J Nutr Health.  2016 Jun;49(3):153-164. 10.4163/jnh.2016.49.3.153.

Effects of the difference between actual body condition and body image perception on nutrient intake, weight control and mental health in Korean adults: Based on the 5th Korea National Health and Nutrition Examination Survey

Affiliations
  • 1Department of Food and Nutrition, Dongduk Women's University, Seoul 02748, Korea. yjyang@dongduk.ac.kr
  • 2Department of Clinical Nutrition, Dongduk Women's University, Seoul 02748, Korea.

Abstract

PURPOSE
The objective of this study was to examine the effect of the body shape discordance, the difference between true body type based on body mass index (BMI) and self-recognized body image, on nutrient intake, weight control attempt, and mental health in Korean adults.
METHODS
Subjects were persons aged 19~64 years (4,382 men and 6,226 women) who participated in the 2010~2012 Korea National Health and Nutrition Examination Survey. Subjects were categorized as RL (Group recognized as lighter than BMI criteria), RA (Group with agreement between BMI criteria and self-recognized body image), and RH (Group recognized as heavier than BMI criteria) according to the difference between actual body type based on BMI and self-recognized body image.
RESULTS
Means of BMI in RH groups were lower than or equal to that of RA groups in all groups. No significant differences in total energy intake were observed among the three groups in men, but total energy intake was higher in the RL group than in the RH group in 30~49 year old women. Proportion of carbohydrate was the highest in the RL group among 30~49 year old women. RH groups paid more attention to weight control and had less weight gain than other groups. Higher proportions of depressive symptoms were reported in the RH group in 19~29 year old men, while a higher proportion of depressive symptoms were reported in the RL group in 50~64 year old men.
CONCLUSION
The current findings suggest an association of perceiving body shape with energy intake, weight control attempt, or depressed mood in some age groups. Body image perception can influence eating, weight control attempt, and depressed mood, therefore proper body image perception should be established in Korean adults.

Keyword

self-recognized body image; actual body condition; nutrient intake; weight control; mental health

MeSH Terms

Adult*
Body Image*
Body Mass Index
Depression
Eating
Energy Intake
Female
Humans
Korea*
Male
Mental Health*
Nutrition Surveys*
Somatotypes
Weight Gain

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Reference

1. Han SS. Sexual politics of the diet. . Seoul: Bookworld;2000.
2. Jun JH, Lee MS. Media involvement on appearance evaluation, appearance stress, and appearance management behavior. J Korean Soc Cloth Text. 2014; 38(4):518–527.
Article
3. Hong KH. The influence of the sociocultural attitudes toward appearance and BMI on body image and body satisfaction. J Korean Soc Clothing Ind. 2006; 8(1):48–54.
4. Kim Y, Hwang SJ. Effects of socio-cultural pressure and objectified body consciousness on the behavior of women for appearance management. J Korean Soc Costumes. 2008; 58(10):112–122.
5. Kwon HK, Lee CJ, Jin SK, Seo KH, Lee JE. The relationship of diet behavior and psychological variables in college women (on body dissatisfaction, self-esteem, eating attitude). J Stud Guid Couns. 1996; 15:3–25.
6. Kim SK, Jung IH. Body image perception, preventive attitude of eating behaviors related and weight control attitude according to obesity level in adult women. Cent Health Promot. 2005; 1(1):63–72.
7. Kim BR, Han YB, Chang UJ. A study on the attitude toward control, diet behavior and food habits of college students. Korean J Community Nutr. 1997; 2(4):530–538.
8. Rawana JS, Morgan AS. Trajectories of depressive symptoms from adolescence to young adulthood: the role of self-esteem and body-related predictors. J Youth Adolesc. 2014; 43(4):597–611.
Article
9. van den Berg P, Paxton SJ, Keery H, Wall M, Guo J, Neumark-Sztainer D. Body dissatisfaction and body comparison with media images in males and females. Body Image. 2007; 4(3):257–268.
Article
10. Fan M, Jin Y, Khubchandani J. Overweight misperception among adolescents in the United States. J Pediatr Nurs. 2014; 29(6):536–546.
Article
11. Koo JO, Park S. Analysis of BMI, body composition, weight control, dietary behaviors of adult women. Korean J Community Nutr. 2011; 16(4):454–465.
Article
12. 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.
Article
13. Lim H, Wang Y. Body weight misperception patterns and their association with health-related factors among adolescents in South Korea. Obesity (Silver Spring). 2013; 21(12):2596–2603.
Article
14. Jang MH, Lee G. Body image dissatisfaction as a mediator of the association between BMI, self-esteem and mental health in early adolescents: a multiple-group path analysis across gender. J Korean Acad Nurs. 2013; 43(2):165–175.
Article
15. Kim HY. A study on the university students' obesity status and acknowledgement. J Korea Sport Res. 2003; 14(6):1417–1433.
16. Ministry of Health and Welfare. Korea Centers for Disease Control and Prevention. Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANES V-3). Cheongwon: Korea Centers for Disease Control and Prevention;2013.
17. Joh HK, Oh J, Lee HJ, Kawachi I. Gender and socioeconomic status in relation to weight perception and weight control behavior in Korean adults. Obes Facts. 2013; 6(1):17–27.
Article
18. Wardle J, Waller J, Jarvis MJ. Sex differences in the association of socioeconomic status with obesity. Am J Public Health. 2002; 92(8):1299–1304.
Article
19. Ahn BC, Engelhardt K, Joung HJ. Diet variety is associated with socio-economic factors. Ecol Food Nutr. 2006; 45(6):417–430.
20. Chin JH, Chang KJ. College students' attitude toward body weight control, health-related lifestyle and dietary behavior by self-perception on body image and obesity index. J Korean Soc Food Sci Nutr. 2005; 34(10):1559–1565.
21. The Korean Nutrition Society. Dietary reference intakes for Koreans. 1st revision. Seoul: The Korean Nutrition Society;2010.
22. Ju M, Shin Y, Kim Y. A study on body awareness and dietary life of adults who perform regular exercise. J Nutr Health. 2013; 46(5):461–469.
Article
23. Foster GD, Wyatt HR, Hill JO, McGuckin BG, Brill C, Mohammed BS, Szapary PO, Rader DJ, Edman JS, Klein S. A randomized trial of a low-carbohydrate diet for obesity. N Engl J Med. 2003; 348(21):2082–2090.
Article
24. Samaha FF, Iqbal N, Seshadri P, Chicano KL, Daily DA, McGrory J, Williams T, Williams M, Gracely EJ, Stern L. A low-carbohydrate as compared with a low-fat diet in severe obesity. N Engl J Med. 2003; 348(21):2074–2081.
Article
25. Atkins RC. Dr. Atkins' new diet revolution. Revised edition. Lanham(MD): M. Evans & Company;2002.
26. Sears B, Lawren B. The zone: a dietary road map. New York (NY): Regan Books;1995.
27. Kim HJ, Lee MJ. A mini review on carbohydrate in weight management diet: the quantity and the quality. J Korean Orient Assoc Stud Obes. 2005; 5(1):121–131.
28. Hong MS, Park HO, Sohn CY. A study on food behaviors and nutrient intakes according to body mass index and body image recognition in female university students from Incheon. Korean J Food Nutr. 2011; 24(3):386–395.
Article
29. Park HS, Lee HO, Sung CJ. Body image, eating problems and dietary intakes among female college students in urban area of Korea. Korean J Community Nutr. 1997; 2(4):505–514.
30. Cho JH, Han SN, Kim JH, Lee HM. Body image distortion in fifth and sixth grade students may lead to stress, depression, and undesirable dieting behavior. Nutr Res Pract. 2012; 6(2):175–181.
Article
31. Chung MY, Kim SH, Oh JS. Comparison of obesity-related life patterns with according to body mass index and self-awareness of body shape. Korean J Aesthet Cosmet Soc. 2013; 11(6):1109–1115.
32. Kruger J, Galuska DA, Serdula MK, Jones DA. Attempting to lose weight: specific practices among U.S adults. Am J Prev Med. 2004; 26(5):402–406.
33. Kim JH. A study on nutrition status by diet of female college students of Masan city-1. focus on diet survey-. Korean J Food Nutr. 1998; 11(2):185–191.
34. Ham YL, Park MJ. Effect of type of body shape perception on health concern, depression, dietary restriction, and exercise practice among university students. J Muscle Joint Health. 2013; 20(2):151–160.
Article
35. Kim JG. Loss of appetite and weight loss. In : Proceedings of the 2012 Korean Association Internal Medicine Spring Conference; Seoul. The Korean Association Internal Medicine;2012. p. 78–81.
36. Lee SG, Jeon SY, Lee JY. Factors related with low body weight in older adults at a urban-rural composite area. J Korean Gerontol Soc. 2008; 28(1):105–121.
37. Chen R, Wei L, Hu Z, Qin X, Copeland JR, Hemingway H. Depression in older people in rural China. Arch Intern Med. 2005; 165(17):2019–2025.
Article
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