Autopercepção do tamanho corporal em escolares: um estudo transversal

Autores

DOI:

https://doi.org/10.12957/demetra.2021.55406

Palavras-chave:

Imagem corporal. Autoconceito. Criança. Obesidade. Estudos transversais.

Resumo

Introdução: A identificação precoce de imprecisões nas estimativas do tamanho corporal pode ser fundamental para planejar e realizar ações de prevenção e tratamento mais eficazes relacionadas à percepção e distúrbios da imagem corporal. Objetivo: Estimar a prevalência de superestimação e subestimação do tamanho corporal em escolares com magreza, peso normal e obesidade e os fatores associados. Métodos: Estudo transversal e de base escolar realizado em Florianópolis, Santa Catarina, Brasil. O estudo foi realizado com uma amostra de 1.530 escolares de sete a dez anos matriculados em escolas públicas e privadas de Florianópolis. Foram analisados dados sociodemográficos e antropométricos, bem como suas percepções sobre a imagem corporal. As percepções do tamanho corporal foram avaliadas utilizando-se as Escalas de Silhuetas para Crianças Brasileiras. Foi utilizada regressão logística para análise das associações. Resultados: A prevalência de magreza ou de peso normal em escolares que se consideravam com obesidade foi de 10%. Nenhum dos escolares com obesidade se consideraram magros ou com peso normal. Nos escolares magros, a imagem corporal desejada referente à obesidade manteve-se associada à percepção de considerar-se obeso (odds ratio = 2,64, p < 0,05). O sobrepeso, no sexo feminino, se manteve associado à condição de considerar-se magro (odds ratio = 3,07, p < 0,05). Conclusões: A superestimação e subestimação do tamanho corporal foram observadas entre crianças de 7 a 10 anos, particularmente do sexo feminino. Outros estudos utilizando diferentes variáveis e abordagens metodológicas são necessários para identificar, em profundidade, as causas da distorção da imagem corporal.

Biografia do Autor

Larissa da Cunha Feio Costa, Federal University of Santa Catarina

PhD, Nutritionist, Department of Nutrition

Diego Augusto Santos Silva, Federal University of Santa Catarina

PhD, Physical Educator, Adjunct Professor, Department of Physical Education

Janaina das Neves, Federal University of Santa Catarina

PhD, Nutritionist, Associate Professor, Department of Nutrition

Elizabeth Nappi Corrêa, Federal University of Santa Catarina

PhD, Nutritionist, Adjunct Professor, Department of Nutrition

Cristine Garcia Gabriel, Federal University of Santa Catarina

PhD, Nutritionist, Adjunct Professor, Department of Nutrition

Lidiamara Dornelles de Souza, Federal University of Santa Catarina

MsC, Nutritionist, PhD Student in  Graduate Program in Nutrition, Department of Nutrition

Francisco de Assis Guedes de Vasconcelos, Federal University of Santa Catarina

PhD, Nutritionist, Permanent Professor, Graduate Program in Nutrition, Department of Nutrition

Referências

Slade PD. What is body image?. Behav Res Ther. 1994;32(5):497-502. PMID: 8042960; https://doi.org/10.1016/0005-7967(94)90136-8.

Cash TF. The influence of sociocultural factors on body image: Searching for constructs. Clin Psychol Sci Pract. 2005;12(4):438-42. https://doi.org/10.1093/clipsy/bpi055.

Smolak L. Body image in children and adolescents: where do we go from here?. Body Image. 2004;1(1):15-28. PMID: 18089138; https://doi.org/ 10.1016/S1740-1445(03)00008-1.

Gardner RM, Brown DL. Method of presentation and sex differences when using a revised figural drawing scale to measure body size estimation and dissatisfaction. Percept Mot Skills. 2011;113(3):739-50. PMID: 22403920; https://doi.org/10.2466/07.17.27.PMS.113.6.739-750.

Rodríguez GLM. Sociocultural Influences associated with the body perception in children: a review and analysis of the literature. Rev Mex Trastor Aliment. 2013;4(1):58-67. https://doi.org/10.1016/s2007-1523(13)71993-1.

Ferreiro F, Seoane G, Senra C. Toward understanding the role of body dissatisfaction in the gender differences in depressive symptoms and disordered eating: a longitudinal study during adolescence. J Adolesc. 2014;37(1):73-84. PMID: 24331307; https://doi.org/10.1016/j.adolescence.2013.10.013.

Rohde P, Stice E, Marti CN. Development and predictive effects of eating disorder risk factors during adolescence: implications for prevention efforts. Int J Eat Disord. 2015;48(2):187-98. PMID: 24599841; https://doi.org/10.1002/eat.22270.

Levine MP, Smolak L. The role of protective factors in the prevention of negative body image and disordered eating. Eat Disord. 2016;24(1):39-46. PMID: 26643272; https://doi.org/10.1080/10640266.2015.1113826.

de Santana ML, Assis AM, Silva RC, et al. Risk factors for adopting extreme weight-control behaviors among public school adolescents in Salvador, Brazil: a case-control study. J Am Coll Nutr. 2016;35(2):113-7. PMID: 25866262; https://doi.org/10.1080/07315724.2014.951903.

Munkholm A, Olsen EM, Rask CU, et al. Eating behaviors in preadolescence are associated with body dissatisfaction and mental disorders – Results of the CCC2000 study. Appetite. 2016;101:46-54. PMID: 26896837; https://doi.org/10.1016/j.appet.2016.02.020.

Schuck K, Munsch S, Schneider S. Body image perceptions and symptoms of disturbed eating behavior among children and adolescents in Germany. Child Adolesc Psychiatry Ment Health. 2018;12:10. PMID: 29410705; https://doi.org/10.1186/s13034-018-0216-5.

Cho JH, Han SN, Kim JH, Lee HM. Body image distortion in fifth and sixth grade students may lead to stress, depression, and undesirable dieting behavior. Nutr Res Pract. 2012;6(2):175-81. PMID: 22586508; https://doi.org/10.4162/nrp.2012.6.2.175.

Blashill AJ, Wilhelm S. Body image distortions, weight and depression in adolescent boys: Longitudinal trajectories into adulthood. Psychol Men Masc. 2014;15(4):445-51. PMID: 25383047; https://doi.org/10.1037/a0034618.

Hagman J, Gardner RM, Brown DL, et al. Body size overestimation and its association with body mass index, body dissatisfaction, and drive for thinness in anorexia nervosa. Eat Weight Disord. 2015;20(4):449-55. PMID: 25929983; https://doi.org/10.1007/s40519-015-0193-0.

Kimber M, Georgiades K, Couturier J, Jack SM, Wahoush O. Adolescent Body Image Distortion: A Consideration of Immigrant Generational Status, Immigrant Concentration, Sex and Body Dissatisfaction. J Youth Adolesc. 2015;44(11):2154-71. PMID: 26194338; https://doi.org/10.1007/s10964-015-0329-6.

Garyfallos A, Nikoletta D, Stelios V. Investigating the degree of body image satisfaction, self-perception and self-esteem of primary school students in Cyprus, during the course of Physical Education. Acad J Educ Res. 2017;5(12):464-71. https://doi.org/10.15413/ajer.2017.0954.

Wang Y, Liu H, Wu F, et al. The association between BMI and body weight perception among children and adolescents in Jilin City, China. PLoS One. 2018;13(3):e0194237. PMID: 29579108; https://doi.org/10.1371/journal.pone.0194237.

Jalali-Farahani S, Abbasi B, Daniali M. Weight associated factors in relation to health-related quality of life (HRQoL) in Iranian adolescents. Health Qual Life Outcomes. 2019;17(1):1-10. PMID: 30612572; https://doi.org/10.1186/s12955-018-1074-9.

Kimber M, Couturier J, Georgiades K, Wahoush O, Jack SM. Body image dissatisfaction among immigrant children and adolescents in Canada and the United States: a scoping review. Int J Eat Disor. 2014;47(8):892-7. PMID: 24825408; https://doi.org/10.1002/eat.22295.

Laus MF, Kakeshita IS, Costa TM, et al. Body image in Brazil: recent advances in the state of knowledge and methodological issues. Rev Saude Publica. 2014;48(2):331-46. PMID: 24897056; https://doi.org/10.1590/S0034-8910.2014048004950.

Tatangelo G, McCabe M, Mellor D, Mealey A. A systematic review of body dissatisfaction and sociocultural messages related to the body among preschool children. Body Image. 2016;18:86-95. PMID: 27352102; https://doi.org/10.1016/j.bodyim.2016.06.003.

Jiménez Flores P, Jiménez Cruz A, Bacardi Gascón M. Insatisfacción con la imagen corporal en niños y adolescentes: revisión sistemática [Body-image dissatisfaction in children and adolescents: a systematic review]. Nutr Hosp. 2017;34(2):479-89. PMID: 28421808; https://doi.org/10.20960/nh.455.

Lewer M, Bauer A, Hartmann AS, Vocks S. Different Facets of Body Image Disturbance in Binge Eating Disorder: A Review. Nutrients. 2017;9(12):1294. PMID: 29182531; https://doi.org/10.3390/nu9121294.

Paxton SJ, Damiano SR. The Development of Body Image and Weight Bias in Childhood. Adv Child Dev Behav. 2017;52:269-98. PMID: 28215287; https://doi.org/10.1016/bs.acdb.2016.10.006.

Ren L, Xu Y, Guo X, et al. Body image as risk factor for emotional and behavioral problems among Chinese adolescents. BMC Public Health. 2018;18(1):1179. PMID: 30326854; https://doi.org/10.1186/s12889-018-6079-0.

Hahn SL, Borton KA, Sonneville KR. Cross-sectional associations between weight-related health behaviors and weight misperception among U.S. adolescents with overweight/obesity. BMC Public Health. 2018;18(1):514. PMID: 29669539; https://doi.org/10.1186/s12889-018-5394-9.

Zhang J, Zhai Y, Feng XQ, et al. Gender Differences in the Prevalence of Overweight and Obesity, Associated Behaviors, and Weight-related Perceptions in a National Survey of Primary School Children in China. Biomed Environ Sci. 2018;31(1):1-11. PMID: 29409580; https://doi.org/10.3967/bes2018.001.

Min J, Fang Yan A, Wang Y. Mismatch in Children’s Weight Assessment, Ideal Body Image, and Rapidly Increased Obesity Prevalence in China: A 10-Year, Nationwide, Longitudinal Study. Obesity (Silver Spring). 2018;26(11):1777-84. PMID: 30281208; https://doi.org/10.1002/oby.22310.

Costa LC, Silva DA, Alvarenga MS, Vasconcelos FA. Association between body image dissatisfaction and obesity among schoolchildren aged 7-10 years. Physiol Behav. 2016;160:6-11. PMID: 27018753; https://doi.org/10.1016/j.physbeh.2016.03.022.

Pinho MGM, Adami F, Benedet J, Vasconcelos FAG. Association between screen time and dietary patterns and overweight/obesity among adolescents. Rev Nutr. 2017;30(3):377-89. https://doi.org/10.1590/1678-98652017000300010.

de Assis MA, Rolland-Cachera MF, Grosseman S, et al. Obesity, overweight and thinness in schoolchildren of the city of Florianópolis, Southern Brazil. Eur J Clin Nutr. 2005;59(9):1015-21. PMID: 15970941; https://doi.org/10.1038/sj.ejcn.1602206.

Rossi CE, de Vasconcelos FA. Relationship between birth weight and overweight/obesity among students in Florianópolis, Santa Catarina, Brazil: a retrospective cohort study. Sao Paulo Med J. 2014;132(5):273-81. PMID: 25054968; https://doi.org/10.1590/1516-3180.2014.1325630.

Kakeshita IS, Silva AIP, Zanatta DP, Almeida SS. A Figure Rating Scales for Brazilian Adults and Children: Development and Test-Retest Reliability. Psic Teor Pesq. 2009;25(2):263-70. https://doi.org/10.1590/S0102-37722009000200015.

de Onis M, Onyango AW, Borghi E, et al. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660-67. PMID: 18026621; https://doi.org/10.2471/blt.07.043497.

Lohman TG, Roche AFE, Martorell R. Anthropometric standardization reference manual. Illinois: Human Kinetics Books; 1991.

Habicht JP. Estandarización de metodos epidemiologicos cuantitativos sobre el terreno [Standardization of quantitative epidemiological methods in the field]. Bol Oficina Sanit Panam. 1974;76(5):375-84. Available from: https://iris.paho.org/handle/10665.2/10766. Accessed in 2020 (Jun 18).

Ulijaszek SJ, Kerr DA. Anthropometric measurement error and the assessment of nutritional status. Br J Nutr. 1999;82(3):165-77. PMID: 10655963; https://doi.org/10.1017/s0007114599001348.

Kakeshita IS, Almeida SS. The relationship between body mass index and body image in Brazilian adults. Psychol Neurosci. 2008;1(2):103-7. https://doi.org/10.3922/j.psns.2008.2.003.

Laus MF, Costa TM, Almeida SS. Gender differences in body image and preferences for an ideal silhouette among Brazilian undergraduates. Eat Behav. 2015;19:159-62. PMID: 26409175; https://doi.org/10.1016/j.eatbeh.2015.09.003.

Cai L, Zhang T, Ma J, et al. Self-perception of weight status and its association with weight-related knowledge, attitudes, and behaviors among Chinese children in Guangzhou. J Epidemiol. 2017;27(7):338-45. PMID: 28223085; https://doi.org/10.1016/j.je.2016.08.011.

Bordignon S, Teodoro MLM. Relationship between body image, self-concept and depression traits in different nutritional status' school children. Aletheia. 2011;34:19-31.

Min J, Yan AF, Wang VHC, Wang Y. Obesity, Body Image, and Its Impact on Children’s Eating and Exercise Behaviors in China: A Nationwide Longitudinal Study. Prev Med. 2018;106:101-6. PMID: 29066373; https://doi.org/10.1016/j.ypmed.2017.10.024.

Lee J, Lee Y. The association of body image distortion with weight control behaviors, diet behaviors, physical activity, sadness, and suicidal ideation among Korean high school students: a cross-sectional study. BMC Public Health. 2016;16:39. PMID: 26772963; https://doi.org/10.1186/s12889-016-2703-z.

Costa LC, Silva DA, Almeida SS, Vasconcelos FA. Association between inaccurate estimation of body size and obesity in schoolchildren. Trends Psychiatry Psychother. 2015;37(4):220-6. PMID: 26689391; https://doi.org/10.1590/2237-6089-2015-0009.

Hussin DK, Mohammad IH, Al-Hamad HA, Makboul G, Elshazl M. Weight status and perceived body size image in overweight and obese children 8-12 years old. Alexandria J Med. 2011;47:365-71. https://doi.org/10.1016/j.ajme.2011.07.013.

Ursoniu S, Putnoky S, Vlaicu B. Body weight perception among high school students and its influence on weight management behaviors in normal weight students: a cross-sectional study. Wien Klin Wochenschr. 2011;123(11-12):327-33. PMID: 21590319; https://doi.org/10.1007/s00508-011-1578-3.

Fredrickson J, Kremer P, Swinburn B, de Silva A, McCabe M. Which measures of adiposity are related to Australian adolescent’s perception of their weight?. Acta Paediatr. 2014;103(7):e317-24. PMID: 24661085; https://doi.org/10.1111/apa.12641.

Martini MC, Assumpção D, Barros MB, Canesqui AM, Barros Filho AA. Are normal-weight adolescents satisfied with their weight?. Sao Paulo Med J. 2016;134(3):219-27. PMID: 27191251; https://doi.org/10.1590/1516-3180.2015.01850912.

Ricciaderlli LA, McCabe MP. Children's body image concerns and eating disturbance: a review of the literature. Clin Psychol Rev. 2001;21(3):325-44. PMID: 11288604; https://doi.org/10.1016/s02727358(99)00051-3.

Medina AM, Arévalo RV, Díaz JMM, Hernández AA, Rayón GA. Body dissatisfaction in children and preadolescents: A systematic review. Rev Mex Trastor Aliment. 2012;3(1):62-79. https://doi.org/10.22201/fesi.20071523e.2012.1.212.

Vaquero-Cristóbal R., Alacid F, Muyor JM, López-Miñarro PÁ. Imagen corporal; revisión bibliográfica [Body image; literature review]. Nutr Hosp. 2013;28(1):27-35. PMID: 23808427; https://doi.org/10.3305/nh.2013.28.1.6016.

Alipour B, Abbasalizad Farhangi M, Dehghan P, Alipour M. Body image perception and its association with body mass index and nutrient intakes among female college students aged 18-35 years from Tabriz, Iran. Eat Weight Disord. 2015;20(4):465-71. PMID: 25701442; https://doi.org/10.1007/s40519-015-0184-1.

Montoya C, Boursaw B, Tigges B, Lobo ML. Mirror, Mirror on the Wall: Children’s Preferences and Self-Perceptions of Weight in a Rural Hispanic Community. J Pediatr Health Care. 2016;30(6):528-34. PMID: 26810855; https://doi.org/10.1016/j.pedhc.2015.11.010.

Publicado

2021-04-27

Como Citar

Costa, L. da C. F., Silva, D. A. S., das Neves, J., Corrêa, E. N., Gabriel, C. G., de Souza, L. D., & de Vasconcelos, F. de A. G. (2021). Autopercepção do tamanho corporal em escolares: um estudo transversal. DEMETRA: Alimentação, Nutrição & Saúde, 16, e55406. https://doi.org/10.12957/demetra.2021.55406

Edição

Seção

Alimentação e Nutrição em Saúde Coletiva