Korean J Community Nutr.  2015 Oct;20(5):362-374. 10.5720/kjcn.2015.20.5.362.

Weight Control Behaviors, Health-related Quality of Life and Nutritional Status by Overestimation of Body Image among Young Korean Females: Data from the Fifth Korea National Health and Nutrition Examination Survey, 2010-2011

Affiliations
  • 1Department of Food Science & Nutrition, Daejin University, Pochoeon, Keonggi, Korea. hmlee@daejin.ac.kr
  • 2Department of Food and Nutrition, Chungbuk National University, Cheongju, Chungbuk, Korea.

Abstract


OBJECTIVES
This study was performed to investigate the effects of overestimation of their own body shape on weight control behaviors, mental condition, physical activity, dietary behavior, health-related quality of life, and nutritional status among young Korean females.
METHODS
A total of 1,514 women aged 20-39 years who are not pregnant and lactating among those who participated in the Fifth Korea National Health and Nutrition Examination Survey (2010~2011), were analyzed and grouped into underestimation (n=120), normal estimation (NE, n=840), and overestimation (OE, n=554), based on their body perception compared to actual percent ideal body weights. Variables were compared between OE group and NE group.
RESULTS
The subjects in OE group were significantly younger (29.5 vs. 30.5 years, respectively p < 0.05) and had lower body mass index (20.9 vs. 22.2 respectively, p < 0.01), health-related quality of life measured by EQ-5D (EuroQol-5 Dimension)(0.97 vs. 0.98 respectively, p < 0.05), nutrition adequacy ratio (NAR) of protein (0.91 vs. 0.93 respectively, p < 0.05), phosphorous (0.93 vs. 0.96 respectively, p < 0.05), and iron (0.70 vs. 0.75 respectively, p < 0.01), and index of nutrition quality (INQ) of iron (0.84 vs. 0.89 respectively, p < 0.05) compared to those in the NE group. The results of logistic regression showed that unmarried status (OR 1.32; 1.01~1.72) and severely underweight/underweight status (OR 1.94; 1.01~3.75)/(OR 1.81; 1.34~2.45) were significantly related to the probability of overestimation by the subjects. Significantly more women in OE group practiced fasting, skipping meals, and taking prescribed pills to lose body weights and had skipped breakfast compared to those in the NE group.
CONCLUSIONS
The results of this study suggested that the Korean young women's distorted perception of own body shape may be associated with undesirable weight control behavior, low quality of life, and lower nutritional status. Therefore, nutrition education for this group should include information on correct body shape perception and its importance.

Keyword

weight perception; health-related quality of life; nutrition intake

MeSH Terms

Body Image*
Body Mass Index
Body Weight
Breakfast
Education
Fasting
Female*
Humans
Ideal Body Weight
Iron
Korea*
Logistic Models
Meals
Motor Activity
Nutrition Surveys*
Nutritional Status*
Quality of Life*
Single Person
Weight Perception
Iron

Cited by  2 articles

Dietary Habits and Nutritional Status of Young Women according to Breakfast Frequency in Seoul
Da-Mee Kim, Youl-Ri Kim, Kyung-Hee Kim
Korean J Community Nutr. 2018;23(2):102-115.    doi: 10.5720/kjcn.2018.23.2.102.

The differences of dietary behaviors, dietary life consumer education related current situations · competencies and dietary lifestyles between baby-boom and echo generations
Jong Ok Park
J Nutr Health. 2018;51(2):153-167.    doi: 10.4163/jnh.2018.51.2.153.


Reference

References

1. World Health Organization. Obesity: preventing and managing the global epidemic report of a WHO consultation (WHO Technical Report Series 894) [internet]. WHO;1998. [cited 2015 Aug 13]. Available from:. http://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/.
2. Korea Centers for Disease Control and Prevention·Ministry of Health and Welfare. Korea health statistics 2013: The Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-1) [internet]. 2014. [cited 2015 Aug 13]. Available from:. https://knhanes.cdc.go.kr/knhanes/index.do.
3. Ryu HK. A survey of adolescents' concern and perception about body image. Korean J Community Nutr. 1997; 2(2):197–205.
4. Hong MS, Pak 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
5. Chang HS. A study on weight control behaviour, eating habits and health-related life habits according to obesity degree by body fat percentage among middle-aged women in Gunsan city. Korean J Community Nutr. 2010; 15(2):227–239.
6. Lim YS, Park NR, Jeon SB, Jeong SY, Tserendejid Z, Park HR. Analysis of weight control behaviors by body image perception among Korean women in different age groups: Using the 2010 Korea national health and nutrition examination survey data. Korean J Community Nutr. 2015; 20(2):141–150.
Article
7. Kim HJ, Jang HS. Comparison between body perception, attitude on weight-control and self-esteem according to the weight group of high school students in Daegu. J Korean Home Econ Educ Assoc. 2009; 21(2):1–22.
8. 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
9. Kim MS, Lee HM. Overestimation of own body weights in female university students: associations with lifestyles, weight control behaviors and depression. Nutr Res Pract. 2010; 4(6):499–506.
Article
10. Cuypers K, Kvaloy K, Bratberg G, Midthjell K, Holmen J, Holmen TL. Being normal weight but feeling overweight in adolescence may affect weight development into young adulthood-an 11-year followup: The HUNT study, Norway. J Obes. 2012; 601872:1–8.
Article
11. Stice E, Bearman SK. Body-image and eating disturbances prospectively predict increases in depressive symptoms in adolescent girls: A growth curve analysis. Develop Psychol. 2001; 37(5):597–607.
Article
12. Oh JY, Park KH. The effect of overvaluation of shape and weight on binge eating. Korean J Health Psychol. 2011; 16(4):739–757.
13. Cho HS, Choi MK. A study on body image and dietary habits by the body mass index of middle school students in Chungnam. Korean J Food Nutr. 2010; 23(3):368–375.
14. Ehrenberg HM, Dierker L, Milluzzi C, Mercer BM. Low maternal weight, failure to thrive in pregnancy, and adverse pregnancy outcomes. Am J Obstet Gynecol. 2003; 189(6):1726–1730.
Article
15. Yu Z, Han S, Zhu J, Sun X, Ji C, Guo X. Prepregnancy body mass index in relation to infant birth weight and offspring overweight/obesity: a systematic review and metaanalysis. PLoS ONE. 2013; 8(4):e61627.
Article
16. Seo JS, Lee JH, Yoon JS, Cho SH, Choi YS. Nutritional Assessment. 1st ed.Seoul: Powerbook;2008. p. 150–153.
17. Kim MH, Cho YS, Uhm WS, Kim S, Bae SC. Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases. Qual Life Res. 2005; 14(5):1401–1406.
Article
18. The Korean Nutrition Society. Dietary reference intakes for Koreans. 1st revision. Seoul: The Korean Nutrition Society;2010. p. 25–46.
19. Park SK. A survey on weight control, mental condition, physical activity, dietary behavior, and nutritional status by body perception in Korean female [Master's thesis]. Daejin University;. 2014.
20. Min JS. A study on physical condition, body image perception, eating disorder risk, and depression level according to diet experience of some female high school students in Seoul [Master's thesis]. Daejin University;. 2015.
21. Klos LA, Sobal J. Marital status and body weight, weight perception, and weight management among US adults. Eat Behav. 2013; 14(4):500–507.
Article
22. Montani JP, Schutz Y, Dulloo AG. Dieting and weight cycling as risk factors for cardiometabolic diseases: who is really at risk? Obes Rev. 2015; 16(Suppl 1):7–18.
Article
23. Yoon SH, Han KT, Kim SJ, Sohn TY, Jeon B, Kim W, et al. Combined effect of body mass index and body size perception on metabolic syndrome in South Korea: results of the fifth Korea National Health and Nutrition Examination Surveys (2010–2012). BMC Public Health. 2015; 15(1):1–15.
Article
24. Tang J, Yu Y, Du Y, Ma Y, Zhu H, Liu Z. Association between actual weight status, perceived weight and depressive, anxious symptoms in Chinese adolescents: a cross-sectional study. BMC Public Health. 2010; 10(1):1–8.
Article
25. Jansen W, van de Looij-Jansen PM, de Wilde EJ, Brug J. Feeling fat rather than being fat may be associated with psychological wellbeing in young Dutch adolescents. J Adolesc Health. 2008; 42(2):128–136.
Article
26. Farhat T, Iannotti RJ, Summersett-Ringgold F. Weight, weight perceptions, and health-related quality of life among a national sample of US girls. J Dev Behav Pediatr. 2015; 36(5):313–323.
Article
27. Chung JY, Lee MY, Kim MJ. A study on the prevalence of chronic diseases, health-related habits and nutrients intakes according to the quality of life in Korean adults. Korean J Community Nutr. 2010; 15(4):445–459.
28. Lee HS. The factors influencing health-related quality of life in the elderly – Focused on the general characteristics, health habits, mental health, chronic diseases, and nutrient intake status: data from the fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010–2012. Korean J Community Nutr. 2014; 19(5):479–489.
29. Kim KW, Shin EM. A study on nutrition knowledge, nutritional attitudes, dietary behavior and dietary intake by weight control attempt among middle school female students. Korean J Community Nutr. 2002; 7(1):23–31.
30. Sung SJ, Kwon SJ. Effect of eating with family or alone on the self-rated mental or physical health: The elementary school children in Daejeon area. Korean J Community Nutr. 2010; 15(2):206–226.
31. Cason KL. Family mealtimes: more than just eating together. J Am Diet Assoc. 2006; 106(4):532–533.
Article
Full Text Links
  • KJCN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr