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Journal of Pediatric Psychology Advance Access published online on December 11, 2007
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsm124
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Brief Report: Weight Dissatisfaction, Weight Status, and Weight Loss in Mexican-American Children

William T. Dalton, III, PhD1, Craig A. Johnston, PhD2, John P. Foreyt, PhD2 and Chermaine Tyler, PhD2

1Department of Psychology, East Tennessee State University, and 2Department of Pediatrics, USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine

All correspondence concerning this article should be addressed to William T. Dalton III, PHD, Department of Psychology, East Tennessee State University, PO Box 70649, Johnson City, TN 37614, USA. E-mail: daltonw{at}etsu.edu


  Abstract

Objective To assess the association between weight dissatisfaction, weight status, and weight loss in Mexican-American children participating in a weight management program. Methods Participants included 265 Mexican American children recruited for a school-based weight management program. All children completed baseline assessments and changes in standardized body mass index (zBMI) were monitored in at-risk for overweight and overweight children (i.e., >85th BMI percentile) who had been randomized to receive the weight loss intervention (n = 101). Results Participants classified as at-risk for overweight or overweight reported greater weight dissatisfaction than normal weight children. Lower weight dissatisfaction at baseline was associated with greater changes in zBMI at 6 months. Weight dissatisfaction did not change across the course of treatment. Conclusions Mexican-American children whose weight status is greater than normal have greater weight dissatisfaction. Children with greater weight dissatisfaction are less likely to lose weight in a weight management program and weight dissatisfaction remains stable over the course of treatment.

Key words: Mexican American; overweight; treatment; weight dissatisfaction.

Received July 17, 2007; revision received October 12, 2007; accepted November 14, 2007


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