Skip to main content
Top
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

Who wants a slimmer body? The relationship between body weight status, education level and body shape dissatisfaction among young adults in Hong Kong

Authors: Yee Tak Derek Cheung, Antoinette Marie Lee, Sai Yin Ho, Edmund Tsze Shing Li, Tai Hing Lam, Susan Yun Sun Fan, Paul Siu Fai Yip

Published in: BMC Public Health | Issue 1/2011

Login to get access

Abstract

Background

Body shape dissatisfaction has been thought to have an indispensable impact on weight control behaviors. We investigated the prevalence of body shape dissatisfaction (BSD) and explored its association with weight status, education level and other determinants among young adults in Hong Kong.

Methods

Information on anthropometry, BSD, and socio-demographics was collected from a random sample of 1205 young adults (611 men and 594 women) aged 18-27 in a community-based household survey. BSD was defined as a discrepancy between current and ideal body shape based on a figure rating scale. Cross-tabulations, homogeneity tests and logistic regression models were applied.

Results

The percentages of underweight men and women were 16.5% and 34.9% respectively, and the corresponding percentages of being overweight or obese were 26.7% and 13.2% for men and women respectively. Three-quarters of young adults had BSD. Among women, 30.9% of those underweight and 75.5% of those with normal weight desired a slimmer body shape. Overweight men and underweight women with lower education level were more likely to have a mismatch between weight status and BSD than those with higher education level. After controlling for other determinants, underweight women were found to have a higher likelihood to maintain their current body shapes than other women. Men were found to be less likely to have a mismatch between weight status and BSD than women.

Conclusions

Overweight and obesity in men and underweight in women were prevalent among Hong Kong young adults. Inappropriate body shape desire might predispose individuals to unhealthy weight loss or gain behaviors. Careful consideration of actual weight status in body shape desire is needed in health promotion and education, especially for underweight and normal weight women and those with a low education level.
Appendix
Available only for authorised users
Literature
1.
go back to reference Higgins ET: Self-discrepancy: A theory relating self and affect. Psychological Review. 1987, 94 (3): 319-40.CrossRefPubMed Higgins ET: Self-discrepancy: A theory relating self and affect. Psychological Review. 1987, 94 (3): 319-40.CrossRefPubMed
2.
go back to reference Canpolat BI, Orsel S, Akdemir A, Ozbay MH: The relationship between dieting and body image, body ideal, self-perception, and body mass index in Turkish adolescents. International Journal of Eating Disorders. 2005, 37 (2): 150-5. 10.1002/eat.20081.CrossRefPubMed Canpolat BI, Orsel S, Akdemir A, Ozbay MH: The relationship between dieting and body image, body ideal, self-perception, and body mass index in Turkish adolescents. International Journal of Eating Disorders. 2005, 37 (2): 150-5. 10.1002/eat.20081.CrossRefPubMed
3.
go back to reference Silverstein B, Perdue L, Peterson B, Vogel L, Fantini DA: Possible Causes of the Thin Standard of Bodily Attractiveness for Women. International Journal of Eating Disorders. 1986, 5 (5): 907-16. 10.1002/1098-108X(198607)5:5<907::AID-EAT2260050511>3.0.CO;2-G.CrossRef Silverstein B, Perdue L, Peterson B, Vogel L, Fantini DA: Possible Causes of the Thin Standard of Bodily Attractiveness for Women. International Journal of Eating Disorders. 1986, 5 (5): 907-16. 10.1002/1098-108X(198607)5:5<907::AID-EAT2260050511>3.0.CO;2-G.CrossRef
4.
go back to reference Ackard DM, Croll JK, Kearney-Cooke A: Dieting frequency among college females: Association with disordered eating, body image, and related psychological problems. Journal of Psychosomatic Research. 2002, 52 (3): 129-36. 10.1016/S0022-3999(01)00269-0.CrossRefPubMed Ackard DM, Croll JK, Kearney-Cooke A: Dieting frequency among college females: Association with disordered eating, body image, and related psychological problems. Journal of Psychosomatic Research. 2002, 52 (3): 129-36. 10.1016/S0022-3999(01)00269-0.CrossRefPubMed
5.
go back to reference Johnson F, Wardle J: Dietary restraint, body dissatisfaction, and psychological distress: a prospective analysis. Journal of Abnormal Psychology. 2007, 114 (1): 119-25.CrossRef Johnson F, Wardle J: Dietary restraint, body dissatisfaction, and psychological distress: a prospective analysis. Journal of Abnormal Psychology. 2007, 114 (1): 119-25.CrossRef
6.
go back to reference Jeanie KS, Kathryn HT, Kate S: A comparison of body-image dissatisfaction and eating disturbance among Australian and Hong Kong women. European Eating Disorders Review. 2005, 13 (2): 112-24. 10.1002/erv.641.CrossRef Jeanie KS, Kathryn HT, Kate S: A comparison of body-image dissatisfaction and eating disturbance among Australian and Hong Kong women. European Eating Disorders Review. 2005, 13 (2): 112-24. 10.1002/erv.641.CrossRef
7.
go back to reference McCabe MP, Ricciardelli LA: Body image dissatisfaction among males across the lifespan: A review of past literature. Journal of Psychosomatic Research. 2004, 56 (6): 675-85. 10.1016/S0022-3999(03)00129-6.CrossRefPubMed McCabe MP, Ricciardelli LA: Body image dissatisfaction among males across the lifespan: A review of past literature. Journal of Psychosomatic Research. 2004, 56 (6): 675-85. 10.1016/S0022-3999(03)00129-6.CrossRefPubMed
8.
go back to reference Sheffield JK, Tse KH, Sofronoff K: A comparison of body-image dissatisfaction and eating disturbance among Australian and Hong Kong women. European Eating Disorders Review. 2005, 13 (2): 112-24. 10.1002/erv.641.CrossRef Sheffield JK, Tse KH, Sofronoff K: A comparison of body-image dissatisfaction and eating disturbance among Australian and Hong Kong women. European Eating Disorders Review. 2005, 13 (2): 112-24. 10.1002/erv.641.CrossRef
9.
go back to reference Cahill S, Mussap AJ: Emotional reactions following exposure to idealized bodies predict unhealthy body change attitudes and behaviors in women and men. Journal of Psychosomatic Research. 2007, 62 (6): 631-9. 10.1016/j.jpsychores.2006.11.001.CrossRefPubMed Cahill S, Mussap AJ: Emotional reactions following exposure to idealized bodies predict unhealthy body change attitudes and behaviors in women and men. Journal of Psychosomatic Research. 2007, 62 (6): 631-9. 10.1016/j.jpsychores.2006.11.001.CrossRefPubMed
10.
go back to reference Neighbors LA, Sobal J: Prevalence and magnitude of body weight and shape dissatisfaction among university students. Eating Behaviors. 2007, 8 (4): 429-39. 10.1016/j.eatbeh.2007.03.003.CrossRefPubMed Neighbors LA, Sobal J: Prevalence and magnitude of body weight and shape dissatisfaction among university students. Eating Behaviors. 2007, 8 (4): 429-39. 10.1016/j.eatbeh.2007.03.003.CrossRefPubMed
11.
go back to reference Tiggemann M, Hargreaves D, Polivy J, McFarlane T: A word-stem completion task to assess implicit processing of appearance-related information. Journal of Psychosomatic Research. 2004, 57 (1): 73-8. 10.1016/S0022-3999(03)00565-8.CrossRefPubMed Tiggemann M, Hargreaves D, Polivy J, McFarlane T: A word-stem completion task to assess implicit processing of appearance-related information. Journal of Psychosomatic Research. 2004, 57 (1): 73-8. 10.1016/S0022-3999(03)00565-8.CrossRefPubMed
12.
go back to reference Lam TH, Stewart SM, Leung G, Ho SY, Fan AH, Ma ALT: Sex Differences in Body Satisfaction, Feeling Fat and Pressure to Diet Among Chinese Adolescents in Hong Kong. European Eating Disorders Review. 2002, 10: 347-58. 10.1002/erv.480.CrossRef Lam TH, Stewart SM, Leung G, Ho SY, Fan AH, Ma ALT: Sex Differences in Body Satisfaction, Feeling Fat and Pressure to Diet Among Chinese Adolescents in Hong Kong. European Eating Disorders Review. 2002, 10: 347-58. 10.1002/erv.480.CrossRef
13.
go back to reference Jaehee J, Forbes GB: Body Dissatisfaction And Disordered Eating Among College Women in China, South Korea, and the United States: Contrasting Predictions from Sociocultural and Feminist Theories. Psychology of Women Quarterly. 2007, 31 (4): 381-93. 10.1111/j.1471-6402.2007.00387.x.CrossRef Jaehee J, Forbes GB: Body Dissatisfaction And Disordered Eating Among College Women in China, South Korea, and the United States: Contrasting Predictions from Sociocultural and Feminist Theories. Psychology of Women Quarterly. 2007, 31 (4): 381-93. 10.1111/j.1471-6402.2007.00387.x.CrossRef
14.
go back to reference McCabe MP, Ricciardelli LA: Body image and strategies to lose weight and increase muscle among boys and girls. Health Psychology. 2003, 22: 39-46.CrossRefPubMed McCabe MP, Ricciardelli LA: Body image and strategies to lose weight and increase muscle among boys and girls. Health Psychology. 2003, 22: 39-46.CrossRefPubMed
15.
go back to reference Anderson SL, Zager K, Hetzler RK, Nahikian-Nelms M, Syler G: Comparison of Eating Disorder Inventroy (EDI-2) scores of male bodybuilders to the male college student subgroup. International Journal of Sport Nutrition. 1996, 6: 255-62.PubMed Anderson SL, Zager K, Hetzler RK, Nahikian-Nelms M, Syler G: Comparison of Eating Disorder Inventroy (EDI-2) scores of male bodybuilders to the male college student subgroup. International Journal of Sport Nutrition. 1996, 6: 255-62.PubMed
16.
go back to reference Madrigal H, Sanchez-Villegas A, Martinez-Gonzalez MA, et al: Underestimation of body mass index through perceived body image as compared to self-reported body mass index in the European Union. Public Health (Nature). 2000, 114 (6): 468-10.1016/S0033-3506(00)00390-5.CrossRef Madrigal H, Sanchez-Villegas A, Martinez-Gonzalez MA, et al: Underestimation of body mass index through perceived body image as compared to self-reported body mass index in the European Union. Public Health (Nature). 2000, 114 (6): 468-10.1016/S0033-3506(00)00390-5.CrossRef
17.
go back to reference Ko GT: Obesity in Hong Kong - Risk and Burden. Hong Kong Medical Diary. 2010, 15 (2): 9-11. Ko GT: Obesity in Hong Kong - Risk and Burden. Hong Kong Medical Diary. 2010, 15 (2): 9-11.
18.
go back to reference Onis Md, Blössner M, Borghi E: Global prevalence and trends of overweight and obesity among preschool children. American Journal of Clinical Nutrition. 2010, 92: 1257-64. 10.3945/ajcn.2010.29786.CrossRefPubMed Onis Md, Blössner M, Borghi E: Global prevalence and trends of overweight and obesity among preschool children. American Journal of Clinical Nutrition. 2010, 92: 1257-64. 10.3945/ajcn.2010.29786.CrossRefPubMed
19.
go back to reference Jakab Z: WHO progress report on the implementation of the European Charter on Counteracting Obesity. 2010, Brussels, Belgium: World Health Organization Jakab Z: WHO progress report on the implementation of the European Charter on Counteracting Obesity. 2010, Brussels, Belgium: World Health Organization
20.
go back to reference Champion H, Furnham A: The effect of the media on body satisfaction in adolescent girls. European Eating Disorders Review. 1999, 7 (3): 213-28. 10.1002/(SICI)1099-0968(199906)7:3<213::AID-ERV229>3.0.CO;2-W.CrossRef Champion H, Furnham A: The effect of the media on body satisfaction in adolescent girls. European Eating Disorders Review. 1999, 7 (3): 213-28. 10.1002/(SICI)1099-0968(199906)7:3<213::AID-ERV229>3.0.CO;2-W.CrossRef
21.
go back to reference Eisenberg ME, Neumark-Sztainer D, Paxton SJ: Five-year change in body satisfaction among adolescents. Journal of Psychosomatic Research. 2006, 61 (4): 521-7. 10.1016/j.jpsychores.2006.05.007.CrossRefPubMed Eisenberg ME, Neumark-Sztainer D, Paxton SJ: Five-year change in body satisfaction among adolescents. Journal of Psychosomatic Research. 2006, 61 (4): 521-7. 10.1016/j.jpsychores.2006.05.007.CrossRefPubMed
22.
go back to reference Word Health Organization: The Asia-Pacific perspective: redefining obesity and its treatment. 2000, Sydney: Health Communications Australia Pty Limited Word Health Organization: The Asia-Pacific perspective: redefining obesity and its treatment. 2000, Sydney: Health Communications Australia Pty Limited
23.
go back to reference Dauphinot V, Wolff H, Naudin F, et al: New obesity body mass index threshold for self-reported data. Journal of Epidemiology and Community Health. 2009, 63 (2): 128-32.CrossRefPubMed Dauphinot V, Wolff H, Naudin F, et al: New obesity body mass index threshold for self-reported data. Journal of Epidemiology and Community Health. 2009, 63 (2): 128-32.CrossRefPubMed
24.
go back to reference Roberts RJ: Can self-reported data accurately describe the prevalence of overweight?. Public Health. 1995, 109 (4): 275-84. 10.1016/S0033-3506(95)80205-3.CrossRefPubMed Roberts RJ: Can self-reported data accurately describe the prevalence of overweight?. Public Health. 1995, 109 (4): 275-84. 10.1016/S0033-3506(95)80205-3.CrossRefPubMed
25.
go back to reference Department of Health HKSAR, Department of Community Medicine HKU: Population Health Survey 2003/04. 2005, Hong Kong Department of Health HKSAR, Department of Community Medicine HKU: Population Health Survey 2003/04. 2005, Hong Kong
26.
go back to reference Stunkard AJ, Sorensen T, Schulsinger F: Use of the Danish adoption register for the study of obesity and thinness. The genetics of neurological and psychiatric disorders. Edited by: Kety S. 1983, New Tork: Raven Press, 115-20. Stunkard AJ, Sorensen T, Schulsinger F: Use of the Danish adoption register for the study of obesity and thinness. The genetics of neurological and psychiatric disorders. Edited by: Kety S. 1983, New Tork: Raven Press, 115-20.
27.
go back to reference Thompson JK, Altabe M: Psychometirc qualities of the figure rating scale. International Journal of Eating Disorders. 1991, 10: 615-9. 10.1002/1098-108X(199109)10:5<615::AID-EAT2260100514>3.0.CO;2-K.CrossRef Thompson JK, Altabe M: Psychometirc qualities of the figure rating scale. International Journal of Eating Disorders. 1991, 10: 615-9. 10.1002/1098-108X(199109)10:5<615::AID-EAT2260100514>3.0.CO;2-K.CrossRef
28.
go back to reference Leung F, Lam S, Sze S: Cultural Expectations of Thinness in Chinese Women. Eating Disorders. The Journal of Treatment & Prevention. 2001, 9 (4): 339-50. Leung F, Lam S, Sze S: Cultural Expectations of Thinness in Chinese Women. Eating Disorders. The Journal of Treatment & Prevention. 2001, 9 (4): 339-50.
29.
go back to reference Lee S: How abnormal is the desire for slimness? A survey of eating attitudes and behavior among Chinese undergraduates in Hong Kong. Psychological Medicines. 1993, 23: 437-51. 10.1017/S0033291700028531.CrossRef Lee S: How abnormal is the desire for slimness? A survey of eating attitudes and behavior among Chinese undergraduates in Hong Kong. Psychological Medicines. 1993, 23: 437-51. 10.1017/S0033291700028531.CrossRef
30.
go back to reference Pingitore R, Spring B, Garfield D: Gender Differences in Body Satisfaction. Obesity Research. 1997, 5: 402-9.CrossRefPubMed Pingitore R, Spring B, Garfield D: Gender Differences in Body Satisfaction. Obesity Research. 1997, 5: 402-9.CrossRefPubMed
31.
go back to reference Ziebland S, Thorogood M, Fuller A, Muir J: Desire for the body normal: body image and discrepancies between self reported and measured height and weight in a British population. Journal of Epidemiology and Community Health. 1996, 50: 105-6. 10.1136/jech.50.1.105.CrossRefPubMedPubMedCentral Ziebland S, Thorogood M, Fuller A, Muir J: Desire for the body normal: body image and discrepancies between self reported and measured height and weight in a British population. Journal of Epidemiology and Community Health. 1996, 50: 105-6. 10.1136/jech.50.1.105.CrossRefPubMedPubMedCentral
32.
go back to reference Khawaja M, Afifi-Soweid RA: Images of body weight among young men and women: evidence from Beirut, Lebanon.(Short Report). Journal of Epidemiology and Community Health. 2004, 58 (4): 352(2) Khawaja M, Afifi-Soweid RA: Images of body weight among young men and women: evidence from Beirut, Lebanon.(Short Report). Journal of Epidemiology and Community Health. 2004, 58 (4): 352(2)
33.
go back to reference McLaren L, Gauvin L: Neighbourhood level versus individual level correlates of women's body dissatisfaction: Toward a multilevel understanding of the role of affluence. (Research Report). Journal of Epidemiology and Community Health. 2002, 56 (3): 193(7) McLaren L, Gauvin L: Neighbourhood level versus individual level correlates of women's body dissatisfaction: Toward a multilevel understanding of the role of affluence. (Research Report). Journal of Epidemiology and Community Health. 2002, 56 (3): 193(7)
34.
go back to reference Austin SB, Haines J, Veugelers PJ: Body satisfaction and body weight: gender differences and sociodemographic determinants. BMC Public Health. 2009, 9: 313-9. 10.1186/1471-2458-9-313.CrossRefPubMedPubMedCentral Austin SB, Haines J, Veugelers PJ: Body satisfaction and body weight: gender differences and sociodemographic determinants. BMC Public Health. 2009, 9: 313-9. 10.1186/1471-2458-9-313.CrossRefPubMedPubMedCentral
35.
go back to reference Garcia-Mendizabal MJ, Carrasco JM, Perez-Gomez B, et al: Role of educational level in the relationship between Body Mass Index (BMI) and health-related quality of life (HRQL) among rural Spanish women. BMC Public Health. 2009, 9: 120--10.1186/1471-2458-9-120.CrossRefPubMedPubMedCentral Garcia-Mendizabal MJ, Carrasco JM, Perez-Gomez B, et al: Role of educational level in the relationship between Body Mass Index (BMI) and health-related quality of life (HRQL) among rural Spanish women. BMC Public Health. 2009, 9: 120--10.1186/1471-2458-9-120.CrossRefPubMedPubMedCentral
36.
go back to reference Campos P, Saguy A, Ernsberger P, Oliver E, Gaesser G: The epidemiology of overweight and obesity: public health crisis or moral panic?. International Journal of Epidemiology. 2006, 35 (1): 55-60.CrossRefPubMed Campos P, Saguy A, Ernsberger P, Oliver E, Gaesser G: The epidemiology of overweight and obesity: public health crisis or moral panic?. International Journal of Epidemiology. 2006, 35 (1): 55-60.CrossRefPubMed
37.
go back to reference Lee S, Lee AM: Disordered Eating in Three Communities of China: A Comparative Study of Female High School Students in Hong Kong, Shenzhen, and Rural Hunan. International Journal of Eating Disorders. 2000, 27 (3): 317-27. 10.1002/(SICI)1098-108X(200004)27:3<317::AID-EAT9>3.0.CO;2-2.CrossRefPubMed Lee S, Lee AM: Disordered Eating in Three Communities of China: A Comparative Study of Female High School Students in Hong Kong, Shenzhen, and Rural Hunan. International Journal of Eating Disorders. 2000, 27 (3): 317-27. 10.1002/(SICI)1098-108X(200004)27:3<317::AID-EAT9>3.0.CO;2-2.CrossRefPubMed
38.
go back to reference Solano R, Fernandez-Aranda f, Aitken A, Lopez C, Vallejo J: Self-Injurious Behaviour in People with Eating Disorders. European Eating Disorders Review. 2005, 13: 3-10. 10.1002/erv.618.CrossRef Solano R, Fernandez-Aranda f, Aitken A, Lopez C, Vallejo J: Self-Injurious Behaviour in People with Eating Disorders. European Eating Disorders Review. 2005, 13: 3-10. 10.1002/erv.618.CrossRef
39.
go back to reference WHO expert consultation: Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. 2004 WHO expert consultation: Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. 2004
40.
go back to reference Cole TJ, Flegal KM, Nicholls D, Jackson AA: Body mass index cut offs to define thinness in children and adolescents: international survey. British Medical Journal. 2007, 335 (194): 1-8. Cole TJ, Flegal KM, Nicholls D, Jackson AA: Body mass index cut offs to define thinness in children and adolescents: international survey. British Medical Journal. 2007, 335 (194): 1-8.
41.
go back to reference WHO Expert Committee on Physical Status. Chapter 8. Thin adults: Physical status: the use and interpretation of anthropometry. 1995, Switzerland: Geneva WHO Expert Committee on Physical Status. Chapter 8. Thin adults: Physical status: the use and interpretation of anthropometry. 1995, Switzerland: Geneva
42.
go back to reference Gupta MA, Chaturvedi SK, Chandarana PC, Johnson AM: Weight-related body image concerns among 18-24-year-old women in Canada and India: an empirical comparative study. Journal of Psychosomatic Research. 2001, 50 (4): 193-8. 10.1016/S0022-3999(00)00221-X.CrossRefPubMed Gupta MA, Chaturvedi SK, Chandarana PC, Johnson AM: Weight-related body image concerns among 18-24-year-old women in Canada and India: an empirical comparative study. Journal of Psychosomatic Research. 2001, 50 (4): 193-8. 10.1016/S0022-3999(00)00221-X.CrossRefPubMed
43.
go back to reference Wasilenko KA, Kulik JA, Wanic RA: Effects of social comparisons with peers on women's body satisfaction and exercise behavior. International Journal of Eating Disorders. 2007, 40 (8): 740-5. 10.1002/eat.20433.CrossRefPubMed Wasilenko KA, Kulik JA, Wanic RA: Effects of social comparisons with peers on women's body satisfaction and exercise behavior. International Journal of Eating Disorders. 2007, 40 (8): 740-5. 10.1002/eat.20433.CrossRefPubMed
44.
go back to reference Gilbert-Diamond D, Baylin A, Mora-Plazas M, Villamor E: Correlates of Obesity and Body Image in Colombian Women. Journal of Women's Health. 2009, 18 (8): 1145-51. 10.1089/jwh.2008.1179.CrossRefPubMedPubMedCentral Gilbert-Diamond D, Baylin A, Mora-Plazas M, Villamor E: Correlates of Obesity and Body Image in Colombian Women. Journal of Women's Health. 2009, 18 (8): 1145-51. 10.1089/jwh.2008.1179.CrossRefPubMedPubMedCentral
Metadata
Title
Who wants a slimmer body? The relationship between body weight status, education level and body shape dissatisfaction among young adults in Hong Kong
Authors
Yee Tak Derek Cheung
Antoinette Marie Lee
Sai Yin Ho
Edmund Tsze Shing Li
Tai Hing Lam
Susan Yun Sun Fan
Paul Siu Fai Yip
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-835

Other articles of this Issue 1/2011

BMC Public Health 1/2011 Go to the issue