Skip to main content
Top
Published in: Journal of Translational Medicine 1/2020

Open Access 01-12-2020 | Research

Body image perception and body composition: assessment of perception inconsistency by a new index

Authors: Luciana Zaccagni, Natascia Rinaldo, Barbara Bramanti, Jessica Mongillo, Emanuela Gualdi-Russo

Published in: Journal of Translational Medicine | Issue 1/2020

Login to get access

Abstract

Background

A correct perception of the body image, as defined by comparison with actual anthropometric analyses, is crucial to ensure the best possible nutritional status of each individual. Bioimpedance analysis (BIA) represents a leading technique to assess body composition parameters and, in particular, the fat mass. This study examined the self-perception of body image at various levels of adiposity proposing a new index.

Methods

We investigated 487 young Italian adults (mean age of males: 21.9 ± 2.4 years; mean age of females: 21.0 ± 2.2 years). Each subject could choose, on the Contour Drawing Rating Scale, the silhouette that he/she considered most resembling his/her perceived body image as well as his/her ideal body image. On each subject, we performed anthropometric measurements and determined the values of Fat mass and  %Fat with BIA. A new index, FAIFAT (Feel fat status minus Actual fat status Inconsistency), was developed to evaluate possible fat status perception inconsistencies by BIA.

Results

Based on ideal and feel body image comparison, women showed higher dissatisfaction than men and preferred slimmer silhouettes. FAIFAT values indicated that the fat status perception was correct in the majority of the examined individuals and only three subjects showed a serious misperception.

Conclusions

Our findings suggest that FAIFAT is an appropriate index for assessing the perceived fat status from the body image when compared with data obtained by BIA. In a population, the use of this index will allow the correct identification of groups at risk for eating disorders.
Literature
1.
go back to reference Allison DB, Faith MS, Heo M, Kotler DP. Hypothesis concerning the U-shaped relation between body mass index and mortality. Am J Epidemiol. 1997;146:339–49.PubMedCrossRef Allison DB, Faith MS, Heo M, Kotler DP. Hypothesis concerning the U-shaped relation between body mass index and mortality. Am J Epidemiol. 1997;146:339–49.PubMedCrossRef
2.
go back to reference Bigaard J, Frederiksen K, Tjønneland A, Thomsen BL, Overvad K, Heitmann BL, et al. Body fat and fat-free mass and all-cause mortality. Obes Res. 2004;12:1042–9.PubMedCrossRef Bigaard J, Frederiksen K, Tjønneland A, Thomsen BL, Overvad K, Heitmann BL, et al. Body fat and fat-free mass and all-cause mortality. Obes Res. 2004;12:1042–9.PubMedCrossRef
3.
go back to reference Reis JP, Macera CA, Araneta MR, Lindsay SP, Marshall SJ, Wingard DL. Comparison of overall obesity and body fat distribution in predicting risk of mortality. Obesity. 2009;17:1232–9.PubMed Reis JP, Macera CA, Araneta MR, Lindsay SP, Marshall SJ, Wingard DL. Comparison of overall obesity and body fat distribution in predicting risk of mortality. Obesity. 2009;17:1232–9.PubMed
4.
go back to reference Mathieu P, Pibarot P, Larose É, Poirier P, Marette A, Després J-P. Visceral obesity and the heart. Int J Biochem Cell Biol. 2008;40:821–36.PubMedCrossRef Mathieu P, Pibarot P, Larose É, Poirier P, Marette A, Després J-P. Visceral obesity and the heart. Int J Biochem Cell Biol. 2008;40:821–36.PubMedCrossRef
5.
go back to reference Gualdi-Russo E, Zaccagni L, Dallari GV, Toselli S. Anthropometric parameters in relation to glycaemic status and lipid profile in a multi-ethnic sample in Italy. Public Health Nutr. 2015;18:438–45.PubMedCrossRef Gualdi-Russo E, Zaccagni L, Dallari GV, Toselli S. Anthropometric parameters in relation to glycaemic status and lipid profile in a multi-ethnic sample in Italy. Public Health Nutr. 2015;18:438–45.PubMedCrossRef
6.
go back to reference Ashwell M, Gunn P, Gibson S. Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obes Rev. 2012;13:275–86.PubMedCrossRef Ashwell M, Gunn P, Gibson S. Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obes Rev. 2012;13:275–86.PubMedCrossRef
7.
go back to reference Maffetone PB, Rivera-Dominguez I, Laursen PB. Overfat and underfat: new terms and definitions long overdue. Front public Heal. 2016;4:279. Maffetone PB, Rivera-Dominguez I, Laursen PB. Overfat and underfat: new terms and definitions long overdue. Front public Heal. 2016;4:279.
8.
go back to reference Bixby H, Bentham J, Zhou B, Di Cesare M, Paciorek CJ. Rising rural body-mass index is the main driver of the global obesity epidemic in adults. Nature. 2019;569:260–4.CrossRef Bixby H, Bentham J, Zhou B, Di Cesare M, Paciorek CJ. Rising rural body-mass index is the main driver of the global obesity epidemic in adults. Nature. 2019;569:260–4.CrossRef
9.
go back to reference Grabe S, Ward LM, Hyde JS. The role of the media in body image concerns among women: a meta-analysis of experimental and correlational studies. Psychol Bull. 2008;134:460.PubMedCrossRef Grabe S, Ward LM, Hyde JS. The role of the media in body image concerns among women: a meta-analysis of experimental and correlational studies. Psychol Bull. 2008;134:460.PubMedCrossRef
10.
go back to reference Swami V, Frederick DA, Aavik T, Alcalay L, Allik J, Anderson D, et al. The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: results of the International Body Project I. Personal Soc Psychol Bull. 2010;36:309–25.CrossRef Swami V, Frederick DA, Aavik T, Alcalay L, Allik J, Anderson D, et al. The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: results of the International Body Project I. Personal Soc Psychol Bull. 2010;36:309–25.CrossRef
12.
go back to reference Gualdi-Russo E, Rinaldo N, Khyatti M, Lakhoua C, Toselli S. Weight status, fatness and body image perception of North African immigrant women in Italy. Public Health Nutr. 2016;19:2743–51.PubMedCrossRef Gualdi-Russo E, Rinaldo N, Khyatti M, Lakhoua C, Toselli S. Weight status, fatness and body image perception of North African immigrant women in Italy. Public Health Nutr. 2016;19:2743–51.PubMedCrossRef
13.
go back to reference Toselli S, Rinaldo N, Gualdi-Russo E. Length of residence and obesity risk among North African immigrant women in Italy. Econ Hum Biol. 2019;34:74–9.PubMedCrossRef Toselli S, Rinaldo N, Gualdi-Russo E. Length of residence and obesity risk among North African immigrant women in Italy. Econ Hum Biol. 2019;34:74–9.PubMedCrossRef
16.
go back to reference Paxton SJ, Neumark-Sztainer D, Hannan PJ, Eisenberg ME. Body dissatisfaction prospectively predicts depressive mood and low self-esteem in adolescent girls and boys. J Clin child Adolesc Psychol. 2006;35:539–49.PubMedCrossRef Paxton SJ, Neumark-Sztainer D, Hannan PJ, Eisenberg ME. Body dissatisfaction prospectively predicts depressive mood and low self-esteem in adolescent girls and boys. J Clin child Adolesc Psychol. 2006;35:539–49.PubMedCrossRef
17.
go back to reference Wilson RE, Latner JD, Hayashi K. More than just body weight: the role of body image in psychological and physical functioning. Body Image. 2013;10:644–7.PubMedCrossRef Wilson RE, Latner JD, Hayashi K. More than just body weight: the role of body image in psychological and physical functioning. Body Image. 2013;10:644–7.PubMedCrossRef
18.
go back to reference Goldschmidt AB, Wall MM, Loth KA, Neumark-Sztainer D. Risk factors for disordered eating in overweight adolescents and young adults. J Pediatr Psychol. 2015;40:1048–55.PubMedPubMedCentralCrossRef Goldschmidt AB, Wall MM, Loth KA, Neumark-Sztainer D. Risk factors for disordered eating in overweight adolescents and young adults. J Pediatr Psychol. 2015;40:1048–55.PubMedPubMedCentralCrossRef
19.
go back to reference Toselli S, Rinaldo N, Caccialupi MG, Gualdi-Russo E. Psychosocial indicators in north african immigrant women in Italy. J Immigr Minor Heal. 2018;20:431–40.CrossRef Toselli S, Rinaldo N, Caccialupi MG, Gualdi-Russo E. Psychosocial indicators in north african immigrant women in Italy. J Immigr Minor Heal. 2018;20:431–40.CrossRef
20.
go back to reference Lee E-Y, Myre M, Hwang J, Chun H, Seo E, Pabayo R, et al. Body weight misperception and psychological distress among young South Korean adults: the role of physical activity. Glob Heal Res Policy. 2017;2:1–10.CrossRef Lee E-Y, Myre M, Hwang J, Chun H, Seo E, Pabayo R, et al. Body weight misperception and psychological distress among young South Korean adults: the role of physical activity. Glob Heal Res Policy. 2017;2:1–10.CrossRef
21.
go back to reference Buscemi S, Marventano S, Castellano S, Nolfo F, Rametta S, Giorgianni G, et al. Role of anthropometric factors, self-perception, and diet on weight misperception among young adolescents: a cross-sectional study. Eat Weight Disord. 2018;23:107–15.PubMedCrossRef Buscemi S, Marventano S, Castellano S, Nolfo F, Rametta S, Giorgianni G, et al. Role of anthropometric factors, self-perception, and diet on weight misperception among young adolescents: a cross-sectional study. Eat Weight Disord. 2018;23:107–15.PubMedCrossRef
22.
go back to reference Abdelaal M, le Roux CW, Docherty NG. Morbidity and mortality associated with obesity. Ann Transl Med. 2017;5:7.CrossRef Abdelaal M, le Roux CW, Docherty NG. Morbidity and mortality associated with obesity. Ann Transl Med. 2017;5:7.CrossRef
23.
go back to reference Duncan DT, Wolin KY, Scharoun-Lee M, Ding EL, Warner ET, Bennett GG. Does perception equal reality? Weight misperception in relation to weight-related attitudes and behaviors among overweight and obese US adults. Int J Behav Nutr Phys Act. 2011;8:20.PubMedPubMedCentralCrossRef Duncan DT, Wolin KY, Scharoun-Lee M, Ding EL, Warner ET, Bennett GG. Does perception equal reality? Weight misperception in relation to weight-related attitudes and behaviors among overweight and obese US adults. Int J Behav Nutr Phys Act. 2011;8:20.PubMedPubMedCentralCrossRef
24.
go back to reference Avalos L, Tylka TL, Wood-Barcalow N. The body appreciation scale: development and psychometric evaluation. Body Image. 2005;2:285–97.PubMedCrossRef Avalos L, Tylka TL, Wood-Barcalow N. The body appreciation scale: development and psychometric evaluation. Body Image. 2005;2:285–97.PubMedCrossRef
25.
go back to reference Rinaldo N, Zaccagni L, Gualdi-Russo E. Soccer training programme improved the body composition of pre-adolescent boys and increased their satisfaction with their body image. Acta Paediatr. 2016;105:492–5.CrossRef Rinaldo N, Zaccagni L, Gualdi-Russo E. Soccer training programme improved the body composition of pre-adolescent boys and increased their satisfaction with their body image. Acta Paediatr. 2016;105:492–5.CrossRef
26.
go back to reference Goodpaster BH, Thaete FL, Kelley DE. Composition of skeletal muscle evaluated with computed tomography. Ann N Y Acad Sci. 2000;904:18–24.PubMedCrossRef Goodpaster BH, Thaete FL, Kelley DE. Composition of skeletal muscle evaluated with computed tomography. Ann N Y Acad Sci. 2000;904:18–24.PubMedCrossRef
27.
go back to reference Williams JE, Wells JCK, Wilson CM, Haroun D, Lucas A, Fewtrell MS. Evaluation of Lunar Prodigy dual-energy X-ray absorptiometry for assessing body composition in healthy persons and patients by comparison with the criterion 4-component model. Am J Clin Nutr. 2006;83:1047–54.PubMedCrossRef Williams JE, Wells JCK, Wilson CM, Haroun D, Lucas A, Fewtrell MS. Evaluation of Lunar Prodigy dual-energy X-ray absorptiometry for assessing body composition in healthy persons and patients by comparison with the criterion 4-component model. Am J Clin Nutr. 2006;83:1047–54.PubMedCrossRef
28.
go back to reference Duren DL, Sherwood RJ, Czerwinski SA, Lee M, Choh AC, Siervogel RM, et al. Body composition methods: comparisons and interpretation. J Diabetes Sci Technol. 2008;2:1139–46.PubMedPubMedCentralCrossRef Duren DL, Sherwood RJ, Czerwinski SA, Lee M, Choh AC, Siervogel RM, et al. Body composition methods: comparisons and interpretation. J Diabetes Sci Technol. 2008;2:1139–46.PubMedPubMedCentralCrossRef
29.
go back to reference Lee D-H, Park K, Ahn S, Ku E, Jung K, Kim Y, et al. Comparison of abdominal visceral adipose tissue area measured by computed tomography with that estimated by bioelectrical impedance analysis method in Korean subjects. Nutrients. 2015;7:10513–24.PubMedPubMedCentralCrossRef Lee D-H, Park K, Ahn S, Ku E, Jung K, Kim Y, et al. Comparison of abdominal visceral adipose tissue area measured by computed tomography with that estimated by bioelectrical impedance analysis method in Korean subjects. Nutrients. 2015;7:10513–24.PubMedPubMedCentralCrossRef
31.
go back to reference Cohen E, Gradidge PJ-L, Micklesfield LK, Norris SA. Relationship between body mass index and body image disturbances among South African mothers and their daughters living in Soweto, Johannesburg. Fam Commun Health. 2019;42:140–9.CrossRef Cohen E, Gradidge PJ-L, Micklesfield LK, Norris SA. Relationship between body mass index and body image disturbances among South African mothers and their daughters living in Soweto, Johannesburg. Fam Commun Health. 2019;42:140–9.CrossRef
32.
go back to reference Gualdi-Russo E, Toselli S. Influence of various factors on the measurement of multifrequency bioimpedance. Homo. 2002;53:1–16.PubMedCrossRef Gualdi-Russo E, Toselli S. Influence of various factors on the measurement of multifrequency bioimpedance. Homo. 2002;53:1–16.PubMedCrossRef
33.
go back to reference Ibáñez ME, Mereu E, Buffa R, Gualdi-Russo E, Zaccagni L, Cossu S, et al. New specific bioelectrical impedance vector reference values for assessing body composition in the Italian–Spanish young adult population. Am J Hum Biol. 2015;27:871–6.PubMedCrossRef Ibáñez ME, Mereu E, Buffa R, Gualdi-Russo E, Zaccagni L, Cossu S, et al. New specific bioelectrical impedance vector reference values for assessing body composition in the Italian–Spanish young adult population. Am J Hum Biol. 2015;27:871–6.PubMedCrossRef
34.
go back to reference Zaccagni L, Rinaldo N, Bramanti B, Gualdi-Russo E. Relation between lifestyle behaviors and body composition patterns among healthy young Italians: a cross-sectional study. J Sports Med Phys Fitness. 2017;58(11):1652–6.PubMed Zaccagni L, Rinaldo N, Bramanti B, Gualdi-Russo E. Relation between lifestyle behaviors and body composition patterns among healthy young Italians: a cross-sectional study. J Sports Med Phys Fitness. 2017;58(11):1652–6.PubMed
35.
go back to reference Weiner JS, Lourie JA. Practical human biology. Cambridge: Academic Press; 1981. Weiner JS, Lourie JA. Practical human biology. Cambridge: Academic Press; 1981.
36.
go back to reference Kyle UG, Genton L, Karsegard L, Slosman DO, Pichard C. Single prediction equation for bioelectrical impedance analysis in adults aged 20–94 years. Nutrition. 2001;17:248–53.PubMedCrossRef Kyle UG, Genton L, Karsegard L, Slosman DO, Pichard C. Single prediction equation for bioelectrical impedance analysis in adults aged 20–94 years. Nutrition. 2001;17:248–53.PubMedCrossRef
37.
go back to reference Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr. 2000;72:694–701.PubMedCrossRef Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr. 2000;72:694–701.PubMedCrossRef
38.
go back to reference Thompson MA, Gray JJ. Development and validation of a new body-image assessment scale. J Pers Assess. 1995;64:258–69.PubMedCrossRef Thompson MA, Gray JJ. Development and validation of a new body-image assessment scale. J Pers Assess. 1995;64:258–69.PubMedCrossRef
39.
go back to reference Mciza Z, Goedecke JH, Steyn NP, Charlton K, Puoane T, Meltzer S, et al. Development and validation of instruments measuring body image and body weight dissatisfaction in South African mothers and their daughters. Public Health Nutr. 2005;8:509–19.PubMedCrossRef Mciza Z, Goedecke JH, Steyn NP, Charlton K, Puoane T, Meltzer S, et al. Development and validation of instruments measuring body image and body weight dissatisfaction in South African mothers and their daughters. Public Health Nutr. 2005;8:509–19.PubMedCrossRef
40.
go back to reference Mchiza ZJ, Goedecke JH, Lambert EV. Intra-familial and ethnic effects on attitudinal and perceptual body image: a cohort of South African mother-daughter dyads. BMC Public Health. 2011;11(1):433.PubMedPubMedCentralCrossRef Mchiza ZJ, Goedecke JH, Lambert EV. Intra-familial and ethnic effects on attitudinal and perceptual body image: a cohort of South African mother-daughter dyads. BMC Public Health. 2011;11(1):433.PubMedPubMedCentralCrossRef
42.
go back to reference Gualdi-Russo E, Manzon VS, Masotti S, Toselli S, Albertini A, Celenza F, et al. Weight status and perception of body image in children: the effect of maternal immigrant status. Nutr J. 2012;11:85.PubMedPubMedCentralCrossRef Gualdi-Russo E, Manzon VS, Masotti S, Toselli S, Albertini A, Celenza F, et al. Weight status and perception of body image in children: the effect of maternal immigrant status. Nutr J. 2012;11:85.PubMedPubMedCentralCrossRef
43.
go back to reference Brennan MA, Lalonde CE, Bain JL. Body image perceptions: do gender differences exist? Psi Chi J Psychol Res. 2017;15:130–8.CrossRef Brennan MA, Lalonde CE, Bain JL. Body image perceptions: do gender differences exist? Psi Chi J Psychol Res. 2017;15:130–8.CrossRef
44.
go back to reference Jones DC, Bain N, King S. Weight and muscularity concerns as longitudinal predictors of body image among early adolescent boys: a test of the dual pathways model. Body Image. 2008;5:195–204.PubMedCrossRef Jones DC, Bain N, King S. Weight and muscularity concerns as longitudinal predictors of body image among early adolescent boys: a test of the dual pathways model. Body Image. 2008;5:195–204.PubMedCrossRef
45.
go back to reference Romero-Corral A, Somers VK, Sierra-Johnson J, Thomas RJ, Collazo-Clavell ML, Korinek J, et al. Accuracy of body mass index in diagnosing obesity in the adult general population. Int J Obes (Lond). 2008;32:959–66.PubMedCentralCrossRef Romero-Corral A, Somers VK, Sierra-Johnson J, Thomas RJ, Collazo-Clavell ML, Korinek J, et al. Accuracy of body mass index in diagnosing obesity in the adult general population. Int J Obes (Lond). 2008;32:959–66.PubMedCentralCrossRef
46.
go back to reference Gillen MM. Associations between positive body image and indicators of men’s and women’s mental and physical health. Body Image. 2015;13:67–74.PubMedCrossRef Gillen MM. Associations between positive body image and indicators of men’s and women’s mental and physical health. Body Image. 2015;13:67–74.PubMedCrossRef
47.
go back to reference NCD Countdown 2030 collaborators. NCD Countdown 2030: Worldwide trends in non-communicable disease mortality and progress towards Sustainable Development Goal target 34. Lancet (London, England). 2018;392:1072–88.CrossRef NCD Countdown 2030 collaborators. NCD Countdown 2030: Worldwide trends in non-communicable disease mortality and progress towards Sustainable Development Goal target 34. Lancet (London, England). 2018;392:1072–88.CrossRef
Metadata
Title
Body image perception and body composition: assessment of perception inconsistency by a new index
Authors
Luciana Zaccagni
Natascia Rinaldo
Barbara Bramanti
Jessica Mongillo
Emanuela Gualdi-Russo
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Journal of Translational Medicine / Issue 1/2020
Electronic ISSN: 1479-5876
DOI
https://doi.org/10.1186/s12967-019-02201-1

Other articles of this Issue 1/2020

Journal of Translational Medicine 1/2020 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.