Weight Perception and Dieting Behavior Among Korean Adolescents

Gyuyoung, Lee; Ha, Yeongmi; Vann, Julie C. Jacobson; Choi, Eun Kyung

doi:10.1177/1059840509333788

Cited by 24 publications

(49 citation statements)

References 23 publications

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“…A previous Korean study conducted among 8th (14 years of age) and 11th (17 years of age) grade students reported a high prevalence of weight overestimation in girls and a high prevalence of weight underestimation in boys (12% of boys vs. 24% of girls overestimated their weight, while 28% of boys vs. 10% of girls underestimated their weight). The results of this study, in regards to the relationship between gender difference and weight misperception [16], are consistent with our results. Similar results were reported from a Dutch study that revealed 37.6% weight overestimation and 11.2% weight underestimation among girls [21].…”

Section: Discussionsupporting

confidence: 92%

“…: parents' awareness of their children being overweight [9], peer weight norms [4], and public sentiments regarding ideal body size [6]. For example, the incidence of weight overestimation was higher among female Asian adolescents [7,11,16,17], whereas Asian-American girls were more likely to underestimate their weights when compared with Caucasian female adolescents in the U.S.. [7]. …”

Section: Discussionmentioning

confidence: 99%

“…About 23% of adolescent girls in the U.S. reportedly had weight misperceptions in 2007 [15]. The prevalence of weight misperceptions in Asian countries, as reported in the literature, ranges between 16.3% and 87.0% and varies depending on age, gender, and ethnicity composition of the study population [11,16,17]. In particular, some developing Asian countries have become beauty-oriented societies where people are judged more for their appearance than other personal traits.…”

Section: Introductionmentioning

confidence: 99%

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Weight misperception and its association with dieting methods and eating behaviors in South Korean adolescents

et al. 2014

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BACKGROUND/OBJECTIVESThere is little information on the association between weight misperception and eating behavior in Korean adolescents. Therefore, we investigated the association of food intake habits and dieting method and disturbed eating behavior (DEB) in relation to weight misperception.SUBJECTS/METHODSData was collected by using a nationwide online panel survey from 6,943 adolescents enrolled in middle/high school. DEB was measured with the Eating Attitudes Test (EAT-26) and those who scored ≥ 20 on the EAT-26 were considered to have eating disorder. Logistic regressions were conducted to examine the association between weight misperception based on self-reported weight status and dieting method and eating behaviors.RESULTSThe proportion of weight underestimation was 23.5% and that of overestimation was 24.0%. Weight overestimating girls were more likely to engage in various unhealthy dieting practices (OR = 1.69 for fasting; OR = 1.88 for laxative or diuretic use; OR = 2.05 for self-induced vomiting after meals; P < 0.05). Moreover, there was a strong association between overestimation and undesirable eating behaviors, especially among girls, e.g.: having breakfast (OR = 0.85), high consumption of fast foods (OR = 1.28) and regular sodas (OR = 1.39), but not among boys. In both genders, weight overestimation appears to be a major risk factor for DEB (OR = 1.34 for boys and OR = 1.41 for girls; P < 0.05).CONSLUSIONSWeight overestimation is associated with unhealthy weight control practices and eating behaviors. We particularly found a significant association between weight overestimation and DEB among nationwide Korean adolescents.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Weight misperception and its association with dieting methods and eating behaviors in South Korean adolescents

et al. 2014

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“…6,12,31 Our study also revealed a relationship between overweight self-perception—regardless of the accuracy of that perception—and weight loss goals. The association of weight perception and weight control behaviors has previously been seen among adolescents in other Asian regions 32,33 as well as in college age females in the United States. 15 A study in Hong Kong found no association between actual overweight status and weight control behaviors, but rather, a relationship between overweight perception and weight control behaviors.…”

Section: Discussionmentioning

confidence: 80%

Overweight Perception: Associations with Weight Control Goals, Attempts, and Practices among Chinese Female College Students

Tanenbaum¹,

Felicitas²,

Li³

et al. 2016

Journal of the Academy of Nutrition and Dietetics

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Background Concurrent with the dramatic cultural and economic shifts occurring as Mainland China becomes increasingly “Westernized,” the weight perceptions, ideal body weight, and weight management goals and practices of Chinese females have also undergone significant changes. Objective To investigate relationships between overweight status, weight perception patterns, and weight management goals and practices in Chinese female college students. Design/Participants/Setting A cross-sectional analysis was conducted with data from 902 female subjects aged 18 to 25 years participating in the China Seven Cities Study, a health promotion and smoking prevention study conducted in Mainland China in 2003. Main Outcome Measures/ Statistical Analyses Logistic regression models were used to explore associations between overweight status, weight perception, specific weight management goals and practices, and current levels of vigorous-intensity physical activity and food consumption. Results Based on World Health Organization standards for Asian adults, 16.7% of college females were overweight or obese, although 50.8% considered themselves to be “too heavy.” Among participants perceiving themselves as overweight (n=458), 69.2% (n=371) were inaccurate, and did not meet criteria for overweight or obese. The percentage of participants attempting weight loss was 48.2%, and 33.1% wanted to maintain their current weight. Attempts to lose or maintain weight were related to actual and perceived weight status, but not to increased vigorous-intensity physical activity or fruit and vegetable intake, nor to decreased consumption of sweets, soda, Western fast foods and fried foods. Only 21.5% of participants desiring weight loss or maintenance reported using a combination of vigorous-intensity physical activity and a reduced fat and calorie diet, while 20.2% tried extreme methods such as fasting, using diet pills, vomiting, or smoking. Conclusions Our findings underscore the need to promote healthy weight management practices among Chinese female college students, with an emphasis on diet and physical activity strategies that encourage balance rather than extremes.

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“…Boys are therefore a more vulnerable group regarding metabolic outcomes, which may then lead to high risk of heart disease and other chronic diseases in adulthood. Additionally, Korean boys underestimated their weight [40]; therefore, we should help them to achieve a healthy body weight.…”

Section: Discussionmentioning

confidence: 99%

Association between obesity and metabolic co-morbidities among children and adolescents in South Korea based on national data

Lim

Xue

2014

BMC Public Health

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BackgroundChildhood obesity has become a serious public health threat worldwide due to its many short- and long-term adverse health effects. We assessed the association between weight status and metabolic co-morbidities among South Korean children using nationally representative data.MethodsData from the 2007-2008 Korea National Health and Nutrition Examination Surveys for 1,526 children aged 10-19 years were used. Logistic regression models were fit to examine the association between weight status [overweight, 85th percentile ≤ BMI <95th percentile; obese, BMI ≥95th percentile; and central obesity, waist circumference ≥90th percentile, based on 2007 Korean National Growth Charts] and metabolic outcomes.ResultsMore obese children had metabolic co-morbidities than normal-weight children (P < 0.05). Boys had higher means BMI than girls, WC, and BP, while girls had higher means of total blood cholesterol and HDL-cholesterol (P < 0.05). Attributable risk of metabolic syndrome was high due to overweight and obesity: 91.1% for central obesity and 29.6% for high TG. Obese children had increased risk of having high BP (adjusted odds ratio (OR): 1.90; 95% CI: 1.05-3.45), dyslipidemia (OR: 6.21; 95% CI: 3.59-10.75), high TG (OR: 6.87; 95% CI: 4.05-11.64), low HDL (OR: 4.46; 95% CI: 2.23-8.89), and ≥2 co-morbidities (OR: 26.97; 95% CI: 14.95-48.65) compared to normal-weight subjects, while the associations between weight status and metabolic outcomes were stronger in boys.ConclusionsObesity was strongly associated with metabolic co-morbidities in South Korean children.

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Weight Perception and Dieting Behavior Among Korean Adolescents

Cited by 24 publications

References 23 publications

Weight misperception and its association with dieting methods and eating behaviors in South Korean adolescents

Weight misperception and its association with dieting methods and eating behaviors in South Korean adolescents

Overweight Perception: Associations with Weight Control Goals, Attempts, and Practices among Chinese Female College Students

Association between obesity and metabolic co-morbidities among children and adolescents in South Korea based on national data

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