Considering BMI, body image and desired weight change for suitable obesity management options

  1. Débora Godoy-Izquierdo 1
  2. Juan González-Hernández 1
  3. Raquel Lara 1
  4. Alejandra Rodríguez-Tadeo 2
  5. María J. Ramírez 1
  6. Estefanía Navarrón 1
  7. Adelaida Ogallar-Blanco 1
  8. Clara López-Mora 1
  9. Félix Arbinaga 3
  1. 1 Universidad de Granada
    info

    Universidad de Granada

    Granada, España

    ROR https://ror.org/04njjy449

  2. 2 Universidad Autónoma de Ciudad Juárez
    info

    Universidad Autónoma de Ciudad Juárez

    Ciudad Juárez, México

    ROR https://ror.org/05fj8cf83

  3. 3 Universidad de Huelva
    info

    Universidad de Huelva

    Huelva, España

    ROR https://ror.org/03a1kt624

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Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Año de publicación: 2020

Número: 23

Páginas: 1-14

Tipo: Artículo

DOI: 10.1017/SJP.2020.36 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: The Spanish Journal of Psychology

Resumen

With prevalence of obesity increasing worldwide, understanding body image in individuals with excessive weight is important, as unawareness of weight excess can prevent weight loss attempts. We explored the associations among measured and self-reported body mass index (BMI), body image and body satisfaction among Spanish females and males with overweight or obesity, with a special focus in discriminating individuals who are and are not satisfied with their body and wish or not to change their appearance. Just unifying all individuals with excessive weight may lead to uncover or deny different realities and to develop unfitted clinical management options. Updating findings for the Spanish population, we found that most participants correctly estimated their weight, but 3 in 10 underestimated it. Similarly, their body images corresponded to adults with overweight or obesity who desired to be thinner, but in average they reported a perceived body just slightly overweight and a moderate satisfaction with their body. Complementing the existing evidence, BMI and sex-gender interacted for influencing body weight estimation and desired weight change. In addition, three different subgroups were found for desired change of weight and size, depending on their BMI and body satisfaction. Discovering and considering different subjective realities and corporeal experiences among individuals with weight excess will help professionals to develop appropriate therapeutic interventions. Thus, the personal experiences that individuals have with obesity, instead of obesity itself, should be considered for disentangling management efforts.

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Información de financiación

This research was partially supported with the financial aid conceded to the “Psicología de la Salud/Medicina Conductual” Research Group (CTS–267) and “Psicología del Ejercicio, el Deporte y la Salud” Research Group (CTS–980) by the Junta de Andalucía (Spain), as well as to the Research Project “Quality of life and body image in adults with obesity” (PIVA Projects, Ref. ICB2) by the Universidad Autónoma Ciudad Juárez (Mexico).

Financiadores

Referencias bibliográficas

  • Acevedo, P., López-Ejeda, N., Alférez-García, I., Martínez-Álvarez, J. R., Villarino, A., Cabañas, M. D., & Marrodán, M. D. (2014). Body mass index through self-reported data and body image perception in Spanish adults attending dietary consultation. Nutrition, 30(6), 679–684. https://doi.org/10.1016/j.nut.2013.11.006
  • Aranceta-Bartrina, J., Pérez-Rodrigo, C., Alberdi-Aresti, G., Ramos-Carrera, N., & Lázaro-Masedo, S. (2016). Prevalence of general obesity and abdominal obesity in the Spanish adult population (aged 25–64 years) 2014–2015: The ENPE study. Revista Española de Cardiología, 69(6), 579–587. https://doi.org/10.1016/j.rec.2016.02.009
  • Arrospide, A., Machón, M., Ramos-Goñi, J. M, Ibarrondo, O., & Mar, J. (2019). Inequalities in health-related quality of life according to age, gender, educational level, social class, body mass index and chronic diseases using the Spanish value set for Euroquol 5D–5L Questionnaire. Health and Quality of Life Outcomes, 17(1), 69. https://doi.org/10.1186/s12955-019-1134-9
  • Austin, J. L., Serier, K. N, Sarafin, R. E., & Smith, J. E. (2017). Body dissatisfaction predicts poor behavioral weight loss treatment adherence in overweight Mexican American women. Body Image, 23, 155–161. https://doi.org/10.1016/j.bodyim.2017.08.002
  • Benton, C., & Karazsia, B. T. (2015). The effect of thin and muscular images on women’s body satisfaction. Body Image, 13, 22–27. https://doi.org/10.1016/j.bodyim.2014.11.001
  • Bibiloni, M. d. M., Coll, J. L., Pich, J., Pons, A., & Tur, J. A. (2017). Body image satisfaction and weight concerns among a Mediterranean adult population. BMC Public Health, 17, Article 39. https://doi.org/10.1186/s12889-016-3919-7
  • Casadó-Marín, L., & Gracia-Arnaiz, M. (2020). “I’m fat and proud of it”: Body size diversity and fat acceptance activism in Spain. Fat Studies, 9(1), 51–70. https://doi.org/10.1080/21604851.2019.1648994
  • Cash, T., & Smolak, L. (2011). Body image: A handbook of science, practice, and prevention (2nd Ed.). Guilford Press.
  • Casillas-Estrella, M., Montaño-Castrejón, N., Reyes-Velázquez, V., Bacardí-Gascón, M., & Jiménez-Cruz, A. (2006). A mayor IMC mayor grado de insatisfacción de la imagen corporal [Higher BMI means greater body image dissatisfaction]. Revista Biomédica, 17(4), 243–249. https://doi.org/10.32776/revbiomed.v17i4.463
  • Chao, H. L. (2015). Body image change in obese and overweight persons enrolled in weight loss intervention programs: A systematic review and meta-analysis. PLOS ONE, 10(5), Article e0124036. https://doi.org/10.1371/journal.pone.0124036
  • Cohen, J. (1988). Statistical power analysis for behavioral sciences. Academic Press.
  • Dragone, D., & Savorelli, L. (2012). Thinness and obesity: A model of food consumption, health concerns, and social pressure. Journal of Health Economics, 31(1), 243–256. https://doi.org/10.1016/j.jhealeco.2011.10.005
  • Duncan, D. T., Wolin, K. Y., Scharoun-Lee, M., Ding, E. L., Warner, E. T., & Bennett, G. G. (2011). Does perception equal reality? Weight misperception in relation to weight-related attitudes and behaviors among overweight and obese US adults. International Journal of Behavioral Nutrition and Physical Activity, 8(1), Article 20. https://doi.org/10.1186/1479-5868-8-20
  • Feng, X., & Wilson, A. (2019). Does dissatisfaction with, or accurate perception of overweight status help people reduce weight? Longitudinal study of Australian adults. BMC Public Health, 19, Article 619. https://doi.org/10.1186/s12889-019-6938-3
  • Gardner, R. M., & Brown, D. L. (2010). Body image assessment: A review of figural drawing scales. Personality and Individual Differences, 48(2), 107–111. https://doi.org/10.1016/j.paid.2009.08.017
  • Godoy-Izquierdo, D., González Hernández, J., Rodríguez Tadeo, A., Ramírez Molina, M., Navarrón Vallejo, E., Lara Moreno, R., & Jiménez Torres, M. (2019). «Oberexia»: The desire to be fat (ter) in adults with excess weight. Cuadernos de Psicología del Deporte, 19(2), 186–197. https://doi.org/10.6018/cpd.371781
  • Gramaglia, C., Delicato, C., & Zeppegno, P. (2018). Body image, eating, and weight. Some cultural differences. In Cuzzolaro, M. & Fassino, S. (Eds.), Body image, eating, and weight (pp. 427–439). Springer. https://doi.org/10.1007/978-3-319-90817-5
  • Gregory, C. O., Blanck, H. M., Gillespie, C., Maynard, L. M., & Serdula, M. K. (2008). Health perceptions and demographic characteristics associated with underassessment of body weight. Obesity, 16(5), 979–986. https://doi.org/10.1038/oby.2008.22
  • Grogan, S. (2017). Body image: Understanding body dissatisfaction in men, women, and children (3rd Ed.). Routledge.
  • Haynes, A., Kersbergen, I., Sutin, A., Daly, M., & Robinson, E. (2018). A systematic review of the relationship between weight status perceptions and weight loss attempts, strategies, behaviors and outcomes. Obesity Reviews, 19(3), 347–363. https://doi.org/10.1111/obr.12634
  • Ibáñez-Zamacona, M. E., Poveda, A., & Rebato, E. (2020). Body image in relation to nutritional status in adults from the Basque Country, Spain. Journal of Biosocial Science, 52(2), 272–285. https://doi.org/10.1017/S0021932019000439
  • Instituto Nacional de Estadística (2018). Encuesta Nacional de Salud (ENSE), 2017 [National Survey on Health, 2017]. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad del Gobierno de España. https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2017.htm
  • Krul, A. J., Daanen, H. A. M., & Choi, H. (2011). Self-reported and measured weight, height and body mass index (BMI) in Italy, The Netherlands and North America. The European Journal of Public Health, 21(4), 414–419. https://doi.org/10.1093/eurpub/ckp228
  • Kuk, J. L., Ardern, C. I., Church, T. S., Hebert, J. R., Sui, X., & Blair, S. N. (2009). Ideal weight and weight satisfaction: Association with health practices. American Journal of Epidemiology, 170(4), 456–463. https://doi.org/10.1093/aje/kwp135
  • Latner, J., & Wilson, R. (2011). Obesity and body image in adulthood. In Cash, T. & Smolak, L. (Eds.), Body image: A handbook of science, practice, and prevention (pp. 189–197). Guilford Press.
  • Lecube, A., Monereo, S., Rubio, M. A., Martínez-de-Icaya, P., Martí, A., Salvador, J., Masmiquel, L., Goday, A., Bellido, D., Lurbe, E., García-Almeida, J. M., Tinahones, F. J., García-Luna, P. P., Palacio, E., Gargallo, M., Bretón, I., Morales-Conde, S., Caixàs, A., Menéndez, E., … Casanueva, F. F. (2017). Prevención, diagnóstico y tratamiento de la obesidad. Posicionamiento de la Sociedad Española para el Estudio de la Obesidad de 2016. [Prevention, diagnosis, and treatment of obesity. 2016 position statement of the Spanish Society for the Study of Obesity]. Endocrinología, Diabetes y Nutrición, 64(1), 15–22. https://doi.org/10.1016/j.endonu.2016.07.002
  • Marques, A., Peralta, M., Naia, A., Loureiro, N., & de Matos, M. G. (2018). Prevalence of adult overweight and obesity in 20 European countries, 2014. European Journal of Public Health, 28(2), 295–300. https://doi.org/10.1093/eurpub/ckx143
  • Marrodán, M. D., Martínez-Álvarez, J. R., Villarino, A., Alférez-García, I., González-Montero de Espinosa, M., López-Ejeda, N., Sánchez-Álvarez, M., & Cabañas, M. D. (2013). Utilidad de los datos antropométricos auto-declarados para la evaluación de la obesidad en la población española: Estudio EPINUT-ARKOPHARMA. [Utility of self-reported anthropometric data for evaluation of obesity in the Spanish population; study EPINUT-ARKOPHARMA]. Nutrición Hospitalaria, 28(3), 676–682. https://doi.org/10.3305/nh.2013.28.3.6197
  • Mastellos, N., Gunn, L. H., Felix, L. M., Car, J., & Majeed, A. (2014). Transtheoretical model stages of change for dietary and physical exercise modification in weight loss management for overweight and obese adults. Cochrane Database of Systematic Reviews, 2014(2), CD008066. https://doi.org/10.1002/14651858.CD008066.pub3
  • Maukonen, M., Männistö, S., & Tolonen, H. (2018). A comparison of measured versus self-reported anthropometrics for assessing obesity in adults: A literature review. Scandinavian Journal of Public Health, 46(5), 565–579. https://doi.org/10.1177/1403494818761971
  • Millstein, R., Carlson, S., Fulton, J., Galuska, D., Zhang, J., Blanck, H., & Ainsworth, B. (2008). Relationships between body size satisfaction and weight control practices among US adults. Medscape Journal of Medicine, 10(5), 119.
  • Murray, T., & Lewis, V. (2014). Gender-role conflict and men’s body satisfaction: The moderating role of age. Psychology of Men & Masculinity, 15(1), 40–48. https://doi.org/10.1037/a0030959
  • Parent, M., & Moradi, B. (2011). His biceps become him: A test of objectification theory’s application to drive for muscularity and propensity for steroid use in college men. Journal of Counseling Psychology, 58(2), 246–256. https://doi.org/10.1037/a0021398
  • Ramírez, M., Godoy-Izquierdo, D., Navarrón, E., Jiménez-Torres, M., & Godoy, J. (2018). Estrategias para el manejo del cuerpo en adultos jóvenes: Interacción entre las percepciones corporales, la edad y el sexo. [Body management behaviors in young adults: Interactions among body perceptions, age and sex]. Behavioral Psychology, 26(2), 337–357.
  • Ramírez, M., Godoy-Izquierdo, D., Vázquez, M., Lara, R., Navarrón, E., Vélez, M., & Jiménez, M. (2015). Imagen corporal y satisfacción corporal en adultos: Diferencias por sexo y edad. [Body image and body satisfaction among adults: Differences by gender and age]. Revista Iberoamericana de Psicología del Ejercicio y el Deporte, 10(1), 63–68.
  • Robinson, E. (2017). Overweight but unseen: A review of the underestimation of weight status and a visual normalization theory. Obesity Reviews, 18(10), 1200–1209. https://doi.org/10.1111/obr.12570
  • Rodin, J., Silberstein, L., & Striegel-Moore, R. (1984). Women and weight: A normative discontent. Nebraska Symposium on Motivation, 32, 267–307.
  • Rodríguez-Rodríguez, E., Aparicio, A., López-Sobaler, A. M., & Ortega, R. M. (2009). Percepción del peso corporal y medidas adoptadas para su control en población española [Body weight perception and dieting behavior in Spanish population]. Nutrición Hospitalaria, 24(5), 580–587. https://doi.org/10.3305/nh.2009.24.5.4488
  • Rubino, F., Puhl, R. M., Cummings, D. E., Eckel, R. H., Ryan, D. H., Mechanick, J. I., Nadglowski, J., Ramos Salas, X., Schauer, P. R., Twenefour, D., Apovian, C. M., Aronne, L. J., Batterham, R. L., Berthoud, H.-R., Boza, C., Busetto, L., Dicker, D., De Groot, M., Eisenberg, D., … Dixon, J. B. (2020). Joint international consensus statement for ending stigma of obesity. Nature Medicine, 26, 485–497. https://doi.org/10.1038/s41591-020-0803-x
  • Sarwer, D. B., Thompson, J. K., & Cash, T. F. (2005). Body image and obesity in adulthood. Psychiatric Clinics of North America, 28(1), 69–87. https://doi.org/10.1016/j.psc.2004.09.002
  • Seijo, M., Minckas, N., Cormick, G., Comandé, D., Ciapponi, A., & Belizán, J. M. (2018). Comparison of self-reported and directly measured weight and height among women of reproductive age: A systematic review and meta-analysis. Acta Obstetricia et Gynecologica Scandinavica, 97(4), 429–439. https://doi.org/10.1111/aogs.13326
  • Silva, D., Ferriani, L., & Viana, M. C. (2019). Depression, anthropometric parameters, and body image in adults: A systematic review. Revista da Associação Médica Brasileira, 65(5), 731–738. https://doi.org/10.1590/1806-9282.65.5.731
  • Swami, V. (2015). Cultural influences on body size ideals. European Psychologist, 20(1), 44–51. https://doi.org/10.1027/-1016-9040/a000150
  • Swami, V., Frederick, D. A., Aavik, T., Alcalay, L., Allik, J., Anderson, D., Andrianto, S., Arora, A., Brännström, A., Cunningham, J., Danel, D., Doroszewicz, K., Forbes, G. B., Furnham, A., Greven, C. U., Halberstadt, J., Hao, S., Haubner, T.,Hwang, C. S., … Quintelier, K. (2010). The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: Results of the International Body Project I. Personality and Social Psychology Bulletin, 36(3), 309–325. https://doi.org/10.1177/0146167209359702
  • Tantleff-Dunn, S., Barnes, R., & Gokee Larose, J. (2011). It’s not just a “woman thing”: The current state of normative discontent. Eating Disorders, 19(5), 392–402. https://doi.org/10.1080/10640266.2011.609088
  • Thompson, J. K., & Cafri, G. (2007). The muscular ideal: Psychological, social and medical perspectives. American Psychological Association. https://doi.org/10.1037/11581-000
  • Thompson, J. K., Heinberg, L. J., Altabe, M., & Tantleff-Dunn, S. (1999). Exacting beauty: Theory, assessment, and treatment of body image disturbance. American Psychological Association. https://doi.org/10.1037/10312-000
  • Tod, D., Hall, G., & Edwards, C. (2012). Gender invariance and correlates of the Drive for Leanness Scale. Body Image, 9(4), 555–558. https://doi.org/10.1016/j.bodyim.2012.06.004
  • Varela, C., Oda-Montecinos, C., & Saldaña, C. (2019). Estudio transcultural de los diferentes componentes de la insatisfacción corporal en muestras comunitarias de España y Chile [Cross-cultural study of the different components of body dissatisfaction in community samples from Spain and Chile]. Nutrición Hospitalaria, 36(3), 691–697. https://doi.org/10.20960/nh.02212
  • Weinberg, S. L., & Abramowitz, S. K. (2002). Data analysis for the behavioral sciences using SPSS. Cambridge University Press.
  • Weinberger, N., Kersting, A., Riedel-Heller, S. G., & Luck-Sikorski, C. (2016). Body dissatisfaction in individuals with obesity compared to normal-weight individuals: A systematic review and meta-analysis. Obesity Facts, 9(6), 424–441. https://doi.org/10.1159/000454837
  • World Health Organization (2020). Obesidad y sobrepeso [Obesity and overweight]. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
  • World Health Organization (2019). Global action plan on physical activity 2018–2030: More active people for a healthier world. Author. https://www.who.int/ncds/prevention/physical-activity/global-action-plan-2018-2030/en/
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