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韩国成年人按性别划分的身体意象感知与体重控制的关系。

Perceptual body image and the relationship with weight control across the adult lifespan by sex in Koreans.

机构信息

Department of Community Nursing, College of Nursing, Chonbuk National University, San 2-20 Geumam-dong, Deokjin-gu, Jeonju-si, Jeonllabuk-do, South Korea.

出版信息

J Public Health (Oxf). 2017 Dec 1;39(4):777-786. doi: 10.1093/pubmed/fdx021.

DOI:10.1093/pubmed/fdx021
PMID:28334764
Abstract

BACKGROUND

This study aimed to investigate perceptual body image and the relationship between perceived body image (PBI) and weight control differentiated according to obesity categories across the adult lifespan by sex among Koreans.

METHODS

We analyzed data on 10 198 adults aged 25 or older from the Korean National Health and Nutrition Examination Survey of a nationally representative sample of non-institutionalized Koreans.

RESULTS

Significant discordance between PBI and body mass index (BMI) or waist circumference (WC) was found in all age groups in both sexes, and the discordance for obesity grew more severe with age. Linear associations between PBI and BMI or WC were found in normal weight and obese groups in all age groups in both sexes, with relatively greater BMI or WC differences for PBI found in obese men aged ≤64 or ≤44, respectively, and obese women of all ages or aged ≥75, respectively, compared to normal weight. Obese women aged ≥65 (BMI) or ≥75 (WC) and obese men in the 45-54 and 65-74 age groups (BMI and WC) had significant association between PBI and weight control.

CONCLUSIONS

Interventions regarding accurate body size perception should be prioritized for obese women aged ≥65 or ≥75 and for obese men aged 45-54 and 65-74.

摘要

背景

本研究旨在调查韩国成年人的体像知觉,并按性别和肥胖类别,研究整个成年期体像知觉(PBI)与体重控制之间的关系。

方法

我们分析了韩国全国健康和营养检查调查的数据,该调查是对非机构化韩国成年人的全国代表性样本进行的。

结果

在所有年龄段的男性和女性中,PBI 与体重指数(BMI)或腰围(WC)之间均存在显著差异,且肥胖组的差异随年龄增长而加剧。在所有年龄段的男性和女性中,正常体重和肥胖组的 PBI 与 BMI 或 WC 呈线性相关,与正常体重相比,分别≤64 岁或≤44 岁的肥胖男性和所有年龄段或≥75 岁的肥胖女性的 PBI 与 BMI 或 WC 差异较大。与体重控制呈显著相关的是,年龄≥65 岁(BMI)或≥75 岁(WC)的肥胖女性和 45-54 岁和 65-74 岁年龄段的肥胖男性(BMI 和 WC)。

结论

对于年龄≥65 岁或≥75 岁的肥胖女性以及年龄在 45-54 岁和 65-74 岁的肥胖男性,应优先考虑关于准确体型感知的干预措施。

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