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Gepubliceerd in: Quality of Life Research 10/2013

01-12-2013

Self-rated health and life satisfaction among Canadian adults: associations of perceived weight status versus BMI

Auteurs: Katya M. Herman, Wilma M. Hopman, Mark W. Rosenberg

Gepubliceerd in: Quality of Life Research | Uitgave 10/2013

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Abstract

Purpose

Obesity is associated with impaired health-related quality of life (HRQL). As perceived constructs, self-rated health (SRH) and general life satisfaction (LS) might be more strongly related to perceived weight status than actual weight status. The aim was to assess agreement between perceived weight status and self-reported body mass index (BMI), and to investigate their associations with SRH and LS as indicators of HRQL.

Methods

Cross-sectional data included 87,545 adults aged 18–65 years from the 2005 Canadian Community Health Survey. Agreement between perceived weight status and self-reported BMI was assessed. Prevalence of suboptimal SRH and LS was estimated by perceived weight status and BMI, and adjusted logistic regression used to assess the odds of suboptimal outcomes.

Results

Overall agreement between perceived weight status and self-reported BMI was only moderate (females: κ = 0.58; males: κ = 0.42). The lowest prevalences of suboptimal SRH and LS were in those who reported both a healthy weight BMI and “about right” weight perception. Discordance between perceived weight status and BMI status, and congruence (i.e. perceived weight status = BMI) around underweight or overweight/obese were associated with poorer SRH and LS. For weight perceptions of “about right”, BMI status had minimal influence on suboptimal SRH or LS, while perceptions of underweight or overweight were associated with higher odds of suboptimal SRH and LS, independent of BMI.

Conclusions

Adults’ weight status perceptions often do not agree with their actual weight status, even when self-reported. While both perceived and actual weight status influence self-rated health and life satisfaction, perceptions are more strongly associated with these HRQL indicators and should be considered when informing obesity-targeted policies and programmes.
Literatuur
1.
go back to reference Kuk, J. L., Ardern, C. I., Church, T. S., Hebert, J. R., Sui, X., & Blair, S. N. (2009). Ideal weight and weight satisfaction: association with health practices. American Journal of Epidemiology, 170(4), 456–463.PubMedCrossRef Kuk, J. L., Ardern, C. I., Church, T. S., Hebert, J. R., Sui, X., & Blair, S. N. (2009). Ideal weight and weight satisfaction: association with health practices. American Journal of Epidemiology, 170(4), 456–463.PubMedCrossRef
2.
go back to reference Paeratakul, S., White, M. A., Williamson, D. A., Ryan, D. H., & Bray, G. A. (2002). Sex, race/ethnicity, socioeconomic status, and BMI in relation to self-perception of overweight. Obesity Research, 10(5), 345–350.PubMedCrossRef Paeratakul, S., White, M. A., Williamson, D. A., Ryan, D. H., & Bray, G. A. (2002). Sex, race/ethnicity, socioeconomic status, and BMI in relation to self-perception of overweight. Obesity Research, 10(5), 345–350.PubMedCrossRef
3.
go back to reference Gutierrez-Fisac, J. L., Lopez Garcia, E., Rodriguez-Artalejo, F., Banegas Banegas, J. R., & Guallar-Castillon, P. (2002). Self-perception of being overweight in Spanish adults. European Journal of Clinical Nutrition, 56(9), 866–872.PubMedCrossRef Gutierrez-Fisac, J. L., Lopez Garcia, E., Rodriguez-Artalejo, F., Banegas Banegas, J. R., & Guallar-Castillon, P. (2002). Self-perception of being overweight in Spanish adults. European Journal of Clinical Nutrition, 56(9), 866–872.PubMedCrossRef
4.
go back to reference Kuchler, F., & Variyam, J. N. (2003). Mistakes were made: Misperception as a barrier to reducing overweight. International Journal of Obesity and Related Metabolic Disorders, 27(7), 856–861.PubMedCrossRef Kuchler, F., & Variyam, J. N. (2003). Mistakes were made: Misperception as a barrier to reducing overweight. International Journal of Obesity and Related Metabolic Disorders, 27(7), 856–861.PubMedCrossRef
5.
go back to reference Chang, V. W., & Christakis, N. A. (2003). Self-perception of weight appropriateness in the United States. American Journal of Preventive Medicine, 24(4), 332–339.PubMedCrossRef Chang, V. W., & Christakis, N. A. (2003). Self-perception of weight appropriateness in the United States. American Journal of Preventive Medicine, 24(4), 332–339.PubMedCrossRef
6.
go back to reference Johnson-Taylor, W. L., Fisher, R. A., Hubbard, V. S., Starke-Reed, P., & Eggers, P. S. (2008). The change in weight perception of weight status among the overweight: comparison of NHANES III (1988–1994) and 1999–2004 NHANES. International Journal of Behavioral Nutrition and Physical Activity, 5, 9.PubMedCrossRef Johnson-Taylor, W. L., Fisher, R. A., Hubbard, V. S., Starke-Reed, P., & Eggers, P. S. (2008). The change in weight perception of weight status among the overweight: comparison of NHANES III (1988–1994) and 1999–2004 NHANES. International Journal of Behavioral Nutrition and Physical Activity, 5, 9.PubMedCrossRef
7.
go back to reference Dorsey, R. R., Eberhardt, M. S., & Ogden, C. L. (2009). Racial/ethnic differences in weight perception. Obesity, 17(4), 790–795.PubMedCrossRef Dorsey, R. R., Eberhardt, M. S., & Ogden, C. L. (2009). Racial/ethnic differences in weight perception. Obesity, 17(4), 790–795.PubMedCrossRef
8.
go back to reference Burke, M. A., Heiland, F. W., & Nadler, C. M. (2010). From “overweight” to “about right”: Evidence of a generational shift in body weight norms. Obesity, 18(6), 1226–1234.PubMedCrossRef Burke, M. A., Heiland, F. W., & Nadler, C. M. (2010). From “overweight” to “about right”: Evidence of a generational shift in body weight norms. Obesity, 18(6), 1226–1234.PubMedCrossRef
9.
go back to reference Yaemsiri, S., Slining, M. M., & Agarwal, S. K. (2010). Perceived weight status, overweight diagnosis, and weight control among US adults: The NHANES 2003–2008 study. International Journal of Obesity, 35, 1063–1070.PubMedCrossRef Yaemsiri, S., Slining, M. M., & Agarwal, S. K. (2010). Perceived weight status, overweight diagnosis, and weight control among US adults: The NHANES 2003–2008 study. International Journal of Obesity, 35, 1063–1070.PubMedCrossRef
10.
go back to reference Gregory, C. O., Blanck, H. M., Gillespie, C., Maynard, L. M., & Serdula, M. K. (2008). Perceived health risk of excess body weight among overweight and obese men and women: Differences by sex. Preventive Medicine, 47(1), 46–52.PubMedCrossRef Gregory, C. O., Blanck, H. M., Gillespie, C., Maynard, L. M., & Serdula, M. K. (2008). Perceived health risk of excess body weight among overweight and obese men and women: Differences by sex. Preventive Medicine, 47(1), 46–52.PubMedCrossRef
11.
go back to reference Johnson, F., Cooke, L., Croker, H., & Wardle, J. (2008). Changing perceptions of weight in Great Britain: Comparison of two population surveys. BMJ, 337, a494.PubMedCrossRef Johnson, F., Cooke, L., Croker, H., & Wardle, J. (2008). Changing perceptions of weight in Great Britain: Comparison of two population surveys. BMJ, 337, a494.PubMedCrossRef
12.
go back to reference Harris, C. V., Bradlyn, A. S., Coffman, J., Gunel, E., & Cottrell, L. (2008). BMI-based body size guides for women and men: Development and validation of a novel pictorial method to assess weight-related concepts. International Journal of Obesity (London), 32(2), 336–342.CrossRef Harris, C. V., Bradlyn, A. S., Coffman, J., Gunel, E., & Cottrell, L. (2008). BMI-based body size guides for women and men: Development and validation of a novel pictorial method to assess weight-related concepts. International Journal of Obesity (London), 32(2), 336–342.CrossRef
13.
go back to reference National Institutes of Health, & National Heart Lung and Blood Institute. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—The evidence report. Obesity Research, 6(Suppl 2), 51S–209S. National Institutes of Health, & National Heart Lung and Blood Institute. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—The evidence report. Obesity Research, 6(Suppl 2), 51S–209S.
15.
go back to reference World Health Organization. (2000). Obesity. Preventing and managing the global epidemic. Report of a WHO consultation on obesity. Geneva: World Health Organization. World Health Organization. (2000). Obesity. Preventing and managing the global epidemic. Report of a WHO consultation on obesity. Geneva: World Health Organization.
16.
go back to reference Grogan, S. (2006). Body image and health: Contemporary perspectives. Journal of Health Psychology, 11(4), 523–530.PubMedCrossRef Grogan, S. (2006). Body image and health: Contemporary perspectives. Journal of Health Psychology, 11(4), 523–530.PubMedCrossRef
17.
go back to reference Centers for Disease Control and Prevention. (2000). Measuring healthy days: Population assessment of health-related quality of life. Atlanta, GA: CDC. Centers for Disease Control and Prevention. (2000). Measuring healthy days: Population assessment of health-related quality of life. Atlanta, GA: CDC.
18.
go back to reference Idler, E. L., & Kasl, S. V. (1995). Self-ratings of health: Do they also predict change in functional ability? Journal of Gerontology: Social Sciences, 50(6), S344–S353. Idler, E. L., & Kasl, S. V. (1995). Self-ratings of health: Do they also predict change in functional ability? Journal of Gerontology: Social Sciences, 50(6), S344–S353.
19.
go back to reference Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38(1), 21–37.PubMedCrossRef Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38(1), 21–37.PubMedCrossRef
20.
go back to reference Schuz, B., Wurm, S., Schollgen, I., & Tesch-Romer, C. (2011). What do people include when they self-rate their health? Differential associations according to health status in community-dwelling older adults. Quality of Life Research, 20(10), 1573–1580.PubMedCrossRef Schuz, B., Wurm, S., Schollgen, I., & Tesch-Romer, C. (2011). What do people include when they self-rate their health? Differential associations according to health status in community-dwelling older adults. Quality of Life Research, 20(10), 1573–1580.PubMedCrossRef
21.
go back to reference Krause, N. M., & Jay, G. M. (1994). What do global self-rated health items measure? Medical Care, 32(9), 930–942.PubMedCrossRef Krause, N. M., & Jay, G. M. (1994). What do global self-rated health items measure? Medical Care, 32(9), 930–942.PubMedCrossRef
22.
go back to reference Bailis, D. S., Segall, A., & Chipperfield, J. G. (2003). Two views of self-rated general health status. Social Science in Medicine, 56(2), 203–217.CrossRef Bailis, D. S., Segall, A., & Chipperfield, J. G. (2003). Two views of self-rated general health status. Social Science in Medicine, 56(2), 203–217.CrossRef
23.
go back to reference Ford, E. S., Moriarty, D. G., Zack, M. M., Mokdad, A. H., & Chapman, D. P. (2001). Self-reported body mass index and health-related quality of life: Findings from the behavioral risk factor surveillance system. Obesity Research, 9(1), 21–31.PubMedCrossRef Ford, E. S., Moriarty, D. G., Zack, M. M., Mokdad, A. H., & Chapman, D. P. (2001). Self-reported body mass index and health-related quality of life: Findings from the behavioral risk factor surveillance system. Obesity Research, 9(1), 21–31.PubMedCrossRef
24.
go back to reference Imai, K., Gregg, E. W., Chen, Y. J., Zhang, P., de Rekeneire, N., & Williamson, D. F. (2008). The association of BMI with functional status and self-rated health in US adults. Obesity (Silver Spring), 16(2), 402–408.CrossRef Imai, K., Gregg, E. W., Chen, Y. J., Zhang, P., de Rekeneire, N., & Williamson, D. F. (2008). The association of BMI with functional status and self-rated health in US adults. Obesity (Silver Spring), 16(2), 402–408.CrossRef
25.
go back to reference Okosun, I. S., Choi, S., Matamoros, T., & Dever, G. E. (2001). Obesity is associated with reduced self-rated general health status: Evidence from a representative sample of white, black, and Hispanic Americans. Preventive Medicine, 32(5), 429–436.PubMedCrossRef Okosun, I. S., Choi, S., Matamoros, T., & Dever, G. E. (2001). Obesity is associated with reduced self-rated general health status: Evidence from a representative sample of white, black, and Hispanic Americans. Preventive Medicine, 32(5), 429–436.PubMedCrossRef
26.
go back to reference Diener, E. (1994). Assessing subjective well-being: Progress and opportunities. Social Indicators Research, 31, 103–157.CrossRef Diener, E. (1994). Assessing subjective well-being: Progress and opportunities. Social Indicators Research, 31, 103–157.CrossRef
27.
go back to reference Koivumaa-Honkanen, H., Honkanen, R., Viinamaki, H., Heikkila, K., Kaprio, J., & Koskenvuo, M. (2000). Self-reported life satisfaction and 20-year mortality in healthy Finnish adults. American Journal of Epidemiology, 152(10), 983–991.PubMedCrossRef Koivumaa-Honkanen, H., Honkanen, R., Viinamaki, H., Heikkila, K., Kaprio, J., & Koskenvuo, M. (2000). Self-reported life satisfaction and 20-year mortality in healthy Finnish adults. American Journal of Epidemiology, 152(10), 983–991.PubMedCrossRef
28.
go back to reference Strine, T. W., Chapman, D. P., Balluz, L. S., Moriarty, D. G., & Mokdad, A. H. (2008). The associations between life satisfaction and health-related quality of life, chronic illness, and health behaviors among U.S. community-dwelling adults. Journal of Community Health, 33(1), 40–50.PubMedCrossRef Strine, T. W., Chapman, D. P., Balluz, L. S., Moriarty, D. G., & Mokdad, A. H. (2008). The associations between life satisfaction and health-related quality of life, chronic illness, and health behaviors among U.S. community-dwelling adults. Journal of Community Health, 33(1), 40–50.PubMedCrossRef
30.
go back to reference Flegal, K. M., Carroll, M. D., Ogden, C. L., & Curtin, L. R. (2010). Prevalence and trends in obesity among US adults, 1999–2008. Journal of the American Medical Association, 303(3), 235–241.PubMedCrossRef Flegal, K. M., Carroll, M. D., Ogden, C. L., & Curtin, L. R. (2010). Prevalence and trends in obesity among US adults, 1999–2008. Journal of the American Medical Association, 303(3), 235–241.PubMedCrossRef
31.
go back to reference Kolotkin, R. L., Meter, K., & Williams, G. R. (2001). Quality of life and obesity. Obesity Reviews, 2(4), 219–229.PubMedCrossRef Kolotkin, R. L., Meter, K., & Williams, G. R. (2001). Quality of life and obesity. Obesity Reviews, 2(4), 219–229.PubMedCrossRef
32.
go back to reference Burns, C. M., Tijhuis, M. A., & Seidell, J. C. (2001). The relationship between quality of life and perceived body weight and dieting history in Dutch men and women. International Journal of Obesity and Related Metabolic Disorders, 25(9), 1386–1392.PubMedCrossRef Burns, C. M., Tijhuis, M. A., & Seidell, J. C. (2001). The relationship between quality of life and perceived body weight and dieting history in Dutch men and women. International Journal of Obesity and Related Metabolic Disorders, 25(9), 1386–1392.PubMedCrossRef
33.
go back to reference Atlantis, E., & Ball, K. (2008). Association between weight perception and psychological distress. International Journal of Obesity, 32(4), 715–721.PubMedCrossRef Atlantis, E., & Ball, K. (2008). Association between weight perception and psychological distress. International Journal of Obesity, 32(4), 715–721.PubMedCrossRef
34.
go back to reference Beland, Y. (2002). Canadian community health survey—methodological overview. Health Reports, 13(3), 9–14.PubMed Beland, Y. (2002). Canadian community health survey—methodological overview. Health Reports, 13(3), 9–14.PubMed
35.
go back to reference Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.PubMedCrossRef Landis, J. R., & Koch, G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.PubMedCrossRef
36.
go back to reference Linder, J., McLaren, L., Siou, G. L., Csizmadi, I., & Robson, P. J. (2010). The epidemiology of weight perception: Perceived versus self-reported actual weight status among Albertan adults. Canadian Journal of Public Health, 101(1), 56–60.PubMed Linder, J., McLaren, L., Siou, G. L., Csizmadi, I., & Robson, P. J. (2010). The epidemiology of weight perception: Perceived versus self-reported actual weight status among Albertan adults. Canadian Journal of Public Health, 101(1), 56–60.PubMed
37.
go back to reference Ball, K., Crawford, D., & Kenardy, J. (2004). Longitudinal relationships among overweight, life satisfaction, and aspirations in young women. Obesity Research, 12(6), 1019–1030.PubMedCrossRef Ball, K., Crawford, D., & Kenardy, J. (2004). Longitudinal relationships among overweight, life satisfaction, and aspirations in young women. Obesity Research, 12(6), 1019–1030.PubMedCrossRef
38.
go back to reference Fonseca, H., Matos, M. G., Guerra, A., & Pedro, J. G. (2009). Are overweight and obese adolescents different from their peers? International Journal of Pediatric Obesity, 4(3), 166–174.PubMedCrossRef Fonseca, H., Matos, M. G., Guerra, A., & Pedro, J. G. (2009). Are overweight and obese adolescents different from their peers? International Journal of Pediatric Obesity, 4(3), 166–174.PubMedCrossRef
39.
go back to reference Duncan, D. T., Wolin, K. Y., Scharoun-Lee, M., Ding, E. L., Warner, E. T., & Bennett, G. G. (2011). Does perception equal reality? Weight misperception in relation to weight-related attitudes and behaviors among overweight and obese US adults. International Journal of Behavioral Nutrition and Physical Activity, 8, 20.PubMedCrossRef Duncan, D. T., Wolin, K. Y., Scharoun-Lee, M., Ding, E. L., Warner, E. T., & Bennett, G. G. (2011). Does perception equal reality? Weight misperception in relation to weight-related attitudes and behaviors among overweight and obese US adults. International Journal of Behavioral Nutrition and Physical Activity, 8, 20.PubMedCrossRef
40.
go back to reference Atlantis, E., Barnes, E. H., & Ball, K. (2008). Weight status and perception barriers to healthy physical activity and diet behavior. International Journal of Obesity, 32(2), 343–352.PubMedCrossRef Atlantis, E., Barnes, E. H., & Ball, K. (2008). Weight status and perception barriers to healthy physical activity and diet behavior. International Journal of Obesity, 32(2), 343–352.PubMedCrossRef
41.
go back to reference Powell, T. M., de Lemos, J. A., Banks, K., Ayers, C. R., Rohatgi, A., Khera, A., et al. (2010). Body size misperception: A novel determinant in the obesity epidemic. Archives of Internal Medicine, 170(18), 1695–1697.PubMedCrossRef Powell, T. M., de Lemos, J. A., Banks, K., Ayers, C. R., Rohatgi, A., Khera, A., et al. (2010). Body size misperception: A novel determinant in the obesity epidemic. Archives of Internal Medicine, 170(18), 1695–1697.PubMedCrossRef
42.
go back to reference Bleich, S. N., Pickett-Blakely, O., & Cooper, L. A. (2011). Physician practice patterns of obesity diagnosis and weight-related counseling. Patient Education Counselling, 82(1), 123–129.CrossRef Bleich, S. N., Pickett-Blakely, O., & Cooper, L. A. (2011). Physician practice patterns of obesity diagnosis and weight-related counseling. Patient Education Counselling, 82(1), 123–129.CrossRef
43.
go back to reference Cameron, A. J., Magliano, D. J., Dunstan, D. W., Zimmet, P. Z., Hesketh, K., Peeters, A., et al. (2012). A bi-directional relationship between obesity and health-related quality of life: Evidence from the longitudinal AusDiab study. International Journal of Obesity, 36(2), 295–303.PubMedCrossRef Cameron, A. J., Magliano, D. J., Dunstan, D. W., Zimmet, P. Z., Hesketh, K., Peeters, A., et al. (2012). A bi-directional relationship between obesity and health-related quality of life: Evidence from the longitudinal AusDiab study. International Journal of Obesity, 36(2), 295–303.PubMedCrossRef
44.
go back to reference Korkeila, M., Kaprio, J., Rissanen, A., Koshenvuo, M., & Sorensen, T. I. (1998). Predictors of major weight gain in adult Finns: Stress, life satisfaction and personality traits. International Journal of Obesity and Related Metabolic Disorders, 22(10), 949–957.PubMedCrossRef Korkeila, M., Kaprio, J., Rissanen, A., Koshenvuo, M., & Sorensen, T. I. (1998). Predictors of major weight gain in adult Finns: Stress, life satisfaction and personality traits. International Journal of Obesity and Related Metabolic Disorders, 22(10), 949–957.PubMedCrossRef
45.
go back to reference Shields, M., Gorber, S. C., & Tremblay, M. S. (2008). Effects of measurement on obesity and morbidity. Health Reports, 19(2), 77–84.PubMed Shields, M., Gorber, S. C., & Tremblay, M. S. (2008). Effects of measurement on obesity and morbidity. Health Reports, 19(2), 77–84.PubMed
46.
go back to reference Connor Gorber, S., Tremblay, M., Moher, D., & Gorber, B. (2007). A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obesity Reviews, 8(4), 307–326. Connor Gorber, S., Tremblay, M., Moher, D., & Gorber, B. (2007). A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obesity Reviews, 8(4), 307–326.
47.
go back to reference Rothman, K. J. (2008). BMI-related errors in the measurement of obesity. International Journal of Obesity, 32(Suppl 3), S56–S59.PubMedCrossRef Rothman, K. J. (2008). BMI-related errors in the measurement of obesity. International Journal of Obesity, 32(Suppl 3), S56–S59.PubMedCrossRef
Metagegevens
Titel
Self-rated health and life satisfaction among Canadian adults: associations of perceived weight status versus BMI
Auteurs
Katya M. Herman
Wilma M. Hopman
Mark W. Rosenberg
Publicatiedatum
01-12-2013
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 10/2013
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-013-0394-9

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