Kim Meelim, Kim Seonyeop, Kim Woojun, Choi Hyung Jin
Department of Biomedical Sciences, Seoul National University College of Medicine, Korea.
Department of Medicine, Clinical Counseling Psychology, CHA University, Korea.
Int J Clin Health Psychol. 2021 May-Aug;21(2):100224. doi: 10.1016/j.ijchp.2021.100224. Epub 2021 Feb 15.
We aimed to examine the prevalence of distorted body weight perception (BWP) and the choice of weight control strategies to investigate the associations between the psychological features and the different strategies for controlling body weight.
We used a representative nationwide 39-item survey to randomly select 1,000 participants. The extrapolated number (eN) to the whole national population was also reported. Self-BWP, weight control strategies, and obesity-related psychological conditions including anxiety, self-esteem, body satisfaction, obesity-related quality-of-life (QoL), and eating attitudes were assessed.
Among men, 39.30% (eN = 5,887,137) underestimated, whereas 24.90% (eN = 3,290,847) of women overestimated their weight. In contrast to 2% (eN = 271,745) of men, 15.20% (eN = 2,012,262) of women sought medical support to control their weight. Men and women who used medical support for weight management and women who overestimated their weight reported the most unfavorable psychological conditions (anxiety, self-esteem, body satisfaction, QoL, and eating attitudes; < .05).
A prevalent burden of psychological problems related to distorted BWP and weight control strategies was revealed. People with distorted BWP and using medical procedures for their weight control could be at a higher risk of psychological disorders. Therefore, body weight-related psychological problems call for urgent public health policies.
我们旨在研究体重认知偏差(BWP)的患病率以及体重控制策略的选择,以探讨心理特征与不同体重控制策略之间的关联。
我们采用了一项具有全国代表性的包含39个项目的调查,随机选取了1000名参与者。同时还报告了推算至全国总人口的数量(eN)。评估了自我体重认知、体重控制策略以及与肥胖相关的心理状况,包括焦虑、自尊、身体满意度、与肥胖相关的生活质量(QoL)和饮食态度。
在男性中,39.30%(eN = 5,887,137)低估了自己的体重,而24.90%(eN = 3,290,847)的女性高估了自己的体重。与2%(eN = 271,745)的男性相比,15.20%(eN = 2,012,262)的女性寻求医疗支持来控制体重。使用医疗支持进行体重管理的男性和女性以及高估自己体重的女性报告的心理状况最不理想(焦虑、自尊、身体满意度、生活质量和饮食态度;P <.05)。
揭示了与体重认知偏差和体重控制策略相关的心理问题的普遍负担。体重认知偏差且采用医疗手段控制体重的人可能面临更高的心理障碍风险。因此,与体重相关的心理问题需要紧急的公共卫生政策。