Parent-Related Normative Perceptions of Adolescents and Later Weight Control Behavior: Longitudinal Analysis of Cohort Data From Brazil

Safa Abdalla, Romina Buffarini, Ann M Weber, Beniamino Cislaghi, Janaína Calu Costa, Ana Maria B Menezes, Helen Gonçalves, Fernando C Wehrmeister, Valerie Meausoone, Cesar G Victora, Gary L Darmstadt, Safa Abdalla, Romina Buffarini, Ann M Weber, Beniamino Cislaghi, Janaína Calu Costa, Ana Maria B Menezes, Helen Gonçalves, Fernando C Wehrmeister, Valerie Meausoone, Cesar G Victora, Gary L Darmstadt

Abstract

Purpose: Body image-related norms can be imposed by parents and can shape adolescents' body satisfaction in consequential ways, yet evidence on long-term effects is scarce. Longitudinal data from a country with strong body image focus provided a unique opportunity to investigate long-term influences of normative parent-related perceptions.

Methods: Multinomial logistic regression was used on data from a 1993 birth cohort in Brazil to investigate the association of normal-body mass index (BMI) adolescents' perception of their parent's opinion of their weight at age 11 years with their weight control attempts at 18 years, testing a mediating role for body dissatisfaction at age 15 years. All models controlled for body dissatisfaction at age 11 years and BMI change between ages 11 and 15 years.

Results: A total of 1150 boys and 1336 girls were included. Girls were more likely than boys to diet without nutritionist advice to lose weight (51.5% vs. 34.3% among boys) and use medication to gain weight (12.7% vs. 4.2%). Normal-BMI adolescents who reported at age 11 years that their parents thought they were thin had higher odds of feeling thinner than ideal at age 15 years (odds ratio 2.8, 95% confidence interval 1.8-3.2; and odds ratio 2.0, 95% confidence interval 1.5-2.7) among boys and girls, respectively). Feeling thinner than ideal at age 15 years was associated among girls with higher odds of weight gain attempts at age 18 years. Similar patterns appeared among girls reporting that their parents thought they were fat at age 11 years, feeling fatter than ideal at age 15 years and having higher odds of weight loss attempts at age 18 years. Body dissatisfaction was a statistically significant mediator among girls but not boys.

Conclusions: A long-term influence of parent-related perceptions via a likely trajectory of body dissatisfaction is evident among girls.

Keywords: Body dissatisfaction; Body image; Dieting; Parent perceptions; Parental relationships; Weight management.

Copyright © 2019 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Figures

Figure 1
Figure 1
Conceptual framework for the association between perceived parent’s opinion at age 11 y and weight control behavior at age 18 y.

References

    1. Ricciardelli L.A., Mccabe M.P., Holt K.E. A biopsychosocial model for understanding body image and body change strategies among children. J Appl Dev Psychol. 2003;24:475–495.
    1. Reel J., Voelker D., Greenleaf C. Weight status and body image perceptions in adolescents: Current perspectives. Adolesc Health Med Ther. 2015;6:149–158.
    1. Webb H.J., Zimmer-Gembeck M.J. The role of friends and peers in adolescent body dissatisfaction: A review and critique of 15 years of research. J Res Adolesc. 2014;24:564–590.
    1. Holland G., Tiggemann M. A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body Image. 2016;17:100–110.
    1. Spettigue W., Henderson K.A. Eating disorders and the role of the media. Candian Child Adolesc Psychiatry Rev. 2004;13:16–19.
    1. Vander Wal J.S. Unhealthy weight control behaviors among adolescents. J Health Psychol. 2012;17:110–120.
    1. McCabe M.P., Ricciardelli L.A., Holt K. A longitudinal study to explain strategies to change weight and muscles among normal weight and overweight children. Appetite. 2005;45:225–234.
    1. Neumark-Sztainer D.R., Wall M.M., Haines J.I. Shared risk and protective factors for overweight and disordered eating in adolescents. Am J Prev Med. 2007;33:359–369.
    1. Damiano S.R., Gregg K.J., Spiel E.C. Relationships between body size attitudes and body image of 4-year-old boys and girls, and attitudes of their fathers and mothers. J Eat Disord. 2015;3:16.
    1. Liechty J.M., Clarke S., Birky J.P. Perceptions of early body image socialization in families: Exploring knowledge, beliefs, and strategies among mothers of preschoolers. Body Image. 2016;19:68–78.
    1. Wansink B., Latimer L.A., Pope L. “Don’t eat so much:” how parent comments relate to female weight satisfaction. Eat Weight Disord - Stud Anorexia. Bulim Obes. 2017;22:475–481.
    1. Hart L.M., Cornell C., Damiano S.R. Parents and prevention: A systematic review of interventions involving parents that aim to prevent body dissatisfaction or eating disorders. Int J Eat Disord. 2015;48:157–169.
    1. Le L.K., Barendregt J.J., Hay P. Prevention of eating disorders: A systematic review and meta-analysis. Clin Psychol Rev. 2017;53:46–58.
    1. Watson H.J., Joyce T., French E. Prevention of eating disorders: A systematic review of randomized, controlled trials. Int J Eat Disord. 2016;49:833–862.
    1. Amaral A.C.S., Ferreira M.E.C. Body dissatisfaction and associated factors among Brazilian adolescents: A longitudinal study. Body Image. 2017;22:32–38.
    1. ISAPS . 2013. ISAPS International Survey on Aesthetic/Cosmetic Procedures performed in 2013; pp. 1–16.
    1. Machado E.C., Silveira M.F., Silveira V.M.F. Prevalence of weight-loss strategies and use of substances for weight-loss among adults: A population study. Cad Saude Publica. 2012;28:1439–1449.
    1. Victora C.G., Cora L.P.A., Menezes A.M.B. Methodological aspects of the 1993 Pelotas ( Brazil ) Birth Cohort Study : Aspectos metodológicos da Coorte de Nascimentos de 1993 em Pelotas, RS. Rev Saude Publica. 2006;40:39–46.
    1. Victora C.G., Hallal P.C., Araújo C.L.P. Cohort profile: The 1993 pelotas (Brazil) birth cohort study. Int J Epidemiol. 2008;37:704–709.
    1. Gonçalves H., Assunção M.C.F., Wehrmeister F.C. Cohort profile update: The 1993 Pelotas (Brazil) birth cohort follow-up visits in adolescence. Int J Epidemiol. 2014;43:1082–1088.
    1. Gonçalves H., Wehrmeister F.C., Assunção M.C.F. Cohort profile update: The 1993 Pelotas (Brazil) birth cohort follow-up at 22 years. Int J Epidemiol. 2018;47:1389e–1390e.
    1. Weber A., Cislaghi B., Meausoone V. Gender norms and health: Insights from global survey data. Lancet. 2019;393:2455–2468.
    1. Tiggemann M., Pennington B. The development of gender differences in body-size dissatisfaction. Aust Psychol. 1990;25:306–313.
    1. Borges F., Barreto MdS., Decesaro MdN. Family perspective on childhood obesity and its forms of coping: A descriptive study. Online Braz J Nurs. 2017;16:460–470.
    1. Tiggemann M., Wilson-barrett E. Children’s figure ratings : Relationship to self-esteem and negative stereotyping. Int J Eat Disord. 1998;23:83–88.
    1. Altabe M., Thompson J.K. Size estimation versus figural ratings of body image disturbance : Relation to body dissatisfaction and eating dysfunction. Int J Eat Disord. 1992;11:397–402.
    1. Araújo C.L., Dumith S.C., Menezes A.M.B. Nutritional status of adolescents : The 11-year follow-up of the 1993 Pelotas ( Brazil ) birth cohort. study. 2013;26:1895–1903.
    1. WHO Growth reference 5 - 19 years. Available at:
    1. Mintem G.C., Horta B.L., Domingues M.R. Body size dissatisfaction among young adults from the 1982 Pelotas birth cohort. Eur J Clin Nutr. 2015;69:55–61.
    1. Iacobucci D. Mediation analysis and categorical variables: The final frontier. J Consum Psychol. 2012;22:582–594.
    1. Hayes A.F., Preacher K.J. Statistical mediation analysis with a multicategorical independent variable. Br J Math Stat Psychol. 2014;67:451–470.
    1. Rodgers R.F., Paxton S.J., Chabrol H. Effects of parental comments on body dissatisfaction and eating disturbance in young adults : A sociocultural model. Body Image. 2009;6:171–177.
    1. Warkentin S., Mais L.A., Latorre M do R.D.O. Factors associated with parental underestimation of child’s weight status. J Pediatr (Rio J) 2018;94:162–169.
    1. Robinson E. Overweight but unseen: A review of the underestimation of weight status and a visual normalization theory. Obes Rev. 2017;18:1200–1209.
    1. Lundahl A., Kidwell K.M., Nelson T.D. Parental underestimates of child weight: A meta-analysis. Pediatrics. 2014;133:e689–703.
    1. Malta D.C., Andrade S.C., Claro R.M. Trends in prevalence of overweight and obesity in adults in 26 Brazilian state capitals and the Federal District from 2006 to 2012. Rev Bras Epidemiol. 2014;17:267–276.
    1. Doolen J., Alpert P.T., Miller S.K. Parental disconnect between perceived and actual weight status of children: A metasynthesis of the current research. J Am Acad Nurse Pract. 2009;21:160–166.
    1. Schaefer M.K., Blodgett Salafia E.H. The connection of teasing by parents, siblings, and peers with girls’ body dissatisfaction and boys’ drive for muscularity: The role of social comparison as a mediator. Eat Behav. 2014;15:599–608.
    1. Fulkerson J.A., Strauss J., Neumark-Sztainer D. Correlates of psychosocial well-being among overweight adolescents: The role of the family. J Consult Clin Psychol. 2007;75:181–186.
    1. Taylor C.B., Bryson S., Celio Doyle A.A. The adverse effect of negative comments about weight and shape from family and siblings on women at high risk for eating disorders. Pediatrics. 2006;118:731–738.
    1. Ahadzadeh A.S., Rafik-Galea S., Alavi M. Relationship between body mass index, body image, and fear of negative evaluation: Moderating role of self-esteem. Heal Psychol Open. 2018;5:1–8.
    1. Scagliusi F.B., Alvarenga M., Polacow V.O. Concurrent and discriminant validity of the Stunkard’s figure rating scale adapted into Portuguese. Appetite. 2006;47:77–82.
    1. Conti M.A., Ferreira M.E.C., De Carvalho P.H.B. Stunkard figure rating scale for Brazilian men. Eat Weight Disord. 2013;18:317–322.

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