Interaction Effect between Weight Perception and Comorbidities on Weight Control Behavior in Overweight and Obese Adults: Is There a Sex Difference?

Hwang, Jun Hyun; Ryu, Dong Hee; Park, Soon-Woo

doi:10.3346/jkms.2015.30.8.1017

Cited by 16 publications

(17 citation statements)

References 33 publications

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“…However, we found no association between the type of NCD or the number of NCDs and the odds of engaging in weight control behaviour. This is similar to prior reports and echoes the importance of education on the association of weight and NCDs .…”

Section: Discussionsupporting

confidence: 91%

“…Importantly, weight misperception conferred significantly lower odds of engaging in weight control behaviour. This corroborates evidence from other populations that an individual will not seek a solution (weight control) to a problem (overweight) they do not recognize exists (8,36,37). These results are also consistent with health behaviour theories that suggest that perceived susceptibility to a given condition is necessary to promote healthful behaviour change.…”

Section: Discussionsupporting

confidence: 87%

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Obesity and weight misperception among adults in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study

Hassan

Ojo

Galusha

et al. 2018

Obesity Science & Practice

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SummaryObjectivePrior studies have suggested that weight misperception – underestimating one's actual weight – may be associated with reduced engagement in weight loss programmes, decreasing the success of initiatives to address obesity and obesity‐related diseases. The purpose of this study was to examine the factors associated with weight misperception among Eastern Caribbean adults and its influence on engagement in weight control behaviour.MethodsData from the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study were analysed (adults aged 40 and older, residing in the US Virgin Islands, Puerto Rico, Barbados and Trinidad). Weight misperception is defined as participants who under‐assess their weight measured by body mass index (BMI). Multivariable logistic regression (n = 1,803 participants) was used to examine the association of weight misperception with BMI category, age, gender, education, history of non‐communicable disease and attempt to lose weight.ResultsWeight misperception was common, with 54% of overweight (BMI 25–29 kg m−2), and 23% of obese class I (BMI 30–34.9 kg m−2) participants under‐assessing their actual weight. Participants with higher levels of education, versus lower, had decreased odds of weight misperception (OR 0.5, p < 0.001). There were no significantly reduced odds of weight misperception in women versus men (OR 1.13, p = 0.367) or in individuals with history of diabetes versus none (OR 0.88, p = 0.418). Participants with weight misperception had 85% (p < 0.0001) lower odds of attempting weight loss than those with accurate weight perception.ConclusionWeight misperception is common among adults with overweight and obesity in the Eastern Caribbean and is associated with lower likelihood of attempting weight loss. Obesity interventions, targeting similar populations, should incorporate approaches for addressing weight misperception to achieve measurable success.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 87%

Obesity and weight misperception among adults in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study

Hassan

Ojo

Galusha

et al. 2018

Obesity Science & Practice

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show abstract

“…We found strong evidence for an association between perceived overweight and weight loss attempts from cross‐sectional studies. All included studies provided consistent evidence to suggest that individuals who perceived themselves as overweight had a higher likelihood of intending or attempting to lose weight than those who perceived themselves as normal weight (32 findings from high‐quality studies and 15 from low‐quality studies ). Overall, there was strong evidence to suggest that perceived overweight was associated with higher likelihood of trying to lose weight across all participant subgroups.…”

Section: Resultsmentioning

confidence: 88%

“…Initial database searches identified 10,398 unique records, and an additional 41 articles were identified by authors, from the reference lists of eligible articles or from supplementary searches. Full‐text review of 366 articles was completed, and 74 articles (indicated with asterisks in reference list) that described 78 studies were included in the review (Fig. ).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of the relationship between weight status perceptions and weight loss attempts, strategies, behaviours and outcomes

et al. 2017

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SummaryIt is commonly assumed that a person identifying that they are ‘overweight’ is an important prerequisite to successful weight management. However, there has been no systematic evaluation of evidence supporting this proposition. The aim of the present research was to systematically review evidence on the relationship between perceived overweight and (i) weight loss attempts, (ii) weight control strategies (healthy and unhealthy), (iii) weight‐related behaviours (physical activity and eating habits), (iv) disordered eating and (v) weight change. We synthesized evidence from 78 eligible studies and evaluated evidence linking perceived overweight with outcome variables separately according to the gender, age and objective weight status of study participants. Results indicated that perceived overweight was associated with an increased likelihood of attempting weight loss and with healthy and unhealthy weight control strategies in some participant groups. However, perceived overweight was not reliably associated with physical activity or healthy eating and was associated with greater disordered eating in some groups. Rather than being associated with improved weight management, there was consistent evidence that perceived overweight was predictive of increased weight gain over time. Individuals who perceive their weight status as overweight are more likely to report attempting weight loss but over time gain more weight.

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“…In order to address weight status misperceptions, several studies have recommended increasing knowledge to properly self‐identify BMI‐based weight status . A large cohort study of adults examining changes in weight perceptions discussed the role of physicians in addressing inaccurate weight perceptions by discussing weight concerns with patients through strategies such as motivational interviewing .…”

Section: Introductionmentioning

confidence: 99%

Perceived weight status and weight change among a U.S. adult sample

Wang

Haughton

Frisard

et al. 2016

Obesity

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Objectives Examine bi-directional associations between weight perception and weight change over time among adults. Methods Data are from adult employees (N=623) across 12 U.S. public high schools participating in a cluster-randomized multilevel weight gain prevention intervention. Data were collected at baseline, 12 months, and 24 months. Perceived weight status (very/somewhat underweight, just right, somewhat overweight, very overweight) were obtained via self-administered surveys. Weight (kg) was measured by trained staff. Change in weight was calculated as the difference between baseline weight and weight at each follow-up timepoint. Structural equation models were used to assess bi-directional associations of perceived weight status and change in weight over time. Models adjusted for study condition, gender, age, race/ethnicity, education level and previous timepoint. Results The sample was 65% female with a mean age of 44.6 (SD=11.3). Nearly two thirds of the sample consisted of people with overweight (38.8%) or obesity (27.3%). Structural equation models indicated that baseline weight predicted subsequent perceived weight status (β=.26; p<.001), whereas baseline perceived weight status did not predict subsequent change in weight, adjusting for previous timepoint and covariates. Conclusions Results do not support bi-directional causality between weight perception and weight change in an adult sample.

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Interaction Effect between Weight Perception and Comorbidities on Weight Control Behavior in Overweight and Obese Adults: Is There a Sex Difference?

Cited by 16 publications

References 33 publications

Obesity and weight misperception among adults in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study

Obesity and weight misperception among adults in the Eastern Caribbean Health Outcomes Research Network (ECHORN) Cohort Study

A systematic review of the relationship between weight status perceptions and weight loss attempts, strategies, behaviours and outcomes

Perceived weight status and weight change among a U.S. adult sample

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