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Who wants a slimmer body? The relationship between body weight status, education level and body shape dissatisfaction among young adults in Hong Kong
Authors
AJ Stunkard
Antoinette Marie Lee
+49 more
B Silverstein
BI Canpolat
D Gilbert-Diamond
Department of Community Medicine HKU Department of Health HKSAR
DM Ackard
Edmund Tsze Shing Li
ET Higgins
F Johnson
F Leung
GT Ko
H Champion
H Madrigal
J Jaehee
JK Sheffield
JK Thompson
KA Wasilenko
KS Jeanie
L McLaren
LA Neighbors
M Khawaja
M Tiggemann
MA Gupta
Md Onis
ME Eisenberg
MJ Garcia-Mendizabal
MP McCabe
MP McCabe
P Campos
Paul Siu Fai Yip
R Pingitore
R Solano
RJ Roberts
S Cahill
S Lee
S Lee
S Ziebland
Sai Yin Ho
SB Austin
SL Anderson
Susan Yun Sun Fan
Tai Hing Lam
TH Lam
TJ Cole
V Dauphinot
WHO Expert Committee on Physical Status. Chapter 8. Thin adults
WHO expert consultation
Word Health Organization
Yee Tak Derek Cheung
Z Jakab
Publication date
1 January 2011
Publisher
BioMed Central
Doi
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on
PubMed
Abstract
Background: Body shape dissatisfaction has been thought to have an indispensable impact on weight control behaviors. We investigated the prevalence of body shape dissatisfaction (BSD) and explored its association with weight status, education level and other determinants among young adults in Hong Kong. Methods. Information on anthropometry, BSD, and socio-demographics was collected from a random sample of 1205 young adults (611 men and 594 women) aged 18-27 in a community-based household survey. BSD was defined as a discrepancy between current and ideal body shape based on a figure rating scale. Cross-tabulations, homogeneity tests and logistic regression models were applied. Results: The percentages of underweight men and women were 16.5% and 34.9% respectively, and the corresponding percentages of being overweight or obese were 26.7% and 13.2% for men and women respectively. Three-quarters of young adults had BSD. Among women, 30.9% of those underweight and 75.5% of those with normal weight desired a slimmer body shape. Overweight men and underweight women with lower education level were more likely to have a mismatch between weight status and BSD than those with higher education level. After controlling for other determinants, underweight women were found to have a higher likelihood to maintain their current body shapes than other women. Men were found to be less likely to have a mismatch between weight status and BSD than women. Conclusions: Overweight and obesity in men and underweight in women were prevalent among Hong Kong young adults. Inappropriate body shape desire might predispose individuals to unhealthy weight loss or gain behaviors. Careful consideration of actual weight status in body shape desire is needed in health promotion and education, especially for underweight and normal weight women and those with a low education level. © 2011 Cheung et al; licensee BioMed Central Ltd.published_or_final_versio
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info:doi/10.1186%2F1471-2458-1...
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