Relationship of Appetite, Body Image, and Energy Intake with Body Mass Index in Undergraduate Students in Surakarta

Background: Young adults are vulnerable to lifestyle changes that will eventually change their behavior, including health behavior. Behavioral changes during this period can affect nutritional status. Nutritional status is affected by energy intake, influenced by several internal factors such as appetite and body image. This study shows the correlation between appetite, body image, and energy intake with body mass index. Method: This study was conducted with a random sampling method through 120 undergraduate students. Appetite was measured using a visual analog scale. Energy intake was measured using the 24-hour food recall method. Statistical analysis used was Spearman's rankBody shape perception was assessed using the Stunkard figure rating scale. Results: Appetite is closely related to energy intake (p <0.05) but not with BMI. Body image correlates with intake energy and BMI. Most obese students (70.4%) consider themselves overweight. Energy intake is correlated with BMI (p <0,001). Conclusion: Appetite and body image are related to food intake. Energy intake is correlated with body mass index.

Perceptions of the Body and Body Dissatisfaction in Primary Education Children According to Gender and Age. A Cross-Sectional Study

Body image (BI) is a trending topic of study since health problems derived from a negative perception of the body are increasing and affecting people of all ages, with an increasing incidence among children from the age of eight. The objective of this study was to evaluate the current perception of the body against the desired body and the degree of body satisfaction of Galician primary education students. A total of 355 students (167 boys (47%)) between 9 and 12 years old participated (mean = 10.53; SD = 0.84). Sociodemographic data (sex, age, height, and weight) were collected, and the Figure Rating Scale was used. There are statistically significant differences between boys and girls in the current perceived figure (p = 0.003) and in the desired figure (p < 0.001). Depending on age, the differences were in current (p = 0.010) and desired (p = 0.021) body perception. In conclusion, boys perceive themselves as having a larger figure than girls do, but this perception is far from reality according to the body mass index. For the desired figure, both boys and girls want to be slimmer, but girls want a slimmer figure. Regarding age, the current perceived figure size increases with age as it increases in those students dissatisfied with their body.

Is there a difference in body size dissatisfaction between the patients with obesity seeking and not seeking treatment for obesity?

Background Various factors motivate people to undertake treatment for obesity. Among others they include health benefits, willingness to please others, and dissatisfaction with one’s appearance. The present study aimed to assess body size dissatisfaction in patients with obesity seeking and not seeking treatment for obesity. Methods Two-hundred-sixteen adult subjects (154 women, 62 men) including 80 people with BMI ≥ 30 kg/m2 starting treatment for obesity (BMI 35.7 ± 5.3 kg/m2) and 136 volunteers with obesity (BMI 34.7 ± 4.3 kg/m2) not seeking treatment for obesity, were enrolled. Body size satisfaction was assessed using the Figure Rating Scale adapted by Stunkard. Results Patients with obesity starting obesity treatment had more often a high level of body size dissatisfaction than volunteers with obesity not seeking the treatment (p < 0.001). There was a significant difference in the distribution of body size dissatisfaction in women (p < 0.05), but not in men (p = 0.47). Conclusion Patients with obesity, especially women, seeking obesity treatment more often represent a high level of body size dissatisfaction than volunteers with obesity not seeking treatment for obesity. This implies the need for public health campaigns to address negative attitudes or misconceptions about obesity and its treatment. Placing more attention and emphasis on body size dissatisfaction in more vulnerable women with obesity may help to define personal motivations and goals, strengthen the doctor-patient relationship and better adapt therapeutic strategies.

Eating Disorder Symptoms and Body Image in Adolescents from Public Schools in Brazil

There is growing recognition of the adverse effects of body image dissatisfaction (BID) and eating disorder (ED) symptoms on adolescent health. The aim of this study was to estimate the prevalence of ED symptoms, BID, and their relationship in adolescents from public schools in Southern Brazil. A total of 782 schoolchildren (male: n=420, female: n=362); age: 15 ± 0,4 years) answered a self-administrated questionnaire to identify sociodemographic data. Children´s Figure Rating Scale was adopted to identify body image and Eating Attitudes Test (EAT-26) was applied to investigate ED symptoms. Inferential statistics and hierarchical model-controlled logistic regression were used for association between variables. Most of the schoolchildren reported being satisfied with their bodies. However, we observed a higher prevalence of dissatisfaction among girls for being overweight and thinness among boys. Female students and students from schools located in the central area of the city showed higher chances of developing ED symptoms, and the absence of symptoms of ED appeared to act as a protective factor against BID in schoolchildren. Results of this study show the need to reflect on these factors that influence the development of ED and non-acceptance of their own body in a population concerned with their physical appearance.

ACROMEGALY IN REMISSION: A VIEW FROM THE PARTNER

Background A relative can be an asset in dealing with chronic illnesses, such as acromegaly, where quality of life is altered even after remission. However, it has been shown that quality of life of caregivers can also be impacted. Our main objective was to compare the perception of acromegaly in remission in the patient-relative dyad. Methods In this observational study, 27 patients in remission and relatives were first asked to complete quality of life, anxiety/depression and coping strategy questionnaires. Then, the patient’s body image and self-esteem were evaluated from both the patient’s and from the relative’s point of view using the same questionnaires with modified instructions. Results Relatives had overall an accurate estimation of patient body image using the Figure Rating Scale by Stunkard. However, there were wide variations between the patient’s and the relative’s responses regarding self-esteem and body perception. The quality of life of relatives was not altered and was significantly higher in the social domain than for the patient. Conclusions Our results show that relatives require education concerning all the steps involved in the management of acromegaly, as they likely do not fully understand the sequelae of acromegaly.

Development of a BMI-Assigned Stunkard Scale for the Evaluation of Body Image Perception Based on Data of the SOS Reference Study

<b><i>Introduction:</i></b> Stunkard’s figure rating scale is a widely used tool to assess weight status and, more recently, body image perception in people with obesity. However, large population-based studies on Europeans linking this scale’s silhouettes with measured BMI values are lacking. Therefore, we used measured weight and height data from the Swedish Obese Subjects (SOS) reference cohort to assign a mean BMI to each of the 9 Stunkard Scale silhouettes and to define silhouette cutoff values for categorizing people with obesity and overweight. <b><i>Methods:</i></b> A total of 1,128 participants from the SOS reference cohort were included (54% females, BMI = 25.2 [ranging from 17.6 to 45.4] ±3.8 kg/m², and age = 50 [ranging from 36 to 62] ±7 years [means ± standard deviation]). Patients estimated their own body size by choosing a silhouette of the Stunkard Scale. A mean BMI, based on measured weight and height, was assigned to each male and female silhouette of the Stunkard Scale. Measured BMI values were compared with BMI values calculated by simple linear regression analysis. ROC analysis was used to test accuracy of discrimination and the Youden index to assess optimal cutoff. <b><i>Results:</i></b> Figure ratings and BMI were strongly correlated in men, <i>r</i> (518) = 0.76, <i>p</i> &#x3c; 0.001 and women, <i>r</i> (606) = 0.80, <i>p</i> &#x3c; 0.001. Silhouette selection significantly predicted BMI values in men, β = 16.03, <i>t</i> (518) = 25.30, <i>p</i> &#x3c; 0.001, and women, β = 12.06, <i>t</i> (606) = 32.98, <i>p</i> &#x3c; 0.001, and explained a significant proportion of variance in BMI values in men, <i>R</i>^<i>2</i> = 0.55, <i>F</i> (1, 518) = 639.98, <i>p</i> &#x3c; 0.001, and women, <i>R</i>^<i>2</i> = 0.64, <i>F</i> (1, 606) = 1,087.88, <i>p</i> &#x3c; 0.001. ROC curve analyses resulted in an optimal cutoff value of 6 for identifying people with obesity and 5 for overweight. <b><i>Conclusion:</i></b> Stunkard’s figure rating scale can be used with confidence to assess weight status. Silhouette selection accurately classifies subjects as overweight or obese.

Distorted self-perception and dissatisfaction with body image among nursing students

ABSTRACT Objective: To evaluate distorted self-perception and dissatisfaction with body image among nursing students. Method: Cross-sectional study with students from a public university. Self-perception and satisfaction with body image were assessed using the Figure Rating Scale and the Body Shape Questionnare (BSQ). Body Mass Index was calculated with self-reported weight and height. Analysis was processed in Stata 15.0 with a significance level of 5%. Results: A total of 93 students participated in the study. Results showed 87.1% of distorted self-perception, with a greater proportion of students who overestimated their body size (68.8%); 89.2% of students were dissatisfied with their body image according to the Figure Rating Scale, and 55.9% according to the BSQ. Dissatisfaction assessed by the BSQ was associated with biological sex, nutritional status, diets and bullying. Conclusion: The results indicate the need to address the theme in the training of nurses, to help them accept their own bodies and to enable them to act effectively in their professional practice.

Senior Adults: Does Body Image Matter?

Through the theoretical framework of the Social Comparison Theory, the current study will examine general attitudes and perceptions of body image in senior adults who are currently participating in organized recreational activities. Participants between the ages of 50 years of age and older participating in organized recreational programs in the Southeast will be administered the Sociocultural Attitudes Toward Appearance Scale (SATAQ) to measure participants’ body image as influenced by general media, athletic and sport figures, as well as pressure to conform to the media ideal. The Figure Rating Scale will be administered, and is composed of nine drawings of bodies that progressively increase in size from very thin to overweight. Pearson product moment coefficient of correlation will be used to determine the association of scores between the SATAQ and Figure Rating Scale.

Development and initial psychometric evaluation of the Body Image Matrix of Thinness and Muscularity – Female Bodies

Background Despite evidence that thinness and muscularity are part of the female body ideal, there is not yet a reliable figure rating scale measuring the body image of women which includes both of these dimensions. To overcome this shortcoming, the Body Image Matrix of Thinness and Muscularity - Female Bodies (BIMTM-FB) was developed. Methods The objective of this study is to analyze the psychometric properties of this measure. N = 607 non-clinical women and N = 32 women with eating disorders answered the BIMTM-FB as well as instruments assessing eating disorder symptoms and body image disturbance in order to test the convergent validity of the BIMTM-FB. To assess test-retest reliability, a two-week interval was determined. Results The results indicated that the body-fat dimension of the BIMTM-FB correlates significantly with the Contour Drawing Rating-Scale, the Drive for Leanness Scale (DLS) and the Body Appreciation Scale, while the muscularity dimension of the BIMTM-FB was significantly associated with the DLS and the Drive for Muscularity Scale, proving the convergent validity of the BIMTM-FB. High coefficients of test-retest reliability were found. Moreover, the BIMTM-FB differentiated between the clinical sample and the non-clinical controls. Conclusions The BIMTM-FB is a figure rating scale assessing both thinness and muscularity as part of the female body ideal. Due to its high reliability and validity, the BIMTM-FB can be recommended in research and practice.

“eLoriCorps Immersive Body Rating Scale”: Exploring the Assessment of Body Image Disturbances from Allocentric and Egocentric Perspectives

The first objective of this study was to test the convergent and discriminant validity between the “eLoriCorps Immersive Body Rating Scale” and the traditional paper-based figure rating scale (FRS). The second objective was to explore the contribution of the egocentric virtual reality (VR) perspective of eLoriCorps to understanding body image disturbances (BIDs). The sample consisted of 53 female and 13 male adults. Body size dissatisfaction, body size distortion, perceived body size, and ideal body size were assessed. Overall, outcomes showed good agreement between allocentric perspectives as measured via VR and the FRS. The egocentric VR perspective produced different results compared to both the allocentric VR perspective and the FRS. This difference revealed discriminant validity and suggested that eLoricorps’ egocentric VR perspective might assess something different from the traditional conception of body dissatisfaction, which an allocentric VR perspective generally assesses. Finally, the egocentric VR perspective in assessing BIDs deserves to be studied more extensively to explore the possibility of finding two types of body image distortion: (a) an egocentric perceptual body distortion, referring to internal body sensation affected by intra-individual changes, and (b) an allocentric perceptual body distortion, referring to external body benchmarks constructed by inter-individual comparison occurring in a given cultural context.