Abstract
Objectives
To analyze the path to dieting behavior in Japanese preadolescents.
Methods
A cross-sectional study of dieting behavior among 5,244 preadolescents (2,452 boys and 2,792 girls aged 12–13) born in Toyama prefecture.
Results
While increasing with body mass index (BMI), the percentage of those who had tried dieting was higher in those who perceived themselves fat than in those who perceived themselves thin or average. Of those who wanted to be thinner, 16.1% of boys and 26.8% of girls had tried dieting. Path analysis in nonobese subjects (2,116 boys and 2,334 girls) showed that (1) body image was primarily based on BMI, (2) body image led to body dissatisfaction, and (3) body dissatisfaction led to dieting behavior. Pubertal changes had a significant effect on body image (path coefficient <0)for boys and body satisfaction (path coefficient >0) for girls, in addition to that on BMI. Maternal BMI had a significant effect on BMI but not on body image, body satisfaction, or dieting behavior.
Conclusions
Body image and body satisfaction play important roles in the path to dieting behavior in Japanese preadolescents. Pubertal changes may reinforce dieting behavior, but the mechanism may differ by sex.
Key words: preadolescents, dieting behavior, path analysis
References
- (1).Webber LS, Srinivasan SR, Wattigney WA, Berenson GS, Tracking of serum lipids and lipoproteins from childhood to adulthood: the Bogalusa Heart Study. Am J Epidemiol. 1991;133:883–899. [DOI] [PubMed]
- (2).Bao W, Threefoot SA, Srinivasan SR, Berenson GS. Essential hypertension predicted by tracking of elevated blood pressure from childhood to adulthood: the Bogalusa Heart Study. Am J Hypertens. 1995;8:657–665. [DOI] [PubMed]
- (3).Guo SS, Chumlea WC. Tracking of body mass index in children in relation to overweight in adulthood. Am J Clin Nutr. 1999:70 suppl:145S-148S [DOI] [PubMed]
- (4).Kelder SH, Perry CL, Klepp KI, Lytle LL. Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health. 1994;84:1121–1126. [DOI] [PMC free article] [PubMed]
- (5).Twisk JW, Kemper HC, van Mechelen W. Tracking of activity and fitness and the relationship with cardiovascular disease risk factors. Med Sci Sports Exerc. 2000;32:1455–1461. [DOI] [PubMed]
- (6).Packard P, Krogstrand KS. Half of rural girls aged 8 to 17 years report weight concerns and dietary changes, with both more prevalent with increased age. J Am Diet Assoc. 2002;102:672–677. [DOI] [PubMed]
- (7).Patton GC, Johnson-Sabine E, Wood K, Mann AH, Wakeling A. Abnormal eating attitudes in London schoolgirls—a prospective epidemiological study: outcome at twelve month follow-up. Psychol Med. 1990;20:383–394. [DOI] [PubMed]
- (8).Rosenblum GD, Lewis M. The relations among body image, physical attractiveness, and body mass in adolescence. Child Develop. 1999;70:50–64. [DOI] [PubMed]
- (9).Kaneko K, Kiriike N, Ikenaga K, Miyawaki D, Yamagami S. Weight and shape concerns and dieting behaviours among pre-adolescents and adolescents in Japan. Phychi Clin Neurosci. 1999;53:365–371. [DOI] [PubMed]
- (10).Strauss RS. Self-reported weight status and dieting in a cross-sectional sample of young adolescents: National Health and Nutrition Examination Survey III. Arch Pediatr Adolesc Med. 1999;153:741–747. [DOI] [PubMed]
- (11).Kuriiwa M, Suzuki S, Muramatsu A, Watanabe T, Ohyama K. Longitudinal analysis of self-body-image and physical constitution in pubertal female. J Child Health. 2000;59:596–601. (Article in Japanese)
- (12).Inoshita H, Ogata M, Tanimoto K, Imai KK, Tani H. A study of adolescent's body images and self-evaluations. Kagawa Ika Daigaku Kangogaku Zasshi. 2001;5:67–79. (Article in Japanese).
- (13).Fujita Y, Suzuki S, Kuriiwa M, Watanabe T, Ohyama K, Nakamura K. A study on the body image of adolescent boys. Adolescentology 2002;20:363–370. (Article in Japanese).
- (14).Rinderknecht K, Smith C. Body-image perceptions among urban native American youth. Obes Res. 2002;10:315–327. [DOI] [PubMed]
- (15).Field AE, Austin SB, Taylor CB, Malspeis S, Rosner B, Rockett HR, et al. Relation between dieting and weight change among preadolescents and adolescents. Pediatrics. 2003;112:900–906. [DOI] [PubMed]
- (16).Field AE, Camargo Jr CA, Taylor CB, Berkey CS, Roberts SB, Colditz GA. Peer, parent, and media influences on the development of weight concerns and frequent dieting among preadolescent and adolescent girls and boys. Pediatrics. 2001;107:54–60. [DOI] [PubMed]
- (17).McCabe MP, Ricciardelli LA. Peer, parent, and media influences on body image and strategies to both merease and decrease body size among adolescent boys and girls. Adolescence. 2001;36:225–240. [PubMed]
- (18).McCabe MP, Ricciardelli LA, Finemore J. The role of puberty, media and popularity with peers on strategies to increase weight, decrease weight and increase muscle tone among adolescent boys and girls. J Psycho Res. 2002;52:145–153. [DOI] [PubMed]
- (19).McCabe MP, Ricciardelli LA. Sociocultural influences on body image and body changes among adolescent boys and girls. J Socio Psychol. 2003;143:5–26. [DOI] [PubMed]
- (20).Powell MR, Hendricks B. Body schema, gender, and other correlates in nonclinical populations. Genetic Soc Gener Pcychol Monog. 1999;125:333–412. [PubMed]
- (21).Lau RR, Quadrel MJ, Hartmann KA. Development and change of young adult's preventive health beliefs and behavior: influence from parents and peer. J Health Soc. Behav. 1990;31:240–259. [DOI] [PubMed]
- (22).Suka M, Sugimori H, Yoshida K, Sekine M, Yamagami T, Kagamimori S. Parental influence on the development of obesity in 9-year-old Japanese children: the Toyama Birth Cohort Study. Environ Health Prev Med. 2002;7:173–175. [DOI] [PMC free article] [PubMed]
- (23).Yamagami T, Naruse M, Kagamimori S. Report of establishment and proceeding in the Toyama study: Psychosomatic disturbance research “Research concerning prevention of chronic diseases from childhood” 1992. Ministry of Health and Welfare. Japan. (in Japanese)
- (24).Sekine M, Yamagami T, Hamanishi S, Kagamimori S. Accuracy of the estimated prevalence of childhood obesity from height and weight values reported by parents: results of the Toyama Birth Cohort Study. J Epidemiol. 2002;12:9–13. [DOI] [PMC free article] [PubMed]
- (25).Goodman E, Hinden BR, Khandelwal S. Accuracy of teen and parental reports of obesity and body mass index. Pediatrics. 2000;106:52–58. [DOI] [PubMed]
- (26).Dietz WH, Belizzi MC. Introduction: the use of body mass index to assess obesity in children. Am J Clin Nutr. 1999; 70(suppl 1)123S-125S. [DOI] [PubMed]
- (27).Barlow SE, Dietz WH. Obesity evaluation and treatment: expert committee recommendations. Pediatrics. 1998;102:E29. [DOI] [PubMed]
- (28).Yanovski JA. Pediatric obesity. Rev Endocr Metab Disord. 2001;2:371–383. [DOI] [PubMed]
- (29).Expert committee in the Japanese Society of Obesity. Diagnostic guideline of obesity. Obesity Research. 2000;26:18–28. (Article in Japanese)
- (30).Wright S. Path coefficients and path regressions: alternative or complementary concept? Biometrics 1960;16:189–202. [DOI]
- (31).Tienboon P, Rutishauser IH, Wahlqvist ML. Adolescents' perception of body weight and parents' weight for height status. J Adolese Health. 1994;15:263–268. [DOI] [PubMed]