title: Weight perceptions and weight control practices in American Indian and Alaska Native adolescents. A national survey.
abstract: OBJECTIVE
  To assess weight perceptions and weight control practices among American Indian-Alaska Native adolescents.
  
  
  METHODS
  Survey.
  
  
  METHODS
  Nonurban schools from eight Indian Health Service areas.
  
  
  METHODS
  A total of 13,454 seventh- through 12th-grade American Indian-Alaska Native youths.
  
  
  METHODS
  A revised version of the Adolescent Health Survey, a comprehensive, anonymous self-report questionnaire with eating- and body image-related questions.
  
  
  RESULTS
  Forty-one percent of the adolescent girls reported feeling overweight, 50% were dissatisfied with their weight, and 44% worried about being overweight. Almost half (48%) had been on a weight-loss diet in the past year, with 27% reporting that they had self-induced vomiting at some time to try to lose weight. Eleven percent reported using diet pills. Girls who reported feeling overweight were more likely to engage in unhealthy weight control practices than were those who felt they were of normal weight or underweight. A larger proportion of boys were satisfied with their weight (68%), with 22% worrying about being overweight. However, compared with rural Minnesota youth, both American Indian girls and boys had greater dissatisfaction with body weight.
  
  
  CONCLUSIONS
  Our study shows that American Indian youth, particularly girls, are dissatisfied with their weight and are worried about being overweight, and that unhealthy weight control practices are common. More attention needs to be placed on developing culturally appropriate weight management programs for Indian youths.
authors.affiliation: Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis.
authors.forename: M
authors.initials: M
authors.lastname: Story
authors.forename: F R
authors.initials: FR
authors.lastname: Hauck
authors.forename: B A
authors.initials: BA
authors.lastname: Broussard
authors.forename: L L
authors.initials: LL
authors.lastname: White
authors.forename: M D
authors.initials: MD
authors.lastname: Resnick
authors.forename: R W
authors.initials: RW
authors.lastname: Blum
mesh_terms: D000293:Adolescent; D000413:Alaska / Q000453:epidemiology; D001828:Body Image; D001835:Body Weight; D002032:Bulimia / Q000453:epidemiology; D002400:Cathartics / Q000008:administration & dosage; D002648:Child; D004038:Diet, Reducing / Q000523:psychology; D004232:Diuretics / Q000008:administration & dosage; D005247:Feeding Behavior; D005260:Female; D006306:Health Surveys; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D008297:Male; D015995:Prevalence; D000297:Psychology, Adolescent; D012649:Self Concept; D012737:Sex Factors; D019966:Substance-Related Disorders / Q000453:epidemiology; D015431:Weight Loss; D014892:Weight Perception
chemical_list: D002400:Cathartics; D004232:Diuretics