title: Perception of body size in the Tongan community: differences from and similarities to an Australian sample.
abstract: OBJECTIVE
  The prevalence of obesity in Tonga is high and increasing. Attempts to address this major health issue would be assisted by a realistic concept of current and preferred body sizes. In this study, body size perception in Tongans was compared with that of Australians.
  
  
  METHODS
  Cross-sectional comparative study.
  
  
  METHODS
  542 Tongans, 89 of whom were enrolled in a weight-loss programme (WLP); 481 Australians.
  
  
  METHODS
  Subjects were weighed and measured. Two series of photographs (one female, one male), representing specific body mass indexes (BMIs) were used to assess body perception.
  
  
  RESULTS
  The BMIs of the Tongans were higher than those of the Australians (Tongans: female 32.6+/-0.35 (mean +/- s.e.m); male, 30.4+/-0.33; Australians: female, 25.6+/-0.33; male 26.3+/-0.26 kg/m2). Tongan women underestimated their body size; Tongan men and Australians overestimated. WLP and younger Tongan women preferred smaller body sizes for themselves and for men and women in general. There were gender differences in preferred healthy and attractive female sizes (men: 27 kg/m2; non-WLP women: 25 kg/m2; WLP women: 23 kg/m2) and male sizes (men: 29-30 kg/m2; women: 26-27 kg/m2 chosen by Tongans. Preferred, attractive and healthy body sizes chosen by Australian men and women were similar; about 24 kg/m2 for males and 21-22 kg/m2 for females.
  
  
  CONCLUSIONS
  Tongans preferred larger body sizes than did Australians, particularly the men, but WLP women's preferences were similar to those of Australians. There is evidence that preferences are changing in Tonga with time, and probably with increasing Western influence.
authors.affiliation: Department of Endocrinology, Royal Prince Alfred Hospital, Camperdown, NSW, Australia. pipa@diab.rpa.cs.nsw.gov.au
authors.forename: P
authors.initials: P
authors.lastname: Craig
authors.forename: V
authors.initials: V
authors.lastname: Halavatau
authors.forename: E
authors.initials: E
authors.lastname: Comino
authors.forename: I
authors.initials: I
authors.lastname: Caterson
mesh_terms: D000328:Adult; D001315:Australia / Q000453:epidemiology; D001824:Body Constitution; D001828:Body Image; D015992:Body Mass Index; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000453:epidemiology* / Q000523:psychology*; D015995:Prevalence; D012016:Reference Values; D012938:Social Perception; D014058:Tonga / Q000453:epidemiology