title: Waist circumference in relation to body perception reported by Finnish adolescent girls and their mothers.
abstract: OBJECTIVE
  To study how waist circumference (WC) relates to body perception in adolescent girls and to maternal perception of the girl's body size.
  
  
  METHODS
  Three hundred and four girls, 11-18 years, were measured for height, weight and WC. 294 girls provided self-report data on weight, height and body image before anthropometric measurements. Paired data from 237 girls and mothers on perception of the girls' body size were collected.
  
  
  RESULTS
  In girls, self-reported weight indicated awareness of actual body size. The girls' body perception showed an overestimation of body size relative to international reference values for body mass index (BMI) (p < 0.05), but not for WC. Girls' body perception exceeded that of their mothers (p < 0.05). Maternal perception agreed better than the girls' perception with international reference values for BMI (p < 0.05). No significant difference between mothers and girls were found concerning agreement of body perception with international reference values for WC.
  
  
  CONCLUSIONS
  WC rather than BMI agrees with perception of body size, possibly due to its relation to abdominal fat at different ages. For effective prevention and treatment programmes for weight-related health problems among adolescent girls, we recommend measuring WC to diminish the discrepancy between measured and perceived body size.
authors.affiliation: Department of Clinical and Experimental Medicine, Division of Pediatrics, Faculty of Health Sciences, Linköping University, Sweden. jolanda.van.vliet@lio.se
authors.forename: J S
authors.initials: JS
authors.lastname: van Vliet
authors.forename: E Allansson
authors.initials: EA
authors.lastname: Kjölhede
authors.forename: K
authors.initials: K
authors.lastname: Duchén
authors.forename: L
authors.initials: L
authors.lastname: Räsänen
authors.forename: N
authors.initials: N
authors.lastname: Nelson
mesh_terms: D000293:Adolescent; D000886:Anthropometry; D001828:Body Image; D049628:Body Size; D002648:Child; D005260:Female; D005387:Finland; D006801:Humans; D009035:Mothers / Q000523:psychology; D055105:Waist Circumference