title: Do Polynesians still believe that big is beautiful? Comparison of body size perceptions and preferences of Cook Islands, Maori and Australians.
abstract: OBJECTIVE
  To examine body size perceptions in a group of Polynesians from the Cook Islands and compare these with perceptions of Australians of European decent.
  
  
  METHODS
  Residents of Tutakimoa village on the island of Rarotonga, Cook Islands completed a questionnaire on body size perception (83 females, 49 males, 80% response rate). The responses were compared with the same number of Australian subjects who were matched for sex, age and body mass index (BMI). Culturally appropriate, graded sets of photographs (one female and one male for each ethnic group) were used as the stimuli for questions on body perception.
  
  
  RESULTS
  Cook Islands women were the most accurate in their perception of their current size; other groups overestimated. All groups preferred to be smaller, particularly women, with similar preferences (BMI 23-24) in women of both ethnic groups. Cook Islands subjects chose larger ideal sizes than Australians for both females (BMI 24.4 vs 22.5) and males (BMI 27 vs 24.2).
  
  
  CONCLUSIONS
  The traditional Polynesian concepts of very large body sizes being considered healthy and attractive are not evident in the modern day Cook Islanders. The excessive pursuit of western fashions for small female body size may have longer term detrimental effects in Polynesian women.
authors.affiliation: Department of Endocrinology, Royal Prince Alfred Hospital, Sydney, Australia.
authors.forename: P L
authors.initials: PL
authors.lastname: Craig
authors.forename: B A
authors.initials: BA
authors.lastname: Swinburn
authors.forename: T
authors.initials: T
authors.lastname: Matenga-Smith
authors.forename: H
authors.initials: H
authors.lastname: Matangi
authors.forename: G
authors.initials: G
authors.lastname: Vaughn
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001315:Australia; D001824:Body Constitution; D001828:Body Image; D015992:Body Mass Index; D005260:Female; D006801:Humans; D008297:Male; D011114:Polynesia