Wardle J, Johnson F
Cancer Research UK Health Behaviour Unit, University College London, London, UK.
Int J Obes Relat Metab Disord. 2002 Aug;26(8):1144-9. doi: 10.1038/sj.ijo.0802046.
Amid rising levels of obesity, not all overweight individuals recognize that their weight is too high. At the same time many of those whose weight is within the normal range are dissatisfied with their body size, providing evidence of inappropriate weight aspirations, especially amongst women. This research examines the nature and level of complacency and over-concern in overweight, underweight and normal-weight individuals.
Data on weight, perceived overweight and dieting status were collected from a stratified probability sample of 1894 British adults, as part of the Office of National Statistics' Omnibus Survey.
Most obese adults correctly perceived themselves as overweight, but many were not trying to lose weight, and only a minority had participated in a programme of weight control. Men's awareness was lower than women's. At the other extreme, few men, but around a quarter of normal-weight women felt overweight or were trying to lose weight, but their preferred weight was only slightly below their actual weight.
:These results suggest that weight concern among British women is high, but probably not excessive and there is little evidence for idealization of dangerously low weights. In contrast, many overweight men were unaware of their weight problem. Only around half of those who would benefit from weight reduction were trying to lose weight, and few had received advice from health professionals. In view of the prevalence of obesity, there may be opportunities to provide more guidance on weight control within primary care.
在肥胖率不断上升的背景下,并非所有超重个体都意识到自己体重过高。与此同时,许多体重在正常范围内的人对自己的身材不满意,这表明存在不恰当的体重期望,尤其是在女性当中。本研究探讨超重、体重过轻和体重正常个体中自满和过度关注的性质及程度。
作为英国国家统计局综合调查的一部分,从1894名英国成年人的分层概率样本中收集了体重、自认为超重情况和节食状况的数据。
大多数肥胖成年人正确地意识到自己超重,但许多人并未尝试减肥,只有少数人参加过体重控制项目。男性的意识低于女性。在另一个极端,很少有男性,但约四分之一体重正常的女性觉得自己超重或正在尝试减肥,不过她们理想的体重仅略低于实际体重。
这些结果表明,英国女性对体重的关注程度较高,但可能并不过度,而且几乎没有证据表明存在对危险低体重的理想化情况。相比之下,许多超重男性并未意识到自己的体重问题。只有约一半能从减肥中获益的人在尝试减肥,而且很少有人接受过健康专业人士的建议。鉴于肥胖的普遍程度,在初级保健中可能有机会提供更多关于体重控制的指导。