Chang Eun Young, Kim Jeong Sun, Shin Su Jin
College of Medicine, Sungkyunkwan University, Suwon, Korea.
J Korean Acad Nurs. 2009 Oct;39(5):693-9. doi: 10.4040/jkan.2009.39.5.693.
The purpose of this study was to identify congruence between self-perception and objective status of obesity according to %Fat, and to investigate health promotion lifestyle in college women.
The participants were a convenience sample of 392 college women who were eligible and agreed to participate in this study. Respondents were asked questions using a health promotion lifestyle profile and were evaluated for their body composition using InBody 3.0. The data were analyzed with SPSS 14.0 program, which was used for Chi square, ANOVA, and post-hoc comparison with Scheffe.
The major findings were as follows; 1) Overall, 41.8% of participants misclassified their perceived status of weight by %Fat standards and kappa was 0.329. 2) Two percent were underweight by BMI but overweight by %Fat and 39.0% normal weight by BMI but overweight by %Fat. 3) There were significant differences in health promotion lifestyle according to self-perception of body weight but there was no difference in health promotion lifestyle according to %Fat standards.
These findings suggest the necessity for development and application of tailored health promotion program based on self-perception of body weight and %Fat in order to reform incorrect body image and health behavior in college women.
本研究旨在根据体脂百分比确定自我认知与肥胖客观状况之间的一致性,并调查大学女生的健康促进生活方式。
参与者是392名符合条件并同意参与本研究的大学女生的便利样本。使用健康促进生活方式量表向受访者提问,并使用InBody 3.0评估她们的身体成分。数据用SPSS 14.0程序进行分析,该程序用于卡方检验、方差分析以及采用谢费法进行事后比较。
主要研究结果如下:1)总体而言,41.8%的参与者根据体脂百分比标准错误分类了她们感知到的体重状况,kappa值为0.329。2)2%的人按体重指数(BMI)属于体重过轻,但按体脂百分比属于超重;39.0%的人按BMI属于正常体重,但按体脂百分比属于超重。3)根据对体重的自我认知,健康促进生活方式存在显著差异,但根据体脂百分比标准,健康促进生活方式没有差异。
这些发现表明,有必要制定和应用基于体重自我认知和体脂百分比的量身定制的健康促进计划,以改善大学女生不正确的身体形象和健康行为。