Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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The Effects of Actual and Perceived Body Weight on Unhealthy Weight Control Behaviors and Depressed Mood among Adult Women in Seoul, Korea

  • Kim, Dong-Sik (School of Public Health, Seoul National University) ;
  • Kim, Hyun-Sun (School of Public Health, Seoul National University) ;
  • Cho, Young-Tae (School of Public Health, Seoul National University) ;
  • Cho, Sung-Il (School of Public Health, Seoul National University)
  • Published : 2008.09.30
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Abstract

Objectives : This study was conducted to examine the mediating function of body weight perception (BWP) on the relationship between body mass index (BMI) and unhealthy weight control behaviors (UWCB: e.g., fasting, or taking diet pills or laxatives) and between BMI and depressed mood, and to explore the effect of distorted BWP on UWCB and depressed mood among adult women. Methods : A regionally representative sample of 8,581 women aged 20-64 years residing in Seoul, the capital of Korea, completed the 2001 Seoul Citizens Health Indicator Survey which provides self-reported information about height, weight, BWP, UWCB, depressed mood, demo graphic/socioeconomic characteristics, and health-related behaviors. Data were analyzed using bivariate and multivariate logistic regression. Results : BMI was significantly associated both with UWCB and depressed mood, even controlling for all covariates. However, the magnitude and significance of each association was considerably attenuated when BWP was taken into account, indicating that BWP functioned, in part, as a mediator between BMI and UWCB and between BMI and depressed mood, respectively. Among the combinations of BMI and BWP, women who perceived themselves to be heavier than their actual BMls appeared more likely to use UWCB, whereas women who had a distorted BWP, either underestimation or overestimation as compared with their BMIs, tended to be at greater risk for depressed mood than those who had an undistorted BWP. Conclusions : These findings suggest that how women perceive their body weight may be an important predictor and/or mediator of UWCB and depressed mood among adult Korean women.

Keywords

References

  1. Kim S, Moon S, Popkin BM. The nutrition transition in South Korea. Am J Clin Nutr 2000; 71(1): 44-53 https://doi.org/10.1093/ajcn/71.1.44
  2. Jung J, Lee SH. Cross-cultural comparisons of appearance self-schema, body image, selfesteem, and dieting behavior between Korean and U.S. women. Fam Consum Sci Res J 2006; 34(4): 350-365 https://doi.org/10.1177/1077727X06286419
  3. Ministry of Health and Welfare. The Third Korea National Health and Nutrition Examination Survey (KNHANES III) 2005: Health Behaviors of Adults. Seoul: Ministry of Health and Welfare; 2005. [cited 2008 Feb 14]. Available from: URL:http://2010.hp.go.kr/ newboard/ssunaboardnet.aspx?b_id=201. (Korean)
  4. Keel PK, Mitchell JE, Davis TL, Crow SJ. Relationship between depression and body dissatisfaction in women diagnosed with bulimia nervosa. Int J Eat Disord 2001; 30(1): 48-56 https://doi.org/10.1002/eat.1053
  5. Xie B, Chou CP, Spruijt-Metz D, Reynolds K, Clark F, Palmer PH, et al. Weight perception and weight-related sociocultural and behavioral factors in Chinese adolescents. Prev Med 2006; 42(3): 229-234 https://doi.org/10.1016/j.ypmed.2005.12.013
  6. Eisenberg ME, Neumark-Sztainer D, Story M, Perry C. The role of social norms and friendsV influences on unhealthy weight-control behaviors among adolescent girls. Soc Sci Med 2005; 60(6): 1165-1173 https://doi.org/10.1016/j.socscimed.2004.06.055
  7. Neumark-Sztainer D, Paxton SJ, Hannan PJ, Haines J, Story M. Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males. J Adolesc Health 2006; 39(2): 244-251 https://doi.org/10.1016/j.jadohealth.2005.12.001
  8. ter Bot TF, van Dorsselaer SA, Monshouwer K, Verdurmen JE, Engels RC, Vollebergh WA. Body mass index and body weight perception as risk factors for internalizing and externalizing problem behavior among adolescents. J Adolesc Health 2006; 39(1): 27-34 https://doi.org/10.1016/j.jadohealth.2005.09.007
  9. Friedman KE, Reichmann SK, Costanzo PR, Musante GJ. Body image partially mediates the relationship between obesity and psychological distress. Obes Res 2002; 10(1): 33-41 https://doi.org/10.1038/oby.2002.5
  10. Kim HR, Moon SS, Lee JY. Progress report on the 2001 Seoul citizens health indicators survey. Seoul: Korea Institute for Health and Social Affairs; 2002. [cited 2008 August 8]. Available from: URL:http://www.kihasa.re.kr/ html/jsp/lib/report_down.jsp?bid=11&ano=12 0&seq=1. (Korean)
  11. Spencer EA, Appleby PN, Davey GK, Key TJ. Validity of self-reported height and weight in 4808 EPIC-Oxford participants. Public Health Nutr 2002; 5(4): 561-565 https://doi.org/10.1079/PHN2001322
  12. Crow S, Eisenberg ME, Story M, Neumark- Sztainer D. Suicidal behavior in adolescents: Relationship to weight status, weight control behaviors, and body dissatisfaction. Int J Eat Disord 2008; 41(1): 82-87 https://doi.org/10.1002/eat.20466
  13. Eaton DK, Lowry R, Brener ND, Galuska DA, Crosby AE. Associations of body mass index and perceived weight with suicide ideation and suicide attempts among US high school student. Arch Pediatr Adolesc Med 2005; 159(6): 592-593 https://doi.org/10.1001/archpedi.159.6.592
  14. Whetstone LM, Morrissey SL, Cummings DM. Children at risk: The association between perceived weight status and suicidal thoughts and attempts in middle school youth. J Sch Health 2007; 77(2): 59-66 https://doi.org/10.1111/j.1746-1561.2007.00168.x
  15. Weisell RC. Body mass index as an indicator of obesity. Asia Pac J Clin Nutr 2002; 11(Suppl 8): S681-S684 https://doi.org/10.1046/j.1440-6047.11.s8.5.x
  16. Baron RM, Kenny DA. The moderatormediator variable distinction in social psychological research: Conceptual, strategic, and statistical consideration. J Pers Soc Psychol 1986; 51(6): 1173-1182 https://doi.org/10.1037/0022-3514.51.6.1173
  17. Blokstra A, Burns CM, Seidell JC. Perception of weight status and dieting behaviour in Dutch men and women. Int J Obes Relat Metab Disord 1999; 23(1): 7-17 https://doi.org/10.1038/sj.ijo.0800803
  18. Riley NM, Bild DE, Cooper L, Schreiner P, Smith DE, Sorlie P, et al. Relation of selfimage to body size and weight loss attempts in black women: the CARDIA study. Coronary Artery Risk Development in Young Adults. Am J Epidemiol 1998; 148(11): 1062-1068 https://doi.org/10.1093/oxfordjournals.aje.a009583
  19. Mehio-Sibai A, Kanaan N, Chaaya M, Rahal B, Abdullah A, Sibai T. Ethnic differences in weight loss behavior among secondary school students in Beirut: The role of weight perception. Soz Praventivmed 2003; 48(4): 234-241 https://doi.org/10.1007/s00038-003-2061-3
  20. Conley A, Boardman JD. Weight overestimation as an indicator of disordered eating behaviors among young women in the United States. Int J Eat Disord 2007; 40(5): 441-445 https://doi.org/10.1002/eat.20383
  21. Fitzgibbon ML, Blackman LR, Avellone ME. The Relationship between body image discrepancy and body mass index across ethnic groups. Obes Res 2000; 8(8): 582-589 https://doi.org/10.1038/oby.2000.75
  22. Schwartz MB, Brownell KD. Obesity and body image. Body Image 2004; 1(1): 43-56 https://doi.org/10.1016/S1740-1445(03)00007-X
  23. Stock C, Kucuk N, Miseviciene I, Petkeviciene J, Kramer A. Misperceptions of body shape among university student from Germany and Lithuania. Health Educ 2004; 104(2): 113-121 https://doi.org/10.1108/09654280410525559
  24. Kim DS. Gender Differences in Body Image and Suicidal Ideation Among Korean Adol escents [dissertation]. Seoul: Seoul National University; 2008
  25. Ohayon MM. Epidemiology of depression and its treatment in the general population. J Psychiatr Res 2007; 41(3-4): 207-213 https://doi.org/10.1016/j.jpsychires.2006.10.006
  26. Wardle J, Griffith J. Socioeconomic status and weight control practices in British adults. J Epidemiol Community Health 2001; 55(3): 185-190 https://doi.org/10.1136/jech.55.3.185
  27. Jeffery RW, French SA. Socioeconomic status and weight control practices among 20-45 year old women. Am J Public Health 1996; 86(7): 1005-1010 https://doi.org/10.2105/AJPH.86.7.1005
  28. Villanueva EV. The validity of self-reported weight in US adults: A population based crosssectional study. BMC Public Health 2001; 1:11 https://doi.org/10.1186/1471-2458-1-11
  29. Breitkopf CR, Berenson AB. Correlates of weight loss behaviors among low-income African-American, Caucasian, and Latina women. Obstet Gynecol 2004; 103(2): 231-239 https://doi.org/10.1097/01.AOG.0000110244.73624.b1
  30. Khang YH, Kim HR. Explaining socioeconomic inequality in mortality among South Koreans: An examination of multiple pathways in a nationally representative longitudinal study. Int J Epidemiol 2005; 34(3): 630-637 https://doi.org/10.1093/ije/dyi043
  31. Rosengren A, Hawken S, Ounpuu S, Sliwa K, Zubaid M, Almahmeed WA, et al. Association of psychosocial risk factors with risk of acute myocardial infarction in 11119 cases and 13648 controls from 52 countries (the INTERHEART study): Case-control study. Lancet 2004; 364(9438): 953-962 https://doi.org/10.1016/S0140-6736(04)17019-0

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  20. A systematic review of the relationship between weight status perceptions and weight loss attempts, strategies, behaviours and outcomes vol.19, pp.3, 2008, https://doi.org/10.1111/obr.12634
  21. Weight control behaviors according to body weight status and accuracy of weight perceptions among Korean women: a nationwide population-based survey vol.9, pp.None, 2008, https://doi.org/10.1038/s41598-019-45596-z
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  24. An Evidence‐Based Rationale for Adopting Weight‐Inclusive Health Policy vol.14, pp.1, 2008, https://doi.org/10.1111/sipr.12062
  25. Associations between asthma and body weight misconceptions among South Korean adolescents: Nationwide cross-section study vol.57, pp.1, 2008, https://doi.org/10.1080/02770903.2018.1541355
  26. Understanding Body Image and Appearance Management Behaviors Among Adult Women in South Korea Within a Sociocultural Context: A Review vol.9, pp.2, 2008, https://doi.org/10.1037/ipp0000124
  27. Association of depression and obesity is mediated by weight perception vol.26, pp.11, 2008, https://doi.org/10.1177/1359105319897778