Trends in Overweight and Obesity Self-awareness Among Adults With Overweight or Obesity in the United States, 1999 to 2016

2020 ◽  
Author(s):  
Ye Eun Kwak ◽  
Ross McMillan ◽  
Edwin K. McDonald
2019 ◽  
Vol 9 (1) ◽  
pp. 22-33 ◽  
Author(s):  
Zenab I. Yusuf ◽  
Deepa Dongarwar ◽  
Rafeek A Yusuf ◽  
Meishon Bell ◽  
Toi Harris ◽  
...  

Background: Childhood obesity is one of the foremost threats to population health in the United States (U.S.) leading to the emergence of co-morbidities and increased healthcare cost. We explore the influence of selected social determinants of health (SDOH) on overweight and obesity among U.S. children. Methods: We utilized the National Survey of Children’s Health (NSCH) 2016-17 dataset for this analysis. Overweight was defined as Body Mass Index (BMI) ? 85 th to<95 th , while obesity was defined as BMI ?95 th percentile for age and sex. Based on the literature and pathway plausibility, we examined several SDOH variables as predictors of childhood overweight or obesity in the US. Survey log-binomial regression models were built to generate prevalence ratio (PR) estimates to capture the associations between SDOH and overweight or obesity. Results: About 30.6 million children were surveyed of which 9.5 million (31.0%) were either overweight or obese. The likelihood of obesity was elevated among non-Hispanic Black and Hispanic children (PR = 1.53; 95% CI = 1.01-2.31) and (PR = 1.50; 95% CI = 1.18-1.90) respectively. Overweight was more frequent in younger children, children of single parents, and children who lived in a neighborhood with no amenities. Parental attainment of college education, health insurance coverage, female gender, and language spoken in home other than Spanish were protective against overweight or obesity. Conclusions and Global Health Implications: SDOH represent markers of overweight or obesity in children. We recommend the development of innovative interventions using SDOH risk and protective pathways as guide to address the current epidemic of childhood overweight and obesity. Key words: • Social determinants • Obesity • Overweight • SDOH • Children • United States   Copyright © 2020 Yusuf et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1101-1101
Author(s):  
Summer Wilmoth ◽  
Yolanda Flores-Peña ◽  
Leah Carrillo ◽  
Elana Martinez ◽  
Erica Sosa ◽  
...  

Abstract Objectives Childhood obesity is a major public health concern, which disproportionally affects Hispanic children in the United States (US) and Mexico. Mothers are key influencers to their children's health and growth. As part of a pilot obesity prevention study, Hispanic mothers’ perception of their preschoolers’ weight status was assessed to inform the development of intervention strategies. Methods Study subjects were Hispanic mothers and their preschoolers between the ages of 3 and 5 enrolled in participating Head Star Centers in Texas, US or kindergartens in Northern Mexico. Upon informed consent, mothers completed a self-administered questionnaire assessing their perception of their preschoolers’ weight status. Preschoolers’ body weight and height were measured; and their actual weight status was classified using the CDC's age and gender specific BMI references. Results Preliminary data included 85 and 294 child-mother pairs from US and Mexico, respectively. The US sample had a higher rate of overweight and obesity (35%) in comparison to the Mexico sample (19%). There was a great discrepancy between mothers’ perception and their children's actual weight status in both samples. Although only approximately 5% of children were underweight, 14% of American and 24% of Mexican mothers perceived their children being underweight. Contrarily, only 4.8% of American mothers perceived their children as a little overweight or obese, as compared to the actual rate of 35%. Similarly, only 5% of Mexican mothers perceived their children as a little overweight or obese, as compared to the actual rate of 19%. Conclusions Hispanic mothers in the US and Mexico appear to worry about their normal weight children being underweight, while overlooking the overweight and obesity problem. Early childhood obesity prevention programming is needed to aggressively address Hispanic mothers’ preference of chubby children, and the mothers’ underestimation of overweight and obesity among their preschoolers. Funding Sources The Mexico's National Science and Technology Council & The Kellogg´s Institute of Nutrition and Health.


2021 ◽  
Vol 32 (2) ◽  
pp. 54-70
Author(s):  
Hélène Ohlsson

This study is an intersectional investigation of how the first two international Swedish superstars, Jenny Lind (1820–1887) and Christina Nilsson (1843–1921), performed gender, race, nationalism, and class during their respective tours of the United States of America in 1850–1852 and 1870–1872. The purpose is to chart early transatlantic performances of Nordic white femininity and Swedishness as well as to discuss the symbolical values and associations that it signaled. I will argue that Lind and Nilsson set out a template of idealized Nordic white femininity in the U.S. and that they contributed to the growing identity and self-awareness of Swedish-Americans.


2022 ◽  
pp. 136346152110490
Author(s):  
Simon Hanseung Choi ◽  
Clayton Hoi-Yun McClintock ◽  
Elsa Lau ◽  
Lisa Miller

Self-transcendence has been associated with lower levels of psychopathology. Most studies of self-transcendence have focused on samples of Western participants, and used scales addressing such concepts as self-awareness and feelings of oneness with the larger universe. However, a common Eastern notion of transcendence—perception of ongoing relationships with ancestors—has not been studied. We conducted a cross-cultural investigation of the association between self-transcendence, perceived degree of relationship to ancestors and depression and anxiety in the United States (N = 1499), China (N =  3,150), and India (N = 863). Degrees of perceived relationship to ancestors differed across countries, with the highest rates in India and China, and lowest rates in the United States. Self-transcendence was negatively associated with risks for depression and anxiety in the United States. In India, self-transcendence was also negatively associated with risks for depression and anxiety, and a strong perceived relationship with ancestors had further protective benefit. In China, those with a high level of perceived relationship to ancestors and a high level of self-transcendence exhibited lower levels of psychopathology. Results suggest that measures of relationship to ancestors might be included in future cross-cultural studies of transcendence.


Build ◽  
2019 ◽  
pp. 169-184
Author(s):  
Mark Katz

The conclusion considers the value of the partnership between hip hop and diplomacy. Hip hop diplomacy has value in convening groups unlikely to collaborate otherwise; it can be a source of validation for hip hop artists and their communities; and it can generate a favorable view of the United States and good will towards its citizens. Such positive outcomes, however, are not automatic and require that programs be conducted with respect, humility, self-awareness and a willingness to collaborate with local partners. Although the State Department faced severe funding cuts in the first years of the Trump administration, hip hop diplomacy has remained well-funded, although its future is uncertain. Specific anecdotes and case studies come from Next Level programs in Bangladesh, El Salvador, and Morocco.


Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1365 ◽  
Author(s):  
Maria Carlota Dao ◽  
Ellen Messer ◽  
Teresa Conigliaro ◽  
Kylie Sakaida ◽  
Alexis F. Ouellette ◽  
...  

Environmental factors such as food availability and variety can function as cues for overeating in individuals susceptible to overweight or obesity, but relatively little is known about other types of environmental factors that may also be important. This qualitative study compared and contrasted categories of internal and external cues through focus groups and key informant interviews with 24 adults (26 to 77 years old) in the United States who had a body mass index within the healthy range (21.6 ± 2.5 kg/m2) or had overweight or obesity (29.1 ± 3.6 kg/m2). Five domains of external factors influencing food intake were identified: (a) Environmental cues including food availability and variety; (b) normative expectations for dietary intake; (c) food palatability; (d) overt social pressures to overeat; and (e) perceived social expectations around eating. All external domains were noted by participants with overweight or obesity to be challenging, and solutions to avoid overeating were lacking; however, overt social pressures and perceived social expectations appeared to be especially problematic. By explicitly defining different domains of external factors that challenge healthy weight regulation, this study identifies specific targets to address in interventions for healthy weight management.


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