Blokstra A, Burns C M, Seidell J C
Department of Chronic Diseases and Environmental Epidemiology, National Institute of Public Health and the Environment, Bilthoven, The Netherlands.
Int J Obes Relat Metab Disord. 1999 Jan;23(1):7-17. doi: 10.1038/sj.ijo.0800803.
To study the perception of weight status, the accuracy of self-assessment of weight status and weight control practices relative to the degree of adiposity in Dutch men and women.
A cross-sectional study.
2155 men and 2446 women, aged 20-65y, of mostly caucasian origin, non-diabetic, not pregnant or with cancer.
Body weight, height, waist and hip, total cholesterol, high density lipoprotein (HDL) cholesterol, blood pressure, self-administered questionnaire (including questions concerning demographic variables), weight loss practices, dietary intake, participation in sport as part of Dutch Monitoring Project on Risk Factors for Chronic Diseases (MORGEN).
In the study population, 53% of men and 39% of women were overweight or obese. An association was shown between degree of adiposity and participation in sport for both men and women, and dietary fat intake in men. Of the subjects studied 56% of men and 52% of women described their weight as appropriate. A degree of inaccuracy in the estimation of relative body weight was observed. While dieting was prevalent, particularly among women, there was a lack of weight control action on the part of many overweight or obese individuals. This effect was most marked in men. Body Mass Index (BMI) was the strongest determinant of weight perception and dieting behaviours with some effect of educational level in men. Physical activity was not widely used as a method of weight control.
These results point to a need for regular assessment of an individual's relative weight and health risk, gender specific obesity treatments and prevention strategies, and an emphasis in treatment and prevention of obesity on physical activity.
研究荷兰男性和女性对体重状况的认知、体重状况自我评估的准确性以及与肥胖程度相关的体重控制行为。
横断面研究。
2155名男性和2446名女性，年龄在20 - 65岁之间，大多为白种人，非糖尿病患者，非孕妇且无癌症。
体重、身高、腰围和臀围、总胆固醇、高密度脂蛋白（HDL）胆固醇、血压、自行填写的问卷（包括有关人口统计学变量的问题）、减肥行为、饮食摄入、作为荷兰慢性病风险因素监测项目（MORGEN）一部分的体育活动参与情况。
在研究人群中，53%的男性和39%的女性超重或肥胖。男性和女性的肥胖程度与体育活动参与情况以及男性的饮食脂肪摄入量之间均存在关联。在研究对象中，56%的男性和52%的女性称自己体重合适。观察到相对体重估计存在一定程度的不准确。虽然节食很普遍，尤其是在女性中，但许多超重或肥胖个体缺乏体重控制行动。这种影响在男性中最为明显。体重指数（BMI）是体重认知和节食行为的最强决定因素，男性的教育水平也有一定影响。体育活动未被广泛用作体重控制方法。
这些结果表明需要定期评估个体的相对体重和健康风险，制定针对性别的肥胖治疗和预防策略，并在肥胖治疗和预防中强调体育活动。
