Normalization of plus size and the danger of unseen overweight and obesity in England

Muttarak R (2018). Normalization of plus size and the danger of unseen overweight and obesity in England. Obesity 26 (7): 1125-1129. DOI:10.1002/oby.22204.

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Abstract

Objective: This study aimed to investigate trends and sociodemographic factors underlying weight misperception
in adults with overweight and obesity in England.
Methods: This study used descriptive and logistic regression analyses based on a pooled nationally representative
cross-sectional survey, Health Survey for England, for the years 1997, 1998, 2002, 2014, and
2015 of individuals with BMI>25 (n523,459). The main outcomes were (1) weight misperception and (2)
weight-loss attempts as well as the associations with demographic and socioeconomic characteristics
and health status.
Results: The proportion of individuals with overweight and obesity misperceiving their weight status
increased over time between 1997 and 2015 (37% to 40% in men; 17% to 19% in women). There were
socioeconomic disparities in the misperception of weight status, with lower-educated individuals from
poorer-income households and members of minority ethnic groups being more likely to underestimate
their weight. Those underestimating their overweight and obesity status were 85% less likely to try to
lose weight compared with people who accurately identified their weight status.
Conclusions: The upward trend in underassessment of overweight and obesity status in England is possibly
a result of the normalization of overweight and obesity. Obesity prevention programs need to consider
differential sociodemographic characteristics associated with underassessment of weight status.

Item Type: Article
Research Programs: World Population (POP)
Depositing User: Luke Kirwan
Date Deposited: 22 Jun 2018 05:59
Last Modified: 22 Jun 2018 05:59
URI: http://pure.iiasa.ac.at/15344

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