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Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | Obesity | Research

The moderating effect of gender on the relationships between obesity, well-being, and stress perception in Korean adolescents

Authors: Nam Su-Jung, Park Jong-Ho

Published in: BMC Public Health | Issue 1/2021

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Abstract

Background

Children and adolescents with obesity are more likely to become adults with obesity. Therefore, obesity prevention in adolescence is essential for eliminating complications associated with obesity, which can affect health throughout the lifespan. This study examined the influences of adolescents’ obesity based on BMI and that of obesity based on adolescents’ perception of their well-being and stress, as well as the moderating effect of gender on these influences.

Methods

Data were analyzed for 61,861 adolescents aged 12–18, who participated in the 2019 Korean Adolescent Health Behavior Survey, an online self-administered questionnaire. Adolescents’ obesity based on perception was based on their self-rating as underweight, healthy weight, or obese. Chi-squared tests were used to determine whether well-being and stress perception were related to obesity based on BMI and obesity based on perception, and a general linear model was used to examine the main and interaction effects of obesity based on BMI, obesity based on perception, and gender on well-being and stress perception.

Results

Obesity based on BMI and obesity based on perception coincided in 58.7% of the sample. However, the degree of obesity was overestimated and underestimated by 19.2 and 24.3% of the sample, respectively. Obesity based on BMI and obesity based on perception varied by gender, age, economic status, and academic achievement. The main effect of obesity based on BMI was not statistically significant on both well-being and stress perception, and only the main effect of obesity based on perception was statistically significant on stress perception. The interaction between obesity based on perception and gender was significant for well-being and stress perception. Herein, males scored higher on well-being and lower on stress perception. However, the association patterns were similar for males and females, with significant differences between underweight, healthy weight, and overweight/obese; however, for only females, there was no difference in well-being scores between underweight and those who perceived themselves as having a healthy weight.

Conclusion

The well-being and stress perception are influenced by obesity based on perception rather than obesity based on BMI, and this influence varies according to gender in adolescents.
Literature
1.
go back to reference Koplan JP, Liverman CT, Kraak VA, editors. Preventing childhood obesity: health in the balance. Washington (DC): National Academies Press; 2005. Koplan JP, Liverman CT, Kraak VA, editors. Preventing childhood obesity: health in the balance. Washington (DC): National Academies Press; 2005.
3.
go back to reference Statistics Korea. 2018 Youth statistics. Daejeon: Statistics Korea; 2019. Statistics Korea. 2018 Youth statistics. Daejeon: Statistics Korea; 2019.
13.
go back to reference Kim SW. Body Wight and body image: a risk factor analysis in Korea. Korean Survey Research. 2001;12(3):143–72. Kim SW. Body Wight and body image: a risk factor analysis in Korea. Korean Survey Research. 2001;12(3):143–72.
14.
go back to reference Kim HA. Comparison of normal weight vs obese children in terms of family factors, eating habits and socio-cognitive factors. J Korean Acad Child Health Nurs. 2004;3:30–310. Kim HA. Comparison of normal weight vs obese children in terms of family factors, eating habits and socio-cognitive factors. J Korean Acad Child Health Nurs. 2004;3:30–310.
15.
go back to reference Hwang IC, Lee KS, Park DK, Jung EY, Choi CH, Cho SJ, et al. Association with self-perception for obesity and mental health among Korean adolescent. J Korean Acad Child Adolesc Psychiatry. 2001;2(2):12–9. Hwang IC, Lee KS, Park DK, Jung EY, Choi CH, Cho SJ, et al. Association with self-perception for obesity and mental health among Korean adolescent. J Korean Acad Child Adolesc Psychiatry. 2001;2(2):12–9.
16.
go back to reference Jeon YS, Ahn HS. Influence of subjective perception of body image and weight management on obesity stress in college women. J Korean Soc Food Sci Nutr Esthetic Cosmeceutics. 2006;1(2):13–26. Jeon YS, Ahn HS. Influence of subjective perception of body image and weight management on obesity stress in college women. J Korean Soc Food Sci Nutr Esthetic Cosmeceutics. 2006;1(2):13–26.
17.
go back to reference Jeon SM. Attitude of body weight control, eating disorder and stress by degree of obesity of middle school students in Kunsan area. Master dissertation. Kunsan: Kunsan University. 2009. Jeon SM. Attitude of body weight control, eating disorder and stress by degree of obesity of middle school students in Kunsan area. Master dissertation. Kunsan: Kunsan University. 2009.
18.
go back to reference Nam SJ, Park JH. Adolescents’ satisfaction of body and self-esteem according to obesity and subjective perception of body: verification of moderating effect of sex. Korean J Obes. 2013;2(4):251–3.CrossRef Nam SJ, Park JH. Adolescents’ satisfaction of body and self-esteem according to obesity and subjective perception of body: verification of moderating effect of sex. Korean J Obes. 2013;2(4):251–3.CrossRef
19.
go back to reference Song MK, Ha JH, Park DH, Ryu SH, Oh JH, Yu JH. Effect of body image and eating attitude on depressive mod and suicide ideation in female adolescents. Korean J Psychosom Med. 2010;18(1):40–7. Song MK, Ha JH, Park DH, Ryu SH, Oh JH, Yu JH. Effect of body image and eating attitude on depressive mod and suicide ideation in female adolescents. Korean J Psychosom Med. 2010;18(1):40–7.
21.
go back to reference Won KH. A comparative study of the degree satisfaction of body image and sex-role identify between primary school boys and girls. J Korean Soc School Health. 2003;16(1):135–48. Won KH. A comparative study of the degree satisfaction of body image and sex-role identify between primary school boys and girls. J Korean Soc School Health. 2003;16(1):135–48.
34.
go back to reference Korea Disease Control and Prevention Agency and The Korean Pediatric Society. 2017 Growth Charts for Children and Adolescents Commentary. Osong: Korea Disease Control and Prevention Agency; 2017. Korea Disease Control and Prevention Agency and The Korean Pediatric Society. 2017 Growth Charts for Children and Adolescents Commentary. Osong: Korea Disease Control and Prevention Agency; 2017.
36.
go back to reference Cheung PC, Ip PL, Lam S, Bibby H. A study on body weight perception and weight control behaviors among adolescents in Hong Kong. Hong Kong Med J. 2007;13(1):16–21.PubMed Cheung PC, Ip PL, Lam S, Bibby H. A study on body weight perception and weight control behaviors among adolescents in Hong Kong. Hong Kong Med J. 2007;13(1):16–21.PubMed
37.
go back to reference Pritchard ME, King SL, Czajka-Narins DM. Adolescent body mass indices and self-perception. Adolescence. 1997;32(128):863–80.PubMed Pritchard ME, King SL, Czajka-Narins DM. Adolescent body mass indices and self-perception. Adolescence. 1997;32(128):863–80.PubMed
38.
go back to reference Meadow RM, Weis L. Women's Conflicts about Eating and Sexuality: The Relationship between Food and Sex. NY: The Hayworth Pres; 1992. Meadow RM, Weis L. Women's Conflicts about Eating and Sexuality: The Relationship between Food and Sex. NY: The Hayworth Pres; 1992.
40.
go back to reference Kim OS. Obesity and weight control behaviors of middle and high school girl students. Nurs Sc. 1998;10(2):13–21. Kim OS. Obesity and weight control behaviors of middle and high school girl students. Nurs Sc. 1998;10(2):13–21.
41.
go back to reference Field A. Discovering Statistics using IBM SPSS 4th edition. CA: Sage; 2013. Field A. Discovering Statistics using IBM SPSS 4th edition. CA: Sage; 2013.
42.
go back to reference Rosenthal R, Rosnow RL. In: Winer BJ, editor. Essentials of behavioral research: Methods and data analysis. 2nd ed. New York: McGraw Hill; 1991. Rosenthal R, Rosnow RL. In: Winer BJ, editor. Essentials of behavioral research: Methods and data analysis. 2nd ed. New York: McGraw Hill; 1991.
43.
go back to reference Brown DR, Michels KM. Statistical Principles in experimental design. 3rd ed. New York: McGraw-Hill; 1991. Brown DR, Michels KM. Statistical Principles in experimental design. 3rd ed. New York: McGraw-Hill; 1991.
47.
go back to reference Choi BY, Choi MO. The survey for body shape recognition fatness knowledge and fatness stress of college woman. J Korean Soc Cosmetol. 2008;14(4):1052–64. Choi BY, Choi MO. The survey for body shape recognition fatness knowledge and fatness stress of college woman. J Korean Soc Cosmetol. 2008;14(4):1052–64.
Metadata
Title
The moderating effect of gender on the relationships between obesity, well-being, and stress perception in Korean adolescents
Authors
Nam Su-Jung
Park Jong-Ho
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-11894-3

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