PT  - JOURNAL ARTICLE
AU  - Joana Kist-van Holthe
AU  - Laura Melchers
AU  - Tirza Blom
AU  - Teatske Altenburg
AU  - Marian Luinstra-Passchier
AU  - Alcira Janga-Jansen
AU  - Tahirih van Kanten
AU  - Aleid Wirix
AU  - Remy Hirasing
AU  - Mai Chinapaw
TI  - Body image: a survey of children in Caribbean Bonaire
AID  - 10.1136/bmjpo-2017-000062
DP  - 2017 Oct 01
TA  - BMJ Paediatrics Open
PG  - e000062
VI  - 1
IP  - 1
4099  - http://bmjpaedsopen.bmj.com/content/1/1/e000062.short
4100  - http://bmjpaedsopen.bmj.com/content/1/1/e000062.full
AB  - Background In Bonaire, the prevalence of overweight and obesity is twice as high compared with Northern Europe but similar to other Caribbean Islands and the USA. Having a realistic body image may be an important tool in the battle against childhood obesity. Previous studies have demonstrated associations between having a realistic body image and efforts to control weight. The aim of the study was to explore the body image of children in Bonaire.Methods In a cross-sectional study from March to May 2015 in Bonaire, weight and height were measured in all children aged 10–14 years attending school. Body mass index (kg/m2) was classified according to the International Obesity Task Force. The children were asked about their body image using a validated questionnaire.Results Body mass index was measured in 939 of 1029 (91.3%) children aged 10–14 years (51.5% boys) in Bonaire. Of all children, 9.7% was underweight, 57.6% was normal weight, 32.7% was overweight (including obesity) and 11.6% was obese. The question pertaining to body image was completed by 750 of 939 (79.9%) children. Having a realistic perception of body image varied per weight category from 65% in underweight girls to 13% in obese boys. The percentage of obese children who underestimate their weight is high (boys 87%, girls 77%).Conclusions In many children in Caribbean Bonaire, perceived body image is not in agreement with actual weight status. This applies especially to obese children. Disagreement between perceived body image and actual weight status may prevent weight management in overweight children. Future research is needed to elucidate determinants of disagreement between body image and actual weight status.