Maus-tratos familiares: imagem corporal e obesidade na adolescência

• Autor(a) principal: Silva, Ana Maria Vieira Lourenço da
• Data de Publicação: 2015
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/7226
• topic: Domestic violence; Obesity; Body image; Adolescent; Adolescente; Nutrição; Violência doméstica; Obesidade; Imagem corporal; CNPQ::CIENCIAS DA SAUDE::NUTRICAO

This study aims to determine the possible association between family maltreatment and dissatisfaction with body image and obesity in adolescence. This research was carried out by two studies: the first, observational and cross-sectional in a sample of 201 adolescents, 10-19 years registered in the Bolsa Família Program and monitored by the Nutrition Service of a health unit in the municipality of Rio de Janeiro in 2008-2009; and the second, with 1628 students from 9th grade of elementary school of public schools in the municipality of Rio de Janeiro, in 2007. We investigated the prevalence of family abuse, dissatisfaction with body image and obese in adolescents. For this, we performed anthropometric measurements for the determination of obesity according to 3 indexes: the first was to assess excess weight using the Body Mass Index (BMI), the second was to estimate body fat from the formula proposed by Slaughter et al. for triceps and subscapular skinfolds and the third was to measure central obesity using the Waist-to-Height Ratio. Family maltreatment was investigated by means of instruments - Conflict Tactics Scales Form R (CTS1) to assess the domestic conflict in the relationship between parents and your children; the scale of psychological violence against adolescents and questions that characterized the types of abuse: physical aggression and verbal mistreatment. Body image was assessed by the scale of body satisfaction by areas for teens. Besides these, other covariates were investigated that could influence the investigation as sociodemographic information, sexual maturity, relationship with the family and the school, physical activity and sedentary activities. Associations between variables were expressed as odds ratios and their respective 95% confidence intervals estimated via logistic regression. All analyzes were conducted for boys and girls separately. The results were presented using two articles. The first article, regarding the association between physical and psychological violence and dissatisfaction with body image in adolescents showed that girls who have suffered psychological violence were 4.2 more likely to have dissatisfaction with body image than those who did not suffer violence psychological. For boys, there was no association between family abuse and dissatisfaction with body image. The second article was relevant to the relationship between family maltreatment and obesity and found that the was no association between family maltreatment and obesity for males. However, girls who have suffered physical aggression had lower prevalence of overweight than those who did not suffer physical aggression (OR = 0.449, CI = 0.212 to 0.951). It concludes that, in adolescence, girls victims of family maltreatment were dissatisfied with their body image and were less likely to have obesity