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Manneville F, Legrand K, Omorou AY, Rydberg JA, Langlois J, Böhme P, Saez L, Lecomte E, Briançon S. Lifestyle Behaviors and Psychological Health in Adolescents with Overweight or Obesity: Cross-sectional Associations with Weight Underestimation. Int J Behav Med 2024:10.1007/s12529-024-10312-3. [PMID: 39168915 DOI: 10.1007/s12529-024-10312-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/28/2024] [Indexed: 08/23/2024]
Abstract
BACKGROUND Encouraging adolescents with overweight/obesity to accurately perceive their weight in the belief that this will improve their lifestyle behaviors (physical activity (PA), sedentary behavior (SB), eating behavior (EB)) may be detrimental to their psychological health. This study aimed to investigate associations between weight underestimation and lifestyle behaviors along with psychological health in French adolescents with overweight or obesity. METHOD Baseline data from adolescents who participated in a school-based trial were used. Lifestyle behaviors and psychological health (anxiety, depression, eating disorders, quality of life (QoL)) were self-reported. Weight underestimation was measured by matching objective and perceived weight status. Multilevel models were computed to investigate associations between weight underestimation and lifestyle behaviors and psychological health, by gender. RESULTS Of the 1245 adolescents included (15.3 ± 0.7 years), 15.8% underestimated their objective weight (boys 24.2%; girls 8.2%). Boys with underestimation had higher vigorous PA energy expenditure (β = 372.7 MET-min/week, 95%CI [25.1;720.4]), and lower daily sugar-sweetened beverages and foods consumption (β = - 0.3 points, 95%CI [- 0.7; - 0.0]) than those with accurate perception. Girls with weight underestimation had lower eating disorder (β = - 6.0 points, 95%CI [- 9.6; - 2.5]), anxiety (β = - 7.8 points, 95%CI [- 13.8; - 1.9]), and higher QoL (β = 3.3 points, 95%CI [0.0; 6.5]) scores than girls with accurate perception. CONCLUSION Weight underestimation among adolescents with overweight or obesity was associated with healthier lifestyle behaviors in boys, and better psychological health (eating disorder, anxiety and QoL) in girls. Accurate perception of weight status may not be a relevant lever to improve lifestyle behaviors and psychological health.
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Affiliation(s)
- Florian Manneville
- CHRU-Nancy, INSERM, Université de Lorraine, CIC, Epidémiologie Clinique, 54000, Nancy, France.
- Université de Lorraine, INSERM, INSPIIRE, F-54000, Nancy, France.
| | - Karine Legrand
- CHRU-Nancy, INSERM, Université de Lorraine, CIC, Epidémiologie Clinique, 54000, Nancy, France
| | - Abdou Y Omorou
- CHRU-Nancy, INSERM, Université de Lorraine, CIC, Epidémiologie Clinique, 54000, Nancy, France
- Université de Lorraine, INSERM, INSPIIRE, F-54000, Nancy, France
| | | | | | - Philip Böhme
- Department of Diabetology, Metabolic Diseases and Nutrition, Nancy University Hospital, Nancy, France
| | - Laura Saez
- Université de Lorraine, INSERM, INSPIIRE, F-54000, Nancy, France
| | - Edith Lecomte
- National Conservatory of Arts and Crafts (CNAM), Nancy, France
| | - Serge Briançon
- Université de Lorraine, INSERM, INSPIIRE, F-54000, Nancy, France
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Blanco-Ferreiro A, Candal-Pedreira C, Sendón B, Santiago-Pérez MI, Rey-Brandariz J, Varela-Lema L, Mourino N, Ruano-Ravina A, García G, Pérez-Ríos M. Self-perceived body weight and weight status: analysis of concordance by age group and sex. Public Health 2024; 229:160-166. [PMID: 38447299 DOI: 10.1016/j.puhe.2024.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 12/29/2023] [Accepted: 02/09/2024] [Indexed: 03/08/2024]
Abstract
OBJECTIVES Previous studies suggest that there is discordance between actual weight status and body-weight perception. This fact has implications when it comes to designing public health interventions. The aim of this study was to estimate the prevalence of the different categories of weight status and body-weight perception and to analyse their concordance in a representative Spanish population sample. STUDY DESIGN Cross-sectional study. METHODS Data were sourced from the 2018 Galician Risk Behaviour Data System, with the target population being all persons aged 16 years and above. We collected data on self-perceived body weight and assessed weight status on the basis of body mass index (BMI). BMI was estimated using self-reported measures of weight and height. To estimate concordance, Cohen's kappa coefficient, both unweighted and weighted with Cicchetti weights, was calculated. RESULTS Data were obtained for 7853 individuals aged 16 years and above, whereas the overall unweighted concordance was 0.393 (95%CI: 0.377-0.409), with an agreement percentage of 61.6%, weighted concordance was 0.503 (0.490-0.517), with an agreement percentage of 86.6%. The highest concordance between self-perceived body weight and weight status was observed in women. By age group, the highest concordance was observed in the youngest group (16-24 years) for the BMI categories of underweight and overweight, and in the 45-64 age group for the category of obesity. CONCLUSIONS The results highlight the existence of differences between self-perceived body weight and weight status, according to sex and age.
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Affiliation(s)
- A Blanco-Ferreiro
- Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Galicia, Spain
| | - C Candal-Pedreira
- Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Galicia, Spain; Health Research Institute of Santiago de Compostela (Instituto de Investigación Sanitaria de Santiago de Compostela-IDIS), Santiago de Compostela, Galicia, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBER de Epidemiología y Salud Pública-CIBERESP), Madrid, Spain.
| | - B Sendón
- Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Galicia, Spain
| | - M I Santiago-Pérez
- Epidemiology Department, Directorate-General of Public Health, Santiago de Compostela, Spain
| | - J Rey-Brandariz
- Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Galicia, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBER de Epidemiología y Salud Pública-CIBERESP), Madrid, Spain
| | - L Varela-Lema
- Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Galicia, Spain; Health Research Institute of Santiago de Compostela (Instituto de Investigación Sanitaria de Santiago de Compostela-IDIS), Santiago de Compostela, Galicia, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBER de Epidemiología y Salud Pública-CIBERESP), Madrid, Spain
| | - N Mourino
- Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Galicia, Spain
| | - A Ruano-Ravina
- Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Galicia, Spain; Health Research Institute of Santiago de Compostela (Instituto de Investigación Sanitaria de Santiago de Compostela-IDIS), Santiago de Compostela, Galicia, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBER de Epidemiología y Salud Pública-CIBERESP), Madrid, Spain
| | - G García
- Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Galicia, Spain
| | - M Pérez-Ríos
- Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Santiago de Compostela, Galicia, Spain; Health Research Institute of Santiago de Compostela (Instituto de Investigación Sanitaria de Santiago de Compostela-IDIS), Santiago de Compostela, Galicia, Spain; Consortium for Biomedical Research in Epidemiology and Public Health (CIBER de Epidemiología y Salud Pública-CIBERESP), Madrid, Spain
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3
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Gu W, Yu X, Tan Y, Yu Z, Zhu J. Association between weight, weight perception, weight teasing and mental health among adolescents. Child Adolesc Psychiatry Ment Health 2024; 18:39. [PMID: 38521915 PMCID: PMC10960988 DOI: 10.1186/s13034-024-00730-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Accepted: 03/11/2024] [Indexed: 03/25/2024] Open
Abstract
BACKGROUND Adolescent mental health problems are becoming increasingly prevalent, and there are correlations between weight-related concerns and adolescent mental health. The aim of this study is to explore the association between three weight-related factors (actual weight, weight perception, and weight teasing) and mental health problems (depressive symptoms, anxiety symptoms, and loneliness) in Chinese adolescents. METHODS 10,070 adolescents between the ages of 11-18 from schools in Shanghai, China were selected using a stratified random cluster sampling method. Self-reported questionnaires were collected to investigate weight-related factors and mental health problems. Logistic regression analysis was used to examine the relationship. RESULTS The prevalence of depressive symptoms, loneliness, mild anxiety symptoms, and moderate to severe anxiety symptoms among adolescents were 18.0%, 53.8%, 26.5%, and 12.3%, respectively, with a higher prevalence found in females. After adjusting for weight perception and weight teasing, actual weight had no harmful impact on adolescents' mental health. Adolescents' perception of being overweight increased the risk of depressive symptoms, loneliness, mild anxiety symptoms, and moderate to severe anxiety symptoms, while the perception of being underweight had a similar but more profound impact (depressive symptoms OR = 1.590, 95% CI: 1.342-1.883; loneliness OR = 1.537, 95% CI: 1.353-1.746; mild anxiety symptoms OR = 1.368, 95% CI: 1.178-1.589; moderate to severe anxiety symptoms OR = 1.780, 95% CI: 1.449-2.186). Experiencing weight teasing more than once a year had a greater effect on adolescents' mental health, especially among adolescents with overweight/obesity (depressive symptoms OR = 2.970, 95% CI: 2.325-3.793; loneliness OR = 3.839, 95% CI: 3.119-4.727; mild anxiety symptoms OR = 2.822, 95% CI: 2.236-3.562; moderate to severe anxiety symptoms OR = 5.212, 95% CI: 3.846-7.065). CONCLUSIONS The prevalence of mental health problems among adolescents was high, especially loneliness. Weight perception and weight teasing, but not the actual weight, independently influenced adolescent mental health.
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Affiliation(s)
- Wenxin Gu
- School of Public Health, Shanghai Jiao Tong University, Shanghai, China
| | - Xiaoyan Yu
- School of Public Health, Shanghai Jiao Tong University, Shanghai, China
| | - Yinliang Tan
- Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, China
| | - Zhiping Yu
- Department of Nutrition and Dietetics, University of North Florida, Jacksonville, FL, USA
| | - Jingfen Zhu
- School of Public Health, Shanghai Jiao Tong University, Shanghai, China.
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Bodega P, de Cos-Gandoy A, Fernández-Alvira JM, Fernández-Jiménez R, Moreno LA, Santos-Beneit G. Body image and dietary habits in adolescents: a systematic review. Nutr Rev 2023; 82:104-127. [PMID: 37155836 PMCID: PMC10711440 DOI: 10.1093/nutrit/nuad044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/10/2023] Open
Abstract
CONTEXT Adolescence is a critical developmental stage in which increasing concerns about body image (BI) coincide with the consolidation of dietary habits (DHs). Multiple studies have sought robust associations between BI and DHs to prevent unhealthy behaviors. OBJECTIVE The aim of this systematic review was to examine the available literature on the association between BI perception (BIP) and/or satisfaction (BIS) and DHs in adolescents. DATA SOURCES A search was carried out of 5 electronic databases (PubMed, SciELO, Cochrane, Embase, and PsycInfo) using a combination of keywords (and synonyms) related to adolescence, BI, and diet. DATA EXTRACTION Data screening, extraction, and quality assessment were performed independently by 2 investigators using the PRISMA and AXIS guidelines. DATA ANALYSIS Of 2496 articles screened, 30 articles, published in English or Spanish, that evaluated the relationship between BI and DHs in adolescents aged between 10 years and 18 years, were included. A relationship between accurate BI perception in adolescents and healthy DHs was reported in 5 articles (16.2%). A relationship between overestimation of body weight in adolescents and healthy DHs was reported in 4 articles (13.3%). A relationship between underestimation of body weight and unhealthy DHs was reported in 8 articles (26.7%). In addition, 4 articles (13.3%) reported a relationship between BIS and healthy DHs. The desire to gain weight was associated with unhealthy DHs in 3 (10%) of the articles, while the desire to lose weight was related to healthy DHs in 3 (10%) of the articles and to unhealthy DHs in 3 (10%) other articles. There were also gender differences in the relationship between BIP or BIS and DHs. CONCLUSION Adolescents who underestimate their body weight tend to report less healthy DHs than body weight overestimators. Adolescents unsatisfied with their BI and with a drive for thinness frequently engage in DHs linked to losing weight. SYSTEMATIC REVIEW REGISTRATION PROSPERO registration no. CRD42020184625.
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Affiliation(s)
- Patricia Bodega
- Foundation for Science, Health, and Education (SHE), Barcelona, Spain
- Cardiovascular Health and Imaging Lab, Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain
| | - Amaya de Cos-Gandoy
- Foundation for Science, Health, and Education (SHE), Barcelona, Spain
- Cardiovascular Health and Imaging Lab, Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain
| | - Juan M Fernández-Alvira
- Cardiovascular Health and Imaging Lab, Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain
| | - Rodrigo Fernández-Jiménez
- Cardiovascular Health and Imaging Lab, Centro Nacional de Investigaciones Cardiovasculares (CNIC), Madrid, Spain
- Hospital Universitario Clínico San Carlos, Madrid, Spain
- Centro de Investigación Biomédica En Red en enfermedades CardioVasculares (CIBERCV), Madrid, Spain
| | - Luis A Moreno
- GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, Instituto Agroalimentario de Aragón (IA2) and Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain
- Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Gloria Santos-Beneit
- Foundation for Science, Health, and Education (SHE), Barcelona, Spain
- The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Zelenytė V, Valius L, Domeikienė A, Gudaitytė R, Endzinas Ž, Šumskas L, Maleckas A. Body size perception, knowledge about obesity and factors associated with lifestyle change among patients, health care professionals and public health experts. BMC FAMILY PRACTICE 2021; 22:37. [PMID: 33588766 PMCID: PMC7885487 DOI: 10.1186/s12875-021-01383-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/13/2020] [Accepted: 02/04/2021] [Indexed: 11/21/2022]
Abstract
Background The attitudes towards obesity may have an important role on healthier behavior. The goal of the present study was to explore the attitudes towards obesity and to investigate how these attitudes were associated with lifestyle-changing behavior among the patients attending primary care centers, health care professionals and public health experts. Methods This cross-sectional survey study was performed in 10 primary care offices in different regions in Lithuania and in 2 public health institutions. Nine hundred thirty-four patients, 97 nurses, 65 physicians and 30 public health experts have filled the questionnaire about attitudes towards obesity and presented data about lifestyle-changing activities during last 12 months. The attitudes were compared between different respondent groups and factors associated with healthier behaviors were analyzed among overweight/obese individuals in our study population. Results Participants failed to visually recognize correct figure corresponding to male and female with obesity. Majority of respondents’ perceived obesity as a risk factor for heart diseases and diabetes but had less knowledge about other diseases associated with weight. About one third of respondents changed their lifestyle during last 12 months. Overweight individuals with age < 45 years (OR 1.64, 1.06–2.55; p = 0.025) were more likely and those who overestimated current weight (OR 0.44, 0.20–0.96; p = 0.036) less likely to change their lifestyle. Disappointment with their current weight (OR 2.57, 1.36–4.84; p = 0.003) was associated with healthier behavior among participants with obesity. Conclusion Participants had similar body size perception and knowledge about obesity. Younger age had significant association with lifestyle changing behavior among overweight individuals and disappointment with current weight among obese participants.
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Affiliation(s)
- Virginija Zelenytė
- Department of Preventive Medicine, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus st. 9, LT-44307, Kaunas, Lithuania.
| | - Leonas Valius
- Department of Family Medicine, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus st. 9, LT-44307, Kaunas, Lithuania
| | - Auksė Domeikienė
- Department of Preventive Medicine, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus st. 9, LT-44307, Kaunas, Lithuania.,Department of Family Medicine, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus st. 9, LT-44307, Kaunas, Lithuania
| | - Rita Gudaitytė
- Department of Surgery, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus st. 9, LT-44307, Kaunas, Lithuania
| | - Žilvinas Endzinas
- Department of Surgery, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus st. 9, LT-44307, Kaunas, Lithuania
| | - Linas Šumskas
- Department of Preventive Medicine, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus st. 9, LT-44307, Kaunas, Lithuania.,Institute of Health Research, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Almantas Maleckas
- Department of Surgery, Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus st. 9, LT-44307, Kaunas, Lithuania.,Department of Gastrosurgical Research and Education, Sahlgrenska Academy, University of Gothenburg, Bla Straket 5, SE-41345, Gothenburg, Sweden
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Doba K, Nandrino JL. Cognitive and Emotional Empathy in Anorexia Nervosa: The Role of Attachment Insecurity, Intrapersonal, and Interpersonal Emotional Competences. J Nerv Ment Dis 2020; 208:312-318. [PMID: 32221186 DOI: 10.1097/nmd.0000000000001130] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The present research examined a model that evaluates the mediating role of both intrapersonal and interpersonal emotional competences (ECs) between attachment insecurity and the cognitive and emotional dimensions of empathy in patients with anorexia nervosa (AN). Women with AN completed the Experiences in Close Relationships Scale, the Profile of Emotional Competence, the Interpersonal Reactivity Index, the State-Trait Anxiety Inventory, and the Beck Depression Inventory. The results revealed that intrapersonal EC mediated the relationships between attachment insecurity (i.e., attachment anxiety and attachment avoidance) and emotional empathy in patients with AN. Importantly, a high emotional empathy in AN was associated with increased depression and anxiety symptoms. The results also indicated that a high level of attachment avoidance was indirectly associated with lower cognitive empathy through lower levels of interpersonal EC in AN. The present study emphasizes the importance of differentiating affective empathy from cognitive empathy and suggests clinical interventions in patients with AN.
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7
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Lang B, Ahlich E, Verzijl CL, Thompson JK, Rancourt D. The role of drive for thinness in the association between weight status misperception and disordered eating. Eat Behav 2019; 35:101319. [PMID: 31446165 DOI: 10.1016/j.eatbeh.2019.101319] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/14/2018] [Revised: 08/08/2019] [Accepted: 08/09/2019] [Indexed: 10/26/2022]
Abstract
UNLABELLED Weight status misperception is related to disordered eating outcomes, but little research has explored the differential impacts of misperception directionality, nor factors that explain these relationships. Self-Discrepancy Theory applied to body image gives a framework to how weight status over-perception may prompt a drive for thinness, which in turn may be important in the development of disordered eating cognitions and behaviors. AIMS To that end, the current study tested whether drive for thinness may account for the association between direction of weight status misperception and disordered eating behaviors. METHODS Young adults (N = 522) completed measures identifying weight status perception (accurate, under-, and over-perception), drive for thinness, and disordered eating attitudes and behaviors (appearance satisfaction, restrained, uncontrolled, and emotional eating). Indirect effect models with drive for thinness entered as the intervening variable were estimated for each outcome. RESULTS Drive for thinness accounted for the associations between weight status misperception and all outcomes. In general, compared to either accurate or under-perception, over-perception of weight status was associated with more disordered eating attitudes and behaviors via higher drive for thinness. CONCLUSIONS Consistent with Self-Discrepancy Theory, drive for thinness emerged as a possible mechanism of the association between weight status misperception and disordered eating outcomes. Findings suggest potential utility in targeting drive for thinness, as opposed to accuracy of weight status perception, for prevention of disordered eating attitudes and behaviors, including those that may contribute to weight gain.
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Affiliation(s)
- Brittany Lang
- University of South Florida, United States of America.
| | - Erica Ahlich
- University of South Florida, United States of America
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8
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Riahi R, Motlagh ME, Heshmat R, Qorbani M, Daniali SS, Kelishadi R. Body Weight Misperception and Psychological Distress Among Children and Adolescents: The CASPIAN-V Study. Osong Public Health Res Perspect 2019; 10:315-324. [PMID: 31673493 PMCID: PMC6816359 DOI: 10.24171/j.phrp.2019.10.5.08] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
Objectives Misperception of weight status is a risk factor that affects psychological health. The aim of this study was to evaluate the association between weight misperception patterns and psychological distress among Iranian children and adolescents. Methods This was a cross-sectional nationwide study where data was collected from 14,440 students, aged 7–18 years who participated in the national school-based surveillance program (CASPIAN-V). The students’ weight perception and psychological distress were assessed by validated questionnaires. Weight misperception was classified as misperception of being either underweight or overweight with respect to actual weight. Results The rate of weight misperception in all study participants was 59.1%. In groups with a perception of being underweight or overweight, the risks of worthlessness, being worried, experiencing aggression, insomnia, or depression, were significantly higher than groups with an accurate weight perception (p < 0.05). The risk of anxiety in girls of normal weight who perceived themselves as underweight, decreased by 57% compared to girls with an accurate weight perception (OR: 0.43; 95% CI, 0.28–0.66). Conclusion Weight misperception is highly prevalent among Iranian children and adolescents and is associated with their psychological health status. Appropriate education intervention needs to be developed to improve the children and adolescents’ perception of their body weight status.
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Affiliation(s)
- Roya Riahi
- Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
| | | | - Ramin Heshmat
- Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Mostafa Qorbani
- Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
| | - Seyede Shahrbanoo Daniali
- Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Roya Kelishadi
- Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
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9
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Yan H, Wu Y, Oniffrey T, Brinkley J, Zhang R, Zhang X, Wang Y, Chen G, Li R, Moore JB. Body Weight Misperception and Its Association with Unhealthy Eating Behaviors among Adolescents in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15050936. [PMID: 29738429 PMCID: PMC5981975 DOI: 10.3390/ijerph15050936] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Revised: 04/28/2018] [Accepted: 05/04/2018] [Indexed: 02/07/2023]
Abstract
This study aims to examine associations between body weight misperception and eating behaviors among Chinese adolescents. Students (N = 2641) from a middle school and a high school in Wuhan, China participated in a cross-sectional study in May 2016. A questionnaire based on the World Health Organization’s Global School-Based Student Health Survey was employed to assess responses. Self-reported data, including weight, height, body weight perception, and eating habits, were collected. Body Mass Index (BMI) for age z-score was calculated from self-reported height and weight using WHO AnthroPlus. We used descriptive, logistic regression analysis and a Kappa test to analyze the data using SPSS. Overall, 56.6% of participants did not correctly categorize their weight status; these were much more likely to be girls. Compared with the correctly-perceived group, those who underestimated their weight tended to report eating late at night, having dinners with family, and checking nutrition labels. In contrast, weight overestimating students were less likely to report eating late at night, having breakfasts with family, having dinners with family, and discussing nutrition topics over meals. Body weight misperception was associated with unhealthy eating behaviors among Chinese adolescents.
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Affiliation(s)
- Hanyi Yan
- School of Health Sciences, Wuhan University, Wuhan 430071, China.
| | - Yingru Wu
- School of Health Sciences, Wuhan University, Wuhan 430071, China.
| | | | | | - Rui Zhang
- College of Life Sciences, South-Central University for Nationalities, Wuhan 430074, China.
| | - Xinge Zhang
- School of Health Sciences, Wuhan University, Wuhan 430071, China.
| | - Yueqiao Wang
- School of Health Sciences, Wuhan University, Wuhan 430071, China.
| | - Guoxun Chen
- Department of Nutrition, The University of Tennessee, Knoxville, TN 37996, USA.
| | - Rui Li
- School of Health Sciences, Wuhan University, Wuhan 430071, China.
| | - Justin B Moore
- Department of Family & Community Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USA.
- Department of Epidemiology & Prevention, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
- Department of Implementation Science, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
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10
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Akindele MO, Phillips J, Igumbor E, Useh U. Body Weight Misperception and Dissatisfaction Among Overweight and Obese Adult Nigerians. JMIR Public Health Surveill 2017; 3:e56. [PMID: 28814377 PMCID: PMC5577454 DOI: 10.2196/publichealth.7047] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2016] [Revised: 03/09/2017] [Accepted: 07/20/2017] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The increase in the prevalence of overweight and obesity in low- and medium-income countries has a negative impact on overall health. Correct perception of one's body weight is a step in seeking healthy help toward weight reduction in overweight and obese individuals. OBJECTIVE This study was carried out to assess the body weight misperception and dissatisfaction among overweight and obese adults in an urban African setting. METHODS This study was part of a larger cross-sectional study that was designed to plan an intervention for overweight and obese adults in an urban African setting. For this study, we randomly selected only overweight and obese adults (≥18 years old) who consented to participate in the study from 15 enumeration areas in Alimosho Local Government Area of Lagos State, Nigeria. We followed the World Health Organization guidelines for conducting community surveys in recruiting overweight and obese participants. We assessed body weight perception and dissatisfaction through their responses to the following: "How do you describe your weight?" and "I feel bad about myself because of my weight." Data for this study were collected between November 2012 and March 2013. RESULTS We recruited 567 participants, of whom more than half (n=304, 53.6%) misperceived their weight as either underweight or normal weight, and 61.2% (n=186) of whom were women. The strength of agreement between the actual body mass index and weight perception was very poor (κ=.032, SE .015, P=.04). The strongest predictor of weight perception was sex (female) with an odds ratio of 1.63 (95% CI 1.13-2.35). About 41.1% (n=233) of the participants were dissatisfied with their weight, of whom 30.0% (n=70) were men. Age (young adult) was a predictor of weight dissatisfaction with an odds ratio of 2.37 (95% CI 1.62-3.46). CONCLUSIONS More than half of the participants misperceived their body weight as either underweight or normal weight, and the majority of them were women. More men were not happy with their body weight, and participants in the young adult age group were more dissatisfied with their body weight.
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Affiliation(s)
- Mukadas Oyeniran Akindele
- Diseases of Lifestyle Niche Area, School of Research and Postgraduate Studies, North-West University, Mafikeng, South Africa.,Department of Physiotherapy, Faculty of Allied Health Sciences, Bayero University, Kano, Nigeria.,Department of Physiotherapy, University of the Western Cape, Cape Town, South Africa
| | - Joliana Phillips
- Department of Physiotherapy, University of the Western Cape, Cape Town, South Africa
| | - Ehimario Igumbor
- School of Public Health, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa
| | - Ushotanefe Useh
- Diseases of Lifestyle Niche Area, School of Research and Postgraduate Studies, North-West University, Mafikeng, South Africa
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Toselli S, Spiga F. Sport practice, physical structure, and body image among university students. J Eat Disord 2017; 5:31. [PMID: 29046804 PMCID: PMC5644080 DOI: 10.1186/s40337-017-0163-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2017] [Accepted: 06/18/2017] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND The aim of this study was to estimate body image perception in undergraduate students, and to investigate its associations with weight status, abdominal obesity, muscularity, gender and sport. METHODS The sample consisted of 231 Italian students (174 males and 57 females); anthropometric measurements, taken by trained technicians, were: height, weight, arm-circumference, waist and hip circumferences. BMI, WHR and Δ arm-circumference were calculated. Body image was assessed using body silhouette charts. Information about sport (currently practiced sport, starting age, and weekly hours of sport) was acquired with questionnaires. RESULTS Females perceived themselves as slightly overweight, while males identified themselves as normal weight. Females had a tendency to desire to be thinner in all weight status categories; in males, normal weight subjects had a tendency to desire to be larger, while overweight wished to be thinner. Sport practice was significantly higher in males. Individuals who were overweight and did less sport were significantly more likely to have higher body dissatisfaction. CONCLUSIONS The present study highlights a positive relationship between sport practice, corpulence and body image perception.
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Wang ML, Haughton CF, Frisard C, Pbert L, Geer C, Lemon SC. Perceived weight status and weight change among a U.S. adult sample. Obesity (Silver Spring) 2017; 25:223-228. [PMID: 27863126 PMCID: PMC5182114 DOI: 10.1002/oby.21685] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2016] [Revised: 08/08/2016] [Accepted: 08/09/2016] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Examine bidirectional associations between weight perception and weight change over time among adults. METHODS Data are from adult employees (N = 623) across 12 U.S. public high schools participating in a cluster-randomized multilevel weight gain prevention intervention. Data were collected at baseline, 12 months, and 24 months. Perceived weight status (very/somewhat underweight, just right, somewhat overweight, very overweight) were obtained via self-administered surveys. Weight (kg) was measured by trained staff. Change in weight was calculated as the difference between baseline weight and weight at each follow-up time point. Structural equation models were used to assess bidirectional associations of perceived weight status and change in weight over time. Models were adjusted for study condition, gender, age, race/ethnicity, education level, and previous time point. RESULTS The sample was 65% female with a mean age of 44.6 (SD = 11.3). Nearly two thirds of the sample consisted of people with overweight (38.8%) or obesity (27.3%). Structural equation models indicated that baseline weight predicted subsequent perceived weight status (β = 0.26; P < 0.001), whereas baseline perceived weight status did not predict subsequent change in weight, adjusting for previous time point and covariates. CONCLUSIONS Results do not support bidirectional causality between weight perception and weight change in an adult sample.
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Affiliation(s)
- Monica L. Wang
- Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts, USA
| | - Christina F. Haughton
- UMass Worcester Prevention Research Center, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA
| | - Christine Frisard
- UMass Worcester Prevention Research Center, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA
| | - Lori Pbert
- UMass Worcester Prevention Research Center, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA
| | - Christine Geer
- Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts, USA
| | - Stephenie C. Lemon
- UMass Worcester Prevention Research Center, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA
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Body size perception and ideal body size in overweight and obese young adult women. Eat Weight Disord 2016; 21:487-492. [PMID: 26545593 PMCID: PMC4860173 DOI: 10.1007/s40519-015-0239-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2015] [Accepted: 10/24/2015] [Indexed: 12/30/2022] Open
Abstract
PURPOSE The purpose of this study was to examine the differences among actual body size, perceived body size, and ideal body size in overweight and obese young adult women. METHODS Actual body size was assessed by body mass index (BMI), while self-perceived and ideal body sizes were assessed by the Body image assessment tool-body dimension. Descriptive statistics were calculated and analysis of variance (ANOVA) was performed on actual BMI as a function of perceived BMI. RESULTS Of the 42 participants included in the study, 12 were overweight (25 ≤ BMI < 30), 18 were obese 1 (30 ≤ BMI < 35), and 12 were obese 2 (35 ≤ BMI ≤ 39.48). The mean ideal body size of participants was 25.34 ± 1.33. Participants in general perceived their body size (BMI: 35.82 ± 1.06) to be higher than their actual body size (32.84 ± 0.95). Overweight participants had a significantly higher mean body size misperception than obese 2 individuals (µ dif = -6.68, p < .001). CONCLUSION Perception accuracy of body size differs in women by BMI. Weight loss programs need to be tailored to consider body size misperception in order to improve treatment outcomes for overweight and obese young women.
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Meitz TG, Ort A, Kalch A, Zipfel S, Zurstiege G. Source does matter: Contextual effects on online media-embedded health campaigns against childhood obesity. COMPUTERS IN HUMAN BEHAVIOR 2016. [DOI: 10.1016/j.chb.2016.02.067] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Oliveras-López MJ, Ruiz-Prieto I, Bolaños-Ríos P, De la Cerda F, Martín F, Jáuregui-Lobera I. Antioxidant activity and nutritional status in anorexia nervosa: effects of weight recovery. Nutrients 2015; 7:2193-208. [PMID: 25830944 PMCID: PMC4425140 DOI: 10.3390/nu7042193] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2014] [Revised: 03/10/2015] [Accepted: 03/16/2015] [Indexed: 12/15/2022] Open
Abstract
Few studies are focused on the antioxidant status and its changes in anorexia nervosa (AN). Based on the hypothesis that renutrition improves that status, the aim was to determine the plasma antioxidant status and the antioxidant enzymes activity at the beginning of a personalized nutritional program (T0) and after recovering normal body mass index (BMI) (T1). The relationship between changes in BMI and biochemical parameters was determined. Nutritional intake, body composition, anthropometric, hematological and biochemical parameters were studied in 25 women with AN (19.20 ± 6.07 years). Plasma antioxidant capacity and antioxidant enzymes activity were measured. Mean time to recover normal weight was 4.1 ± 2.44 months. Energy, macronutrients and micronutrients intake improved. Catalase activity was significantly modified after dietary intake improvement and weight recovery (T0 = 25.04 ± 1.97 vs. T1 = 35.54 ± 2.60μmol/min/mL; p < 0.01). Total antioxidant capacity increased significantly after gaining weight (T0 = 1033.03 ± 34.38 vs. T1 = 1504.61 ± 99.73 μmol/L; p < 0.01). Superoxide dismutase activity decreased (p < 0.05) and glutathione peroxidase did not change. Our results support an association between nutrition improvement and weight gain in patients with AN, followed by an enhancement of antioxidant capacity and catalase antioxidant system.
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Affiliation(s)
- María-Jesús Oliveras-López
- Department of Molecular Biology and Biochemical Engineering, University of Pablo de Olavide of Seville, Ctra Utrera km 1, Seville 41013, Spain.
| | | | | | | | - Franz Martín
- Department of Molecular Biology and Biochemical Engineering, University of Pablo de Olavide of Seville, Ctra Utrera km 1, Seville 41013, Spain.
- CABIMER, Andalusian Center of Molecular Biology and Regenerative Medicine, University of Pablo de Olavide of Seville, Avda Americo Vespucio s/n, Seville 41092, Spain.
| | - Ignacio Jáuregui-Lobera
- Department of Molecular Biology and Biochemical Engineering, University of Pablo de Olavide of Seville, Ctra Utrera km 1, Seville 41013, Spain.
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