Obesity and body image

Schwartz, Marlene B.; Brownell, Kelly D.

doi:10.1016/s1740-1445(03)00007-x

Cited by 484 publications

(389 citation statements)

References 51 publications

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“…This may be due, at least in part, to the fact that women, especially younger women, are more conscious of body weight, size and self‐image 19, 20, 21. The lower likelihood of pharmacotherapy use for weight loss in the elderly population might also be related to costs and the lack of Medicare coverage for weight‐loss drugs.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of patients potentially eligible for pharmacotherapy for weight loss in primary care practice in the United States

Zhang

Manne

Jiao

2016

Obesity Science & Practice

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SummaryObjectiveTo describe the characteristics of real‐world patients potentially eligible for adjunctive pharmacotherapy for weight loss.MethodsPatients from the GE Centricity electronic medical record database were selected if they had body mass index (BMI) ≥30 or ≥27 to <30 kg m−2 with ≥1 obesity‐associated comorbidity (hypertension, dyslipidemia, or type 2 diabetes) from 2002–2011; were aged ≥18 years and had ≥12 months of continuous enrollment before and after the date of first eligible BMI recorded (index date). Descriptive statistics and logistic regression were used for analysis.ResultsOf the 1,835,541 patients with overweight or obesity included, comorbidities were common (hypertension [55.4%], dyslipidemia [36.1%] and type 2 diabetes [13.4%]). The percentage of patients who received pharmacotherapy for weight loss was 0.7% within 12 months after the index date. Patients who received pharmacotherapy had higher BMI (median, 33.6 vs. 31.3 kg m−2), were younger (median, 42 vs. 52 years), primarily women (84.3 vs. 58.2%), commercially insured (70.1 vs. 50.4%) and had more frequent use of antidepressants (30.8 vs. 14.1%) and non‐steroidal anti‐inflammatory drugs (21.7 vs. 12.0%) than those who did not at baseline (all P values < 0.0001).ConclusionsFew eligible patients received pharmacotherapy for weight loss. Patients who received pharmacotherapy tended to be heavier, younger, female, commercially insured, and used more antidepressants and non‐steroidal anti‐inflammatory drugs.

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Section: Discussionmentioning

confidence: 99%

Characteristics of patients potentially eligible for pharmacotherapy for weight loss in primary care practice in the United States

Zhang

Manne

Jiao

2016

Obesity Science & Practice

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“…Due to the negative biases from others toward being obese, they may be more dissatisfied with themselves [8]. The psychosocial consequences of obesity, such as dissatisfaction with life, interpersonal problems, or belittlement of one's own body image, can serve as a positive motivation to lose weight, but it can cause depression, linked to the vicious cycle of chronic diseases [16]. These women in Korea who have a greater possibility of internalizing the negative message from the social environment showed negative psychosocial responses and were more dissatisfied with their looks or avoided social circumstances where they could be compared with non-obese women [16,17].…”

Section: Discussionmentioning

confidence: 99%

“…In particular, younger participants in this study experienced drop-outs from exercise programs in the situations compared with slim or fit women. Because high drop-out rate due to low self-esteem, depression, and negative body image, results in failure of weight loss in obese women [16,18], considering their psychosocial status is needed for intervention programs for women with excessive weight. Thus, in order for the programs to be successful for healthy weight loss or for lifestyle modification, an integrative approach is necessary that can offer tailored motivation based on individual health needs and that can correct the negative psychological status and contorted perception.…”

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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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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“…Un estudio con 428 adolescentes de Estados Unidos encontró que un 50% de niñas escolares reportó insatisfacción con sus cuerpos (Bearman, Presnell, Martinez & Stice, 2006). Grabe et al (2008) indican que la disconformidad corporal entre mujeres jóvenes en Estados Unidos alcanza un 50% con consecuencias a nivel de dietas y salud mental vinculados a trastornos alimentarios (Moreno & Ortiz, 2009;Schwartz & Brownell, 2004;Stice & Whitenton, 2002), disfunciones sexuales, depresión, baja autoestima y ansiedad corporal (Cruzat et al, 2010;Frederickson & Roberts, 1997;Myers & Crowther, 2007Stice & Whitenton, 2002;Tiggemann & Slater, 2004).…”

Section: Desarrollo De La Imagen Corporal Y Estándares Culturalesunclassified

“…Las puntuaciones en OC pueden relacionarse con fenómenos más presentes en sectores populares, como sentimientos de rechazo y vergüenza hacia el cuerpo por sobrepeso (Schwartz & Brownell, 2004;Smolak & Murnen, 2008) Anderson, 2008;Haines & Neumark-Sztainer, 2006), asociados con actividad física disminuida, posiblemente por horas dedicadas a la televisión (Behar, 2010;Dides et al, 2008;Olivares, Bustos, Lera & Zelada, 2007;Rodríguez, 2007). La Encuesta Nacional de Salud de Chile 2009(Chile, Ministerio de Salud et al, 2010 Atlanta, 2005) destaca las elevadas prevalencias de hábitos alimenticios no saludables y sedentarismo.…”

Section: Discusión Y Conclusionesunclassified

Impacto de Imágenes Femeninas Presentadas por los Medios de Comunicación en Adolescentes Mujeres de la Región Metropolitana de Santiago de Chile

et al. 2013

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El objetivo del estudio fue explorar si la imagen corporal de adolescentes mujeres se ve afectada por las imágenes presentadas por los medios de comunicación. Interesaba conocer si existían diferencias en el impacto medial según edad, nivel socioeconómico (NSE) del colegio, curso, tipo de colegio (femenino/mixto) y régimen del mismo (religioso/laico). Se aplicó el cuestionario IMAMIF (Larrain, Camus, Orellana & Arrieta, 2009) a una muestra por conveniencia de 923 adolescentes mujeres de 12 establecimientos educacionales de Santiago de Chile pertenecientes a 7º básico y 1º y 3º medio. Se usó la prueba de Kruskal-Wallis para detectar posibles diferencias en el puntaje total del instrumento y sus dimensiones Objetivación Corporal, Dieta Patológica y Disconformidad Corporal y luego pruebas post-hoc para direccionar estas diferencias. En la dimensión Objetivación Corporal las adolescentes de colegios de NSE bajo obtienen puntajes más altos y las niñas de 7º básico puntúan más bajo que las de enseñanza media. Finalmente, las jóvenes de colegios religiosos femeninos puntúan más bajo que las de colegios religiosos mixtos, laicos femeninos y laicos mixtos. Palabras clave: adolescencia, imagen corporal, medios de comunicaciónThe purpose of this study was to explore if body image among female adolescents is affected by the images that the mass media presents. The interest was to identify any differences in media impact related to age, socioeconomic status (SES), grade, school type (female/coeducational) and school regime (religious/non-religious). The IMAMIF questionnaire (Larrain Camus, Orellana, & Arrieta, 2009) was applied to a convenience sample of 923 7 th , 9 th , and 11 th grade teenage female highschool students from 12 schools in Santiago, Chile. The Kruskal-Wallis test was used to establish possible differences in the total score and in the Body Objectification, Pathological Diet and Body Dissatisfaction dimensions. Post hoc tests were used to explore the direction of these differences. Teenagers from the lowest SES obtained higher scores on the Body Objectification dimension and 7 th grade girls displayed lower scores compared to 9 th and 11 th grade ones. Finally, girls from single-sex religiously-oriented schools scored lower than those from coeducational religiously-oriented schools and from both single-sex and coeducational non-religious schools.

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Obesity and body image

Cited by 484 publications

References 51 publications

Characteristics of patients potentially eligible for pharmacotherapy for weight loss in primary care practice in the United States

Characteristics of patients potentially eligible for pharmacotherapy for weight loss in primary care practice in the United States

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

Impacto de Imágenes Femeninas Presentadas por los Medios de Comunicación en Adolescentes Mujeres de la Región Metropolitana de Santiago de Chile

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