Perceived health risk of excess body weight among overweight and obese men and women: Differences by sex

Gregory, Cria O.; Blanck, Heidi M.; Gillespie, Cathleen; Maynard, L. Michele; Serdula, Mary K.

doi:10.1016/j.ypmed.2008.01.008

Cited by 87 publications

(95 citation statements)

References 27 publications

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“…Older women showed generous attitude perceiving their fat appearance as a natural aging process, which underestimated their weight and could fail to motivate them for weight reduction [6,[19][20][21]. Accordingly, accurate perception about body weight is important in weight management and nurses need to provide obese and overweight women with accurate information about healthy weight and health consequences of obesity [7,19,22].…”

Section: Discussionmentioning

confidence: 99%

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Self-portrait of Obese and Overweight Korean Women based on Lifetime Phase

Shin

Park

Choi

et al. 2016

Korean J Adult Nurs

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Purpose: This study investigated Korean women in between age 30 to 60 who were obese or overweight in order to explore their self-perception based on lifetime phase. Methods: Focus group interviews were performed four times with six to eight participants in each group (a total of 27). Data were analyzed using inductive thematic analysis. Results: The data analysis from the interviews revealed recurring common themes: heavy heart, heavy body, resigned acceptance of their own condition, and compromise. The study also found that each age group had different concerns: concerning others' gaze on their obese appearances (30s), realizing their aging obese appearances (40s), recognizing red flags of their health with obesity (50s), and becoming ambivalent about their obese appearances (60s). Overall, their perceptions of being overweight were negative and stressful. Women in their 30s and 40s were more interested in their appearances, and thus were more obsessive about weight gain. In contrast, women in their 50s and 60s were more accepting of their physical appearances, and thus were more concerned about living healthy than losing weight. Conclusion: These results may be useful to consider when developing tailored weight-control programs for obese and overweight Korean women. Additionally, strategic approaches for successful and effective programs targeting healthy weight should be based on better understanding about women's self-perceptions and motivations. INTRODUCTIONObesity, caused by changes in dietary habits and lifestyle from rapid westernization, urbanization, and modernization, has been identified as a global non-communicable disease [1]. The prevalence of obesity and overweight in the United States (68%) is the highest in the world, and the situations of Canada or European countries are no different from that of the United States [2,3]. The prevalence of obesity among Korean adults increased from 26% in 1998 to 31.9% in 2011; 28.6% of adult Korean women are obese [4]. Because Korean women may get pregnant and give birth in their 30s [5], they experience weight problems related to pregnancy and childbirth, which are earlier than that of men. The proportion of obese Korean women in 30s and 40s was 34.7%; the rate is even greater among women in their 50s and 60s, and is higher than that of men [4].Obesity and overweight are common risk factors of lifestyle disorders such as coronary artery diseases, stroke, Shin, Nah-Mee·Park, Eunyoung·Choi, Jiwon et al diabetes mellitus, hyperlipidemia, and hypertension [2]. Therefore, more active management of obesity and overweight is necessary for preventing these diseases. However, a number of interventions for weight loss tend to be ineffectively standardized and thus are insufficient to meeting women's diverse needs. In reality, programs based on understanding women's perception about, or satisfaction with, her own body weight or motivation and influencing factors for weight loss are lacking [6,7]. Moreover, although there have been studies on obesity to improve physiolo...

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Section: Discussionmentioning

confidence: 99%

“…This suggests that current health status plays an important role in perceiving risk factors related to body weight [20]. Participants with knee arthritis pointed out weight excess as a cause and expressed more concerns about health than younger ones who did not recognize any symptoms associated with obesity.…”

Section: Discussionmentioning

confidence: 99%

Self-portrait of Obese and Overweight Korean Women based on Lifetime Phase

Shin

Park

Choi

et al. 2016

Korean J Adult Nurs

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“…These findings have important clinical significance because they indicate that other processes might operate independently of the existence of comorbidity. Such mechanisms could relate to a putatively greater susceptibility of women to body image dissatisfaction, 22,25 a distorded perceived weight status, 41 a greater weight self-stigma, 42 or a higher perception of health risk relating to overweight 43 ; all these phenomena could at least partially mediate the effect of obesity on both physical and mental HRQoL. These results have particular resonance in the current sociocultural context of women in western countries, where a differentiated impact of obesity on quality of life and emotional well-being may be expected between women and men.…”

Section: Sex Differences In Indirect Effects Via Comorbiditymentioning

confidence: 99%

Gender-Related Differential Effects of Obesity on Health-Related Quality of Life via Obesity-Related Comorbidities

Audureau

Pouchot

Coste

2016

Circ: Cardiovascular Quality and Outcomes

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T he prevalence of obesity has increased dramatically over the last decades in many industrialized countries, such that they are experiencing what has often been referred to as an obesity epidemic.1 Average body mass index (BMI) worldwide has increased by ≈0.5 kg/m 2 per decade since the 1980s, and an estimated 500 million adults were considered obese (BMI ≥30 kg/m 2 ) in 2008. 2 The trends in France are consistent with this general pattern, with an average relative increase in BMI of almost 6% per year since 1997 and a prevalence of obesity of 15% in 2009. 3 This rapid rise is a major public health concern because of the strong evidence for associations between excess body weight and increased mortality and morbidity. [4][5][6] The relationship between BMI and health-related quality of life (HRQoL) has been investigated in a variety of settings, including health centers for weight loss, general medicine practices, and population-based studies. [7][8][9][10][11][12][13][14][15][16][17][18] Most reports consistently show the following: (1) there is a J-or U-shaped relationship linking physical HRQoL and BMI, with higher risk for poorer HRQoL in the underweight and overweight/ with obesity subjects; (2) findings for psychosocial impairment are inconclusive and detect little or no effect; [7][8][9][10][11]13,19,20 (3) physical, and to a lesser extent psychosocial, impairment is more severe in women than men. 7,8,11,12,[21][22][23] There are few data available to explain the different consequences of obesity between the sexes because most analyses exploring the relationship between BMI and HRQoL account for sex as a confounder to adjust for and do not report stratified results. Among the various explanations that have been proposed, a higher discomfort caused by overweight has been observed in women, 24 and women have been found to develop body image dissatisfaction at higher rates compared with men. 25 Differences in prevalence and impact of obesityrelated medical comorbidities have also been suggested, suchBackground-Negative effects of obesity on health-related quality of life (HRQoL) have been reported, especially in women, but the relative contribution of cardiometabolic and other obesity-related comorbidities to such effects remains unclear. Our objective was to model the association by sex between body mass index and HRQoL and to precisely quantify the indirect effects mediated by obesity-related comorbidities. Methods and Results-Data were drawn from the latest French Decennial Health Survey, a nationwide cross-sectional study conducted in 2003 (21 239 adults aged 25-64 years analyzed). HRQoL was measured by the 36-item short-form health survey questionnaire. A mediation analysis based on the counterfactual framework was performed to quantify the proportion of obesity effects on HRQoL mediated by related comorbidities, including cardiometabolic risk factors (diabetes mellitus, hypertension, dyslipidemia) and diseases (ischemic heart disease, cerebrovascular, and peripheral vascular disease), musculoskelet...

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“…[1][2][3] While intensive efforts to manage obesity have resulted in relatively modest and un-sustained weight loss, prevention of obesity among overweight non-obese patients may be more effective because overweight patients are less likely to recognize themselves as overweight, have less weight to lose, and could consider weight maintenance as a reasonable goal. 2,4,5 Physician acknowledgement of patients' overweight status and advice to lose weight increase the accuracy of patient weight perceptions, attempts to lose weight, and weight loss. [6][7][8] However, advice is delivered in only 13% of visits with overweight patients.…”

Section: Introductionmentioning

confidence: 99%