Distorted body weight perception and its gender differences in middle-aged adults: population based study

Song, Youngshin; Kwon, Myoungjin; Kim, Sun Ae

doi:10.1186/s12889-020-8358-9

Cited by 10 publications

(13 citation statements)

References 21 publications

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“…The young men in this study showed approximately eightfold higher misperceptions of their weight and a twofold higher lack of weight control effort compared to those in young women with obesity in Korea. Previous studies have reported similar findings [ 19 , 20 , 21 ]. A nationwide study of overweight and obese adults in the USA showed that 65.6% and 84.0% of men and women had accurate weight perceptions, and that 43.3% and 58.3%, respectively, had attempted to lose weight [ 19 ].…”

Section: Discussionsupporting

confidence: 85%

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Gender Differences in Comorbidities and Attitudes Regarding Weight Control among Young Adults with Obesity in Korea

Kang

Park

2022

Obes Facts

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Introduction: Obesity in young adulthood increases the risk for premature death, and the prevalence of obesity rapidly increasing among young adults, particularly in young men. We evaluated the gender differences in accompanying comorbidities and attitudes regarding weight control among young Korean adults with obesity. Materials and Methods: We analyzed 2,050 young adults with obesity (1,325 men and 725 women) in the 7th KNHANES (2016–2018) aged 19–44 years, with body mass indexes (BMIs) ≥25.0 kg/m2. The odds ratios (ORs) and 95% confidence intervals (CIs) for poor lifestyle factors and accompanying illnesses as well as self-perceived weight status, weight control efforts, and weight control strategies in men compared to those in women were calculated by multivariate logistic regression analysis. Results: The mean BMIs and waist circumferences were 28.2±0.1 kg/m2 and 93.6±0.2 cm and 28.6±0.1 kg/m2 and 88.7±0.4 cm, in men and women, respectively. The ORs and 95% CIs for abdominal obesity (1.52, 1.11–2.07), hypertension (3.11, 2.20–4.40), hypercholesterolemia (1.45, 1.09–1.93), hypertriglyceridemia (3.37, 2.38–4.78), and elevated alanine transaminase (ALT) concentration (6.53, 4.56–9.36) were higher in young men compared to those in young women. Despite the higher prevalences of comorbid conditions, the odds of inappropriate weight perception (8.13, 4.17–15.86), lack of weight control efforts (2.20, 1.71–2.84), lack of diet therapy (1.56, 1.13–2.16), lack of pharmacotherapy (13.27, 6.82–25.79), heavy drinking (1.32, 1.02-1.72), current smoking (6.92, 5.00–9.59), and frequent eating out (4.38, 3.35–5.71) were higher among men. However, the odds of not engaging in exercise (0.48, 0.35–0.64) were lower among men compared to that in women. Discussion: Despite their higher prevalences of comorbidities, appropriate weight perception and weight control efforts are insufficient in young men with obesity. These gender differences should be considered to provide tailored programs for weight reduction in young adults with obesity.

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Section: Discussionsupporting

confidence: 85%

“…In the same context, gender differences in self-perceived weight status and weight control efforts have also been reported. In general, men were less likely to have accurate weight perception and to attempt weight loss compared to women [ 19 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Comorbidities and Attitudes Regarding Weight Control among Young Adults with Obesity in Korea

Kang

Park

2022

Obes Facts

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“…Over/underestimated indicates those with one stage of discrepancy between the perceived BMI category and actual BMI range. For example, “highly overestimated” accounted for those who responded as being “obese” on their weight status although their actual BMI was “normal.” Further, “overestimated” accounted for those who responded as being “overweight” while their actual BMI was “normal.” People in the “highly underestimated” category are those who responded as being “normal” even though their actual BMI was “obese.” Also, “underestimated” presents those who responded as being “normal” while their actual BMI was “overweight.” This assessment has been validated in previous studies ( Song et al, 2020 ). These five categories were rearranged into three categories accordingly: underestimation (combining highly underestimated and underestimated), appropriate estimation (BWP corresponded with their actual BMI), and overestimation (combining overestimated and highly overestimated) for analyzing their association with obesity-related psychological factors.…”

Section: Methodsmentioning

confidence: 82%

Mental health of people with distorted body weight perception using medicinal remedies: A representative study

Kim

Kim³

et al. 2021

International Journal of Clinical and Health Psychology

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Background/Objective We aimed to examine the prevalence of distorted body weight perception (BWP) and the choice of weight control strategies to investigate the associations between the psychological features and the different strategies for controlling body weight. Method: We used a representative nationwide 39-item survey to randomly select 1,000 participants. The extrapolated number (eN) to the whole national population was also reported. Self-BWP, weight control strategies, and obesity-related psychological conditions including anxiety, self-esteem, body satisfaction, obesity-related quality-of-life (QoL), and eating attitudes were assessed. Results: Among men, 39.30% (eN = 5,887,137) underestimated, whereas 24.90% (eN = 3,290,847) of women overestimated their weight. In contrast to 2% (eN = 271,745) of men, 15.20% (eN = 2,012,262) of women sought medical support to control their weight. Men and women who used medical support for weight management and women who overestimated their weight reported the most unfavorable psychological conditions (anxiety, self-esteem, body satisfaction, QoL, and eating attitudes; p < .05). Conclusions: A prevalent burden of psychological problems related to distorted BWP and weight control strategies was revealed. People with distorted BWP and using medical procedures for their weight control could be at a higher risk of psychological disorders. Therefore, body weight-related psychological problems call for urgent public health policies.

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“… 2 , 22 , 23 Distorted perception of body image were found to be more prevalent among middle-aged men. 24 Among men, distorted body weight perception was found to be correlated with age (middle-age), income, perceived health status and health behaviors. In contrast to men, women who have distorted body weight perception were mostly psychological in nature.…”

Section: Introductionmentioning

confidence: 99%

“…In contrast to men, women who have distorted body weight perception were mostly psychological in nature. 24 Studies have shown the relationship between perceived weight and the intention to lose weight, and may be different across gender with women more likely to attempt weight loss than men. 25 , 26 A study showed that men were more likely to attempt weight loss, exercise more, eat less fat compared to women who prefer to take prescription pills and follow specific diets for weight loss.…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in the Attitudes and Management of People with Obesity in Saudi Arabia: Data from the ACTION-IO Study

Almubark¹,

Alqahtani²,

Isnani³

et al. 2022

RMHP

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Purpose Several studies have investigated gender differences in various obesity-related outcomes. Females were found to have more accurate weight perception and reported more frequency of attempted weight loss. The objective of this study was to assess gender differences in the attitudes and management of people with obesity (PwO) in Saudi Arabia using data from the ACTION-IO study. Patients and Methods A survey was conducted in Saudi Arabia in June and July 2018 on adults with obesity (based on self-reported body mass index of ≥30 kg/m 2 ). Results A total of 1000 people with obesity completed the survey; 565 (56.5%) were male (mean age of 36.9 years and mean BMI of 33.5 kg/m 2 ) and 435 (43.5%) were female (mean age of 36.3 years and mean BMI of 34.5 kg/m 2 ). The two most reported motivations for wanting to lose weight for both groups were to improve appearance (38%) and to have more energy (35%). Females were more likely to trust their health-care provider (HCP) advice about weight management when compared to males (87% females, 82% males, p = 0.059) and were more likely to have concerns regarding long-term safety associated with prescription weight loss medications (65% female versus 59% males, p = 0.043). On the other hand, males were more likely to seek their physician to prescribe weight loss medication if they hear of a new medication (55% males versus 46% females, p = 0.014), and more to believe that there are good options available for weight loss medications (74% males versus 67% females, p = 0.040). Also, more males prefer to take weight loss medications than to have a weight loss surgery (65% males, 59% females, p = 0.054). Conclusion Overall, this study increases our understanding on the attitudes of both females and males towards the management of weight loss and opens the discussion for gender-specific weight loss interventions.

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Distorted body weight perception and its gender differences in middle-aged adults: population based study

Cited by 10 publications

References 21 publications

Gender Differences in Comorbidities and Attitudes Regarding Weight Control among Young Adults with Obesity in Korea

Gender Differences in Comorbidities and Attitudes Regarding Weight Control among Young Adults with Obesity in Korea

Mental health of people with distorted body weight perception using medicinal remedies: A representative study

Gender Differences in the Attitudes and Management of People with Obesity in Saudi Arabia: Data from the ACTION-IO Study

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