title: Prospective effects of weight perception and weight comments on psychological health among Chinese adolescents.
abstract: OBJECTIVE
  To investigate the prospective effects of weight perception of self and weight comments by others on psychological health problems among Chinese adolescents.
  
  
  METHODS
  In the Hong Kong Student Obesity Surveillance project, 8716 adolescents (41.3% boys) aged 14.2 +/- 1.7 years were followed prospectively. Logistic regression yielded odds ratios (ORs) for psychological health problems at 1-year follow-up by weight comments received and weight perception at baseline (2006), adjusting for each other sociodemographic factors and body mass index.
  
  
  RESULTS
  Perceived fatness at baseline predicted subsequent headache and feeling stressful with adjusted ORs (95% confidence intervals) of 1.17 (1.03-1.33) and 1.20 (1.03-1.39), respectively. Perceived thinness at baseline did not predict any subsequent health problems. Receiving incorrect weight comments at baseline also predicted headache, feeling stressful and feeling depressed at follow-up, with adjusted ORs of 1.19 (1.08-1.31), 1.26 (1.04-1.53) and 1.38 (1.10-1.74) respectively. No gender difference was found in the effects of weight perception and weight comments on psychological outcomes.
  
  
  CONCLUSIONS
  In adolescents, perceived fatness and incorrect weight comments predicted psychological health problems at 1-year follow-up. Family members, peers and other social contacts should realize the potential adverse effects of their weight comments, and adolescents should be taught how to correctly assess their weight status.
authors: Department of Community Medicine and School of Public Health, The University of Hong Kong, Hong Kong, China.
authors: Wing-Sze
authors: WS
authors: Lo
authors: Sai-Yin
authors: SY
authors: Ho
authors: Kwok-Kei
authors: KK
authors: Mak
authors: Yee-Man
authors: YM
authors: Wong
authors: Yuen-Kwan
authors: YK
authors: Lai
authors: Tai-Hing
authors: TH
authors: Lam
mesh_terms: D000293:Adolescent; D001828:Body Image; D001835:Body Weight; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006723:Hong Kong; D006801:Humans; D007398:Interpersonal Relations; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000523:psychology; D008603:Mental Health; D016017:Odds Ratio; D011446:Prospective Studies; D000297:Psychology, Adolescent; D012649:Self Concept