Abstract
OBJECTIVES
This study was conducted to examine the mediating function of body weight perception (BWP) on the relationship between body mass index (BMI) and unhealthy weight control behaviors (UWCB: e.g., fasting, or taking diet pills or laxatives) and between BMI and depressed mood, and to explore the effect of distorted BWP on UWCB and depressed mood among adult women. METHODS: A regionally representative sample of 8,581 women aged 20-64 years residing in Seoul, the capital of Korea, completed the 2001 Seoul Citizens Health Indicator Survey which provides self-reported information about height, weight, BWP, UWCB, depressed mood, demographic/ socioeconomic characteristics, and health-related behaviors. Data were analyzed using bivariate and multivariate logistic regression. RESULTS: BMI was significantly associated both with UWCB and depressed mood, even controlling for all covariates. However, the magnitude and significance of each association was considerably attenuated when BWP was taken into account, indicating that BWP functioned, in part, as a mediator between BMI and UWCB and between BMI and depressed mood, respectively. Among the combinations of BMI and BWP, women who perceived themselves to be heavier than their actual BMIs appeared more likely to use UWCB, whereas women who had a distorted BWP, either underestimation or overestimation as compared with their BMIs, tended to be at greater risk for depressed mood than those who had an undistorted BWP. CONCLUSIONS: These findings suggest that how women perceive their body weight may be an important predictor and/or mediator of UWCB and depressed mood among adult Korean women.
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Citations to this article as recorded by
- Shifting goalposts: widening discrepancies between girls’ actual and ideal bodies predict disordered eating from preadolescence to adulthood
Chantelle A. Magel, Emilie Lacroix, Sylia Wilson, William G. Iacono, Kristin M. von Ranson
Development and Psychopathology.2024; : 1. CrossRef - Association between body shape misperception and unhealthy eating behaviors among Korean adolescents
Yejin Kim, Bomgyeol Kim, Vasuki Rajaguru, Sang Gyu Lee, Tae Hyun Kim
Nutrition Research and Practice.2023; 17(6): 1143. CrossRef - The effects of acculturation and environment on lifestyle behaviors in Korean immigrants: the mediating role of acculturative stress and body image discrepancy
Chorong Park, Soohyun Nam, Nancy S. Redeker, Fatma M. Shebl, Jane Dixon, Tae Hyun Jung, Robin Whittemore
Ethnicity & Health.2022; 27(1): 157. CrossRef - Consumption of Weight-control or Health Functional Foods, Dietary Habits, and Weight Perceptions According to the Body Mass Index of Adult Women in the Chungcheong Area
Gayoung Seong, Munkyong Pae
Korean Journal of Community Nutrition.2022; 27(2): 81. CrossRef - Factors Associated With Unhealthy Weight Control Behaviors Among a Representative Sample of U.S. High School Students
Chung-Bang Weng, Jiunn-Jye Sheu, Huey-Shys Chen
The Journal of School Nursing.2022; 38(6): 533. CrossRef - Weight changes and the incidence of depressive symptom in the middle-aged and older adults: findings from the Chinese nationwide cohort study
Lin Zhang, Jin-long Li, Lei-lei Guo, Guang Xu, Liu Yang, Congzhi Wang, Ting Yuan, Dongmei Zhang, Jing Li, Yunxiao Lei, Lu Sun, Xiaoping Li, Ying Hua, Hengying Che, Haiyang Liu
BMC Public Health.2022;[Epub] CrossRef - Association of depression and obesity is mediated by weight perception
Renata G Paulitsch, Lauro M Demenech, Samuel C Dumith
Journal of Health Psychology.2021; 26(11): 2020. CrossRef - Is food environment associated with body mass index, overweight and obesity? A study with adults and elderly subjects from southern Brazil
Renata G. Paulitsch, Samuel C. Dumith
Preventive Medicine Reports.2021; 21: 101313. CrossRef - Associations between asthma and body weight misconceptions among South Korean adolescents: Nationwide cross-section study
Chang Hoon Han, Sun Min Lee, Jae Ho Chung
Journal of Asthma.2020; 57(1): 47. CrossRef - An Evidence‐Based Rationale for Adopting Weight‐Inclusive Health Policy
Jeffrey M. Hunger, Joslyn P. Smith, A. Janet Tomiyama
Social Issues and Policy Review.2020; 14(1): 73. CrossRef - BİR İLÇEDEKİ 15 YAŞ VE ÜZERİ KİŞİLERDE OBEZİTE, BEDEN AĞIRLIĞI ALGISI VE İLİŞKİLİ ETMENLER
Volkan MEDENİ, F. Nur BARAN AKSAKAL, İrem MEDENİ
ESTÜDAM Halk Sağlığı Dergisi.2020; 5(3): 377. CrossRef - Understanding Body Image and Appearance Management Behaviors Among Adult Women in South Korea Within a Sociocultural Context: A Review
Kathy L. Lin, Vaishali V. Raval
International Perspectives in Psychology.2020; 9(2): 96. CrossRef - The effect of body image on sexual quality of life in obese married women
Feride Taskin Yilmaz, Azime Karakoc Kumsar, Gulbahtiyar Demirel
Health Care for Women International.2019; 40(4): 479. CrossRef - Self-perceptions of body weight status according to age-groups among Korean women: A nationwide population-based survey
Boyoung Park, Ha Na Cho, Eunji Choi, Da Hea Seo, Sue Kim, Yeong-Ran Park, Kui Son Choi, Yumie Rhee, Yongjoo Kim
PLOS ONE.2019; 14(1): e0210486. CrossRef - Weight control behaviors according to body weight status and accuracy of weight perceptions among Korean women: a nationwide population-based survey
Boyoung Park, Ha Na Cho, Eunji Choi, Da Hea Seo, Nam-Soon Kim, Eunja Park, Sue Kim, Yeong-Ran Park, Kui Son Choi, Yumie Rhee
Scientific Reports.2019;[Epub] CrossRef - Does perceived overweight increase risk of depressive symptoms and suicidality beyond objective weight status? A systematic review and meta-analysis
Ashleigh Haynes, Inge Kersbergen, Angelina Sutin, Michael Daly, Eric Robinson
Clinical Psychology Review.2019; 73: 101753. CrossRef - Perception of body image and weight status in Algerian adult population: A wrong self-evaluation
Chaima Boudaoud, Rabiâa Karoune, Wassila Adjali, CorinneC Dahel
Saudi Journal of Obesity.2019; 7(1): 8. CrossRef - Weight underestimation linked to anxiety and depression in a cross-sectional study of overweight individuals in a Sami and non-Sami Norwegian population: the SAMINOR Study
Kirsti Kvaløy, Marita Melhus, Anne Silviken, Ann Ragnhild Broderstad
BMJ Open.2019; 9(11): e031810. CrossRef - A systematic review of the relationship between weight status perceptions and weight loss attempts, strategies, behaviours and outcomes
A. Haynes, I. Kersbergen, A. Sutin, M. Daly, E. Robinson
Obesity Reviews.2018; 19(3): 347. CrossRef - Employment and weight status: The extreme case of body concern in South Korea
Seung-Yong Han, Alexandra A. Brewis, Cindi SturtzSreetharan
Economics & Human Biology.2018; 29: 115. CrossRef - Body weight misperception and psychological distress among young South Korean adults: the role of physical activity
Eun-Young Lee, Maxine Myre, Jongnam Hwang, Heeran Chun, Eunchul Seo, Roman Pabayo, John C. Spence
Global Health Research and Policy.2017;[Epub] CrossRef - Association between body size, weight change and depression: systematic review and meta-analysis
Sun Jae Jung, Hyung-taek Woo, Sooyoung Cho, Kyounghoon Park, Seokhun Jeong, Yu Jin Lee, Daehee Kang, Aesun Shin
British Journal of Psychiatry.2017; 211(1): 14. CrossRef - Body mass index and depressive symptoms in middle aged and older adults
Jin-Won Noh, Young Dae Kwon, Jumin Park, Jinseok Kim
BMC Public Health.2015;[Epub] CrossRef - The Combined Effect of Subjective Body Image and Body Mass Index (Distorted Body Weight Perception) on Suicidal Ideation
Jaeyong Shin, Young Choi, Kyu-Tae Han, Sung-Youn Cheon, Jae-Hyun Kim, Sang Gyu Lee, Eun-Cheol Park
Journal of Preventive Medicine and Public Health.2015; 48(2): 94. CrossRef - A Comparison of Dietary Habits, Weight Control Behaviors, Eating Disorder Risk, and Depression of Middle School Girls according to Various Stages of Dieting
Aekyung Jung, Hyunsuk Ryu, Kyunghee Song, Hongmie Lee
Korean Journal of Community Nutrition.2015; 20(3): 178. CrossRef - Interaction Effect between Weight Perception and Comorbidities on Weight Control Behavior in Overweight and Obese Adults: Is There a Sex Difference?
Jun Hyun Hwang, Dong Hee Ryu, Soon-Woo Park
Journal of Korean Medical Science.2015; 30(8): 1017. CrossRef - The Association between Body Weight Misperception and Psychosocial Factors in Korean Adult Women Less than 65 Years Old with Normal Weight
Yoonhee Choi, Eunjoo Choi, Doosup Shin, Sang Min Park, Kiheon Lee
Journal of Korean Medical Science.2015; 30(11): 1558. CrossRef - Misperception of body weight and associated factors
Sunjoo Boo
Nursing & Health Sciences.2014; 16(4): 468. CrossRef - Nurses’ misperceptions of weight status associated with their body weight, demographics and health status
Daqiau Zhu, Ian J Norman, Alison E While
Public Health Nutrition.2014; 17(3): 569. CrossRef - Gender Differences in the Associations Among Body Mass Index, Weight Loss, Exercise, and Drinking Among College Students
Adam E. Barry, Shawn Whiteman, Anna K. Piazza-Gardner, Alexander C. Jensen
Journal of American College Health.2013; 61(7): 407. CrossRef - Body Mass Index and Weight Loss in Overweight and Obese Korean Women: The Mediating Role of Body Weight Perception
Sunjoo Boo
Asian Nursing Research.2013; 7(4): 191. CrossRef - The role of differences in individual and community attributes in perceived air quality
Myounghee Kim, Okhee Yi, Ho Kim
Science of The Total Environment.2012; 425: 20. CrossRef - Weight Control Methods Related to Depressive Symptoms among Adults Living in Seoul
Yang-Im Hur, Young-Gyu Cho, Jae-Heon Kang, Hyun-Ah Park, Kyoung-Woo Kim, No-Rye Park, Ok-Hyun Kim
Korean Journal of Family Medicine.2011; 32(1): 21. CrossRef - Body weight perception among high school students and its influence on weight management behaviors in normal weight students: a cross-sectional study
Sorin Ursoniu, Salomeia Putnoky, Brigitha Vlaicu
Wiener klinische Wochenschrift.2011; 123(11-12): 327. CrossRef - The Study on Life Style, Weight Control Reality and Tongue Diagnosis according to Body Mass Index in Adolescent Girls in Jeonju
Deul-Le Min, Mi-Ki Kim, Hyun-Ki Lee, Eun-Jung Park
The Journal of Korean Oriental Pediatrics.2011; 25(2): 73. CrossRef