DOI QR코드

DOI QR Code

Weight Control Behaviors, Health-related Quality of Life and Nutritional Status by Overestimation of Body Image among Young Korean Females: Data from the Fifth Korea National Health and Nutrition Examination Survey, 2010-2011

20·30대 여성의 체형 과대인식에 따른 체중조절행위, 삶의 질, 식행동 및 영양소 섭취상태: 2010-2011년 국민건강영양조사 자료 이용

  • Park, Seulki (Department of Food Science & Nutrition, Daejin University) ;
  • Hyun, Taisun (Department of Food and Nutrition, Chungbuk National University) ;
  • Lee, Hongmie (Department of Food Science & Nutrition, Daejin University)
  • 박슬기 (대진대학교 식품영양학과) ;
  • 현태선 (충북대학교 식품영양학과) ;
  • 이홍미 (대진대학교 식품영양학과)
  • Received : 2015.08.20
  • Accepted : 2015.10.13
  • Published : 2015.10.30

Abstract

Objectives: This study was performed to investigate the effects of overestimation of their own body shape on weight control behaviors, mental condition, physical activity, dietary behavior, health-related quality of life, and nutritional status among young Korean females. Methods: A total of 1,514 women aged 20-39 years who are not pregnant and lactating among those who participated in the Fifth Korea National Health and Nutrition Examination Survey (2010~2011), were analyzed and grouped into underestimation (n=120), normal estimation (NE, n=840), and overestimation (OE, n=554), based on their body perception compared to actual percent ideal body weights. Variables were compared between OE group and NE group. Results: The subjects in OE group were significantly younger (29.5 vs. 30.5 years, respectively p < 0.05) and had lower body mass index (20.9 vs. 22.2 respectively, p < 0.01), health-related quality of life measured by EQ-5D (EuroQol-5 Dimension)(0.97 vs. 0.98 respectively, p < 0.05), nutrition adequacy ratio (NAR) of protein (0.91 vs. 0.93 respectively, p < 0.05), phosphorous (0.93 vs. 0.96 respectively, p < 0.05), and iron (0.70 vs. 0.75 respectively, p < 0.01), and index of nutrition quality (INQ) of iron (0.84 vs. 0.89 respectively, p < 0.05) compared to those in the NE group. The results of logistic regression showed that unmarried status (OR 1.32; 1.01~1.72) and severely underweight/underweight status (OR 1.94; 1.01~3.75)/(OR 1.81; 1.34~2.45) were significantly related to the probability of overestimation by the subjects. Significantly more women in OE group practiced fasting, skipping meals, and taking prescribed pills to lose body weights and had skipped breakfast compared to those in the NE group. Conclusions: The results of this study suggested that the Korean young women's distorted perception of own body shape may be associated with undesirable weight control behavior, low quality of life, and lower nutritional status. Therefore, nutrition education for this group should include information on correct body shape perception and its importance.

Keywords

References

  1. World Health Organization. Obesity: preventing and managing the global epidemic report of a WHO consultation (WHO Technical Report Series 894) [internet]. WHO; 1998 [cited 2015 Aug 13]. Available from: http://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/.
  2. Korea Centers for Disease Control and Prevention.Ministry of Health and Welfare. Korea health statistics 2013: The Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-1) [internet]. 2014 [cited 2015 Aug 13]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.
  3. Ryu HK. A survey of adolescents' concern and perception about body image. Korean J Community Nutr 1997; 2(2): 197-205.
  4. Hong MS, Pak HO, Sohn CY. A study on food behaviors and nutrient intakes according to body mass index and body image recognition in female university students from Incheon. Korean J Food Nutr 2011; 24(3): 386-395. https://doi.org/10.9799/ksfan.2011.24.3.386
  5. Chang HS. A study on weight control behaviour, eating habits and health-related life habits according to obesity degree by body fat percentage among middle-aged women in Gunsan city. Korean J Community Nutr 2010; 15(2): 227-239.
  6. Lim YS, Park NR, Jeon SB, Jeong SY, Tserendejid Z, Park HR. Analysis of weight control behaviors by body image perception among Korean women in different age groups: Using the 2010 Korea national health and nutrition examination survey data. Korean J Community Nutr 2015; 20(2): 141-150. https://doi.org/10.5720/kjcn.2015.20.2.141
  7. Kim HJ, Jang HS. Comparison between body perception, attitude on weight-control and self-esteem according to the weight group of high school students in Daegu. J Korean Home Econ Educ Assoc 2009; 21(2): 1-22.
  8. Cho JH, Han SN, Kim JH, Lee HM. Body image distortion in fifth and sixth grade students may lead to stress, depression, and undesirable dieting behavior. Nutr Res Pract 2012; 6(2): 175-181. https://doi.org/10.4162/nrp.2012.6.2.175
  9. Kim MS, Lee HM. Overestimation of own body weights in female university students: associations with lifestyles, weight control behaviors and depression. Nutr Res Pract 2010; 4(6): 499-506. https://doi.org/10.4162/nrp.2010.4.6.499
  10. Cuypers K, Kvaloy K, Bratberg G, Midthjell K, Holmen J, Holmen TL. Being normal weight but feeling overweight in adolescence may affect weight development into young adulthoodan 11-year followup: The HUNT study, Norway. J Obes 2012; 601872: 1-8.
  11. Stice E, Bearman SK. Body-image and eating disturbances prospectively predict increases in depressive symptoms in adolescent girls: A growth curve analysis. Develop Psychol 2001; 37(5): 597-607. https://doi.org/10.1037/0012-1649.37.5.597
  12. Oh JY, Park KH. The effect of overvaluation of shape and weight on binge eating. Korean J Health Psychol 2011; 16(4): 739-757.
  13. Cho HS, Choi MK. A study on body image and dietary habits by the body mass index of middle school students in Chungnam. Korean J Food Nutr 2010; 23(3): 368-375.
  14. Ehrenberg HM, Dierker L, Milluzzi C, Mercer BM. Low maternal weight, failure to thrive in pregnancy, and adverse pregnancy outcomes. Am J Obstet Gynecol 2003; 189(6): 1726-1730. https://doi.org/10.1016/S0002-9378(03)00860-3
  15. Yu Z, Han S, Zhu J, Sun X, Ji C, Guo X. Pre-pregnancy body mass index in relation to infant birth weight and offspring overweight/obesity: a systematic review and meta-analysis. PLoS ONE 2013; 8(4): e61627. https://doi.org/10.1371/journal.pone.0061627
  16. Seo JS, Lee JH, Yoon JS, Cho SH, Choi YS. Nutritional Assessment. 1st ed. Seoul: Powerbook; 2008. p. 150-153.
  17. Kim MH, Cho YS, Uhm WS, Kim S, Bae SC. Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases. Qual Life Res 2005; 14(5): 1401-1406. https://doi.org/10.1007/s11136-004-5681-z
  18. The Korean Nutrition Society. Dietary reference intakes for Koreans. 1st revision. Seoul: The Korean Nutrition Society; 2010. p. 25-46.
  19. Park SK. A survey on weight control, mental condition, physical activity, dietary behavior, and nutritional status by body perception in Korean female [Master's thesis]. Daejin University; 2014.
  20. Min JS. A study on physical condition, body image perception, eating disorder risk, and depression level according to diet experience of some female high school students in Seoul [Master's thesis]. Daejin University; 2015.
  21. Klos LA, Sobal J. Marital status and body weight, weight perception, and weight management among US adults. Eat Behav 2013; 14(4): 500-507. https://doi.org/10.1016/j.eatbeh.2013.07.008
  22. Montani JP, Schutz Y, Dulloo AG. Dieting and weight cycling as risk factors for cardiometabolic diseases: who is really at risk? Obes Rev 2015; 16 Suppl 1: 7-18.
  23. Yoon SH, Han KT, Kim SJ, Sohn TY, Jeon B, Kim W et al. Combined effect of body mass index and body size perception on metabolic syndrome in South Korea: results of the fifth Korea National Health and Nutrition Examination Surveys (2010-2012). BMC Public Health 2015; 15(1): 1-15. https://doi.org/10.1186/1471-2458-15-1
  24. Tang J, Yu Y, Du Y, Ma Y, Zhu H, Liu Z. Association between actual weight status, perceived weight and depressive, anxious symptoms in Chinese adolescents: a cross-sectional study. BMC Public Health 2010; 10(1): 1-8. https://doi.org/10.1186/1471-2458-10-1
  25. Jansen W, van de Looij-Jansen PM, de Wilde EJ, Brug J. Feeling fat rather than being fat may be associated with psychological well-being in young Dutch adolescents. J Adolesc Health 2008; 42(2): 128-136. https://doi.org/10.1016/j.jadohealth.2007.07.015
  26. Farhat T, Iannotti RJ, Summersett-Ringgold F. Weight, weight perceptions, and health-related quality of life among a national sample of US girls. J Dev Behav Pediatr 2015; 36(5): 313-323. https://doi.org/10.1097/DBP.0000000000000172
  27. Chung JY, Lee MY, Kim MJ. A study on the prevalence of chronic diseases, health-related habits and nutrients intakes according to the quality of life in Korean adults. Korean J Community Nutr 2010; 15(4): 445-459.
  28. Lee HS. The factors influencing health-related quality of life in the elderly - Focused on the general characteristics, health habits, mental health, chronic diseases, and nutrient intake status: data from the fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010-2012. Korean J Community Nutr 2014; 19(5): 479-489. https://doi.org/10.5720/kjcn.2014.19.5.479
  29. Kim KW, Shin EM. A study on nutrition knowledge, nutritional attitudes, dietary behavior and dietary intake by weight control attempt among middle school female students. Korean J Community Nutr 2002; 7(1): 23-31.
  30. Sung SJ, Kwon SJ. Effect of eating with family or alone on the self-rated mental or physical health: The elementary school children in Daejeon area. Korean J Community Nutr 2010; 15(2): 206-226.
  31. Cason KL. Family mealtimes: more than just eating together. J Am Diet Assoc 2006; 106(4): 532-533. https://doi.org/10.1016/j.jada.2006.01.012

Cited by

  1. 어머니의 식습관, 요리습관 및 운동습관과 학령기 후기 아동의 Broca 체질량지수와의 상관관계 연구 vol.45, pp.10, 2015, https://doi.org/10.3746/jkfn.2016.45.10.1488
  2. 우리나라 성인남녀의 비만 및 주관적 체형인식과 불안·우울과의 관련성: 국민건강영양조사(2010-2014년) 분석 vol.28, pp.1, 2015, https://doi.org/10.4332/kjhpa.2018.28.1.3
  3. 베이비붐세대와 에코세대의 식행동, 식생활관련 소비자교육 현황·역량, 식생활 라이프스타일 차이 vol.51, pp.2, 2015, https://doi.org/10.4163/jnh.2018.51.2.153
  4. 서울 거주 20대 여성의 아침식사 섭취 빈도에 따른 식습관 및 영양소 섭취상태 조사 vol.23, pp.2, 2015, https://doi.org/10.5720/kjcn.2018.23.2.102
  5. Factors Affecting Body Image Discordance Amongst Korean Adults Aged 19–39 Years vol.9, pp.4, 2015, https://doi.org/10.24171/j.phrp.2018.9.4.09
  6. 성인 여성의 비만, 체형인식 및 체중조절의 관계 vol.25, pp.2, 2015, https://doi.org/10.4069/kjwhn.2019.25.2.129
  7. Understanding Body Image and Appearance Management Behaviors Among Adult Women in South Korea Within a Sociocultural Context: A Review vol.9, pp.2, 2015, https://doi.org/10.1037/ipp0000124
  8. 중년 여성의 신체 및 정신건강이 삶의 질에 미치는 영향 vol.21, pp.6, 2020, https://doi.org/10.5762/kais.2020.21.6.161