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The relationship between dieting and body image, body ideal, self-perception, and body mass index in Turkish adolescents.

OBJECTIVE: The current study examined the roles of body image, ideal body weight, self-perception, and body mass index (BMI) on the dieting behavior of Turkish adolescents. METHOD: The 531 subjects who participated in the study ranged from 15 to 17 years old and were recruited from five selected high schools in Ankara. They completed the Self-Perception Profile for Adolescents (SPPA), the Body Image Satisfaction Questionnaire (BISQ), and the Dieting Status Measure (DiSM). Height and weight were measured. RESULTS: Dieting adolescents received significantly lower scores than nondieters for most of the BISQ items and for the physical appearance and global self-worth subscales of the SPPA. A thinner body ideal, the physical appearance domain of self-concept, and low global self-worth were the predicting factors of frequent dieting. However, BMI and body image dissatisfaction were not predicting factors. DISCUSSION: The results indicate that a thinner body ideal, low self-worth, and low physical self-concept have more significant effects on body dissatisfaction and dieting than being actually overweight does. Furthermore, high physical self-concept scores and body satisfaction may not necessarily preclude having a thinner body ideal and, hence, dieting in girls.

Adolescent↗

Comparisons of body mass index, perception of body weight, body shape satisfaction, and self-esteem among Korean adolescents.

The purpose of this study was to compare sex differences in Body Mass Index, subjective perception of body weight, body shape satisfaction, and self-esteem in Korean adolescent boys and girls. Subjects were 109 boys (M age= 16.1 yr., SD = .6) and 131 girls (M age = 16.0 yr., SD = .5), recruited from two high schools in Korea. There were differences in Body Mass Index, perception of body weight, body shape satisfaction, and self-esteem by group. More girls (31%) than boys (16%) evaluated themselves as overweight, while higher proportions of boys (6.4%) than girls (1.5%) were actually overweight. A higher proportion of girls responded that they were dissatisfied with their body shape (61% vs 28%). Self-esteem mean score was significantly higher for the boys than the girls. There was a significant relationship between actual Body Mass Index and perception of body weight. There was a significant negative relation between Body Mass Index and rated self-esteem for girls.

Adolescent↗

The influence of genetic and environmental factors in estimations of current body size, desired body size, and body dissatisfaction.

The objective was to investigate the genetic epidemiology of figural stimuli. Standard figural stimuli were available from 5,325 complete twin pairs: 1,751 (32.9%) were monozygotic females, 1,068 (20.1%) were dizygotic females, 752 (14.1%) were monozygotic males, 495 (9.3%) were dizygotic males, and 1,259 (23.6%) were dizygotic male-female pairs. Univariate twin analyses were used to examine the influences on the individual variation in current body size and ideal body size. These data were analysed separately for men and women in each of five age groups. A factorial analysis of variance, with polychoric correlations between twin pairs as the dependent variable, and age, sex, zygosity, and the three interaction terms (age x sex, age x zygosity, sex x zygosity) as independent variables, was used to examine trends across the whole data set. Results showed genetic influences had the largest impact on the individual variation in current body size measures, whereas non-shared environmental influences were associated with the majority of individual variation in ideal body size. There was a significant main effect of zygosity (heritability) in predicting polychoric correlations for current body size and body dissatisfaction. There was a significant main effect of gender and zygosity in predicting ideal body size, with a gender x zygosity interaction. In common with BMI, heritability is important in influencing the estimation of current body size. Selection of desired body size for both men and women is more strongly influenced by environmental factors.

Adolescent↗

Growth characteristics of metallothionein-human growth hormone transgenic mice as compared to mice selected for high eight-week body weight and unselected controls. I. Body weight gain and external body dimensions.

Body weight gain and external body dimensions of MT-hGH transgenic mice were compared with mice (NMRI) selected for high 8-week body weight (N8) and unselected controls derived from the NMRI strain (Pop). The growth curves from day 30 to 120 of transgenic mice exhibited a significantly steeper slope than those of male and female controls and of female N8 mice and did not show sex-related differences. The continuous pattern of GH secretion in transgenic mice is discussed as a possible reason for this phenomenon. Body weight gain of transgenic mice did not significantly exceed that of male N8 mice. None of the groups showed an obvious prolongation of the period of rapid daily weight gain. Maximum body weights of male and female transgenic mice were significantly higher than those of sex-matched controls but not of N8 mice. A drastic loss of body weight of about 25% of the maximum value was observed in the transgenic group prior to death. External body dimensions were largest in MT-hGH transgenic animals, followed by N8 mice and controls. In addition to these absolute measurements, values were related to the cube root of maximum body weight of the same animal. This is the first study that provides a comparative analysis of the effects of GH gene transfer and selection for body weight gain on body growth of mice derived from an outbred strain.

Animals↗

Body composition in children: proposal for a method for calculating body fat percentage from total body density or skinfold-thickness measurements.

A method is presented for assessing childhood obesity in a more objective way than most other routine methods used for diagnosing childhood obesity. The sum of bicipital, tricipital, subscapular, and suprailiacal skinfold thicknesses is related to total body density by use of theoretically defined prediction equations. Total body density is used to estimate total body fat percentage by use of age- and sex-dependent equations on the relation between body fat percentage and body density. These equations are constructed on the basis of published data on changes in the density of fat-free mass with age in children. With the proposed method childhood obesity can be assessed routinely in a more consistent way than with most other routine methods used to diagnose obesity in children. A preliminary validation study indicated that in children aged 7-10 y predicted body density differed on average less than 1% from measured body density. In addition, predicted body density was highly correlated (r greater than 0.7) with measured body density.

Adipose Tissue↗

The composition of excess weight in obese women estimated by body density, total body water and total body potassium.

Measurements of body composition were made on 104 women aged 14-60 years whose fat content varied from 6 per cent to 60 per cent of body weight. Estimates of fat content were systematically lower when based on a measurement of body density than when based on body water, and were higher still when based on total body potassium. When body weight and body fat were corrected for stature by dividing by height squared there was a coefficient of correlation between these two variables of 0.936, 0.921 and 0.938 for estimates of fat based on density, water and potassium respectively. When the mean of all three estimates of fat was used the correlation was 0.955. Neither the slope of the regression line nor the strength of the correlation was affected if gross body weight was correlated with total body fat without correction for stature. It is concluded that differences in weight between women of similar height is attributable to tissue which is 70-78 per cent fat and 22-30 per cent lean, and that in the treatment of obese patients it is desirable that no more than 22 per cent of the weight loss should be lean tissue.

Adipose Tissue↗

Correlation of neuronal cell body size in motor cortex and hippocampus with body height, body weight, and axonal length.

This study examined the comparative effects of body height and body weight on the neuronal cell size in humans and investigated their possible mechanisms. A total of 21 cases between the ages of 20 and 40 years were studied. Data on body height, body weight, and neuropathology were obtained from autopsy records. Mean cross sectional areas of cell bodies for 30 normal neurons were determined for the motor cortex projecting to lumbar spinal cord segments (L) 1-4 (Betz cells) as well as various regions of the hippocampus. Approximate axonal length of the motor neuron studied was measured from motor cortex to L2. We found that only motor cortex neuronal cell body size was significantly proportional to body height and the respective axonal length (p < .05). The findings indicate that: 1) body height has a greater effect than body weight on the motor neuron cell size, probably because of its association with axonal length; 2) the effect is regional (motor cortex) rather than general.

Adult↗

Why do young women diet? The roles of body fat, body perception, and body ideal.

BACKGROUND: To assess the relative roles of body fat, body perception, and body ideals as motivations for dieting in college women. METHOD: We compared 45 college women who reported having dieted with 32 who had not, using a novel computerized test of body image called the somatomorphic matrix. RESULTS: As expected, the difference in body fat between subjects' "perceived body" and "ideal body" was significantly greater in dieters than in nondieters (p < .001). Remarkably, however, this difference remained highly significant even after adjusting for the subjects' actual measured body fat (p = .002). Further analysis revealed that this difference persisted, not because dieters had unrealistic ideals of thinness, but because they had distorted perceptions of their fatness. CONCLUSION: Distorted body image perception, a potentially treatable condition, may play an unexpectedly large role in motivating young women to diet.

Adipose Tissue↗

Body image changes in adolescents I development of Self-Rating Body Image (SRBI) test and effects of sex, age and body shape.

We investigated the effects of sex, age and body shape on self-body image estimated by our Self-Rating Body Image (SRBI) test in 687 adolescents. Three factors were derived from the 20 items of the SRBI by using a factor analysis. They were interpreted as the images of "body shape," "face" and "visceral organ." Scores of these images in the females were significantly higher than those in the males. There was a significantly negative correlation between the body shape and "body shape" image for the female adolescents 13 years of age (middle) and 18 years of age (late), while no correlation was found for the male and female adolescents 10 years of age (early) and late male adolescents. Our results suggest that a female adolescent wants to be thinner and that the body image showed critical changes during the early and middle periods of adolescence, leading to unsatisfactory images of self-body.

Adolescent↗

Prediction of total body lipid from total body water in rats. Part 1. Relations between directly measured major body components.

Aimed to the construction of a prediction equation for estimations of lipid content from animal water content body composition was determined by whole body analysis of male rats (1) given access, ad libitum, to a commercial standard diet (n = 144; ranging from 60 to 600 g in weight, and from the 4th to the 34th week of age), and (2) showing striking variations with regard to nutritional state, dietary history, enlarged fat deposition, genetic origin, intestinal microbial status, and advanced age (n = 75). It was shown that a unique coefficient of water content in lipid-free body mass does not exist. The results of statistical analysis for the grouped values of percentage body dry matter (x) and percentage body lipid (y) indicate that the latter can be estimated accurately from body water content directly determined by the use of the quadratic regression equation y = -0.2864 x +0.01615 x2 with a standard deviation of the procedure Sy = +/- 1.40. This prediction equation is valid for a wide developmental span even under highly different experimental states. Differences between the calculated body lipid contents vs. analytically determined values are smaller than by using a linear regression equation or coefficient(s) of hydration of lipid-free body mass.

Aging↗

The impact of body build on the relationship between body mass index and percent body fat.

OBJECTIVE: The objective of the study was to test the hypothesis that differences in the relationship between percent body fat (%BF) and body mass index (BMI) between populations can be explained (in part) by differences in body build. DESIGN: Cross-sectional, comparative study. SUBJECTS: 120 age, gender and BMI matched Singapore Chinese, Beijing Chinese and Dutch (Wageningen) Caucasians. MEASUREMENTS: From body weight and body height, BMI was calculated. Relative sitting height (sitting height/height) was used as a measure of relative leg length. Body fat was determined using densitometry (underwater weighing) in Beijing and Wageningen and using a three-compartment model based on densitometry and hydrometry in Singapore. Wrist and knee widths were measured as indicators for frame size and skeletal mass was calculated based on height, wrist and knee width. In addition, a slenderness index (height/sum of wrist and knee width) was calculated. RESULTS: For the same BMI, Singapore Chinese had the highest %BF followed by Beijing Chinese and the Dutch Caucasians. Singaporean Chinese had a more slender frame than Beijing Chinese and Dutch Caucasians. Predicted %BF from BMI, using a Caucasian prediction formula, was not different from measured %BF in Wageningen and in Beijing, but in Singapore the formula underpredicted %BF by 4.0 +/- 0.8% (mean +/- s.e.m.) compared to Wageningen. The difference between measured and predicted %BF (bias) was related to the level of %BF and with measures of body build, especially slenderness. Correction for differences in %BF, slenderness and relative sitting height, decreased the differences between measured and predicted values compared to the Dutch group from 1.4 +/- 0.8 (not statistically significant, NS) to -0.2 +/- 0.5 (NS) in Beijing and from 4.0 +/- 0.8 (P < 0.05) to 0.3 +/- 0.5 (NS) in Singapore (all values mean +/- s.e.m.). CONCLUSIONS: The study results confirm the hypothesis that differences in body build are at least partly responsible for a different relationship between BMI and %BF among different (ethnic) groups.

Adipose Tissue↗

New equations for estimating body fat mass in pregnancy from body density or total body water.

The equations for estimating fat mass from body density or total body water are not appropriate for application in pregnancy, because the underlying assumptions with respect to density and composition of fat-free mass do not hold for pregnancy. Representative values have been derived from literature data for density and water content of maternal fat-free mass throughout pregnancy. Using these values we developed a method that provides new equations for estimating fat mass from body density or total body water for any desired stage of pregnancy. The validity of the new equations based on body density is discussed using data on body weight and body density obtained from a longitudinal study on well-nourished Dutch pregnant women. Because the new equations result in more valid estimates of maternal body fat mass, we suggest that they be used in studies on energy balance in pregnancy.

Adipose Tissue↗

Dependency of standardized uptake values of fluorine-18 fluorodeoxyglucose on body size: comparison of body surface area correction and lean body mass correction.

In an attempt to minimize dependency of conventional standardized uptake values (SUVs) of F-18-fluorodeoxyglucose (FDG) normalized for the total body weight (TBW) on patient's body weight, the uses of SUV corrected for the lean body mass (LBM) and that corrected for the body surface area (BSA) have been proposed as alternatives. We compared the dependency of SUVLBM and SUVBSA on the overall body size. FDG-PET images were acquired on 44 patients. SUVLBM and SUVBSA for the liver were determined as previously described. Following normalization of the scales of the values obtained from these two approaches, the mean +/- S.D. was 2.86 +/- 0.52 (SUVLBM) and 2.86 +/- 0.50 (SUVBSA). A linear regression analysis was performed for correlating the liver SUVLBM and SUVBSA, with each of TBW, LBM, BSA and height. The dependency of the two values on TBW was similar. SUVLBM showed a moderate dependency on height (r = 0.56, P = 0.00007), LBM (r = 0.55, P = 0.0001) and BSA (r = 0.51, P = 0.0004), whereas SUVBSA showed no dependency on LBM (r = 0.18, P = 0.24) or height (r = 0.20, P = 0.19), and a minimal dependency on BSA (r = 0.38, P = 0.01). In conclusion, SUVBSA appears to be less dependent on overall body size, particularly height and lean body mass, than SUVLBM.

Abdominal Neoplasms↗

Having a body versus moving your body: How agency structures body-ownership.

We investigated how motor agency in the voluntary control of body movement influences body awareness. In the Rubber Hand Illusion (RHI), synchronous tactile stimulation of a rubber hand and the participant's hand leads to a feeling of the rubber hand being incorporated in the participant's own body. One quantifiable behavioural correlate of the illusion is an induced shift in the perceived location of the participant's hand towards the rubber hand. Previous studies showed that the induced changes in body awareness are local and fragmented: the proprioceptive drift is largely restricted to the stimulated finger. In the present study, we investigated whether active and passive movements, rather than tactile stimulation, would lead to similarly fragmented body awareness. Participants watched a projected image of their hand under three conditions: active finger movement, passive finger movement, and tactile stimulation. Visual feedback was either synchronous or asynchronous with respect to stimulation of the hand. A significant overall RHI, defined as greater drifts following synchronous than asynchronous stimulation, was found in all cases. However, the distribution of the RHI across stimulated and non-stimulated fingers depended on the kind of stimulation. Localised proprioceptive drifts, specific to the stimulated finger, were found for tactile and passive stimulation. Conversely, during active movement of a single digit, the proprioceptive drifts were not localised to that digit, but were spread across the whole hand. Whereas a purely proprioceptive sense of body-ownership is local and fragmented, the motor sense of agency integrates distinct body-parts into a coherent, unified awareness of the body.

Body Image↗

Body experience and mental representation of body image in patients with haematological malignancies and cancer as assessed with the Body Grid.

The domain of body image plays a central role in the quality of life of patients with haematological malignancies and metastasized cancer, since the disease itself as well as the enrolled therapies interfere with psychological and bodily well-being. We approached this highly subjective field by using the repertory grid technique and hypothesized that patients would display a restricted body image, focusing on functional aspects of the body. In all, 55 in-patients (27 men, 28 women, M age = 45.7 yrs, N = 46 with haematological malignancies, N = 9 with metastasized cancer), at the time of initial diagnosis, were included in the study and assessed with the Body Grid, an instrument specifically designed by us for the exploration of body image. The data were analysed by principal component analysis (PCA) and construct categorization. Further, 42 chronic tinnitus sufferers (20 male, 22 female, M age = 46.5 yrs) served as a comparison group. Based on the constructs elicited, six construct categories were formulated in the sense of a first attempt of a hierarchical model (emotion, control, activity, strength, function, appearance). The central constructs (373 construct pairs) were assigned to these categories by three inter-raters. The categories appeared in the following order of frequency: function (27.1%), emotion (20.4%), strength (20.1%), activity (15%), control (10.2%) and appearance (7.2%). PCA indicated that the patients mainly demonstrated a restricted view of their body. In the tinnitus group, the most frequent category proved to be activity (21.3%), closely followed by function (21.1%) and control (20.9%). The body image was also restricted (PCA). The restriction of body image, together with the specific construct choice, seen in the haematology and cancer patients reflects the existential threat of the disease and may serve as a coping strategy. The high percentage of emotional constructs may mirror the patients' need for further support. The distinct distribution of construct categories in the two different patient samples supports the applicability of the proposed preliminary model.

Adult↗

Impact of total body water fluctuations on estimation of body fat from body density.

The purpose was to investigate the possibility that variability in body weight in females due to water retention causes differences in body density (Db) values determined by hydrostatic weighing (HW). Determination of total body water (TBW) and Db were concurrently measured in seven females who experienced considerable fluctuations in body weight (1.5-4.5 kg) and seven males, ages 19-24. Females were measured when they felt they were at their lowest (LO) and highest (HI) body weights (BW) during a menstrual cycle. Males were randomly tested approximately 3 wk apart. Mean values of selected variables were compared in the LO vs HI testing sessions by paired t-tests. Significant mean differences were found in the females (P less than 0.01) for the following variables: BW (kg) (LO = 58.9, HI = 61.1), Db (g.cc-1) (LO = 1.0430, HI = 1.037), and percent body fat (%BF) as determined by HW alone (LO = 24.8%, HI = 27.6%). Variables significant at the P less than 0.05 level were TBW(l) (LO = 33.6, HI = 35.1) and %TBW of the fat-free body (LO = 74.5, HI = 75.9). However, changes in TBW could not entirely account for observed changes in Db. Only mean BW (kg) was significant (P less than 0.01) in the males (LO = 74.3, HI = 74.6). It is concluded that changes in TBW can in part result in significantly different Db values obtained from HW in females who did experience perceptible changes in BW during a menstrual cycle. The remaining differences may be due to changes in fat and protein content or methodological errors.

Adipose Tissue↗

Estimating body composition in late gestation: a new hydration constant for body density and total body water.

Twenty women underwent body density (DB) measurements using underwater weighing with correction of residual lung volume by nitrogen dilution and total body water (TBW) using isotope dilution of 18O to estimate body composition at 30 wk of gestation. DB and TBW were used as independent variables in the same equation. The hydration constant (HC) of fat-free mass (FFM) was estimated as 0.762; based on this HC, new body composition equations for both DB and TBW were derived. These equations were prospectively tested in an additional 20 women at 30 wk of gestation. No significant differences were detected between estimates of percent body fat (%F) using either the newly derived DB or TBW equations and estimates of %F using both DB and TBW. Ten of these forty women were evaluated postpartum. There was no significant difference in %F estimated by either TBW or DB compared with standard equations (hydration of FFM = 0.72) and %F using both DB and TBW. These results highlight the importance of either measuring both DB and TBW or using an appropriate hydration constant for FFM in estimating body composition during pregnancy or conditions associated with increased body water.

Adult↗

A new TOBEC instrument and procedure for the assessment of body composition: use of Fourier coefficients to predict lean body mass and total body water.

A second-generation total body electrical-conductivity instrument (TOBEC II) that uses convolution principles was evaluated. This study 1) examined the stability of the instrument, 2) validated the relationship of total body electrical conductivity to isotopically determined total body water (TBW) and densitometrically determined lean body mass (LBM), and 3) developed prediction equations for LBM, TBW, and total body potassium using Fourier coefficients. In a sample of 40 men and women aged 19-35 yr and ranging from 6% to 36% body fat, the correlations among the zero-, first-, and second-order Fourier coefficients (FC0, FC1, FC2) with LBM were r = 0.97, 0.98, and 0.99, respectively. Similarly, the correlations with TBW were r = 0.96, 0.97, and 0.98, respectively. The best prediction equation was for LBM: LBM (kg) = 22.998 + 0.102FC0 + 0.062FC1 - 0.29FC2(R2 = 0.983 and SEE = 1.43 kg).

Adult↗