title: Digital facial image modification, body image, and parental support for dietary and physical activity behaviors.
abstract: OBJECTIVE
  To explore the effects of digital facial image modification on children's body image and on parental support for children's healthy dietary and physical activity behaviors.
  
  
  METHODS
  Children and their parents were exposed to a novel image modification program that altered children's facial photographs to reflect weight loss and weight gain. The influences of facial image modification on children's body image and on parental support of children's healthy dietary and physical activity behaviors were measured with before and after surveys.
  
  
  RESULTS
  Eighty-one children and their parents were surveyed. Forty percent of children were at risk for overweight or overweight, and 59% of parents surveyed were overweight or obese. Parents' support for children's healthy dietary and physical activity behaviors significantly increased after parents viewed altered facial images of their child. In contrast, no change in children's body image measures was demonstrated after children viewed weight-altered photographs of themselves.
  
  
  CONCLUSIONS
  Facial image modification programs do not appear to have a detrimental effect on children's body image in the immediate post-exposure period. Image alteration may serve as an effective motivating tool to encourage parents to facilitate healthy dietary and physical activity behaviors in their children.
authors.affiliation: Department of Pediatrics, University of California, San Diego, CA, USA. jshuang@ucsd.edu
authors.forename: Jeannie S
authors.initials: JS
authors.lastname: Huang
authors.forename: Karen
authors.initials: K
authors.lastname: Becerra
authors.forename: Golnaz
authors.initials: G
authors.lastname: Golnari
authors.forename: Susan
authors.initials: S
authors.lastname: Fernandez
authors.forename: Agata
authors.initials: A
authors.lastname: Opalach
authors.forename: Ana Andres
authors.initials: AA
authors.lastname: del Valle