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Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

Body image satisfaction and weight concerns among a Mediterranean adult population

Authors: Maria del Mar Bibiloni, Josep Ll Coll, Jordi Pich, Antoni Pons, Josep A. Tur

Published in: BMC Public Health | Issue 1/2017

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Abstract

Background

People tend to underestimate their current weight and overestimate their height minimizing health risk factors. The aim of this study was to assess body weight satisfaction, acceptance of body image, weight concern and dieting habits among a Mediterranean adult population.

Methods

Cross-sectional survey was carried out (2009–2010) in the Balearic Islands, Spain. A random sample (n = 1081) of young (18–35 y.o.) and middle-aged adults (36–55 y.o.) was interviewed and anthropometrically measured.

Results

Women were more dissatisfied being overweight, less dissatisfied being underweight, and more worried about weight gain than men. Middle-aged participants were more dissatisfied with body shape and underestimated body weight than young’s. Employed women defined better current weight than unemployed, but unemployed were more worried about body weight gain. Overweight adults were more likely to underestimate their body weight but were also very worried about weight gain and more likely to report current dieting than their leaner counterparts. Active participants self-reported better body weight and were more satisfied with body image than sedentary.

Conclusions

Most of studied population reported body image dissatisfaction, but half of them are not worried about it. Women were more concerned about their body weight status. Practice of physical activity is a positive factor in self-perception. Holistic strategies are needed to avoid promoting unreal bodies, as well as the acceptance of the real body image.
Literature
5.
go back to reference Rodríguez-Rodríguez E, López-Plaza B, López-Sobaler AM, Ortega RM. Prevalencia de sobrepeso y obesidad en adultos españoles. Nutr Hospitalaria. 2011;26:355–63. Rodríguez-Rodríguez E, López-Plaza B, López-Sobaler AM, Ortega RM. Prevalencia de sobrepeso y obesidad en adultos españoles. Nutr Hospitalaria. 2011;26:355–63.
6.
go back to reference Mokdad AH, Bowman BA, Ford ES, Vinicor F, Marks JS, Koplan JP. The continuing epidemics of obesity and diabetes in the United States. J Am Med Ass. 2001;286:1195–200.CrossRef Mokdad AH, Bowman BA, Ford ES, Vinicor F, Marks JS, Koplan JP. The continuing epidemics of obesity and diabetes in the United States. J Am Med Ass. 2001;286:1195–200.CrossRef
7.
go back to reference Zaninotto P, Head J, Stamatakis E, Wardle H, Mindell J. Trends in obesity among adults in England from 1993 to 2004 by age and social class and projections of prevalence to 2012. J Epidemiol Comm Health. 2009;63:140–6.CrossRef Zaninotto P, Head J, Stamatakis E, Wardle H, Mindell J. Trends in obesity among adults in England from 1993 to 2004 by age and social class and projections of prevalence to 2012. J Epidemiol Comm Health. 2009;63:140–6.CrossRef
8.
go back to reference Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors. J Am Med Ass. 2003;283:76–9. Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors. J Am Med Ass. 2003;283:76–9.
9.
go back to reference Dastgiri S, Mahdavi R, TuTunchi H, Faramarzi E. Prevalence of obesity, food choices and socioeconomic status: a cross-sectional study in the north-west of Iran. Public Health Nutr. 2006;9:996–1000.CrossRefPubMed Dastgiri S, Mahdavi R, TuTunchi H, Faramarzi E. Prevalence of obesity, food choices and socioeconomic status: a cross-sectional study in the north-west of Iran. Public Health Nutr. 2006;9:996–1000.CrossRefPubMed
10.
go back to reference Leung J, Burke B, Ford D, Garvin G, Korn C, Sulis C, et al. Possible association between obesity and Clostridium difficile infection. Emerg Infect Dis. 2013;19:1791–8.CrossRefPubMedPubMedCentral Leung J, Burke B, Ford D, Garvin G, Korn C, Sulis C, et al. Possible association between obesity and Clostridium difficile infection. Emerg Infect Dis. 2013;19:1791–8.CrossRefPubMedPubMedCentral
11.
go back to reference Wing RR. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the Look AHEAD trial. Arch Intern Med. 2010;170:1566–75.PubMed Wing RR. Long-term effects of a lifestyle intervention on weight and cardiovascular risk factors in individuals with type 2 diabetes mellitus: four-year results of the Look AHEAD trial. Arch Intern Med. 2010;170:1566–75.PubMed
12.
go back to reference Dengo AL, Dennis EA, Orr JS, Marinik EL, Ehrlich E, Davy BM, et al. Arterial destiffening with weight loss in overweight and obese middle-aged and older adults. Hypertension. 2010;55:855–61.CrossRefPubMedPubMedCentral Dengo AL, Dennis EA, Orr JS, Marinik EL, Ehrlich E, Davy BM, et al. Arterial destiffening with weight loss in overweight and obese middle-aged and older adults. Hypertension. 2010;55:855–61.CrossRefPubMedPubMedCentral
13.
go back to reference de Las Fuentes L, Waggoner AD, Mohammed BS, Stein RI, Miller 3rd BV, Foster GD, et al. Effect of moderate diet-induced weight loss and weight regain on cardiovascular structure and function. J Am Coll Cardiol. 2009;54:2376–81.CrossRef de Las Fuentes L, Waggoner AD, Mohammed BS, Stein RI, Miller 3rd BV, Foster GD, et al. Effect of moderate diet-induced weight loss and weight regain on cardiovascular structure and function. J Am Coll Cardiol. 2009;54:2376–81.CrossRef
14.
go back to reference Bhanji S, Khuwaja AK, Siddiqui F, Azam I, Kazmi K. Underestimation of weight and its associated factors among overweight and obese adults in Pakistan: a cross sectional study. BMC Public Health. 2011;11:363.CrossRefPubMedPubMedCentral Bhanji S, Khuwaja AK, Siddiqui F, Azam I, Kazmi K. Underestimation of weight and its associated factors among overweight and obese adults in Pakistan: a cross sectional study. BMC Public Health. 2011;11:363.CrossRefPubMedPubMedCentral
15.
go back to reference Connor-Gorber S, Tremblay M, Moher D, Gorber B. A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obes Rev. 2007;8:307–26.CrossRefPubMed Connor-Gorber S, Tremblay M, Moher D, Gorber B. A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obes Rev. 2007;8:307–26.CrossRefPubMed
16.
go back to reference Makara-Studzińska M, Podstawka D, Goclon K. Factors influencing self-perception of overweight people. Pol Merk Lek. 2013;35:313–5. Makara-Studzińska M, Podstawka D, Goclon K. Factors influencing self-perception of overweight people. Pol Merk Lek. 2013;35:313–5.
17.
go back to reference Groesz LM, Levine MP, Murnen SK. The effect of experimental presentation of thin media images on body dissatisfaction: A Meta-Analytics review. Int J Eating Dis. 2002;31:1–16.CrossRef Groesz LM, Levine MP, Murnen SK. The effect of experimental presentation of thin media images on body dissatisfaction: A Meta-Analytics review. Int J Eating Dis. 2002;31:1–16.CrossRef
18.
go back to reference Becker AE. Television, disordered eating, and young women in Fiji: negotiating body image and identity during rapid social change. Cult Med Psyc. 2004;28:533–59.CrossRef Becker AE. Television, disordered eating, and young women in Fiji: negotiating body image and identity during rapid social change. Cult Med Psyc. 2004;28:533–59.CrossRef
19.
go back to reference Calado M, Lameiras M, Sepulveda AR, Rodriguez Y, Carrera MV. The association between exposure to mass media and body dissatisfaction among Spanish adolescent. Womens Health Issues. 2011;21:390–9.CrossRefPubMed Calado M, Lameiras M, Sepulveda AR, Rodriguez Y, Carrera MV. The association between exposure to mass media and body dissatisfaction among Spanish adolescent. Womens Health Issues. 2011;21:390–9.CrossRefPubMed
20.
go back to reference Sciacca JP, Melby CL, Hyner GC, Brown AC, Femea PL. Body Mass Index and perceived weight status in young adults. J Comm Health. 1991;16:159–68.CrossRef Sciacca JP, Melby CL, Hyner GC, Brown AC, Femea PL. Body Mass Index and perceived weight status in young adults. J Comm Health. 1991;16:159–68.CrossRef
21.
22.
go back to reference Wronka I, Suliga E, Pawlińska-Chmara R. Perceived and desired body weight among female university students in relation to BMI-based weight status and socio-economic factors. Ann Agric Environ Med. 2013;20:533–8.PubMed Wronka I, Suliga E, Pawlińska-Chmara R. Perceived and desired body weight among female university students in relation to BMI-based weight status and socio-economic factors. Ann Agric Environ Med. 2013;20:533–8.PubMed
23.
go back to reference Johnson F, Cooke L, Croker H, Wardle J. Changing perceptions of weight in Great Britain: comparison of two population surveys. Brit Med J. 2008;337:a494.CrossRefPubMedPubMedCentral Johnson F, Cooke L, Croker H, Wardle J. Changing perceptions of weight in Great Britain: comparison of two population surveys. Brit Med J. 2008;337:a494.CrossRefPubMedPubMedCentral
24.
go back to reference Coll JL, Bibiloni MM, Salas R, Pons A, Tur JA. Prevalence and related risk factors of overweight and obesity among the adult population in the Balearic islands, a Mediterranean region. Obes Facts. 2015;8:220–33.CrossRefPubMed Coll JL, Bibiloni MM, Salas R, Pons A, Tur JA. Prevalence and related risk factors of overweight and obesity among the adult population in the Balearic islands, a Mediterranean region. Obes Facts. 2015;8:220–33.CrossRefPubMed
25.
go back to reference Brestoff JR, Perry IJ, Van den Broeck J. Challenging the role of social norms regarding body weight as an explanation for weight, height, and BMI misreporting biases: development and application of a new approach to examining misreporting and misclassification bias in surveys. BMC Public Health. 2011;11:331.CrossRefPubMedPubMedCentral Brestoff JR, Perry IJ, Van den Broeck J. Challenging the role of social norms regarding body weight as an explanation for weight, height, and BMI misreporting biases: development and application of a new approach to examining misreporting and misclassification bias in surveys. BMC Public Health. 2011;11:331.CrossRefPubMedPubMedCentral
26.
go back to reference Stunkard AJ, Sorenson T, Schulsinger F. Use of the Danish adoption register for the study of obesity and thinness. Res Publ Assoc Res Nerv Ment Dis. 1983;60:115–20.PubMed Stunkard AJ, Sorenson T, Schulsinger F. Use of the Danish adoption register for the study of obesity and thinness. Res Publ Assoc Res Nerv Ment Dis. 1983;60:115–20.PubMed
28.
go back to reference Anderson LA, Eyler AA, Galuska DA, Brown DR, Brownson RC. Relationship of satisfaction with body size and trying to lose weight in a national survey of overweight and obese women aged 40 and older, United States. Prev Med. 2002;35:390–6.CrossRefPubMed Anderson LA, Eyler AA, Galuska DA, Brown DR, Brownson RC. Relationship of satisfaction with body size and trying to lose weight in a national survey of overweight and obese women aged 40 and older, United States. Prev Med. 2002;35:390–6.CrossRefPubMed
29.
go back to reference Cash TF, Melnyk SE, Hrabosky JI. The assessment of body image investment: an extensive revision of the appearance schemas inventory. Int J Eating Dis. 2004;35:305–16.CrossRef Cash TF, Melnyk SE, Hrabosky JI. The assessment of body image investment: an extensive revision of the appearance schemas inventory. Int J Eating Dis. 2004;35:305–16.CrossRef
30.
go back to reference Millstein RA, Carlson SA, Fulton JE, Galuska DA, Zhang J, Blanck HM, et al. Relationships between body size satisfaction and weight control practices among US adults. Medscape J Med. 2008;19:119. Millstein RA, Carlson SA, Fulton JE, Galuska DA, Zhang J, Blanck HM, et al. Relationships between body size satisfaction and weight control practices among US adults. Medscape J Med. 2008;19:119.
31.
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.CrossRefPubMedPubMedCentral 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.CrossRefPubMedPubMedCentral
32.
go back to reference Yaemsiri S, Slining MM, Agarwal SK. Perceived weight status, overweight diagnosis, and weight control among US adults: the NHANES 2003–2008 Study. Int J Obes (Lond). 2011;35:1063–70.CrossRef Yaemsiri S, Slining MM, Agarwal SK. Perceived weight status, overweight diagnosis, and weight control among US adults: the NHANES 2003–2008 Study. Int J Obes (Lond). 2011;35:1063–70.CrossRef
33.
34.
go back to reference Forrester-Knauss C, Zemp-Stutz E. Gender differences in disordered eating and weight dissatisfaction in Swiss adults: which factors matter? BMC Pub Health. 2012;12:809.CrossRef Forrester-Knauss C, Zemp-Stutz E. Gender differences in disordered eating and weight dissatisfaction in Swiss adults: which factors matter? BMC Pub Health. 2012;12:809.CrossRef
35.
go back to reference Goryński P, Krzyzanowski M. A study of the self-perception of being overweight in adult inhabitants of Cracow. J Clin Epidemiol. 1989;42:1149–54.CrossRefPubMed Goryński P, Krzyzanowski M. A study of the self-perception of being overweight in adult inhabitants of Cracow. J Clin Epidemiol. 1989;42:1149–54.CrossRefPubMed
36.
go back to reference Blokstra A, Burns CM, Seidell JC. Perception of weight status and dieting behaviour in Dutch men and women. Int J Obes. 1999;23:7–17.CrossRef Blokstra A, Burns CM, Seidell JC. Perception of weight status and dieting behaviour in Dutch men and women. Int J Obes. 1999;23:7–17.CrossRef
37.
go back to reference Hossain P, Kawar B, El Nahas M. Obesity and diabetes in the developing world-a growing challenge. New Eng J Med. 2007;18:213–5.CrossRef Hossain P, Kawar B, El Nahas M. Obesity and diabetes in the developing world-a growing challenge. New Eng J Med. 2007;18:213–5.CrossRef
38.
go back to reference McCabe MP, Ricciardelli LA. Body image dissatisfaction among males across the lifespan: a review of past literature. J Psychosom Res. 2004;56:675–85.CrossRefPubMed McCabe MP, Ricciardelli LA. Body image dissatisfaction among males across the lifespan: a review of past literature. J Psychosom Res. 2004;56:675–85.CrossRefPubMed
39.
go back to reference Amstadter AB, Begle AM, Cisler JM, Hernandez MA, Muzzy W, Acierno R. Prevalence and correlates of poor self-rated health in the United States: the national elder mistreatment study. Am J Geriat Psych. 2010;18:615–23.CrossRef Amstadter AB, Begle AM, Cisler JM, Hernandez MA, Muzzy W, Acierno R. Prevalence and correlates of poor self-rated health in the United States: the national elder mistreatment study. Am J Geriat Psych. 2010;18:615–23.CrossRef
40.
go back to reference Franzini L, Giannoni M. Determinants of health disparities between Italian regions. BMC Pub Health. 2010;10:296.CrossRef Franzini L, Giannoni M. Determinants of health disparities between Italian regions. BMC Pub Health. 2010;10:296.CrossRef
41.
go back to reference Hollederer A. Unemployment and health in the German population: results from 2005 microcensus. J Pub Health. 2011;19:257–68.CrossRef Hollederer A. Unemployment and health in the German population: results from 2005 microcensus. J Pub Health. 2011;19:257–68.CrossRef
42.
go back to reference Hayes D, Ross CE. Concern with appearance. Health beliefs and eating habits. J Health Soc Behav. 1987;28:120–30.CrossRefPubMed Hayes D, Ross CE. Concern with appearance. Health beliefs and eating habits. J Health Soc Behav. 1987;28:120–30.CrossRefPubMed
43.
go back to reference Kronenfeld LW, Reba-Harrelson L, Von Holle A, Reyes ML, Bulik CM. Ethnic and racial differences in body size perception and satisfaction. Body Image. 2010;7:131–6.CrossRefPubMedPubMedCentral Kronenfeld LW, Reba-Harrelson L, Von Holle A, Reyes ML, Bulik CM. Ethnic and racial differences in body size perception and satisfaction. Body Image. 2010;7:131–6.CrossRefPubMedPubMedCentral
44.
go back to reference Lopez E, Blix GG, Blix AG. Body image of Latinas compared to body image of non-Latina White women. Health Val. 1995;19:3–10. Lopez E, Blix GG, Blix AG. Body image of Latinas compared to body image of non-Latina White women. Health Val. 1995;19:3–10.
45.
go back to reference Robinson TN, Killen JD, Litt IF, Hammer LD, Wilson DM, Haydel KF, et al. Ethnicity and body dissatisfaction: are Hispanic and Asian girls at increased risk for eating disorders? J Adol Health. 1996;19:384–93.CrossRef Robinson TN, Killen JD, Litt IF, Hammer LD, Wilson DM, Haydel KF, et al. Ethnicity and body dissatisfaction: are Hispanic and Asian girls at increased risk for eating disorders? J Adol Health. 1996;19:384–93.CrossRef
46.
go back to reference Rodríguez S, Cruz S. Evaluación de la imagen corporal en mujeres latinoamericanas residentes en Guipúzcoa. Un estudio exploratorio. Anal Psicol. 2006;22:186–9. Rodríguez S, Cruz S. Evaluación de la imagen corporal en mujeres latinoamericanas residentes en Guipúzcoa. Un estudio exploratorio. Anal Psicol. 2006;22:186–9.
47.
go back to reference Crawford D, Campbell K. Lay definitions of ideal weight and overweight. Int J Obes. 1999;23:738–45.CrossRef Crawford D, Campbell K. Lay definitions of ideal weight and overweight. Int J Obes. 1999;23:738–45.CrossRef
48.
go back to reference Alley TR. Visual detection of body-weight change in young women. Percept Motor Skills. 1991;73:904–6.CrossRefPubMed Alley TR. Visual detection of body-weight change in young women. Percept Motor Skills. 1991;73:904–6.CrossRefPubMed
49.
go back to reference Blake CE, Hébert JR, Lee DC, Adams SA, Steck SE, Sui X, et al. Adults with greater weight satisfaction report more positive health behaviors and have better health status regardless of BMI. J Obes. 2013;2013:291371.CrossRefPubMedPubMedCentral Blake CE, Hébert JR, Lee DC, Adams SA, Steck SE, Sui X, et al. Adults with greater weight satisfaction report more positive health behaviors and have better health status regardless of BMI. J Obes. 2013;2013:291371.CrossRefPubMedPubMedCentral
50.
go back to reference Markey CN, Markey PM. Relations between body image and dieting behaviors: an examination of gender differences. Sex Roles. 2005;53:519–30.CrossRef Markey CN, Markey PM. Relations between body image and dieting behaviors: an examination of gender differences. Sex Roles. 2005;53:519–30.CrossRef
51.
go back to reference Mostafavi-Darani F, Daniali SS, Azadbakht L. Relationship of body satisfaction, with nutrition and weight control behaviors in women. Int J Prev Med. 2013;4:467–74.PubMedPubMedCentral Mostafavi-Darani F, Daniali SS, Azadbakht L. Relationship of body satisfaction, with nutrition and weight control behaviors in women. Int J Prev Med. 2013;4:467–74.PubMedPubMedCentral
52.
54.
go back to reference Higgins ET. Promotion and prevention: regulatory focus as a motivational principle. In: Zanna MP, editor. Advances in experimental social psychology. San Diego: Academic; 1998. p. 1–46. Higgins ET. Promotion and prevention: regulatory focus as a motivational principle. In: Zanna MP, editor. Advances in experimental social psychology. San Diego: Academic; 1998. p. 1–46.
Metadata
Title
Body image satisfaction and weight concerns among a Mediterranean adult population
Authors
Maria del Mar Bibiloni
Josep Ll Coll
Jordi Pich
Antoni Pons
Josep A. Tur
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3919-7

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