Weight perception and weight-related sociocultural and behavioral factors in Chinese adolescents

Xie, Bin; Chou, Chih-Ping; Spruijt‐Metz, Donna; Reynolds, Kim D.; Clark, Florence; Palmer, Paula H.; Gallaher, Peggy; Park, Sun; Guo, Qi; Johnson, C. Anderson

doi:10.1016/j.ypmed.2005.12.013

Cited by 183 publications

(195 citation statements)

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“…Similar results were reported from a Dutch study that revealed 37.6% weight overestimation and 11.2% weight underestimation among girls [21]. Our results confirm the findings from similar studies in other countries-China, Japan, Australia-that while weight overestimation seems to be more prevalent among girls, boys are more likely to underestimate their weight [5,11,22]. On the other hand, weight misperception rates for our study differed from those of previous studies.…”

Section: Discussionsupporting

confidence: 89%

“…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: Introduction 14)mentioning

confidence: 91%

“…Weight misperception among adolescents is affected by various factors including their socio-demographic and environmental characteristics (e.g. : age, gender, ethnicity, location of residence, household income, peer weight norms, and parental perceptions of their children's weight status) [4][5][6][7][8][9][10][11] and is shown to be associated with disturbed eating behaviors (DEB) and unhealthy weight control practices, such as fasting, self-induced vomiting, or using diet pills [12,13].…”

Section: Introduction 14)mentioning

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/OBJECTIVES:There 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/METHODS: Data 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. RESULTS: The 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). CONSLUSIONS: Weight 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: 89%

Section: Introduction 14)mentioning

confidence: 91%

Section: Introduction 14)mentioning

confidence: 99%

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

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“…Na China, realizou-se pesquisa (22) com 6.863 adolescentes com grau de escolaridade de 7 a 11 anos. Os resultados encontrados apontaram que 28,1% dos adolescentes sentiamse magros demais e um total de 38,7% percebiam-se como relativamente ou muito pesados -valores próximos aos encontrados nesta análise com adolescentes catarinenses.…”

Section: Discussionunclassified

Insatisfação com o peso corporal e fatores associados em adolescentes

Duca

Garcia

Sousa

et al. 2010

Rev. paul. pediatr.

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RESUMOObjetivo: Estimar a ocorrência de insatisfação com peso corporal e os fatores associados em adolescentes.Métodos: Estudo transversal, representativo dos escolares de 15 a 19 anos de escolas públicas de Santa Catarina, no ano de 2002. O desfecho do estudo foi a satisfação com o peso corporal, avaliada pela pergunta: "Você está satisfeito(a) com seu peso corporal?". As variáveis avaliadas foram: sexo, idade, renda familiar, local de residência, estado nutricional, tempo semanal assistindo televisão, tabagismo e autopercepção de saúde. Investigaram-se também os seguintes comportamentos alimentares: tomar remédios para emagrecer, provocar vômitos após as refeições e realizar, no mínimo, três refeições/ dia. Empregou-se regressão multinomial nas análises bruta e ajustada.Resultados: Dentre os adolescentes avaliados (n=5.028), 16,7% (IC95%: 15,7-17,7) estavam insatisfeitos com seu peso e gostariam de aumentá-lo, e 36,2% (IC95%: 34,9-37,5) gostariam de diminui-lo. Tomar remédios para emagrecer, provocar vômitos após as refeições e não realizar, no mínimo, três refeições/dia foram mais frequentes entre aqueles que gostariam de reduzir o peso. Após análise ajustada, os fatores associados ao desejo de aumentar o peso foram: sexo masculino, idade ≥17 anos, residir na zona urbana, não ter excesso de peso e autopercepção de saúde negativa. Já os fatores associados ao desejo de diminuir o peso foram: sexo feminino, residir na zona urbana, ter excesso de peso e uma percepção negativa de saúde. Conclusões:Encontrou-se alta prevalência de insatisfação com o peso, sendo as variáveis sexo, estado nutricional e autopercepção de saúde os fatores mais fortemente associados a tal comportamento.Palavras-chave: peso corporal; percepção de peso; imagem corporal; adolescente. ABSTRACT Objective:To assess the prevalence of body weight dissatisfaction among adolescents and the associated factors.Methods: Population-based cross-sectional study covering a sample of students with ages from 15 to 19 years, attending public high schools in Santa Catarina, Brazil, in the year 2002. The outcome of the study was body weight satisfaction, assessed by the question: "Are you satisfied with your body weight?" The variables analyzed were gender, age, family income, home neighborhood, nutritional status, time of television viewing per week, smoking and self-rated health. Some feeding behaviors were also investigated: taking weight loss medication, vomiting after meals, and having at least three meals per day. A multinomial regression model was used in the crude and adjusted analyses.Results: Among the adolescents evaluated (n=5,028), 16.7% (95%CI: 15.7-17.7) were unsatisfied and would like to gain weight, and 36.2% (95%CI: 34.9-37.5) would like to reduce it. Frequent behaviors among those who wanted to reduce their body weight included: taking weight loss medication, Endereço para correspondência: Giovâni Firpo Del Duca Campus Universitário -Trindade -UFSC CEP 88040-900 -Florianópolis/SC

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“…PR-TTAURC and CSCS investigators and graduate students have produced over 140 peerreviewed publications, thus providing a wealth of information, which may contribute to future health promotion strategies. As an example, we have found that western media exposure and disposable income are associated with the adoption of certain health-risk behaviors such as smoking [30] and weight dissatisfaction among Chinese adolescents [31]. In our transnational comparisons, we have observed increasing rates of overweight/obesity among youth in more economically developed areas of China, such as the eastern coastal region and among Chinese immigrant populations in the USA [32,33].…”

Section: Adapting Western Theories To Chinese Conditions: the Case Ofmentioning

confidence: 70%

The China Seven Cities Study (CSCS) consortium: adapting evidence-based prevention science from west to east

Palmer

Xie

et al. 2011

Behav. Med. Pract. Policy Res.

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Chronic, noncommunicable diseases (NCDs) have surpassed infectious diseases as the primary cause of death and disability in most developing nations. Nowhere is this more evident than in China where NCDs account for 80% of all deaths and skyrocketing medical costs. Driving the escalation of NCDs are high rates of tobacco use, longer life spans, and changes in the traditional Chinese diet and lifestyle bolstered by unprecedented economic growth and the new global culture. Despite the epidemic of NCDs, few evidencebased interventions either to prevent or retard their progression exist in China. We present a case for the development and adoption of such strategies as effective tools to combat China's greatest health threat. Finally, we offer an example of a collaborative network linking Chinese public health and academic institutions with US researchers to promote the translation of western evidence-based interventions that fully incorporate local knowledge, culture, and capacity. KeywordsNoncommunicable disease, Tobacco control, China, Evidence-based As low-and middle-income countries industrialize, urbanize, and integrate features of western culture with their traditional lifestyle, rates of noncommunicable diseases (NCDs) rise and portend alarming trends for the future. Globally, 35 million deaths annually are attributable to cardiovascular diseases (CVDs), chronic respiratory diseases, diabetes, and cancer with 80% of these occurring in developing nations [1]. In resource-poor developing nations where healthcare systems are often woefully underfunded, understaffed, and in flux, population-based approaches to combating NCDs may produce the greatest and most cost-effective results. The value of incorporating evidence-based, prevention-focused strategies that can be rolled out into communities has been demonstrated in developed nations [2]. To date, however, very few evidence-based approaches for health risk behavior modification have been utilized in economically developing nations [3].

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Weight perception and weight-related sociocultural and behavioral factors in Chinese adolescents

Cited by 183 publications

References 35 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

Insatisfação com o peso corporal e fatores associados em adolescentes

The China Seven Cities Study (CSCS) consortium: adapting evidence-based prevention science from west to east

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