Is body weight dissatisfaction associated with depression?

2016 ◽  
Vol 33 (S1) ◽  
pp. S174-S174 ◽  
Author(s):  
M. Eichholzer ◽  
A. Richard ◽  
S. Rohrmann

IntroductionBody image dissatisfaction is a risk factor for depression. Research has focused on female adolescents; yet little is known about sex and age differences.Objectives/aimsThe aim of our study was to evaluate the association of body weight dissatisfaction, a component of body image, with depression overall, and for different sex and age-groups independent of body weight.MethodsWe analyzed data of 15,975 individuals from the cross-sectional 2012 Swiss Health Survey. Participants were asked about their weight satisfaction. Patient Health Questionnaire (PHQ-9) was used to ascertain depression. Age was stratified in three groups (≥ 18-29; ≥ 30-59; ≥ 60 years). Body mass index (BMI) was self-reported and categorized into normal weight (BMI: 18.5-24.9 kg/m2), overweight (BMI: 25.0-29.9 kg/m2), and obesity (BMI: ≥ 30 kg/m2). The association between weight dissatisfaction and depression was assessed with logistic regression analyses and adjusted for known confounders (including BMI).ResultsWeight dissatisfaction was associated with depression in the overall group (OR: 2.04, 95% CI: 1.66-2.50) and in men (1.85, 1.34-2.56) and women (2.25, 1.71-2.96) separately, independent of body weight (multivariable adjusted). Stratification by age groups revealed associations of weight dissatisfaction with depression in young (1.78, 1.16-2.74), middle-aged (2.1, 1.61-2.74) and old individuals (2.34, 1.30-4.23) independent of BMI. A sub-analysis in the overall group revealed statistically significant positive associations of weight dissatisfaction with depression in underweight, normal weight, overweight and obese individuals.ConclusionBody weight dissatisfaction is associated with depression in men, women, young, middle-aged and old individuals independent of BMI.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Author(s):  
Iasmim Batista Correia ◽  
Nathalie De Almeida Silva ◽  
Paulo Granges e Silva ◽  
Tarciana Nobre de Menezes

Aging leads to psychological losses and various physical changes that, associated with body-stereotyped patterns imposed by society, can cause disturbances in the body image perception (BIP) in the elderly. The aim of this study was to evaluate BIP in older adults living in the city of Campina Grande / PB and its relationship with different anthropometric and body composition indicators. This cross-sectional study was carried out with older adults of both sexes enrolled in the Family Health Strategy of Campina Grande, PB. BIP was considered as a dependent variable and body mass index (BMI), waist circumference (WC), triceps skinfold (TSF), and arm fat area (AFA) as independent variables. The association between BIP and anthropometric indicators was verified using the Pearson chi-square test (X²), simple and multiple logistic regression, with significance level of p <0.05. Overall, 420 older adults were interviewed (68.1% women), of whom 409 reported their actual body image perception. Regarding the perception of idealized body image, 11 individuals did not respond and 230 were satisfied, since 179 desired another silhouette. Individuals with BMI indicative of overweight / obesity were more likely of showing body image dissatisfaction compared to those with normal weight. Subjects with excessive TSF showed greater body image dissatisfaction in relation to those with normal weight. Women were more likely of showing body image dissatisfaction. Thus, it was observed that variables BMI, TSF and sex were independently associated with body image satisfaction.


Author(s):  
Amrit Virk ◽  
Parmal Singh

Background: Body image refers to how individuals think, feel and behave in relation to their body and appearance. During adolescence self-perception about their appearance is important to the development of self-esteem and is also understood to be an important predictor of self-worth. Research has shown that inappropriate perception of the body image and dissatisfaction can lead to physical and psychic problems in the youth. In today's society, with the growing sense of ideal body image, adolescents and young adults try to lose or gain body weight to attain perfect body. The objective of the study is to find out the proportion of students dissatisfied with their body image, and the association of various determinants with body image dissatisfaction and self-esteem.  Methods: A cross-sectional study was done among 125 first year medical students located in rural Haryana. A semi-structured questionnaire was used to collect data on various determinants associated with body image dissatisfaction and self-esteem.Results: Body image dissatisfaction was present among 16.8% of the students. Low self-esteem was observed among 21.6% of the students. Low body mass index (<18.5) was found to be significantly associated with body image dissatisfaction. A moderately positive correlation (r=0.384, p<0.001) was observed between self-esteem and body image satisfaction.Conclusions: Study findings support the fact that body image dissatisfaction has its impact on self-esteem among college-going youth. It is imperative that effective interventions be planned to educate the youth on ideal body weight and protect this young generation from pressures and consequences of negative body image.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Da Pan ◽  
Shaokang Wang ◽  
Ming Su ◽  
Jie Wei ◽  
Kai Wang ◽  
...  

Abstract The study aimed to investigate the relationship between smoking and BMI, from the perspective of the roles of alcohol drinking and dietary factors in a rural population. We analysed cross-sectional data from 10,837 middle-aged and elderly Chinese rural adults who completed a questionnaire that included questions on demographic characteristics, dietary intake, and detailed smoking and drinking status. Results showed that current smokers had lower BMI and consumed foods less frequently (except coriander, onion, garlic, hawthorn and fermented bean curd) than non-smokers. The relationship between smoking amount and the risk of overweight or obesity was U-shaped, and the trends were also similar by stratum of baseline age groups (all p for interaction < 0.001). Heavy smokers tended to have drinking habits, which was associated with increased BMI (all p for trend < 0.001). Additionally, despite the lower risk of overweight or obesity for current smokers, normal weight individuals were found to have the minimum smoking amount. In conclusion, smoking may cause suppression of appetite but smokers tend to have other unhealthy habits relating to increased BMI. Dietary factors and alcohol use play important roles in the U-shaped relationship between smoking behaviours and BMI in the middle-aged and elderly Chinese rural population.


Author(s):  
Vinay . ◽  
Neelam Kumar ◽  
J. S. Malik ◽  
Aman Sachdeva

Background: Adolescent girls in today’s world are extremely conscious of perceptions of a perfect body. With the growing sense of thin ideal body image during adolescence, they try to lose body weight to attain the perfect body size. The emphasis on thinness and on an ideal female body shape and size is physically and psychologically detrimental to the health of many young women. This study was carried out with objective to find the prevalence of body image issue among adolescent girls in rural area.Methods: This cross-sectional study was conducted in block Lakhanmajra, district Rohtak, Haryana. Adolescent girls in age group 13-19 years studying in class 8 to class 12 in 10 government and private senior secondary schools of Lakhanmajra block were included in the study. The total sample of 500 students was included in the study. A pre-designed pre-tested semi-structured interview schedule was used, and the responses were recorded by the investigator herself.Results: The findings of the present study show that 20.2% adolescent girls did not like their appearance when they look in the mirror and thus had body image dissatisfaction. 88.0% adolescent girls were satisfied with their weight and 12.0% were dissatisfied. 80.0% of the study subjects who were dissatisfied with their body weight had normal age specific BMI values. Only 20% of the adolescent girls who were not satisfied with their weight were underweight or overweight.Conclusions: More worries and less satisfaction about body image are found in girls. The relatives, the media, the peers and the community all have an impact on body shape satisfaction. But the greatest influence is that of the media and the community through standardising a thin ideal for female beauty.


2014 ◽  
Vol 18 (2) ◽  
pp. 322-328 ◽  
Author(s):  
Ofra Duchin ◽  
Constanza Marin ◽  
Mercedes Mora-Plazas ◽  
Carlos Mendes de Leon ◽  
Joyce M Lee ◽  
...  

AbstractObjectiveBody image dissatisfaction (BID) in school-age children is positively associated with weight status in cross-sectional studies; however, it is uncertain whether BID is a risk factor for the development of adiposity over time. The aim of the present study was to examine the association of BID with changes in BMI in school-age children.DesignLongitudinal study. At recruitment, children were asked to indicate the silhouette that most closely represented their current and desired body shapes using child-adapted Stunkard scales. Baseline BID was calculated as the difference of current minus desired body image. Height and weight were measured at recruitment and then annually for a median of 2·5 years. Sex-specific BMI-for-age curves were estimated by levels of baseline BID, using mixed-effects models with restricted cubic splines.SettingPublic primary schools in Bogotá, Colombia.SubjectsSix hundred and twenty-nine children aged 5–12 years.ResultsIn multivariable analyses, thin boys who desired to be thinner gained an estimated 5·8 kg/m2 more BMI from age 6 to 14 years than boys without BID (P = 0·0004). Heavy boys who desired to be heavier or thinner gained significantly more BMI than boys without BID (P = 0·003 and P = 0·007, respectively). Thin girls who desired to be heavier or thinner gained significantly less BMI than girls without BID (P = 0·0008 and P = 0·05, respectively), whereas heavy girls who desired to be heavier gained an estimated 4·8 kg/m2 less BMI than girls without BID (P = 0·0006). BID was not related to BMI change in normal-weight children.ConclusionsBID is associated with BMI trajectories of school-age children in a sex- and weight-specific manner.


2013 ◽  
Vol 46 (3) ◽  
pp. 279-293 ◽  
Author(s):  
FATAI A. MARUF ◽  
ADERONKE O. AKINPELU ◽  
NWANNEDIMMA V. UDOJI

SummaryThis study explored the association of socioeconomic status with individuals' perception of their body image (BI) and body weight (BW) among adults in a sub-urban Nigerian population. The cross-sectional sample comprised 1521 residents (775 males and 746 females) of the town of Nnewi. Perceived BI was assessed using figural representations of different sizes for males and females. Perceived BW was determined by presenting participants with BW category options to choose from. Body mass index (BMI) was calculated from objectively measured BW and height using standardized procedures. Actual BW categories were derived from participants' BMIs using WHO criteria. Perceived BI and BW differed from actual BW among unskilled and non-tertiary males (p<0.001) and female (p<0.001 to p<0.04) in all BW categories whereas these variables differed (p<0.001) among skilled and tertiary males and females in normal weight, overweight and obese categories. Perceived BW differed (p<0.001) from actual BW among unskilled and non-tertiary males in underweight, overweight and obese categories whereas these variables differed (p<0.001) among unskilled and non-tertiary females, skilled and tertiary males and females in overweight and obese categories. Underweight ‘unskilled’ and ‘non-tertiary’ males perceived their BI to be different from their actual BW (p<0.001). Overweight and obese ‘skilled’ and ‘unskilled’, and ‘tertiary’ and ‘non-tertiary’, males and females perceived their BI and BW to be different from their actual BW (p<0.001). Significant differences in perceived BI existed between ‘skilled’ and ‘unskilled’ (p<0.001), and ‘tertiary’ and ‘non-tertiary’ (p=0.005), overweight males, and between ‘skilled’ and ‘unskilled’ (p<0.001), and ‘tertiary’ and ‘non-tertiary’ (p=0.008), normal-weight females. The ‘skilled’ participants had a lower risk of perceiving a larger BI (OR 0.51, 95% CI 0.41–0.64; p<0.001) and larger BW (OR 0.71, 95% CI 0.53–0.96; p=0.03) than the ‘unskilled’ participants. The ‘tertiary’ participants had a lower risk of perceiving a larger BI (OR 0.51, 95% CI 0.40–0.63; p<0.001) and larger BW (OR 0.71, 95% CI 0.53–0.95; p=0.02) than the ‘non-tertiary’ participants. After adjusting for possible confounders, all the risks became insignificant except for perception of BI by the ‘skilled’ participants (OR 0.70, 95% CI 0.50–0.99; p=0.04). Individuals in the different occupational and educational categories perceived their BI differently but their BW similarly. Given the same BMI, age, perceived ideal BI and sex, only occupation is found to be associated with perception of BI.


2019 ◽  
Vol 22 (06) ◽  
pp. 988-996 ◽  
Author(s):  
Laura I González-Zapata ◽  
Sandra L Restrepo-Mesa ◽  
Juan C Aristizabal ◽  
Estela Skapino ◽  
Tatiana S Collese ◽  
...  

AbstractObjectiveTo assess the reliability and validity of body weight (BW) and body image (BI) perception reported by parents (in children) and by adolescents in a South American population.DesignCross-sectional study. BW perception was evaluated by the question, ‘Do you think you/your child are/is: severely wasted, wasted, normal weight, overweight, obese?’ BI perception was evaluated using the Gardner scale. To evaluate reliability, BW and BI perceptions were reported twice, two weeks apart. To evaluate validity, the BW and BI perceptions were compared with WHO BMI Z-scores. Kappa and Kendall’s tau-c coefficients were obtained.SettingPublic and private schools and high schools from six countries of South America (Argentina, Peru, Colombia, Uruguay, Chile, Brazil).ParticipantsChildren aged 3–10 years (n 635) and adolescents aged 11–17 years (n 400).ResultsReliability of BW perception was fair in children’s parents (κ=0·337) and substantial in adolescents (κ=0·709). Validity of BW perception was slight in children’s parents (κ=0·176) and fair in adolescents (κ=0·268). When evaluating BI, most children were perceived by parents as having lower weight. Reliability of BI perception was slight in children’s parents (κ=0·124) and moderate in adolescents (κ=0·599). Validity of BI perception was poor in children’s parents (κ=−0·018) and slight in adolescents (κ=0·023).ConclusionsReliability of BW and BI perceptions was higher in adolescents than in children’s parents. Validity of BW perception was good among the parents of the children and adolescents with underweight and normal weight.


2009 ◽  
Vol 160 (1) ◽  
pp. 107-113 ◽  
Author(s):  
A M Bau ◽  
A Ernert ◽  
L Schenk ◽  
S Wiegand ◽  
P Martus ◽  
...  

ObjectiveMore than 30 years ago Frisch and Revelle proposed a body weight threshold for the onset of menarche. Based on this hypothesis, a further acceleration of age at menarche can be expected in times of childhood obesity.DesignA cross-sectional study of 1840 healthy school girls (Berlin school children's cohort, BSCOC) within the age groups 10–15 years was conducted in 2006–2007.MethodsMedian age of menarche was calculated by Kaplan–Meier survival analysis. Bi- and multivariate analyses were performed to analyze the associations between menarche age and weight status. A locally weighted regression was used to analyze the relationship respectively between height, weight, and body mass index (BMI)–SDS and age stratified by menarche status.ResultsNine hundred and thirty six (50.9%) girls had already experienced menarche at a median age of 12.8 years. Two hundred and thirty six of these girls reached their menarche recently. Obese/overweight girls reached menarche significantly earlier (12.5 years), than normal weight (12.9 years), and underweight girls (13.7 years). The mean total body weight was similar in all girls at menarche irrespective of age (mean 51.1 kg,s.d.8.1) and height. BMI–SDS remained the only significant factor for onset of menarche within a multiple regression model for early menarche (OR 2.1, 95% confidence interval 1.3–3.3,P=0.002).ConclusionsAge at onset of menarche did not accelerate even in a childhood population with more than 10% obesity prevalence. Nevertheless, a negative correlation of BMI–SDS with age at onset of menarche exists.


2018 ◽  
Vol 6 (3) ◽  
pp. 582-587
Author(s):  
Nermine N. Mahfouz ◽  
Reham F. Fahmy ◽  
Maysa S. Nassar ◽  
Saneya A. Wahba

BACKGROUND: Body weight concern and belief in adolescent females are of great importance. They are the keys to successful dietary interventions including dietary habits’ modifications to practice a healthy diet. This critical phase of transition from childhood to adulthood is the most sensitive stage of behavioural rectification.AIM: This study was conducted with the aim to figure out the prevalence of body image dissatisfaction and the association of body image satisfaction and believe with body mass index in adolescent girls aged 16-18 years.MATERIAL AND METHODS: Two hundred and three Egyptian adolescent females were enrolled in this cross-sectional study. Their mean age was (17.4 ± 0.64) years old. Self-administered questionnaires about the students’ body satisfaction and weight belief were answered by the candidates. Their body mass index was calculated. Also, sociodemographic data were collected. Data were analysed using SPSS software version 16.0. Chi-square test was conducted for the variables.RESULTS: Sixty-eight percent of the students were within normal weight, 3.3% were underweight, while 18.2% and 10.5% were overweight and obese respectively. Body dissatisfaction was prevalent among 37.4%. The prevalence of body dissatisfaction was higher in both obese and underweight candidates reaching (93.8% and 80%) respectively. This reflects students’ awareness of their body shape.CONCLUSION: More than one-third of adolescent females were dissatisfied with their body image. The subjective belief about self-body image matched the objective Body Mass Index measurements.


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