Body weight perception and weight loss practices among Sri Lankan adults

Jayawardena, Ranil; Byrne, Nuala M.; Soares, Mario J.; Katulanda, Prasad; Hills, Andrew P.

doi:10.1016/j.orcp.2013.05.003

Cited by 28 publications

(49 citation statements)

References 22 publications

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“…In Sri Lanka, people generally tend to correlate plump figures with good health and a recent study shows that overweight adults consider themselves as being of normal size [16]. Whether adolescents prefer larger figures as their body ideal is not known.…”

Section: Introductionmentioning

confidence: 99%

Body image construct of Sri Lankan adolescents

et al. 2017

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Introduction "Body image" is more than the visual perception of size and it is probably multidimensional. It is known to influence eating behaviors and self-esteem of adolescents.Although widely studied in developed countries, it has been studied little in Sri Lanka.Objectives This study was designed to translate and culturally adapt a tool to assess dimensions of body image in Sri Lankan adolescents. MethodsThe study was carried out in the Anuradhapura District on school going children in grades nine to eleven. A multidimensional body image questionnaire was translated to Sinhalese language using the nominal group consensus method. The translated version was administered to 278 (114 boys) students after content validation and pre-testing.To assess test-retest reliability, the same questionnaire was administered to the same sample after two weeks. Psychometric properties were assessed using exploratory factor analysis.Results Three-factor model emerged when dimensions in body image were analysed. Both boys and girls had almost identical factor structure. The three dimensions identified were "affective body image", "body perception" and "orientation on body size". All factors had good internal consistency with Cronbach's alpha > 0.76 and explained more than 56% of the total variance in both sexes. ConclusionsThe translated body image questionnaire was a valid and reliable tool which can be used in Sri Lankan adolescents. Both genders had a similar, multidimensional body image construct.

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Section: Introductionmentioning

confidence: 99%

Body image construct of Sri Lankan adolescents

et al. 2017

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“…Jones et al found that those whose BMI was 35 and over had less distress about emotional overeating, less weight concern and less disinhibition about overeating, as well as less time for dieting [16]. It has been suggested that those who misjudge their own weight may also misjudge their children's weight which has implications for the next generation continuing down the obesity pathway [4].…”

Section: Discussionmentioning

confidence: 99%

“…of weight from 19% in 1999 to 25% in 2007, despite an associated rise in overweight/obese from 43% to 53% respectively [21]. Comparable results of adults misperceiving being overweight or obese were identified in Switzerland (women 33%; men 53%) [6], Greece (38% overall) [22], Japan (women 46%, men 39%) [23] and Sri Lanka (75% overall) [4]. Overall, men are more likely to underestimate their weight status [24,25] while women tend to overestimate [1,9,16,26].…”

Section: Samplementioning

confidence: 97%

“…Over-estimation of weight was more common among women aged under 65 years (particularly those aged 17-35 years) and men aged 35 to 64 years [26]. Most studies utilised either self-reported or measured body mass index (BMI); fewer include waist circumference (WC) as a measure of central adiposity [2,4,19]. NWAHS participants have been followed up several times since initial recruitment (Stage 1 (baseline), n=4056, response rate 49.1%).…”

Section: Samplementioning

confidence: 99%

“…Perception of body weight and its association with actual body weight has been widely researched [1][2][3][4][5][6][7]. Perceived rather than actual weight has been associated with dieting and eating behaviours, and body image [8].…”

Section: Introductionmentioning

confidence: 99%

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Parental Midlife Body Shape Influences Offspring Self-Perception of Weight in a Cohort of Australian Adults

Jf¹,

Cr²,

Taylor³

2016

Journal of Obesity and Overweight

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Self-perception and measures of body weight and central adiposity are key indicators of a population's attitude and level of concern regarding obesity. Parental weight has been shown to be a strong determinant of adult offspring weight. This study initially investigates the association between self-perception, and measured body mass index (BMI) and waist circumference (WC), and characterised this association by perception type (pessimist, optimist and realist). We then examined the link between (mis) perception with midlife parental body shape, which may assist with targeted interventions for those misperceiving their weight. Data from a telephone survey (2007) and two biomedical stages (2004-06 and 2008-10) of the North West Adelaide Health Study (n=2710), a longitudinal cohort of Australian adults. The study included offspring measured BMI and WC and midlife parental body shape recalled from pictograms. Over half of participants misperceived their weight status, with heavier males more likely than females to underestimate their weight and females more likely to correctly estimate or overestimate their weight. Among males, higher maternal weight was associated with a greater risk of offspring being pessimistic about their weight than being an underweight/normal weight realist (BMI RR 2.03, 95% CI 1.01-4.07, p=0.046). Having an overweight mother was also associated with increased risk of both male and female offspring being obese optimists (BMI males RR 1.80, 95% CI 1.14-2.84, p=0.011/females RR 1.77, 95% CI 1.16-2.68, p=0.008; WC males RR 1.95, 95% CI 1.30-2.92, p=0.001/females RR 1.58, 95% CI 1.09-2.28, p=0.015). Higher paternal weight was also associated with being an obese realist for females (BMI RR 1.80, 95% CI 1.15-2.83, p=0.011; WC RR 1.95, 95% CI 1.23-3.09, p=0.004) but not males. Our findings suggest that having an obese parent, particularly an obese mother, may contribute to adult offspring's misperception of their weight.

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Obesity in South Asia: Phenotype, Morbidities, and Mitigation

2019

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Purpose of Review Obesity has increased in South Asian countries that are still grappling with undernutrition. In this review, we highlight the characteristics of obesity, its relation to morbidities, and its management in South Asians. A literature search was conducted using relevant search engines and based on key words focusing on obesity in South Asians. Recent Findings The increasing trend in obesity prevalence is caused by imbalanced diets and physical inactivity. South Asians, in general, have higher body fat and lower skeletal muscle mass at the same or lower BMIs compared to white people ("high body fat-normal BMI-low muscle mass" phenotype). In addition, excess abdominal adiposity, typically seen in South Asians, and increased hepatic fat (non-alcoholic fatty liver disease) are associated with an increased risk for type 2 diabetes and cardiovascular disease. Challenges in treatment include lack of awareness regarding correct diets and non-compliance to diet and exercise regimens. Social and cultural issues limit physical activity in South Asian women. Finally, there is a lack of expert health professionals to deal with increased cases of obesity. Aggressive management of obesity is required in South Asians, with more intensive and earlier diet and exercise interventions (i.e., at lower BMI levels than internationally accepted). At a population level, there is no clear policy for tackling obesity in any South Asian country. Prevention strategies focusing on obesity in childhood and the creation of food and activity environments that encourage healthy lifestyles should be firmly applied. Summary Obesity in South Asians should be evaluated with ethnic-specific guidelines and prevention and management strategies should be applied early and aggressively.

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Body weight perception and weight loss practices among Sri Lankan adults

Cited by 28 publications

References 22 publications

Body image construct of Sri Lankan adolescents

Body image construct of Sri Lankan adolescents

Parental Midlife Body Shape Influences Offspring Self-Perception of Weight in a Cohort of Australian Adults

Obesity in South Asia: Phenotype, Morbidities, and Mitigation

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