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Perceived weight status, overweight diagnosis, and weight control among US adults: the NHANES 2003-2008 Study.
Int J Obes (Lond). 2011 Aug; 35(8):1063-70.IJ

Abstract

OBJECTIVES

To examine the association between perceived overweight status and weight control, discrepancies between perceived and measured weight status, and opportunities for health care professionals (HCPs) to correct weight perception among US adults.

DESIGN

Population-based cross-sectional study.

SUBJECTS

In all, 16,720 non-pregnant adults from the 2003 to 2008 National Health and Nutrition Examination Survey.

RESULTS

Overall, 64% (73% women, 55% men) reported a desire to weigh less and 48% (57% women, 40% men) reported pursuing weight control. Weight control was positively associated with overweight perception (odds ratio (OR) women 3.74; 95% confidence interval (CI) 2.96, 4.73; OR men 2.82; 95% CI 2.11, 3.76) and an HCP diagnosis of overweight/obesity (OR women 2.22; 95% CI 1.69, 2.91; OR men 2.14; 95% CI 1.58, 2.91), independent of measured weight status. A large proportion of overweight individuals (23% women, 48% men) perceived themselves as having the right weight. Also, 74% of overweight and 29% of obese individuals never had an HCP diagnosis of overweight/obesity. Although the majority of overweight/obese individuals (74% women, 60% men) pursued at least one weight management strategy, fewer (39% women, 32% men) pursued both dietary change and physical activity. Among overweight/obese adults, those with an HCP diagnosis of overweight/obesity were more likely to diet (74 versus 52%), exercise (44 versus 34%), or pursue both (41 versus 30%, all P<0.01) than those who remained undiagnosed.

CONCLUSION

HCPs have unused opportunities to motivate their patients to control and possibly lose weight by correcting weight perceptions and offering counseling on healthy weight loss strategies.

Authors+Show Affiliations

Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC 27514, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21042327

Citation

Yaemsiri, S, et al. "Perceived Weight Status, Overweight Diagnosis, and Weight Control Among US Adults: the NHANES 2003-2008 Study." International Journal of Obesity (2005), vol. 35, no. 8, 2011, pp. 1063-70.
Yaemsiri S, Slining MM, Agarwal SK. Perceived weight status, overweight diagnosis, and weight control among US adults: the NHANES 2003-2008 Study. Int J Obes (Lond). 2011;35(8):1063-70.
Yaemsiri, S., Slining, M. M., & Agarwal, S. K. (2011). Perceived weight status, overweight diagnosis, and weight control among US adults: the NHANES 2003-2008 Study. International Journal of Obesity (2005), 35(8), 1063-70. https://doi.org/10.1038/ijo.2010.229
Yaemsiri S, Slining MM, Agarwal SK. Perceived Weight Status, Overweight Diagnosis, and Weight Control Among US Adults: the NHANES 2003-2008 Study. Int J Obes (Lond). 2011;35(8):1063-70. PubMed PMID: 21042327.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceived weight status, overweight diagnosis, and weight control among US adults: the NHANES 2003-2008 Study. AU - Yaemsiri,S, AU - Slining,M M, AU - Agarwal,S K, Y1 - 2010/11/02/ PY - 2010/11/3/entrez PY - 2010/11/3/pubmed PY - 2011/11/16/medline SP - 1063 EP - 70 JF - International journal of obesity (2005) JO - Int J Obes (Lond) VL - 35 IS - 8 N2 - OBJECTIVES: To examine the association between perceived overweight status and weight control, discrepancies between perceived and measured weight status, and opportunities for health care professionals (HCPs) to correct weight perception among US adults. DESIGN: Population-based cross-sectional study. SUBJECTS: In all, 16,720 non-pregnant adults from the 2003 to 2008 National Health and Nutrition Examination Survey. RESULTS: Overall, 64% (73% women, 55% men) reported a desire to weigh less and 48% (57% women, 40% men) reported pursuing weight control. Weight control was positively associated with overweight perception (odds ratio (OR) women 3.74; 95% confidence interval (CI) 2.96, 4.73; OR men 2.82; 95% CI 2.11, 3.76) and an HCP diagnosis of overweight/obesity (OR women 2.22; 95% CI 1.69, 2.91; OR men 2.14; 95% CI 1.58, 2.91), independent of measured weight status. A large proportion of overweight individuals (23% women, 48% men) perceived themselves as having the right weight. Also, 74% of overweight and 29% of obese individuals never had an HCP diagnosis of overweight/obesity. Although the majority of overweight/obese individuals (74% women, 60% men) pursued at least one weight management strategy, fewer (39% women, 32% men) pursued both dietary change and physical activity. Among overweight/obese adults, those with an HCP diagnosis of overweight/obesity were more likely to diet (74 versus 52%), exercise (44 versus 34%), or pursue both (41 versus 30%, all P<0.01) than those who remained undiagnosed. CONCLUSION: HCPs have unused opportunities to motivate their patients to control and possibly lose weight by correcting weight perceptions and offering counseling on healthy weight loss strategies. SN - 1476-5497 UR - https://www.unboundmedicine.com/medline/citation/21042327/Perceived_weight_status_overweight_diagnosis_and_weight_control_among_US_adults:_the_NHANES_2003_2008_Study_ L2 - https://doi.org/10.1038/ijo.2010.229 DB - PRIME DP - Unbound Medicine ER -