Concurrent validation and reliability of the silhouette scale to assess body image in adolescents living in a high altitude region of Peru

• Lucila SÁNCHEZ MACEDO ^[1] ; José FUENTES LÓPEZ ^[1] ; Claudia VILLEGAS ABRILL ^[1] ; Kelly AYALA PINEDA ^[1]
  1. [1] Universidad Nacional del Altiplano

     Universidad Nacional del Altiplano

     Puno, Perú

     
• Localización: Nutrición clínica y dietética hospitalaria, ISSN 0211-6057, Vol. 45, Nº. 1, 2025, págs. 274-280
• Idioma: inglés
• DOI: 10.12873/451sanchez
• Enlaces
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• Resumen

  • Background: To verify the validity and reliability of the silhouette scale to assess self-perception of body image in adolescents living in a high altitude region.

    Methods: A descriptive cross-sectional study was designed in 1149 adolescents (366 males and 783 females) with an age range of 12 to 17 years from an altitude region of Peru. The actual weight and height of the adolescents were evaluated. Body mass index (BMI) and Tri-ponderal Index (TPI) were calculated. Body image was evaluated through the silhouette method proposed by Stunkard (scale from 1 to 9 silhouettes).

    Results: There was a moderate correlation between the silhouette scale and anthropometric indicators (BMI and TPI) in both sexes. In females it was (R= 0.52 to 0.56, p<0.000) and in males (R= 0.34 to 0.47, p<0.000). The limits of agreement of the Bland-Altman plot reflected a high degree of agreement between the measures (retest). The correlation coefficient of agreement in males was R=0.83. In females it was R= 0.90 and in both sexes it was R= 0.88. The mean differences in males were 0.18 points, in females 0.08 points and in both sexes 0.11 points.

    Conclusion: The Stunkard silhouette scale is valid and reliable to assess body image in adolescents of both sexes in a high altitude region of Peru. The results suggest its use and application in contexts where anthropometric equipment is lacking.

• Referencias bibliográficas
  • Schilder, P. The image and appearance of the human body: Studies in the constructive energies of the psyche. New York: International Universities...
  • Baile, J. ¿Qué es la imagen corporal? Cuad del Marqués San Adrián. 2003;2, 1–17.
  • Yepes, M., Viswanathan, B., Bovet, P., & Maurer, J. Validity of silhouette showcards as a measure of body size and obesity in a population...
  • Jiotsa, B., Naccache, B., Duval, M., Rocher, B., & Grall-Bronnec, M. Social media use and body image disorders: Association between frequency...
  • Bodega, P., de Cos-Gandoy, A., Fernández-Alvira, J. M., Fernández-Jiménez, R., Moreno, L. A., & Santos-Beneit, G. Body image and dietary...
  • Grogan, S. Promoting Positive Body Image in Males and Females: Contemporary Issues and Future Directions. Sex Roles. 2010;63:757–765. https://doi.org/10.1007/s11199-010-9894-z.
  • Stunkard, A. J., Sørensen, T., & Schulsinger, F. Use of the Danish Adoption Register for the study of obesity and thinness. Research publications...
  • Sánchez, G. F. L., Suárez, A. D., & Smith, L. Analysis of body image and obesity by Stunkard's silhouettes in 3- to 18-year-old Spanish...
  • Parzer, V., Sjöholm, K., Brix, J. M., Svensson, P.-A., Ludvik, B., & Taube, M. Development of a BMI-assigned Stunkard Scale for the evaluation...
  • Lo, W.-S., Ho, S.-Y., Mak, K.-K., & Lam, T.-H. The use of Stunkard’s figure rating scale to identify underweight and overweight in Chinese...
  • Dratva, J., Bertelsen, R., Janson, C., Johannessen, A., Benediktsdóttir, B., Bråbäck, L., Dharmage, S. C., Forsberg, B., Gislason, T., Jarvis,...
  • Lombardo, C., Cerolini, S., Esposito, R. M., & Lucidi, F. Psychometric properties of a Silhouette Rating Scale assessing current and ideal...
  • de Araujo, T. S., Barbosa Filho, V. C., Gubert, F. do A., de Almeida, P. C., Martins, M. C., Carvalho, Q. G. da S., Costa, A. C. P. de J.,...
  • Jalali-Farahani, S., Amiri, P., Zarani, F., Zayeri, F., & Azizi, F. Development and validation of the body image scale for youth (BISY)....
  • Meuñiz, J., Elosua, P., and Hambleton, R. K., International Test Commission. Directrices para la traducción y adaptación de los tests: segunda...
  • Markus, H. R., & Kitayama, S. The cultural psychology of personality. Journal of Cross-Cultural Psychology. 1998;29(1):63–87. https://doi.org/10.1177/0022022198291004
  • Cossio-Bolaños, M. A., Sanchez-Macedo, L., Lee Andruske, C., Fuentes-López, J., Limachi-Flores, M., Apaza-Cruz, J., Mamani-Velásquez, D.,...
  • Ross, W. D., & Marfell-Jones, M. J. Kinanthropometry. In J. D. MacDougall, H. A. Wenger, & H. J. Green (Eds.), Physiological Test...
  • Bland, J. M., & Altman, D. G. Statistical methods forassessing agreement between two methods of clinicalmeasurement. Lancet. 1986; 8:307–310
  • Collins, M.E. Body figure perceptions and preferences among preadolescent children. Int. J. Eat. Disord. 1991; 10: 199-208. https://doi.org/10.1002/1098-108X(199103)10:2<199::AID-EAT2260100209>3.0.CO;2-D
  • Wertheim, E. H., Paxton, S. J., & Tilgner, L. Test–retest reliability and construct validity of Contour Drawing Rating Scale scores in...
  • Zitzmann, J., & Warschburger, P. Psychometric properties of figure rating scales in children: The impact of figure ordering. Journal of...
  • Duno, M., & Acosta, E.. Body Image Perception among University Adolescents. Rev. Chil. De Nutr. 2019;46:545–553. https://doi.org/10.4067/S0717-75182019000500545.