Influence of body dissatisfaction on 1-year change in nutrient intake of overweight and obese inner-city African American children

This analysis aimed to examine the relationship of baseline body dissatisfaction with 1-year change in nutrient intake of inner-city, overweight and obese, African American children. This is a secondary analysis of 1-year pre-post data available for a convenience sample of 88 children. After adjusting for baseline intake of dietary variables and intervention group status, baseline body dissatisfaction was associated with 1-year increases in intake of energy, and all macronutrients in girls, but not in boys. These relationships were not substantially altered after adjusting for baseline BMIz and global self-worth. After including all adjustment factors, increasing baseline body dissatisfaction in girls was associated with 1-year increased intake of total energy, total sugars, total fat, discretionary fat, and total carbohydrates. This analysis suggests that, in girls but not necessarily in boys, body dissatisfaction might need to be targeted during interventions that aim to improve nutrient intake.

► Body dissatisfaction was associated with increased intakes of nutrients in girls.
► Body dissatisfaction was not associated with increased nutrient intakes in boys.
► BMIz did not alter the relationships between body dissatisfaction and changes in nutrient intakes.
► In girls, body dissatisfaction should be targeted while improving nutrient intakes.