Objective To in vestigate potential gender differences in the odds of overweight/obese, weight-related perceptions, and behaviors among Chinese school children. Methods Height, weight, and a survey of weight-related p...Objective To in vestigate potential gender differences in the odds of overweight/obese, weight-related perceptions, and behaviors among Chinese school children. Methods Height, weight, and a survey of weight-related perceptions and behaviors were measured in a nationally representative survey of 12,811 children in primary schools in China. Logistic regression analyses were used to assess gender differences, adjusting for confounders. Results Boys had higher odds of being overweight/obese compared to girls within both urban [adjusted odds ratio （OR） 2.30, 95% CI 2.00 to 2.65] and rural areas （OR = 1.85, 95% CI 1.55 to 2.20）. Girls reported healthier diets （e.g., daily vegetables OR = 0.79, 95% CI 0.73 to 0.85） whereas boys consumed fried food （OR = 1.21, 95% CI 1.06 to 1.38） and sugar-sweetened drinks more often （OR = 1.49, 95% CI 1.34 to 1.65）. Gender differences included higher odds of boys perceiving themselves as overweight if they had more highly educated mothers （OR = 1.35, 95% CI 1.09 to 1.68）, less educated fathers （OR = 0.79, 95% CI 0.63 to 0.99）, and if they frequently consumed carbonated drinks （OR = 1.48, 95% CI 1.07 to 2.05）. Conclusion Childhood obesity prevention in China should be gender-focused, particularly for boys who reported an unhealthier diet but were less likely to see they were fat, even though more boys were overweight or obese than girls.展开更多
Segmentation of intracranial aneurysm(IA)from computed tomography angiography(CTA)images is of significant importance for quantitative assessment of IA and further surgical treatment.Manual segmentation of IA is a lab...Segmentation of intracranial aneurysm(IA)from computed tomography angiography(CTA)images is of significant importance for quantitative assessment of IA and further surgical treatment.Manual segmentation of IA is a labor-intensive,time-consuming job and suffers from inter-and intra-observer variabilities.Training deep neural networks usually requires a large amount of labeled data,while annotating data is very time-consuming for the IA segmentation task.This paper presents a novel weight-perceptual self-ensembling model for semi-supervised IA segmentation,which employs unlabeled data by encouraging the predictions of given perturbed input samples to be consistent.Considering that the quality of consistency targets is not comparable to each other,we introduce a novel sample weight perception module to quantify the quality of different consistency targets.Our proposed module can be used to evaluate the contributions of unlabeled samples during training to force the network to focus on those well-predicted samples.We have conducted both horizontal and vertical comparisons on the clinical intracranial aneurysm CTA image dataset.Experimental results show that our proposed method can improve at least 3%Dice coefficient over the fully-supervised baseline,and at least 1.7%over other state-of-the-art semi-supervised methods.展开更多
Body misperception plays an important role in the development of weight and dietary disorders among children and adolescents.A school-based health promotion program(2014-2015)was conducted to promote the school health...Body misperception plays an important role in the development of weight and dietary disorders among children and adolescents.A school-based health promotion program(2014-2015)was conducted to promote the school health education and improve the teenagers'physical health among Chinese children and adolescents.Based on this program,we intended to examine weight status and weight misperception among Chinese children and adolescents and to explore the relationship between weight misperception and lifestyle behaviors.A total of 10708 Chinese children and adolescents in 3rd and 7th grade from Shandong and Qinghai province participated in the program.The participants,dietary and activity patterns were clustered by latent class analysis(LCA).Logistic regression analysis was undertaken to explore the relationship between weight perception and demographic factors or dietary and activity patterns.Given the gender-specific difference of children and adolescents,analyses were separately conducted among boys and girls.The total prevalence of weight misperception was 44.50%.Boys,especially those in higher grade and living in wealthier district,were more likely to misperceive body weight.Girls were more likely to overestimate their weight(26.10%)while boys tended to underestimate the weight(28.32%).Three latent dietary and activity patterns including obesogenic pattern,malnourished pattern and healthy pattern were derived.The participants who had weight misperception were more likely to choose unhealthy dietary and exercise activities.The high prevalence of weight misperception was closely related to the unhealthy weight pattern and unhealthy dietary or exercise patterns.Our research found that most children and adolescents failed to perceive their weight correctly and boys tended to underestimate their weight while girls were subjected to overestimation.So,comprehensive intervention programs should focus on improving self-weight awareness,and appropriate guidance should be made to lead the adolescents to more healthy weight patt展开更多
Background: The obesity rate is rising. The aims of this study were to elucidate the connection among body image disturbance and dissatisfaction, scorn and stigma in severely obese individuals using a case-control met...Background: The obesity rate is rising. The aims of this study were to elucidate the connection among body image disturbance and dissatisfaction, scorn and stigma in severely obese individuals using a case-control method. Method: The study group consisted of 112 individuals receiving permanent disability pensions primarily for obesity. The controls were selected by random sampling. The controls were matched with the subjects by place of residence, gender, age, the time since the pension was granted and occupation. Psychiatric interviews and psychological assessments were conducted with all participants. The results were analyzed via chi-squared tests (χ2-tests) and percent distributions. The subject and control groups were compared via paired t-tests. Conditional logistic regression analysis was also conducted. Results: In the Draw a Person test, we found disorganization of the body image to some degree in the subject group. Some significant differences were found between the Machover index and the wholeness index. The Rorschach variables obtained some differences in the responses between the subject and control groups. Obesity was a problem in all age groups. In the study group, half of the participants thought that they were obese. Most of the participants had endured scorn and contempt directed at them due to being overweight. Conclusions: We believe that our study provides a novel and necessary overview of the connection among body image disturbance and dissatisfaction, scorn and stigma.展开更多
Background The association between parental perception of child's weight and their attitudes towards his/her dietary habits has not been reported yet.This study aimed to assess the association between parental und...Background The association between parental perception of child's weight and their attitudes towards his/her dietary habits has not been reported yet.This study aimed to assess the association between parental underestimation of child's weight and parental attitudes towards child's dietary habits.Methods We conducted a cross-sectional analysis of SENDO cohort participants recruited between January 2015 and June 2020.All information was collected through online questionnaires completed by parents.We calculated crude and multivariable-adjusted odds ratio(OR)and 95%confidence intervals(CI)for unhealthy attitudes towards child's dietary habits associated with parental underestimation of child's weight.Results Sixteen percent of children in the SENDO project had parents who underestimated their weight.Parents who under-estimated their child's weight status were more likely to have unhealthy attitudes toward his/her dietary habits[OR 3.35;95%CI(1.71-6.53)].Conclusions Parental underestimation of child's weight was associated with unhealthy attitudes towards child's dietary hab-its.Pediatricians and public health practitioners should pay attention to the parental perception of child's weight to identify parents who underestimate it as an at-risk group in which to inquire about lifestyle and dietary habits.展开更多
Niigata City in Japan and Khabarovsk City in Russia signed a sister city agreement in 1965 and have been interacting with each other for a long time. We have been conducting comparative research on the elderly between...Niigata City in Japan and Khabarovsk City in Russia signed a sister city agreement in 1965 and have been interacting with each other for a long time. We have been conducting comparative research on the elderly between the two cities, but there is no research on the young. Distorted perception of body weight and unnecessary dieting behavior in adolescent girls is considered a problem in both Japan and Russia. Therefore, the purpose of this study was to clarify the distortion of weight perception and diet behavior of adolescent girls in both the countries. In addition, it was decided to investigate the eating habits of people in both the countries. In total, 195 15-year-old girls from Niigata, Japan (October 2020) and 286 girls from Khabarovsk, Russia (February 2017) were surveyed. The questionnaire used was an excerpt from the World Health Organization survey on the health behavior of school-age children. The proportion of Japanese adolescent girls who perceived themselves as overweight (distorted body weight perception) was 60.5%, which was significantly higher than that of Russian adolescent girls at 30.1% (p < 0.001). In addition, the prevalence of weight loss behavior in Japan was 34.9% (n = 68), which was significantly higher than that in Russia with 27.3% (n = 78) (p < 0.001). Adolescent girls in Japan had more serious problems with weight perception, but had fewer problems with breakfast and vegetable intake habits than those in Russia. From a young age, perception of correct body shape and establishment of eating habits are important not only for current health but also for future health. We need to carefully educate adolescent girls that their body undergoes major changes through secondary sexual characteristics during adulthood.展开更多
In many societies,appearing slim(corresponding to a small body-mass index)is considered attractive.The fashion industry has been attempting to cater to this trend by designing outfits that can enhance the appearance o...In many societies,appearing slim(corresponding to a small body-mass index)is considered attractive.The fashion industry has been attempting to cater to this trend by designing outfits that can enhance the appearance of slimness.Two anecdotal rules,widespread in the world of fashion,are to choose dark clothes and avoid horizontal stripes,in order to appear slim.Thus far,empirical evidence has been unable to conclusively determine the validity of these rules,and there is consequently much controversy regarding the impact of both color and patterns on the visual perception of weight.In this paper,we aim to close this gap by presenting the results from a series of large-scale crowdsourcing studies that investigate the above two claims.We gathered a dataset of around 1000 images of people from the Web together with their ground-truth weight and height as well as clothing attributes about colors and patterns.To elicit the effects of colors and patterns,we asked crowd workers to estimate the weight in each image.For the analysis,we controlled potential confounds by matching images in pairs where the two images differ with respect to color or pattern,but are similar with respect to other relevant aspects.We created image pairs in two ways:firstly,observationally,i.e.,from two real images;and secondly,experimentally,by manipulating the color or pattern of clothing in a real image via photo editing.Based on our analysis,we conclude that dark clothes indeed decrease perceived weight slightly but statistically significantly,and horizontal stripes have no discernible effect compared to solid light-colored clothes.These results contribute to advancing the debate around the effect of specific clothing colors and patterns and thus provide empirical grounds for everyday fashion decisions.Moreover,our work gives an outlook on the vast opportunities of using crowd sourcing in the modern fashion industry.展开更多
Background Preschool-age children with developmental disabilities(DD)have higher prevalence of obesity than children without DD.This study aimed to explore the relationship between parent perception of their children&...Background Preschool-age children with developmental disabilities(DD)have higher prevalence of obesity than children without DD.This study aimed to explore the relationship between parent perception of their children's anthropometric phe-notype and child body mass index(BMI)z score change over one school year among preschoolers with DD.Methods The analysis consisted of a subsample(N=64)of children with DD from a larger randomized controlled trial to test an obesity prevention program in the childcare center setting.Parents ranks their child's anthropometric phenotype on a visual silhouette chart on a scale from 1(underweight)to 7(obese)and that rank score is compared to their BMI z score change over one school year.Results The majority(75%)of parents with an obese child underestimated their child's anthropometric phenotype while 7%parents with a non-obese child overestimated.Parent overestimation of child anthropometric phenotype status is associated with increased BMI z score change over 1 school year among preschool-age children with disabilities.Conclusion Parental overestimation of child anthropometric phenotype status was associated with weight gain in preschool children with DD after one school year.展开更多
基金sponsored by the Young Scholar Scientific Research Foundation of China CDC[2010A205]PUMC Youth Fund and supported by the Fundamental Research Funds for the Central Universities[2017330014]
文摘Objective To in vestigate potential gender differences in the odds of overweight/obese, weight-related perceptions, and behaviors among Chinese school children. Methods Height, weight, and a survey of weight-related perceptions and behaviors were measured in a nationally representative survey of 12,811 children in primary schools in China. Logistic regression analyses were used to assess gender differences, adjusting for confounders. Results Boys had higher odds of being overweight/obese compared to girls within both urban [adjusted odds ratio （OR） 2.30, 95% CI 2.00 to 2.65] and rural areas （OR = 1.85, 95% CI 1.55 to 2.20）. Girls reported healthier diets （e.g., daily vegetables OR = 0.79, 95% CI 0.73 to 0.85） whereas boys consumed fried food （OR = 1.21, 95% CI 1.06 to 1.38） and sugar-sweetened drinks more often （OR = 1.49, 95% CI 1.34 to 1.65）. Gender differences included higher odds of boys perceiving themselves as overweight if they had more highly educated mothers （OR = 1.35, 95% CI 1.09 to 1.68）, less educated fathers （OR = 0.79, 95% CI 0.63 to 0.99）, and if they frequently consumed carbonated drinks （OR = 1.48, 95% CI 1.07 to 2.05）. Conclusion Childhood obesity prevention in China should be gender-focused, particularly for boys who reported an unhealthier diet but were less likely to see they were fat, even though more boys were overweight or obese than girls.
基金supported by Shenzhen Fundamental Research Program of China under Grant Nos.JCYJ20200109110420626 and JCYJ20200109110208764the National Natural Science Foundation of China under Grant Nos.U1813204 and 61802385+1 种基金the Natural Science Foundation of Guangdong of China under Grant No.2021A1515012604the Clinical Research Project of Shenzhen Municiple Health Commission under Grant No.SZLY2017011.
文摘Segmentation of intracranial aneurysm(IA)from computed tomography angiography(CTA)images is of significant importance for quantitative assessment of IA and further surgical treatment.Manual segmentation of IA is a labor-intensive,time-consuming job and suffers from inter-and intra-observer variabilities.Training deep neural networks usually requires a large amount of labeled data,while annotating data is very time-consuming for the IA segmentation task.This paper presents a novel weight-perceptual self-ensembling model for semi-supervised IA segmentation,which employs unlabeled data by encouraging the predictions of given perturbed input samples to be consistent.Considering that the quality of consistency targets is not comparable to each other,we introduce a novel sample weight perception module to quantify the quality of different consistency targets.Our proposed module can be used to evaluate the contributions of unlabeled samples during training to force the network to focus on those well-predicted samples.We have conducted both horizontal and vertical comparisons on the clinical intracranial aneurysm CTA image dataset.Experimental results show that our proposed method can improve at least 3%Dice coefficient over the fully-supervised baseline,and at least 1.7%over other state-of-the-art semi-supervised methods.
基金This study was supported by grants from the National Natural Science Foundation of China(No.81573262)the Fundamental Research Funds for the Central Universities,HUST(No.2016YXZD042).
文摘Body misperception plays an important role in the development of weight and dietary disorders among children and adolescents.A school-based health promotion program(2014-2015)was conducted to promote the school health education and improve the teenagers'physical health among Chinese children and adolescents.Based on this program,we intended to examine weight status and weight misperception among Chinese children and adolescents and to explore the relationship between weight misperception and lifestyle behaviors.A total of 10708 Chinese children and adolescents in 3rd and 7th grade from Shandong and Qinghai province participated in the program.The participants,dietary and activity patterns were clustered by latent class analysis(LCA).Logistic regression analysis was undertaken to explore the relationship between weight perception and demographic factors or dietary and activity patterns.Given the gender-specific difference of children and adolescents,analyses were separately conducted among boys and girls.The total prevalence of weight misperception was 44.50%.Boys,especially those in higher grade and living in wealthier district,were more likely to misperceive body weight.Girls were more likely to overestimate their weight(26.10%)while boys tended to underestimate the weight(28.32%).Three latent dietary and activity patterns including obesogenic pattern,malnourished pattern and healthy pattern were derived.The participants who had weight misperception were more likely to choose unhealthy dietary and exercise activities.The high prevalence of weight misperception was closely related to the unhealthy weight pattern and unhealthy dietary or exercise patterns.Our research found that most children and adolescents failed to perceive their weight correctly and boys tended to underestimate their weight while girls were subjected to overestimation.So,comprehensive intervention programs should focus on improving self-weight awareness,and appropriate guidance should be made to lead the adolescents to more healthy weight patt
文摘Background: The obesity rate is rising. The aims of this study were to elucidate the connection among body image disturbance and dissatisfaction, scorn and stigma in severely obese individuals using a case-control method. Method: The study group consisted of 112 individuals receiving permanent disability pensions primarily for obesity. The controls were selected by random sampling. The controls were matched with the subjects by place of residence, gender, age, the time since the pension was granted and occupation. Psychiatric interviews and psychological assessments were conducted with all participants. The results were analyzed via chi-squared tests (χ2-tests) and percent distributions. The subject and control groups were compared via paired t-tests. Conditional logistic regression analysis was also conducted. Results: In the Draw a Person test, we found disorganization of the body image to some degree in the subject group. Some significant differences were found between the Machover index and the wholeness index. The Rorschach variables obtained some differences in the responses between the subject and control groups. Obesity was a problem in all age groups. In the study group, half of the participants thought that they were obese. Most of the participants had endured scorn and contempt directed at them due to being overweight. Conclusions: We believe that our study provides a novel and necessary overview of the connection among body image disturbance and dissatisfaction, scorn and stigma.
基金funding provided thanks to the CRUE-CSIC agreement with Springer Nature.
文摘Background The association between parental perception of child's weight and their attitudes towards his/her dietary habits has not been reported yet.This study aimed to assess the association between parental underestimation of child's weight and parental attitudes towards child's dietary habits.Methods We conducted a cross-sectional analysis of SENDO cohort participants recruited between January 2015 and June 2020.All information was collected through online questionnaires completed by parents.We calculated crude and multivariable-adjusted odds ratio(OR)and 95%confidence intervals(CI)for unhealthy attitudes towards child's dietary habits associated with parental underestimation of child's weight.Results Sixteen percent of children in the SENDO project had parents who underestimated their weight.Parents who under-estimated their child's weight status were more likely to have unhealthy attitudes toward his/her dietary habits[OR 3.35;95%CI(1.71-6.53)].Conclusions Parental underestimation of child's weight was associated with unhealthy attitudes towards child's dietary hab-its.Pediatricians and public health practitioners should pay attention to the parental perception of child's weight to identify parents who underestimate it as an at-risk group in which to inquire about lifestyle and dietary habits.
文摘Niigata City in Japan and Khabarovsk City in Russia signed a sister city agreement in 1965 and have been interacting with each other for a long time. We have been conducting comparative research on the elderly between the two cities, but there is no research on the young. Distorted perception of body weight and unnecessary dieting behavior in adolescent girls is considered a problem in both Japan and Russia. Therefore, the purpose of this study was to clarify the distortion of weight perception and diet behavior of adolescent girls in both the countries. In addition, it was decided to investigate the eating habits of people in both the countries. In total, 195 15-year-old girls from Niigata, Japan (October 2020) and 286 girls from Khabarovsk, Russia (February 2017) were surveyed. The questionnaire used was an excerpt from the World Health Organization survey on the health behavior of school-age children. The proportion of Japanese adolescent girls who perceived themselves as overweight (distorted body weight perception) was 60.5%, which was significantly higher than that of Russian adolescent girls at 30.1% (p < 0.001). In addition, the prevalence of weight loss behavior in Japan was 34.9% (n = 68), which was significantly higher than that in Russia with 27.3% (n = 78) (p < 0.001). Adolescent girls in Japan had more serious problems with weight perception, but had fewer problems with breakfast and vegetable intake habits than those in Russia. From a young age, perception of correct body shape and establishment of eating habits are important not only for current health but also for future health. We need to carefully educate adolescent girls that their body undergoes major changes through secondary sexual characteristics during adulthood.
文摘In many societies,appearing slim(corresponding to a small body-mass index)is considered attractive.The fashion industry has been attempting to cater to this trend by designing outfits that can enhance the appearance of slimness.Two anecdotal rules,widespread in the world of fashion,are to choose dark clothes and avoid horizontal stripes,in order to appear slim.Thus far,empirical evidence has been unable to conclusively determine the validity of these rules,and there is consequently much controversy regarding the impact of both color and patterns on the visual perception of weight.In this paper,we aim to close this gap by presenting the results from a series of large-scale crowdsourcing studies that investigate the above two claims.We gathered a dataset of around 1000 images of people from the Web together with their ground-truth weight and height as well as clothing attributes about colors and patterns.To elicit the effects of colors and patterns,we asked crowd workers to estimate the weight in each image.For the analysis,we controlled potential confounds by matching images in pairs where the two images differ with respect to color or pattern,but are similar with respect to other relevant aspects.We created image pairs in two ways:firstly,observationally,i.e.,from two real images;and secondly,experimentally,by manipulating the color or pattern of clothing in a real image via photo editing.Based on our analysis,we conclude that dark clothes indeed decrease perceived weight slightly but statistically significantly,and horizontal stripes have no discernible effect compared to solid light-colored clothes.These results contribute to advancing the debate around the effect of specific clothing colors and patterns and thus provide empirical grounds for everyday fashion decisions.Moreover,our work gives an outlook on the vast opportunities of using crowd sourcing in the modern fashion industry.
基金This work was funded by the United States Department of Agriculture(Grant number 2014-08403)NIH F31(Grant number NIDDK F31DK116533).
文摘Background Preschool-age children with developmental disabilities(DD)have higher prevalence of obesity than children without DD.This study aimed to explore the relationship between parent perception of their children's anthropometric phe-notype and child body mass index(BMI)z score change over one school year among preschoolers with DD.Methods The analysis consisted of a subsample(N=64)of children with DD from a larger randomized controlled trial to test an obesity prevention program in the childcare center setting.Parents ranks their child's anthropometric phenotype on a visual silhouette chart on a scale from 1(underweight)to 7(obese)and that rank score is compared to their BMI z score change over one school year.Results The majority(75%)of parents with an obese child underestimated their child's anthropometric phenotype while 7%parents with a non-obese child overestimated.Parent overestimation of child anthropometric phenotype status is associated with increased BMI z score change over 1 school year among preschool-age children with disabilities.Conclusion Parental overestimation of child anthropometric phenotype status was associated with weight gain in preschool children with DD after one school year.
