seventy-five males, aged 7.0-16.9 y, participated in this study, they were recruited from primary and secondary schools. MEASUREMENTS: Body weight and height and skinfold thicknesses by anthropometry, body density by underwater weighing. RESULTS: Correlations between body density and body mass index (BMI) were high until 14.0-16.9y. Correlations between body density and log sigma 4 skinfolds were higher than those with BMI at all ages. Log sigma 4 skinfolds explained between 61% (14.0-16.9 y) and 68% (11.0-13.9 y) of the body density variance. Regression equations for body density from BMI and triceps skinfold thickness explained between 51% (14.0-16.9y) and 68% (7.0-10.9 y) of the body density variance. CONCLUSIONS: The best estimators of body density in the children and adolescents studied were log sigma 4 skinfolds and a combination of BMI and triceps skinfold.

Adipose Tissue↗

Altered body composition affects resting energy expenditure and interpretation of body mass index in children with spinal cord injury.

BACKGROUND: Individuals with spinal cord injury (SCI) typically undergo changes in their body composition (reduction in lean body mass and an increase in fat mass) that can lead to secondary complications associated with diminished physical activity and obesity. METHODS: This study used dual energy X-ray absorptiometry (DXA) to estimate the total lean tissue mass (LTM), total body fat, and total bone mineral content (BMC) to assess the relationship between body mass index (BMI), body composition, and resting metabolic rate (RMR) in a group of children with SCI who were matched with able-bodied controls for age and sex. Body composition and RMR were measured in 18 boys and 9 girls (10-21 years of age) who had a SCI in the previous 1 to 3 years and in 27 age- and sex-matched controls. RESULTS: Children with SCI had significantly lower mean LTM than control subjects (37.6 +/- 9.6 kg and 46.7 +/- 9.2 kg, respectively; P < 0.001) and higher percent body fat (26.4 +/- 7.9% and 20.2 +/- 8.5%, respectively; P < 0.02) as measured by DXA, despite their reduced BMI (18.9 +/- 3.8 kg/m2 and 21.2 +/- 2.9 kg/m2, respectively; P < 0.01). Children with SCI had lower RMR than the controls subjects (1213 +/- 334 kJ/d and 1511 +/- 257 kJ/d, respectively), but there was no difference in RMR when adjusted for LTM. CONCLUSION: Children with SCI have lower RMRs that are associated with their reduced LTM. The reduction in LTM and RMR may predispose children with SCI to relative gains in body fat. BMI significantly underestimates body fat in children with SCI.

Absorptiometry, Photon↗

Body movement and physical activity energy expenditure in children and adolescents: how to adjust for differences in body size and age.

BACKGROUND: Physical activity data in children and adolescents who differ in body size and age are influenced by whether physical activity is expressed in terms of body movement or energy expenditure. OBJECTIVE: We examined whether physical activity expressed as body movement (ie, accelerometer counts) differs from physical activity energy expenditure (PAEE) as a function of body size and age. DESIGN: This was a cross-sectional study in children [n = 26; (+/-SD) age: 9.6 +/- 0.3 y] and adolescents (n = 25; age: 17.6 +/- 1.5 y) in which body movement and total energy expenditure (TEE) were simultaneously measured with the use of accelerometry and the doubly labeled water method, respectively. PAEE was expressed as 1) unadjusted PAEE [TEE minus resting energy expenditure (REE); in MJ/d], 2) PAEE adjusted for body weight (BW) (PAEE. kg(-1). d(-1)), 3) PAEE adjusted for fat-free mass (FFM) (PAEE. kg FFM(-1). d(-1)), and 4) the physical activity level (PAL = TEE/REE). RESULTS: Body movement was significantly higher (P = 0.03) in children than in adolescents. Similarly, when PAEE was normalized for differences in BW or FFM, it was significantly higher in children than in adolescents (P = 0.03). In contrast, unadjusted PAEE and PAL were significantly higher in adolescents (P < 0.01). CONCLUSIONS: PAEE should be normalized for BW or FFM for comparison of physical activity between children and adolescents who differ in body size and age. Adjusting PAEE for FFM removes the confounding effect of sex, and therefore FFM may be the most appropriate body-composition variable for normalization of PAEE. Unadjusted PAEE and PAL depend on body size.

Adolescent↗

Interrelationship between food availability, fat body, and ovarian cycles in the frog, Rana tigrina, with a discussion on the role of fat body in anuran reproduction.

Long-term experiments were conducted to study the progression of vitellogenic cycles in Rana tigrina (an annual breeder) having different foraging backgrounds and held under conditions of weekly or daily food supply and in presence or absence of abdominal fat bodies. They were autopsied in June to assess fecundity. In nature an adult R. tigrina produces on an average 4,000 eggs/100 g body mass (b.m.) And spawns in June-July following monsoon rains. Weekly feeding from July to next breeding season, June resulted in a significant decrease in both fecundity (1700 eggs/100 g body b.m.) And mean size of eggs, compared to well-fed or wild-caught frogs. The abdominal fat bodies were barely seen in frogs fed weekly throughout, whereas in frogs fed weekly from July-December but daily from January onwards, the fat bodies became noticeable (1% of b.m.) And number and mean size of eggs increased significantly over those fed weekly throughout. Frogs captured in January possessed enlarged fat bodies (5% of b.m.), depicting a good foraging history. Maintenance of these frogs on a weekly feeding regimen led to an exhaustion of fat stores. They produced less number of eggs (2, 000/100 g b.m.) As compared to wild frogs but of normal size, whereas daily feeding slowed down a depletion of fat body mass and also significantly increased fecundity (3,000/100 g b.m.) Over the weekly fed individuals. Sham operation or fat body ablation in October or February had no significant effect on total fecundity per se (3,000-3,500 eggs/100 g b.m.) Compared to that of wild-caught frogs. However, eggs were significantly smaller due to fat body ablation despite daily feeding. The study shows that food abundance/fat bodies influence egg size and number in R. tigrina and that a direct or indirect functional relationship exists between fat body and ovarian cycles that are characteristically inverse to each other. J. Exp. Zool. 286:487-493, 2000.

Animals↗

Body dysmorphic disorder in patients with anorexia nervosa: prevalence, clinical features, and delusionality of body image.

OBJECTIVE: The prevalence of body dysmorphic disorder in patients with anorexia nervosa is unknown. We hypothesized that body dysmorphic disorder would be underdiagnosed in patients with anorexia nervosa and that comorbidity with body dysmorphic disorder would result in greater overall dysfunction. METHOD: Forty-one patients with DSM-IV anorexia nervosa completed the Body Dysmorphic Disorder Questionnaire, a self-report screen for body dysmorphic disorder. A follow-up interview was conducted using a reliable clinician-administered semistructured diagnostic instrument for DSM-IV body dysmorphic disorder. Delusionality about appearance was assessed using a validated semistructured interview. Comorbid DSM-IV diagnoses, number of hospitalizations and suicide attempts were obtained by means of a detailed diagnostic interview. RESULTS: Sixteen (39%) of the 41 patients with anorexia nervosa were diagnosed with comorbid body dysmorphic disorder unrelated to weight concerns. The anorexia nervosa patients with body dysmorphic disorder had significantly lower overall functioning and higher levels of delusionality than the anorexic patients without body dysmorphic disorder. DISCUSSION: These preliminary results suggest that body dysmorphic disorder may be relatively common among patients with anorexia nervosa. The presence of comorbid body dysmorphic disorder may indicate a more severe form of illness.

Adolescent↗

Prediction of whole-body composition from the whole-body dry matter percentage of three-week-old broiler chicks.

Whole carcasses of 3-wk-old broiler chicks from four independent experiments were analyzed for percentage of whole-body DM, ether extract, and CP. The percentage of whole-body ash was calculated by the difference among DM, ether extract, and CP. A linear relationship between percentage whole-body DM and percentage whole-body ether extract (P < 0.001; r2 = 0.798) was found, but no relationships were detected between percentage whole-body DM and percentage whole-body CP (P = 0.29; r2 = 0.010). The percentage of whole-body ash was moderately correlated with the percentage of whole-body DM (P = 0.04; r2 = 0.036). In conclusion, the percentage of whole-body ether extract of 3-wk-old broiler chicks can be predicted from the percentage of whole-body DM by using the prediction equation Y = 0.961x - 17.855. Neither the percentages of whole-body CP nor ash could be accurately predicted from the wholebody DM percentage.

Animals↗

Genetic variation in pure lines and crosses of large-bodied turkeys. 4. Body shape and carcass traits.

An experimental line (F) of turkeys selected long-term for increased 16-wk BW was reciprocally crossed with a primary breeding sire line (C) from a major international turkey breeder to study the inheritance of carcass traits and body shape. The birds were weighed and killed at 16 wk of age, and various measurements of muscling, leg bones, and body shape were made. The BW of males were 16.0 and 15.1 kg, respectively, in the C and F lines. The respective BW for females were 12.2 and 11.2 kg. Additive genetic variation, as indicated by differences between the F and C line, was a more important source of variation for measurements of muscling than for measurements of leg bones. The anterior and posterior depth of the body and the ratio of these measurements differed between the F and C lines. Body cavity volume index (length x width x height) differed between lines in females and sexes combined. The weights of some internal organs (gizzard, heart, liver, pancreas, and spleen), but not others (proventriculus and lungs), differed between lines, and the total weight of these organs was greater in the C line than in the F line. However, the ratio of total demand organs (muscles and bones) to the total weight of the supply organs was less in the F line than in the C line. Heterosis was a more important source of variation in body weight and weights of the pectoralis major and pectoralis minor muscle weights in males than in females. Heterosis for some body shape measurements (keel length, body depth 1, body depth 2, body depth ratio, body cavity height, and body cavity volume index) was significant in some comparisons. Heterosis (range = 3.64 to 3.99%) for leg muscle measurements (thigh muscles, drumstick muscles, and total leg muscles) was highly significant (P < or = 0.01) based on the analysis for both sexes. Differences between the reciprocal crosses of the F and C lines were more frequent in the present study than in previous studies in which the F line was reciprocally crossed with sire lines from 2 other commercial breeders. However, when the data from the previous studies and the current study were summarized, it appeared that the only reciprocal effect that was consistent was for the weight of the drumstick muscles, indicating sex linkage or maternal effects may influence the weight of these muscles.

Animals↗

Body fat mass, body fat distribution, and pubertal development: a longitudinal study of physical and hormonal sexual maturation of girls.

The rate at which girls progress through the stages of puberty in relation to body fat mass and body fat distribution and its relation to their hormonal profiles was studied. Sixty-eight schoolgirls participated in a longitudinal study during 3 yr. The girls were divided into subgroups with increasing skinfold thicknesses and waist-hip ratio. They were also grouped depending on Tanner's breast development classification (M2 and M3). The age at M2 was only marginally correlated with the menarcheal age, but the age at M2 and the time interval from that age to menarche was negatively correlated. Age at the onset of puberty was not related to body fat mass or distribution. The rate of pubertal development after pubertal stage M3 was negatively related to the body fat mass. Age at M2 was only correlated with estrone (E1), while the rate of pubertal development was associated with higher FSH, E1, estradiol (E2), the fraction of E2 that was not bound to sex-hormone-binding globulin (non-sex-hormone-binding globulin bound E2) and androstenedione plasma levels at the onset of puberty. Body fat distribution, rather than body fat mass was related to the total and the non-sex-hormone-binding globulin bound plasma levels of E2 and testosterone at the onset of puberty. Changes in body fat distribution in early female puberty were chiefly related to the waist circumferences. We found no evidence that body fat mass or body fat distribution triggers the onset of puberty. Body fat distribution was related to early pubertal endocrine activity. Body fat mass was negatively related to the rate of pubertal development toward menarche, but no clear indications for an endocrine-related process is found. We conclude that onset of puberty and menarche are not parallel pubertal events, and that early pubertal plasma E1, E2 and androstenedione levels are predictors for the rate of pubertal development toward menarche. We propose that the control of the onset of puberty and maturation of the hypothalamic-pituitary gonadal axis, with regard to negative feedback control, are at least partially independent. This induces on the average a "catch up" pubertal maturation in girls with a late onset of puberty.

Adipose Tissue↗

Interactions between coilin and PIASy partially link Cajal bodies to PML bodies.

The eukaryotic nucleus contains a variety of dynamic structures, yet studies into the functional relationship of one type of subnuclear domain to another have been limited. For example, PML bodies and Cajal bodies associate, but the functional consequence of this association and the mediating factors are unknown. Here we report that an associated PML body/Cajal body can co-localize to an snRNA gene locus, with the Cajal body invariably situated between the PML body and the snRNA locus. Binding studies demonstrate that coilin (a Cajal body protein) directly interacts with PIASy (a PML body protein). Cell biological experiments using coilin and PIASy knockout cell lines demonstrate that interactions between coilin and PIASy account in part for the observed association of Cajal bodies with PML bodies. When the PIASy interaction region on coilin is deleted, the frequency of the association between Cajal bodies and PML bodies is reduced. These studies provide another example of coilin's role in the functional organization of the nucleus.

Chromosomal Proteins, Non-Histone↗

The utility of body mass index as a measure of body fatness in children and adolescents: differences by race and gender.

OBJECTIVE: To evaluate whether body mass index (BMI) is a representative equivalent measure of body fatness independent of age, race, gender, sexual maturation, and distribution of fat in children and adolescents. STUDY DESIGN: Cross-sectional study of 192 healthy subjects (100 boys and 92 girls, 103 white and 89 black) age 7 to 17 years. Methods. Height and weight were measured in the standard fashion, and BMI (kg/m) was calculated from these values. Fat mass and percent body fat were determined using dual-energy x-ray absorptiometry. Sexual maturation was evaluated by physical assessment. Distribution of fat was determined by the waist:hip ratio. RESULTS: There were no significant differences by gender and ethnic group for any of the demographic or anthropometric variables, except waist:hip ratio, which was higher in white compared with black boys. BMI was significantly and positively correlated with age, stage of maturation, and all of the anthropometric variables in each race-sex group. The correlation of maturation stage with BMI was stronger than the correlation between age and BMI. A multiple regression analysis showed that BMI, gender, race, sexual maturation, and distribution of fat were all significant independent correlates of the percent body fat (multiple R = .77). The percent body fat-BMI relationship was dependent on the stage of sexual maturation, gender (for an equivalent BMI, girls have greater amounts of body fat than boys), race (for equivalent BMI, whites have higher body fat than blacks), and waist:hip ratio (for equivalent BMI, those with central obesity have greater body fatness than those with peripheral obesity). CONCLUSION: BMI is not an equivalent measure of the percent body fat for each race-sex group. When BMI is used as a measure of body fatness in a research or clinical setting, particularly when comparisons are made across race and gender, it may be important to consider the maturation stage, race, gender, and distribution of body fat in the interpretation of the results.

Absorptiometry, Photon↗

Body dissatisfaction: how is it related to stress and one's perception of individual and cultural ideal body? A comparison of Bosnian and American university students.

Cultural differences in body dissatisfaction, the relationship of stress to body dissatisfaction and individual and cultural body ideals were investigated. Forty-eight United States women and 48 Bosnian women completed the Body Shape Questionnaire (BSQ), the Impact of Event Scale (IES), and a Body Figure Rating Scale. When Body Mass Index was controlled, United States women demonstrated more body dissatisfaction and chose smaller cultural ideal body sizes than Bosnian women, but did not differ on personal ideal body size ratings. Furthermore, stress was only related to body dissatisfaction for Bosnian women. Additional research is needed to further elaborate the body dissatisfaction differences as they relate to cultural values.

Adolescent↗