Weight Control Attempts in Underweight Korean Adults: Korea National Health and Nutrition Examination Survey, 2007-2010
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Background: Underweight refers to the weight range in which health risk can increase, since the weight is lower than a healthy weight. Negative attitudes towards obesity and socio-cultural preference for thinness could induce even underweight persons to attempt weight control. This study was conducted to investigate factors related to weight control attempts in underweight Korean adults.Methods: This was a cross-sectional study on 690 underweight adults aged 25 to 69 years using data from the Korea National Health and Nutrition Examination Survey, 2007–2010. Body image perception, weight control attempts during the past one year, various health behaviors, history of chronic diseases, and socioeconomic status were surveyed.Results: Underweight women had a higher rate of weight control attempts than underweight men (25.4% vs. 8.1%, P < 0.001). Among underweight men, subjects with the highest physical activity level (odds ratio [OR], 7.75), subjects with physician-diagnosed history of chronic diseases (OR, 7.70), and subjects with non-manual jobs or other jobs (OR, 6.22; 12.39 with reference to manual workers) had a higher likelihood of weight control attempts. Among underweight women, subjects who did not perceive themselves as thin (OR, 4.71), subjects with the highest household income level (OR, 2.61), and unmarried subjects (OR, 2.08) had a higher likelihood of weight control attempts.Conclusion: This study shows that numbers of underweight Korean adults have tried to control weight, especially women. Seeing that there are gender differences in factors related to weight control attempts in underweight adults, gender should be considered in helping underweight adults to maintain a healthy weight.
Abstract
Background: Underweight refers to the weight range in which health risk can increase, since the weight is lower than a healthy weight. Negative attitudes towards obesity and socio-cultural preference for thinness could induce even underweight persons to attempt weight control. This study was conducted to investigate factors related to weight control attempts in underweight Korean adults.Methods: This was a cross-sectional study on 690 underweight adults aged 25 to 69 years using data from the Korea National Health and Nutrition Examination Survey, 2007–2010. Body image perception, weight control attempts during the past one year, various health behaviors, history of chronic diseases, and socioeconomic status were surveyed.Results: Underweight women had a higher rate of weight control attempts than underweight men (25.4% vs. 8.1%, P < 0.001). Among underweight men, subjects with the highest physical activity level (odds ratio [OR], 7.75), subjects with physician-diagnosed history of chronic diseases (OR, 7.70), and subjects with non-manual jobs or other jobs (OR, 6.22; 12.39 with reference to manual workers) had a higher likelihood of weight control attempts. Among underweight women, subjects who did not perceive themselves as thin (OR, 4.71), subjects with the highest household income level (OR, 2.61), and unmarried subjects (OR, 2.08) had a higher likelihood of weight control attempts.Conclusion: This study shows that numbers of underweight Korean adults have tried to control weight, especially women. Seeing that there are gender differences in factors related to weight control attempts in underweight adults, gender should be considered in helping underweight adults to maintain a healthy weight.
참고문헌 (25)
- Dwyer J, "Policy and healthy weight", Am J Clin Nutr, 63, pp.415S~418S (1996)
- "Physical status: the use and interpretation of anthropometry: report of a WHO Expert Committee", World Health Organ Tech Rep Ser, 854, pp.1~452 (1995)
- Korea health statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1), "Korean Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2011)
- Flegal KM, "Cause-specific excess deaths associated with underweight, overweight, and obesity", JAMA, 298, pp.2028~2037 (2007)
- Gelber RP, "Body mass index and mortality in men: evaluating the shape of the association", Int J Obes (Lond), 31, pp.1240~1247 (2007)
- Flegal KM, "Impact of smoking and preexisting illness on estimates of the fractions of deaths associated with underweight, overweight, and obesity in the US population", Am J Epidemiol, 166, pp.975~982 (2007)
- Lusky A, "Relationship between morbidity and extreme values of body mass index in adolescents", Int J Epidemiol, 25, pp.829~834 (1996)
- Suastika K, "Underweight is an important risk factor for coronary heart disease in the population of Ceningan Island, Bali", Diab Vasc Dis Res, 9, pp.75~77 (2012)
- Mond J, "Mental health impairment in underweight women: do body dissatisfaction and eatingdisordered behavior play a role?", BMC Public Health, 11, pp.547~ (2011)
- Puhl RM, "The stigma of obesity: a review and update", Obesity (Silver Spring), 17, pp.941~964 (2009)
- Sugawara A, "Factors associated with inappropriate weight loss attempts by early adolescent girls in Japan", Eat Weight Disord, 16, pp.e157~e163 (2011)
- 허양임, "서울시 거주 성인에서 우울증상과 관련있는 체중 조절방법", Korean Journal of Family Medicine, 32(1), pp.21~28 (2011), 대한가정의학회
- McElhone S, "Body image perception in relation to recent weight changes and strategies for weight loss in a nationally representative sample in the European Union", Public Health Nutr, 2, pp.143~151 (1999)
- Kuan PX, "Gender differences in body mass index, body weight perception and weight loss strategies among undergraduates in Universiti Malaysia Sarawak", Malays J Nutr, 17, pp.67~75 (2011)
- 오지연, "한국어판 단문형 국제신처활동설문(IPAQ)의 신뢰도와 타당도", Korean Journal of Family Medicine, 28(7), pp.532~541 (2007), 대한가정의학회
- Willett WC, "Guidelines for healthy weight", N Engl J Med, 341, pp.427~434 (1999)
- Kiefer I, "Body weight: the male and female perception", Soz Praventivmed, 45, pp.274~278 (2000)
- Wardle J, "Body image and weight control in young adults: international comparisons in university students from 22 countries", Int J Obes (Lond), 30, pp.644~651 (2006)
- Sarlio-Lahteenkorva S, "The association of body mass index with social and economic disadvantage in women and men", Int J Epidemiol, 28, pp.445~449 (1999)
- Stice E, "Relation of media exposure to eating disorder symptomatology: an examination of mediating mechanisms", J Abnorm Psychol, 103, pp.836~840 (1994)
- Wardle J, "Socioeconomic status and weight control practices in British adults", J Epidemiol Community Health, 55, pp.185~190 (2001)
- Chen H, "Prevalence and sociodemographic correlates of eating disorder endorsements among adolescents and young adults from China", Eur Eat Disord Rev, 16, pp.375~385 (2008)
- Vogeltanz-Holm ND, "Longitudinal predictors of binge eating, intense dieting, and weight concerns in a national sample of women", Behav Ther, 31, pp.221~235 (2000)
- Hay P, "The epidemiology of eating disorder behaviors: an Australian community-based survey", Int J Eat Disord, 23, pp.371~382 (1998)
- Krauss RM, "AHA dietary guidelines: revision 2000: a statement for healthcare professionals from the Nutrition Committee of the American Heart Association", Stroke, 31, pp.2751~2766 (2000)