Zalewska Magdalena, Jamiołkowski Jacek, Chlabicz Małgorzata, Łapińska Magda, Dubatówka Marlena, Kondraciuk Marcin, Hermanowicz Adam, Kamiński Karol Adam
Department of Population Medicine and Lifestyle Diseases Prevention, Medical University of Bialystok, 15-259 Bialystok, Poland.
Department of Invasive Cardiology, Medical University of Bialystok, 15-259 Bialystok, Poland.
J Clin Med. 2022 Aug 23;11(17):4944. doi: 10.3390/jcm11174944.
Obesity is a chronic disease with high prevalence in all age groups. Many overweight and obese people seem to be unaware of excess body weight.
Analysis of people affected by the misperception of excess body weight and their eating behaviors simultaneously with selected health parameters.
The study was conducted in 2017-2019 among 658 participants aged 20-79 from the population study-Bialystok PLUS (Poland). Results were based on clinical examinations and questionnaires.
Unawareness of overweight and obesity is common among adults (21.7%). Participants unaware of their overweight and obesity presented much higher risk factors. A high cardiovascular risk profile was observed more often among people not aware of overweight and obesity than among normal weight people (23.0% vs. 10.0%) as well as more common asymptomatic carotid artery atherosclerosis (49.7% vs. 31.3%). The subjective perception of overweight and obesity based on BMI (body mass index) was equal to 26.4 kg/m in women and 27.9 kg/m in men. The assessment of their diet was less favorable than that of people with normal weight.
Unawareness of one's excessive weight and its health consequences may lead to hesitancy to apply a healthy lifestyle and hence increase the cardiovascular risk in a substantial part of society. Therefore, it should be considered a part of the cardiovascular disease risk spectrum. Measurement of BMI and discussion about its health implications should be a routine procedure during healthcare contacts.
肥胖是一种在所有年龄组中患病率都很高的慢性疾病。许多超重和肥胖的人似乎并未意识到自己体重超标。
分析受体重超标认知错误影响的人群及其饮食行为，同时分析选定的健康参数。
该研究于2017年至2019年在波兰比亚韦斯托克PLUS人群研究中的658名年龄在20至79岁的参与者中进行。结果基于临床检查和问卷调查。
成年人中对超重和肥胖不知情的情况很常见（21.7%）。未意识到自己超重和肥胖的参与者存在更高的风险因素。未意识到超重和肥胖的人群中，心血管高风险状况的观察频率高于正常体重人群（23.0%对10.0%），无症状颈动脉粥样硬化也更常见（49.7%对31.3%）。基于体重指数（BMI）的超重和肥胖主观认知，女性为26.4千克/平方米，男性为27.9千克/平方米。他们的饮食评估不如正常体重的人。
未意识到自己体重超标及其健康后果可能导致不愿采取健康的生活方式，从而在很大一部分社会人群中增加心血管疾病风险。因此，应将其视为心血管疾病风险谱的一部分。在医疗接触过程中，测量BMI并讨论其对健康的影响应成为常规程序。
