Health Promotion and Obesity Management Unit, Department of Pathophysiology, Medical Faculty in Katowice, Medical University of Silesia, Katowice, Poland.
Pathophysiology Unit, Department of Pathophysiology, Medical Faculty in Katowice, Medical University of Silesia, Medyków Street, 18 20 40-752, Katowice, Poland.
BMC Public Health. 2021 Sep 26;21(1):1754. doi: 10.1186/s12889-021-11771-z.
Various factors motivate people to undertake treatment for obesity. Among others they include health benefits, willingness to please others, and dissatisfaction with one's appearance. The present study aimed to assess body size dissatisfaction in patients with obesity seeking and not seeking treatment for obesity.
Two-hundred-sixteen adult subjects (154 women, 62 men) including 80 people with BMI ≥ 30 kg/m starting treatment for obesity (BMI 35.7 ± 5.3 kg/m) and 136 volunteers with obesity (BMI 34.7 ± 4.3 kg/m) not seeking treatment for obesity, were enrolled. Body size satisfaction was assessed using the Figure Rating Scale adapted by Stunkard.
Patients with obesity starting obesity treatment had more often a high level of body size dissatisfaction than volunteers with obesity not seeking the treatment (p < 0.001). There was a significant difference in the distribution of body size dissatisfaction in women (p < 0.05), but not in men (p = 0.47).
Patients with obesity, especially women, seeking obesity treatment more often represent a high level of body size dissatisfaction than volunteers with obesity not seeking treatment for obesity. This implies the need for public health campaigns to address negative attitudes or misconceptions about obesity and its treatment. Placing more attention and emphasis on body size dissatisfaction in more vulnerable women with obesity may help to define personal motivations and goals, strengthen the doctor-patient relationship and better adapt therapeutic strategies.
各种因素促使人们寻求肥胖治疗。其中包括健康益处、取悦他人的意愿和对自己外貌的不满。本研究旨在评估寻求和不寻求肥胖治疗的肥胖患者的身体尺寸不满。
纳入了 216 名成年受试者（154 名女性，62 名男性），包括 80 名 BMI≥30kg/m2 的人开始接受肥胖治疗（BMI 35.7±5.3kg/m）和 136 名肥胖志愿者（BMI 34.7±4.3kg/m）不寻求肥胖治疗。使用 Stunkard 改编的体型评分量表评估体型满意度。
开始肥胖治疗的肥胖患者比不寻求治疗的肥胖志愿者更经常表现出高度的身体尺寸不满（p<0.001）。女性（p<0.05）的体型不满分布存在显著差异，但男性（p=0.47）则没有。
寻求肥胖治疗的肥胖患者，尤其是女性，更经常表现出高度的身体尺寸不满，而不是不寻求肥胖治疗的肥胖志愿者。这意味着需要开展公共卫生宣传活动，以解决对肥胖及其治疗的负面态度或误解。在更脆弱的肥胖女性中更多地关注和强调身体尺寸不满，可能有助于确定个人动机和目标，加强医患关系，并更好地调整治疗策略。
