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Body image in obese children and adolescents. Body dissatisfaction and body size perception in relation to quality of life and weight loss

  • Body dissatisfaction and an unrealistic perception of own body size are particularly common in obese children and adolescents; however, little is known about the association with weight-related quality of life and the impact on successful long-term weight loss. At the beginning of an inpatient child obesity rehabilitation program, 408 children and adolescents aged 9-12 years completed a questionnaire on body image (body silhouettes) and a body weight-specific questionnaire for overweight and obese children and adolescents (GW-LQ-KJ) on quality of life. Height and weight were measured by a physician at the beginning and 1 year after inpatient hospitalization. Of the participants 91.9 % reported body dissatisfaction and 75.7 % underestimated their own body size. There were no gender-specific differences in body dissatisfaction but boys perceived their body size more realistically than girls. Participants with body dissatisfaction and realistic body size perception showed a reduced weight-related quality of life. Those participants whoBody dissatisfaction and an unrealistic perception of own body size are particularly common in obese children and adolescents; however, little is known about the association with weight-related quality of life and the impact on successful long-term weight loss. At the beginning of an inpatient child obesity rehabilitation program, 408 children and adolescents aged 9-12 years completed a questionnaire on body image (body silhouettes) and a body weight-specific questionnaire for overweight and obese children and adolescents (GW-LQ-KJ) on quality of life. Height and weight were measured by a physician at the beginning and 1 year after inpatient hospitalization. Of the participants 91.9 % reported body dissatisfaction and 75.7 % underestimated their own body size. There were no gender-specific differences in body dissatisfaction but boys perceived their body size more realistically than girls. Participants with body dissatisfaction and realistic body size perception showed a reduced weight-related quality of life. Those participants who realistically perceived their body size also lost less weight in the long term. The subjective underestimation of body size proved to be important for reduced weight-related quality of life and more pronounced long-term weight loss; therefore, body image should be taken into account in multimodal treatment programs.show moreshow less

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Metadaten
Author:Svenja Hoffmann, Petra WarschburgerORCiDGND
DOI:https://doi.org/10.1007/s00278-015-0060-5
ISSN:0935-6185 (print)
ISSN:1432-2080 (online)
Parent Title (German):Psychotherapeut
Publisher:Springer
Place of publication:New York
Document Type:Article
Language:German
Year of first Publication:2015
Year of Completion:2015
Release Date:2017/03/27
Tag:Body size perception; Obesity; Quality of life; Questionnaire; Weight loss
Volume:60
Issue:6
Pagenumber:7
First Page:498
Last Page:504
Organizational units:Humanwissenschaftliche Fakultät / Institut für Psychologie
Peer Review:Referiert