title: Weight loss attempts and attitudes toward body size, eating, and physical activity in American Indian children: relationship to weight status and gender.
abstract: OBJECTIVE
  This study examined dieting, weight perceptions, and self-efficacy to eat healthy foods and engage in physical activity and their relationships to weight status and gender among American Indian elementary schoolchildren.
  
  
  METHODS
  Data for this study were collected as part of the baseline examination for the Pathways study. Participants were 1441 second- through third-grade American Indian children in 41 schools representing seven tribes in Arizona, New Mexico, and South Dakota who filled out a questionnaire and had heights and weights taken.
  
  
  RESULTS
  Forty-two percent of the children were overweight or obese. No differences were found between overweight/obese and normal weight children for healthy food intentions or self-efficacy. Heavier children (especially those with body mass index > 95th percentile) were more likely to have tried to lose weight or were currently trying to lose weight. No gender differences were found. Normal weight children chose a slightly heavier body size as most healthy compared with overweight/obese children.
  
  
  CONCLUSIONS
  The results indicate that children are concerned about their weight and that weight modification efforts are common among overweight American Indian children. School, community, and family-based programs are needed to help young people adopt lifelong healthful eating and physical activity practices.
authors.affiliation: Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis 55454-1015, USA. story@epi.umn.edu
authors.forename: M
authors.initials: M
authors.lastname: Story
authors.forename: J
authors.initials: J
authors.lastname: Stevens
authors.forename: M
authors.initials: M
authors.lastname: Evans
authors.forename: C E
authors.initials: CE
authors.lastname: Cornell
authors.lastname: Juhaeri
authors.forename: J
authors.initials: J
authors.lastname: Gittelsohn
authors.forename: S B
authors.initials: SB
authors.lastname: Going
authors.forename: T E
authors.initials: TE
authors.lastname: Clay
authors.forename: D M
authors.initials: DM
authors.lastname: Murray
mesh_terms: D001130:Arizona; D001294:Attitude to Health; D001824:Body Constitution; D001827:Body Height; D001828:Body Image; D001835:Body Weight / Q000208:ethnology / Q000502:physiology*; D002648:Child; D004435:Eating; D015444:Exercise; D005260:Female; D006801:Humans; D007198:Indians, North American / Q000523:psychology; D008297:Male; D009516:New Mexico; D009765:Obesity / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D010465:Perception; D020377:Self Efficacy; D013023:South Dakota; D011795:Surveys and Questionnaires; D015431:Weight Loss