Stunkard Figure Rating Scale Research Articles

Association of dietary intake underreporting with body image perception

<h2>Summary</h2><h3>Background and aims</h3> The aim of this cross-sectional study was to examine whether underreporting of dietary intake is associated with individual physical and lifestyle parameters, and body image perception. <h3>Methods</h3> Dietary intake was assessed using 24h recalls in 490 individuals. Underreporters were compared to normal reporters regarding age, body fat, years of education, number of cigarettes, physical activity level (PAL) and body image self-belief, body image wish and body image wish minus belief according to Stunkard Figure Rating Scale (FRS). Odds ratio of underreporting in relation to negative perception of body image was performed. <h3>Results</h3> Underreporting was positively associated with older age in total sample (p=0.004), higher body fat percentage in both genders (p<0.001), and negative body image in both genders (p<0.001). The regression model showed that negative body image increased the odds of underreporting approximately 2.1 times in females (OR=2.056, p=0.040), after adjusting for age, body fat percentage, and PAL. <h3>Conclusions</h3> Underreporters were older, had higher body fat percentage, higher body image self-belief on Stunkard FRS, and higher body image dissatisfaction compared to normal reporters. However, negative body image perception made females more susceptible to underreporting compared to males.

Body Image Perceptions and Body Image Dissatisfaction among Medical Students in Oman.

ObjectivesThis study aimed to examine body image perceptions and body image dissatisfaction and their relationship with body mass index (BMI) among medical students in Oman.MethodsThis cross-sectional study was conducted among students of the College of Medicine and Health Sciences, National University of Science and Technology, Sohar, Oman, between September and December 2019. The data (including self-reported weight and height) were collected through a questionnaire-based survey. Body image perception and satisfaction were assessed using the Stunkard Figure Rating Scale.ResultsA total of 351 medical students (response rate: 70.2%) participated in the study with a mean age of 21.6 ± 2.2 years and a mean BMI of 22.7 ± 4.3 kg/m2. Most students were within normal ranges of BMI (63%), 12% were underweight and 25% overweight/obese. Approximately, 66% of students perceived their body image correctly; students at both BMI extremes were more accurate about their body image perceptions. Body image dissatisfaction was high (80%) among the respondents with 73.5% of those dissatisfied desiring to be thinner. The association between self-reported BMI with perceived BMI and body image dissatisfaction was significant (P <0.001). Only 18.2% of students felt ‘attractive’. The association between body image perception and body image dissatisfaction was statistically significant (P <0.05).ConclusionA high degree of body image dissatisfaction and incorrect body image perceptions exists among medical students. There is an increased desire to be thinner and the majority of this study’s participants feel unattractive. There is a need to foster healthy body image perceptions among students of health sciences as they are the future in healthcare and can influence the health beliefs in our society.

What is normal body weight? Perceptions around "average" and "healthy" body weight among adolescents in Indiana.

Biological normalcy is a framework that investigates relationship(s) between statistical norms and normative views/beliefs around particular traits. This study assessed the relationships between perceptions of average body weight, healthy body weight, and weight status among adolescents. Adolescents recruited in southcentral Indiana, United States (n=123) completed online questionnaires for demographics and body weight perceptions. Silhouettes from the Stunkard Figure Rating Scale measured perceived weight status, perceived average body weight, and perceived healthy body weight. Height and weight were measured to calculate body mass index-for-age percentiles. A subsample (n=11) provided descriptions of "average," "healthy," and "normal" bodies during semi-structured interviews. As perceived average body weight increased, selections of "healthy" silhouettes shifted downward, with smaller female silhouettes being marked healthy more often and larger male silhouettes being marked healthy less often. Additionally, perceived weight status was positively associated with perceptions around average body weight and lowest body weight perceived to be healthy for female and male silhouettes. Qualitative data demonstrated significant overlap in adolescents' descriptions of "average," "healthy," and "normal" bodies as well as dual meanings for the term "normal" in adolescents' views of body weight. Perceived weight status appears to play a role in adolescents' conceptualizations of average and healthy body weight. Additionally, Qualitative and quantitative data indicated that perceived body weight norms were associated with normative perceptions around what healthy bodies look like. This study demonstrates relationships between statistical norms and normative views around body weight, underscoring the duality in how body weight is understood to be "normal" among adolescents.

Associations of Body Dissatisfaction With Lifestyle Behaviors and Socio-Demographic Factors Among Saudi Females Attending Fitness Centers.

ObjectiveTo examine body image perception and the associations of body dissatisfaction (BD) with socio-demographic and lifestyle factors among Saudi women attending fitness centers in Riyadh.MethodsSaudi females aged 16 years and older were recruited from 12 randomly selected fitness centers in Riyadh, using stratified clustered sampling technique (n = 460). Height and weight were measured to calculate actual body mass index (BMI). A previously validated instrument was used to collect socio-demographic and lifestyle variables including physical activity (PA), sedentary behaviors, sleep and dietary habits. Stunkard Figure Rating Scale silhouettes were used to assess perceived and desired body shape.ResultsThe participants had a mean (SD) age of 29.2 (8.2). The majority were not married (57%), with no children (66%) and had college degrees (78%). While 63% were overweight or obese, nearly 40% of women underestimated their perceived body shape. The majority of respondents (87%) were dissatisfied with their body shape including 68% of normal weight women. Females who had BD were significantly older, had higher BMI, reported more weight loss attempt and had expended less time in vigorous (p = 0.033) and total (p = 0.042) PA than those who were satisfied with their body shape. However, when adjusting for socio-demographic variables, logistic regression analysis revealed significant associations of BD with higher BMI, shorter membership duration of fitness club, and reduced dairy products and energy drinks consumption.ConclusionExcept for BMI and decreased dairy products and energy drinks consumption, many lifestyle behaviors did not associate with BD among Saudi females attending fitness centers. The findings can inform healthcare providers when intervention strategy is implicated for females with BD. Future studies should compare the associations of BD with lifestyle behaviors between males and females attending fitness centers and seeking weight loss.

Effects of high-intensity interval training associated to microcurrent on localized adiposity: protocol of randomized clinical trial

Background: High-intensity interval training promotes body weight loss, while microcurrent electrical stimulation has therapeutic potential toreduce localized abdominal fat. However, there are no studies that have investigated the association of the two forms of intervention in reducinglocalized adiposity. Objectives: To verify the effects of high-intensity interval training, associated or not, with microcurrent therapy, in reducinglocalized abdominal fat. Methods: A randomized controlled clinical study will be conducted with 60 women aged 18 to 40 years, with localizedabdominal adiposity. Participants will be randomized into 3 groups: Control Group (without physiotherapeutic intervention), Exercise Group(high-intensity interval training for 30 minutes) and Exercise Group associated with Microcurrent (application of 30 minutes of microcurrent priorto high-intensity interval training). The intervention will take place twice a week for 5 weeks. The clinical outcomes evaluated and their respectivemeasuring instruments will be: body composition (bioimpedance scale and adipometry), anthropometric measurements (perimetry), level ofphysical activity (International Physical Activity Questionnaire - IPAQ, short version), quality of life (IWQol-Lite, short version), body satisfaction(Stunkard figure rating scale), degree of satisfaction with the performance of the intervention (questionnaire adapted by the researchers) andevaluation of the lumbopelvic complex. These outcomes will be measured in 4 moments: before the intervention, after the 5th and 10thintervention, and with a follow-up of 1 month. Discussion: A previous study has already shown the positive result of the association of moderateintensity exercise, associated with the previous application of microcurrent, in reducing localized abdominal adiposity. These findings raised thehypothesis that the association of this electrical therapy with high-intensity interval training may present positive results in the search for thereduction of abdominal fat, with the clinical advantage of enhancing the achieved results and/or reducing the time spent by the patient in therapy.

Agreement between self-assessment of body image and measured body mass index in the Brazilian adult population

Silhouettes are used in the self-assessment of one's body size, shape and satisfaction. This technique can be helpful in intervention studies and in household studies in which body size measurements are not feasible. Despite its popularity, few studies have validated the Stunkard Figure Rating Scale (SFRS) to assess body image (BI) or nutritional status (NS). The present study assessed the agreement between self-assessment of BI by SFRS and measured BMI in adults from a national household survey in Brazil (n = 11247; 57.2% women, aged 20-99y). The subjects were asked to choose a silhouette from the SFRS that most resembled their current status prior to measures of body mass and stature. BMI-derived NS was then matched to the SFRS. The prevalence of overweight and obesity (OB) was 34.4 and 19.0%, respectively. Weighted kappa between SFRS and BMI was 0.45 and 0.43 and Spearman's correlation coefficient was 0.64 and 0.59 for women and men, respectively. Sex-specific receiver operating curves indicated that the silhouettes correctly (area under the curve > 0.80) identified OB and underweight (UW). In conclusion, SFRS provides only reasonable results when estimating the BMI distribution but it works well to identify OB and UW in the Brazilian adult population.

Maternal Body Dissatisfaction and Accuracy of Infant Weight Perception in Families From Low-Income Backgrounds.

To examine the association between maternal body dissatisfaction and mother's (mis)perception of their infant's weight classification among families from low-income households. Mother-infant dyads were recruited during well-child visits from 2 urban primary care clinics. Maternal body dissatisfaction was measured using the Stunkard Figure Rating Scale. Perception of infant weight was assessed using a 5-point Likert scale. Infant weight-for-length percentiles were calculated using World Health Organization growth charts. Associations between maternal body dissatisfaction score and mother's (mis)perception of their infant's weight classification were examined using logistic regression allowing for nonlinear associations via restricted cubic splines. Mothers (n=180) were 26.6 ± 5.1 years old and 72% Black; infants were 8.8 ± 2.1 months old. Mean infant weight-for-length percentile was 64 ± 26. On average, mothers wanted to be one body figure smaller than their perceived current body size. Most mothers (82%) accurately perceived their infant's weight classification while few overestimated (7%) or underestimated (11%) their child's weight category. The probability of mothers misperceiving their infant's weight classification increased as maternal body dissatisfaction increased in either extreme in unadjusted (P < .05) and adjusted analysis (P=.06). Increased maternal body dissatisfaction may be associated with mother's misperception of infant weight classification. Future studies should examine this relationship in a heterogeneous population.

Body Weight, Obesity Perception, and Actions to Achieve Desired Weight among Rural and Urban Ghanaian Adults.

Background Accurate body weight perception is important to maintaining an ideal body weight. In Africa, a preference for a larger body size and its association with health and wellbeing has been well documented. It remains speculative if these perceptions have changed or improved and if differences exist among rural and urban dwellers. The main aim of this study was to assess the body weight and obesity perceptions among rural and urban Ghanaians. Methods This cross-sectional study involved 565 participants. The Stunkard figure rating scale was used to assess the body weight perception of participants. Participants were to choose from the scale figures they perceived to represent their current body weight, desired body weight, ideal body weight, ideal look for a wealthy person, ideal look for a woman with children, and ideal look for a woman without children. Additionally, participants were asked to describe obesity and its threat to health in their terms. Responses of participants to the above questions are presented as frequencies. Differences between rural and urban participants as well as males and females with respect to the median figure chosen for each question were determined by Mann–Whitney U test. Results The median age of participants was 40 (IQR 26). The prevalence of overweight and obesity observed among participants was 52.8%. The most frequently selected figure as current body image was figure 5 (23.5%). Figure 4 was most frequently chosen by both males (37.2%) and females (24.6%) as their desired body image (27.4%). Male participants (41.8%) chose figure 5 as ideal for their gender while females (27.4%) maintained figure 4 as ideal for their gender. Study participants associated overweight with wealth and childbirth, and attributed their current weights to hereditary (27%) and childbirth (27%). Most participants were not taking steps to achieve their desired body image, and only a few engaged in both dieting and exercise to lose weight. Majority of participants described obesity as the accumulation of fat (91.0%) and viewed it as a threat to health (91.0%). Differences were observed among rural and urban participants with regard to the figure chosen as ideal for a wealthy person. Conclusion Results from this study show an improvement in obesity perception and the acknowledgment of obesity as a threat to health. There was a desire for a normal-weight figure among study participants. Attribution of current body weight to hereditary and childbirth seems to be a hindrance to the implementation of actions to achieve this normal figure weight. Public health education, screening for overweight and obesity, creation of supportive food environments, and culture-sensitive interventions are promising to curbing the obesity menace.

Body self-image disturbances in women with prolactinoma.

Objective:To evaluate body dissatisfaction and distorted body self-image in women with prolactinoma.Methods:Body dissatisfaction and distorted body self-image were evaluated in 80 women with prolactinoma. All patients were in menacme, 34% had normal body mass index (BMI), and 66% were overweight. Most patients (56.2%) had normal prolactin (PRL) levels and no hyperprolactinemia symptoms (52.5%). The Body Shape Questionnaire (BSQ) was used to assess the patients’ dissatisfaction with and concern about their physical form, and the Stunkard Figure Rating Scale (FRS) was used to assess body dissatisfaction and distorted body self-image. The patients were divided according to PRL level (normal vs. elevated) and the presence or absence of prolactinoma symptoms.Results:The normal and elevated PRL groups had similar incidences of body dissatisfaction and distorted body self-image. However, symptomatic patients reported a higher incidence of dissatisfaction than asymptomatic patients. Distorted body self-image was less common among symptomatic patients.Conclusion:Symptomatic patients showed higher body dissatisfaction, but lower body self-image distortion. The presence of symptoms may have been responsible for increased body awareness. The perception of body shape could have triggered feelings of dissatisfaction compared to an ideal lean body. Therefore, a distorted body self-image might not necessarily result in body dissatisfaction in women with prolactinomas.

The Associations Between Breastfeeding Duration and Body Dissatisfaction, Ethnicity, and Obesity Among Mexican Women, a Cross-Sectional Study, ENSANUT 2012.

Introduction: Body image dissatisfaction (BID) has been inversely associated with breastfeeding initiation particularly among women with obesity. However, less is known on BID and the association with maintaining breastfeeding in Mexico, where breastfeeding rate is decreasing across ethnic subgroups. Therefore, we explore this gap of knowledge in diverse ethnic subgroups across levels of maternal weight status. Methods: Data were derived from the Mexican National Health and Nutrition Survey (Encuesta Nacional de Salud y Nutrición [ENSANUT] 2012), and 10,466 women aged 20-49 years were included. Breastfeeding (<6 months versus ≥6 months) of the last child, BID (Stunkard Figure Rating Scale), anthropometric (body mass index, BMI), sociodemographics, and biological variables were collected. Crude and adjusted target associations and effect modifiers were assessed using weighted-logistic regression models. Results: Overall, 72.4% of ever breastfeeding mothers breastfed a minimum of 6 months, 22% were indigenous, 74% were dissatisfied with their body image (BID >0), and 37% had obesity (BMI ≥30 kg/m2). In the multivariable analysis, for each one-unit increase in the BID score, the adjusted odds of breastfeeding (≥6 months) decreased by 6% (odds ratio [OR] = 0.94, 95% confidence interval [CI]: 0.89-0.99). After stratifications, only among women with obesity, a greater BID score was associated with lower odds of breastfeeding duration by 24% (OR = 0.76, 95% CI: 0.64-0.89) in indigenous and by 10% (OR = 0.90, 95% CI: 0.82-0.98) in non-indigenous women. Conclusions: Mexican women with a higher BID score reported lower odds of breastfeeding duration (≥6 months). Body image concerns should be integrated into a health promotion curriculum to mitigate their negative effect particularly in certain segments of the populations, such as women with obesity and among indigenous women.

Agreement between nutritional status and perception of body image in indigenous Khisêdjê of the Xingu Indigenous Park.

To determine the agreement between body self-image (based on the Stunkard figure rating scale) and nutritional status and to evaluate body satisfaction among the Khisêdjê indigenous people of Parque Indígena do Xingu (Xingu Indigenous Park). A cross-sectional study involving 131 natives aged 20 and older. Data on body image, body mass index and waist circumference were collected. Kappa statistics, χ2 (p < 0.05), crude and adjusted prevalence ratios and Student's t-test were used for data analysis. The prevalence of overweight and obesity was respectively 42 and 5.3%. The percentage of satisfaction with body profile was 61.8% with no difference between the sexes. There was good agreement between actual and ideal self-image (p < 0.001), but poor agreement between actual and ideal self-image with nutritional status for both sexes. A higher prevalence of body dissatisfaction due to overweight was detected in individuals with central obesity and overweight. The results suggest that body self-image evaluated by the Stunkard silhouette scale has little applicability as an indicator of nutritional status among the indigenous Khisêdjê of Xingu Indigenous Park.

Perceptions of the healthiest body in a market-integrating indigenous population in Argentina: Fat idealization and gendered generational differences.

Market integration seems to induce gender-specific generational change in health-related perceptions of body size. We predicted that among the Qom of Argentina, younger women would perceive comparatively thinner bodies as healthiest, demonstrating thin-idealizing body norms, and older women would retain culturally rooted perceptions of heavier bodies as healthiest. As traditional and globalized body size ideals are different for men, we predicted that men would perceive normal bodies as healthiest and would not exhibit generational differences. We asked Qom adults (n = 273) residing in Namqom, Argentina to choose the healthiest body size from the Stunkard Figure Rating Scale (FRS). We performed multiple linear regression with age, gender, and body mass index (BMI) predicting healthy-body perception score. A majority of women chose overweight bodies as healthiest. As predicted, older women preferred heavier bodies compared to their younger peers; this generational effect was stronger among women clinically defined as underweight (BMI ≤19.99 kg/m2 ), and "normal" weight (20.00 kg/m2 ≤ BMI ≤24.99 kg/m2 ), as compared to women clinically defined as overweight (25.00 kg/m2 ≤ BMI ≤29.99 kg/m2 ) or obese (≥30.00 kg/m2 ). Men exhibited no generational effects and largely perceived bodies corresponding to a "normal" BMI as healthiest. Among Qom women, there is evidence for the adoption of the idealization of thinness as healthy alongside traditional perceptions that fat bodies are healthy.

What are the determinants of body image distortion and dissatisfaction among Tunisian teenagers?

Abstract Background Body image (BI) is considered as central to many aspects of human functioning including emotions, thoughts, behaviors and relationships. This study aimed to investigate the prevalence and the main determinants of distortion and dissatisfaction among teenagers. Methods This was a cross-sectional school-based study using a self-administered questionnaire, conducted among a randomized sample of 1300 school-adolescents in Southern Tunisia, 2018. BI perception was assessed by the Stunkard Figure Rating Scale. Results Among 1210 respondents (93%), BI distortion and dissatisfaction prevalence were 44.8% and 42.4%, respectively. Multivariate analysis showed that 16-18 years age group (Adjusted Odds Ratio (AOR)=1.28; p = 0.046), low family financial situation (AOR=1.88; p = 0.014), as well as high frequency of eating pasta (AOR=1.3;p=0.04) and fast-food consumption (AOR=1.7;p=0.042) were independently associated with under-estimated BI. Skipping breakfast (AOR=1.9; p = 0.017) and having one obese parent (AOR=1.9;p=0.01) were independently associated with higher frequency of over-estimated BI. For BI dissatisfaction, independent factors associated with desire to lose weight were female gender (AOR=1.53; p = 0.007), high family financial situation (AOR= 2.1,p=0.008) and having one parent obese (AOR=2.21,p&amp;lt;0.001). Frequent fast-food consumption (AOR=1.9, p = 0.038) and eating between meals (AOR=1.57,p=0.01) were associated with higher desire to gain weight. Conclusions Our study highlighted a substantially high prevalence of BI distortion and dissatisfaction among adolescents. Their determinants included socio-demographic factors and lifestyle behaviors. Increased awareness among parents and public health planners may help adolescents improve accuracy of BI attitudes. Key messages BI distortion and dissatisfaction are pervasive problems that increased negative affect in adolescents. Promotion of healthy lifestyle including balanced diet and physical activity is warranted.

The effects of acculturation and environment on lifestyle behaviors in Korean immigrants: the mediating role of acculturative stress and body image discrepancy

ABSTRACT Objectives Despite high rates of cardiometabolic diseases in Korean immigrants (KIs), little is known about cultural and environmental factors contributing to lifestyle behaviors. The purpose of this cross-sectional study was to examine the relationships among acculturation, environment, and lifestyle behaviors (dietary behavior, physical activity, and sedentary behavior) through culturally sensitive psychological mediators, body image discrepancy and acculturative stress in middle-aged KIs. Design A cross-sectional study was conducted. KIs aged 30–65 years were recruited online and at Korean community centers and churches in the Northeastern US Participants completed validated measures of dietary behavior (the Nutrition Subscale of the Health Promoting Lifestyle Profile (HPLP) II), physical activity (the International Physical Activity Questionnaire (IPAQ) – short form), and sedentary behavior (the Sedentary Behavior Questionnaire). Acculturative stress was measured by the Acculturative Stress Index and body image discrepancy was measured by the Stunkard Figure Rating Scale. Acculturation was defined as a latent variable measured by Korean and American orientation (Vancouver Index of Acculturation), age of immigration to the US, length of residency in the US, and English proficiency. Data were analyzed with structural equation modeling (SEM). Results The sample included 361 KIs (mean age = 41.77 ± 10.28 years, 48.1% female, and 46.4% overweight or obese). In the SEM model, acculturation had significant indirect effects on dietary behavior, physical activity, and sedentary behavior through body image discrepancy. Acculturative stress mediated the relationship between acculturation and sedentary behavior. Greater environmental support for physical activity and better healthy food accessibility were related to higher levels of physical activity and healthier dietary behavior, respectively. Conclusion In our study, acculturation and environmental support for physical activity and healthy food simultaneously influenced KIs’ lifestyle behaviors. Addressing an unhealthy body image and acculturative stress may be additional strategies for lifestyle intervention programs to prevent cardiometabolic diseases in KIs.

Too big or too thin? New Caledonian adolescents' perceptions of overweight and underweight.

The first aim was to examine New Caledonian adolescents' views of what constitutes an overweight or underweight person. The second aim was to assess whether an environment with a high prevalence of overweight is associated with different norms of overweight or underweight in this population. The Stunkard Figure Rating Scale was used for a sample of 699 pluriethnic adolescents in New Caledonia. Body mass index (BMI) was assessed for each participant and weight status was determined. The factors associated with higher figure ratings were determined by linear regression modeling. Multilinear regression analysis indicated that gender (being male) and BMI were associated with higher rating scores to designate overweight. Moreover, higher BMI z-scores were associated with higher underweight figure ratings. Ethnicity, area of residence, age, and socioeconomic status were not associated with higher ratings of body image. These findings show that an environment with a high prevalence of overweight does not necessarily shift adolescent "norms," contrary to visual normalization theory. These results should be taken into account in educational overweight prevention programs.

Body-image distress is increased in women with polycystic ovary syndrome and mediates depression and anxiety

To evaluate differences in body-image distress (BID) scores between women with polycystic ovary syndrome (PCOS) and controls and whether BID mediates anxiety and depression. Cross-sectional study. Academic institution. Reproductive-aged women with PCOS (n = 189) and controls (n = 225). Administering the Multidimensional Body-Self Relations-Appearance Subscale (MBSRQ-AS), Stunkard FigureRating Scale (FRS), Hospital Anxiety and Depression Scale (HADS), and PCOS quality of life survey (MPCOS-Q). BID, depression, and anxiety scores and mediation of depression and anxiety scores by BID. Women with PCOS had worse BID scores on all five MBSRQ-AS subscales adjusted for age, body mass index, race, pregnancy history, income, and employment, and larger differences on the FRS compared with the control women. In multivariable regression models, the prevalence of depressive (28% vs. 19.2%) and anxiety (76.5% vs. 56.5%) symptoms were also statistically significantly higher in women with PCOS compared with the controls. Most MBSRQ-AS subscale scores statistically significantly correlated with depression, anxiety, and quality of life scores. The association between PCOS/control status and higher anxiety and depression scores was completely mediated by the appearance evaluation and body areas satisfaction subscales and partially mediated by overweight preoccupation, appearance orientation, and self-classified weight. Women with PCOS have increased BID and depressive and anxiety symptoms. In our study different aspects of BID either fully or partially mediated the association between PCOS/control status and depression and anxiety scores, suggesting that therapeutic interventions targeted at improving body image may decrease depressive and anxiety symptoms.

Comparison of body mass index among schoolgirls in Catamarca as per anthropometric, self-report and figure rating scale techniques.

To compare mean weight, height, and body mass index (BMI) values as per different measurement techniques and analyze the influence of socioeconomic level and school type. Cross-sectional, descriptive study in a sample of 856 schoolgirls aged 15-18 years attending secondary school in the city of Catamarca. Assessment included weight and height measurement, self-reported weight and height, and Stunkard's Figure Rating Scale. Socioeconomic level was assessed based on the Family Affluence Scale. Student's t tests were used for both independent and paired samples to analyze BMI measurement techniques and school type classification, and a one-way analysis of variance was used for the socioeconomic level. Pearson's correlation and linear regressions were established. Height was overestimated (p < 0.001) when self-reported compared to the anthropometric measurement. In relation to actual BMI, the self-report and body figure perception techniques showed significant differences (p < 0.001). No differences were established in terms of weight and BMI by schoolgirls' socioeconomic level. Girls who attended private schools were taller (p = 0.004); such difference was also observed in self-reported height (p < 0.001). Excess weight was observed in 29.2% of schoolgirls. BMI estimations varied depending on the technique, and actual BMI was underestimated.

SAT-115 Body Image Dissatisfaction and Distortion in Bariatric Patients

Background: Obesity prevalence has been increasing progressively worldwide. Bariatric surgery is considered one of the most important treatment modalities for class III obesity. Obese individuals may present distortion of body image perception. : To assess body image perception in bariatric patients, 65 subjects were evaluated using the Stunkard Figure Rating Scale (SFRS). SFRS figures are rated from 1 to 9, ranging from extreme thinness (= 1) to extreme obesity (= 9). Patients selected the figure they thought represented how they looked and indicated the one that corresponded to their ideal body image. Forty-two patients were evaluated before gastroplasty and 23 in the post-operatory phase (10.8 ± 9.9 months after surgery). Data from patients in pre- vs. post-operatory groups were compared. Post-bariatric patients were older (44.7 ± 12.1 vs. 36.1 ± 11.3 years; p = 0.0065) and there was a predominance of female patients in both pre- and post-bariatric groups (88.1% and 100%, respectively; p = 0.1521). Weight was higher in pre-bariatric subjects (118.0 ± 17.8 vs. 83.0 ± 16.1 kg; p < 0.0001) and, after surgery, patients’ excess weight loss corresponded to 63.4 ± 27.2%. As expected, BMI was lower in the post-bariatric group (31.84 ± 6.53 vs. 43.88 ± 9.20 kg/m²; p < 0.0001). The SFRS evidenced that pre-bariatric patients represented themselves with a mean value of 7.9 ± 0.6, which was significantly higher than the representation of post-bariatric patients (6.0 ± 1.8; p < 0.0001). There was no difference regarding the silhouette that represented their own ideal, when the two groups were compared (pre-bariatric = 3.6 ± 1.1, post-bariatric = 3.4 ± 1.2; p = 0.4400). Pre-bariatric patients revealed higher dissatisfaction with their body image (4.4 ± 1.1) than post-bariatric subjects (2.6 ± 1.7; p < 0.0001). However, body image distortion was higher in the post-bariatric patients (1.4 ± 1.0 vs. 0.8 ± 0.6; p = 0.0038), particularly due to image overestimation, which was present in 21.74% of this group and was absent in patients interviewed before surgery. Body image dissatisfaction was correlated with age (r = -0.2486; p = 0.0495), weight (r = 0.3726; p = 0.0022), and BMI (r = 0.3521; p = 0.0040), while image distortion was higher in females (r = 0.2525; p = 0.0424). We concluded that image dissatisfaction is highly prevalent in bariatric patients and persists after surgery. Self-perception of corporal and psychological modifications that take place after surgery could explain the higher prevalence of body image distortion in the post-operatory.

Assessment of Anthropometric and Physical Health Indicators before and after Pituitary Surgery in Patients with Nonfunctioning Pituitary Adenomas, Acromegaly, and Cushing Disease.

Introduction:Individuals with pituitary adenomas may have organic consequences of their disease or therapy, and psychological changes can compromise their quality of life (QoL). This study aimed to determine the anthropometric profile and health indicators of patients with pituitary adenoma before and after pituitary surgery.Methods:Forty-four patients were included in this study. Out of these, 22 patients had nonfunctioning adenomas (50%), 17 acromegaly (38.6%), and 5 patients with Cushing's disease (11.4%). Anthropometric measurements included body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (WHR). Health indicators included body fat percentage (BF%), basal metabolic rate (BMR), maximal oxygen uptake (VO2 max), and hand grip strength. Physical activity level (the International Physical Activity Questionnaire [IPAQ]), subjective perception of health, body image (Body Shape Questionnaire), body satisfaction (Stunkard Figure Rating Scale) were used.Results:The mean patient age was 47.2 ± 14.6 years; of which 25 were women (56.8%). Before surgery, 75.0% were overweight or obese, 84.1% had WC with risk of metabolic complications, and 90.0% had WHR with cardiovascular risk. There was a high BF% in 56.4% of cases, low BMR in 65.1%, lower VO2 max in 16.2%, and below-average grip strength in 88.6%. Hypopituitary patients had poorer cardiorespiratory fitness. The IPAQ showed reduction in physical activity, and 79.5% of patients were dissatisfied with their body image. Patients with nonfunctioning adenomas had better perception of their health while those with Cushing's disease had more distorted body image. Postoperatively, patients with acromegaly showed improvement in WHR and physical activity level, and patients with Cushing's disease showed improvement in anthropometric variables.Conclusions:These findings emphasize the need for continuous monitoring of this population for anthropometric indicators associated with metabolic and cardiovascular comorbidities as well as body satisfaction.

Tendency Towards Eating Disorders and Associated Sex-specific Risk Factors Among University Students.

Eating disorders have frequently been reported among young adults including university students. Detailed information on the prevalence and associated gender-specific determinants of eating disorders are lacking, particularly among students in the north western region of Pakistan. The current cross-sectional study was designed to fill this gap in the literature. Total of 672 students (female: 56%, age range: 18-26 years) were enrolled and data collected between October 2016 and December 2017. The 26 items Eating Attitude Test (EAT-26), Diet quality Index-International (DQI-I), 10 items Rosenberg's self-esteem scale (SES), Stunkard Figure Rating Scale, 19-items Pittsburgh Sleep Quality Index (PSQI) and Global Physical Activity Questionnaire (GPAQ) were used. Body composition and anthropometry were determined using standardized tools. A cut-off of ≥20 EAT-26 score was used to assess the tendency towards eating disorders (EDT). Data was analyzed using appropriate statistical tests. Mean (SD) age of the respondents was 21.7±2 years. Total of 103 (15.3%) students showed EDT with no statistical difference between sexes. Students with EDT had a much lower diet quality than normal students (p<0.001). Risk factors for EDT, in female students included young age (<20 years), on-campus residency, discordant body image and poor sleep quality, while those for males were vigorous lifestyle, insufficient monthly allowance, poor sleep quality and peer pressure. A significant number of students showed a tendency towards an unhealthy eating attitude with some sex-specific risk factors. These students had poorer diet quality than normal students. Support to encourage healthy attitudes to eating and better diet quality could help to avert the development of clinical eating disorders.