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Journal of Pediatric Psychology Advance Access published online on June 8, 2006

Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsl004
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© The Author 2006. 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
Received August 4, 2005
Revised May 1, 2006
Accepted May 10, 2006

Article

Agreement with Satisfaction in Adolescent Body Size between Female Caregivers and Teens from a Low-income African-American Community

Andrea L. Mitola BS 1, Mia A. Papas PhD 2, Katherine Le MPH 2, Lauren Fusillo MPH 2, and Maureen M. Black PhD 2 *

1 Department of Pediatrics, University of Maryland School of Medicine; Center for Human Nutrition, Department of International Health, Johns Hopkins Bloomberg School of Public Health
2 Department of Pediatrics, University of Maryland School of Medicine

* To whom correspondence should be addressed.
Maureen M. Black, E-mail: mblack{at}peds.umaryland.edu


   Abstract

Objective To describe body size satisfaction and agreement among low-income, urban, African-American adolescents, and female caregivers. Methods Two hundred and fifteen adolescent-caregiver pairs completed measures of demographics, anthropometrics, and body size satisfaction. Results Adolescent-caregiver agreement on body size satisfaction varied by body mass index (BMI) category. Among normal weight adolescents, 61% of adolescent-caregivers agreed that current body size was ideal. Among adolescents at risk for overweight, 38% of adolescent-caregivers agreed that current body size was ideal, and 38% were discordant with adolescents wanting to be thinner and caregivers satisfied with current body size. Among overweight adolescents, adolescent-caregiver agreement was 67%; 52% agreed the adolescent should be thinner and 15% agreed current body size was ideal. Conclusions Body size satisfaction is related to BMI category for adolescents and caregivers, but adolescents have a lower threshold. Encouraging caregivers to elicit their adolescents’ views on body size satisfaction may enable caregivers to support their adolescents in addressing weight-related issues.

Keywords: adolescent-caregiver agreement; adolescents; African American; at risk for overweight; body size satisfaction; overweight.
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