Defined weight expectations in overweight women: anthropometrical, psychological and eating behavioral correlates

Abstract

Objective: To examine associations between defined weight expectations and anthropometric profile and to identify psychological and eating behavioral factors that characterize women having more realistic weight expectations. Methods: A nonrandom sample of 154 overweight/obese women completed the 'Goals and Relative Weight Questionnaire', which assessed four weight expectations: (1) dream weight (whatever wanted to weight); (2) happy weight (would be happy to achieve); (3) acceptable weight (could accept even if not happy with it); and (4) disappointed weight (would not view as a successful achievement). Psychological assessments evaluated dysphoria, self-esteem, satisfaction with one's body (i.e., body esteem) and weight-related quality of life. The 'Three-Factor Eating Questionnaire' assessed eating behaviors: (1) cognitive dietary restraint (control of food intake), (2) disinhibition (overconsumption of food with a loss of control), and (3) susceptibility to hunger (food intake in response to feelings and perceptions of hunger). Results: Women's expectations for their dream (60.676.0 kg), happy (65.276.4 kg) and acceptable (67.976.8 kg) weights corresponded to higher percentages of weight loss (24.276.6% or 19.877.1 kg, 18.675.8% or 15.276.0 kg and 15.275.7% or 12.675.8 kg, respectively) than goals recommended for overweight individuals. Defined weight expectations were positively associated with current weight and body mass index (BMI; 0.37prp0.85; Po0.0001). When women were matched one by one for their current BMI, but showing different happy BMI, women with a more realistic happy BMI were older (P ¼ 0.03) and were characterized by a greater satisfaction towards body weight (P ¼ 0.04), a higher score for flexible restraint (P ¼ 0.003) and a lower score for susceptibility to hunger (P ¼ 0.02) than women with a less realistic happy BMI. Conclusion: These findings suggest that having more realistic weight expectations is related to healthier psychological and eating behavioral characteristics.

Initiation and Maintenance of Weight Loss after Laparoscopic Adjustable Gastric Banding. The role of Outcome Expectation and Satisfaction with the Psychosocial Outcome

“…In general, patients tend to have unrealistic expectations with respect to the outcome of bariatric surgery [18]. In nonsurgical weight loss interventions, these unrealistic expectations have been shown to be linked to higher attrition [19], lower satisfaction [12], and less healthy psychological and eating behavior characteristics [13] but not to maintenance of weight loss [12,17]. In the current study, the prognostic effects of expectations, satisfaction and unfulfilled expectations are disentangled.…”

“…These theories, as well as the observation that positive outcome expectations predict the outcome of nonsurgical weight loss interventions [12][13][14], led to our first hypothesis that favorable preoperative expectations with respect to the psychosocial outcomes after LAGB would promote postoperative weight loss at 1 year. As shown in another study on bariatric surgery patients [15], the hypothesis was not confirmed.…”

“…Especially in nonsurgical weight loss interventions, higher outcome expectations are associated with increased weight loss [12][13][14], a finding that was not confirmed in one study evaluating a surgical intervention [15]. While a qualitative study [16] and a pilot study [4] both suggested that satisfaction is associated with weight loss maintenance, a quantitative study did not confirm these observations [17].…”

Relação entre diferentes indicadores antropométricos e a percepção da imagem corporal em idosas ativas

“…Historicamente está identificada e relacionada à fase da adolescência e aos distúrbios alimentares, mas estudos têm identificado grandes prevalências de insatisfação com o corpo também em idosos, principalmente nas mulheres [5][6][7] . A percepção da imagem corporal e os sentimentos de insatisfação que podem influenciar negativamente a vida geral das pessoas, seu desempenho profissional e mesmo o relacionamento interpessoal estão associados a situações de sobrepeso e obesidade 8,9 . Apesar disso, a insatisfação com o corpo também vem sendo identificada em indivíduos com estado nutricional dentro dos padrões de normalidade 10 , remetendo a uma grande pressão social e da mídia por determinados padrões de corpo e até mesmo problemas para identificar (e aceitar) sua própria imagem corporal.…”

Influência do estado nutricional na percepção da imagem corporal e autoestima de idosas

“…10 Possíveis distúrbios na percepção do corpo podem ser investigados com base na relação da percepção da imagem corporal com os índices e as medidas antropométricas, estando associados principalmente ao sobrepeso e obesidade; no entanto, já se observa insatisfação com o corpo em idosos eutróficos, remetendo à pressão social e da mídia por padrões de beleza definidos. 11,12 Portanto, conhecer a relação que o idoso mantém com seu corpo e as implicações sobre sua autoestima e autoimagem é fundamental para que os profissionais de saúde atuem de forma multiprofissional e considerem em suas práticas todos os aspectos que envolvam a saúde do indivíduo, sejam físicos, psicológicos, emocionais, mentais, entre outros, englobandoos de maneira holística. 13 Assim, este estudo teve por objetivo verificar a relação entre o índice de massa corpórea, a autoestima e a autoimagem corporal de idosas participantes de grupos da terceira idade.…”