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The Mediating Effect of Body Dissatisfaction in Association between Obesity and Dietary Behavior Changes for Weight Loss in Chinese Children

查看全文 作　　者：GAO Huai [1]Quan;WANG Bang [1]Xuan;SUN Li [1]Li;LI [1]Ting;WU [1]Lu;FU Lian [1]Guo;MA [2]Jun 高影响力作者 机构地区：[1]Department of Child and Adolescent Health,School of Public Health,Bengbu Medical College,Bengbu 233030,Anhui,China;[2]Institute of Child and Adolescent Health,School of Public Health,Peking University Health Science Center,Beijing 100191,China高影响力机构 出　　处：《Biomedical and Environmental Sciences》索引2019年第32卷第9期,共8页高影响力期刊 基　　金：supported by the National Natural Science Foundation of China [81502823];Outstanding Young Talent Key program of College and University in Anhui province [gxyq ZD2017063];University Natural Science Foundation of Anhui province [KJ2019A0298] 摘　　要：Objective The aim of this study was to analyze the mediating effect of body dissatisfaction in correlation between obesity and dietary behavior changes for weight loss(DBCWL).Methods A total of 680 primary and middle school students were included in this study. Their body height, weight, and waistline were effectively measured, and they were also evaluated to assess their body dissatisfaction, perception of dietary behaviors, and DBCWL. The correlation among these factors was analyzed using mediating effect models.Results The prevalence of overweight/obesity and abdominal obesity was significantly higher in males than in females(P < 0.05). Overweight/obesity, abdominal obesity, and body dissatisfaction significantly increased the risk for DBCWL(OR = 2.57, 2.77, and 1.95, respectively). Overweight/obesity and abdominal obesity significantly increased the risk for body dissatisfaction(OR = 6.00 and 4.70,respectively). Significant mediating effects of body dissatisfaction were observed in correlation between overweight/obesity and DBCWL and between abdominal obesity and DBCWL(OR = 2.20 and 1.92,respectively;P < 0.05), and the proportions of mediating effects among the total effects were 48.89% and 46.60%, respectively.Conclusion Body dissatisfaction might play an important mediating effect in association between DBCWL and obesity, which indicates that guiding children to correctly recognize their body might be more conducive than promoting obese children toward weight loss through dietary behavior changes. 关 键 词：Children and adolescents OBESITY Body DISSATISFACTION DIETARY behavior CHANGES for WEIGHT LOSS
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