Jason M Nagata1, Kirsten Bibbins-Domingo2, Andrea K Garber3, Scott Griffiths4, Eric Vittinghoff5, Stuart B Murray6. 1. Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, California. Electronic address: jasonmnagata@gmail.com. 2. Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California; Department of Medicine, University of California, San Francisco, San Francisco, California. 3. Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, San Francisco, California. 4. Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia. 5. Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California. 6. Department of Psychiatry, University of California, San Francisco, San Francisco, California.
Abstract
OBJECTIVE: To determine the prevalence of weight-gain attempts in adolescent boys in the United States. METHODS: Participants were 15,624 high school students from the nationally representative 2015 Youth Risk Behavior Survey. RESULTS: Overall, 29.6% of adolescent boys reported attempts to gain weight, including 39.6% of boys who were normal weight, 12.8% who were overweight, and 10.6% who were obese by body mass index (BMI). In contrast, only 6.5% of adolescent girls reported attempts to gain weight. Although only 3.3% of adolescent males are underweight by BMI, 19.3% perceive themselves to be underweight. Further, over half of adolescent males who are overweight by BMI perceive themselves to be about the right weight. Black/African-American (odds ratio [OR] 1.89; 95% confidence interval [CI] 1.50-2.38) and multiracial (OR 1.62; 95% CI 1.16-2.26) adolescent males had greater odds of weight-gain attempts than white adolescent males. Adolescent males identifying as bisexual had lower odds (OR .47; 95% CI .25-.88) of weight-gain attempts than adolescent males identifying as heterosexual. CONCLUSIONS: Weight-gain attempts are common among adolescent boys including those who are considered normal weight, overweight, or obese by BMI; African-American or multiracial; and those self-identifying as heterosexual. Consideration of the unique nature of male body image, particularly adolescent boys' perceptions of their own weight and weight-gain attempts, should be incorporated into primary care screening for adolescent boys. Published by Elsevier Inc.
OBJECTIVE: To determine the prevalence of weight-gain attempts in adolescent boys in the United States. METHODS:Participants were 15,624 high school students from the nationally representative 2015 Youth Risk Behavior Survey. RESULTS: Overall, 29.6% of adolescent boys reported attempts to gain weight, including 39.6% of boys who were normal weight, 12.8% who were overweight, and 10.6% who were obese by body mass index (BMI). In contrast, only 6.5% of adolescent girls reported attempts to gain weight. Although only 3.3% of adolescent males are underweight by BMI, 19.3% perceive themselves to be underweight. Further, over half of adolescent males who are overweight by BMI perceive themselves to be about the right weight. Black/African-American (odds ratio [OR] 1.89; 95% confidence interval [CI] 1.50-2.38) and multiracial (OR 1.62; 95% CI 1.16-2.26) adolescent males had greater odds of weight-gain attempts than white adolescent males. Adolescent males identifying as bisexual had lower odds (OR .47; 95% CI .25-.88) of weight-gain attempts than adolescent males identifying as heterosexual. CONCLUSIONS:Weight-gain attempts are common among adolescent boys including those who are considered normal weight, overweight, or obese by BMI; African-American or multiracial; and those self-identifying as heterosexual. Consideration of the unique nature of male body image, particularly adolescent boys' perceptions of their own weight and weight-gain attempts, should be incorporated into primary care screening for adolescent boys. Published by Elsevier Inc.
Entities:
Keywords:
Adolescent health; Body image; Weight control
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