How well do you know your size? Accuracy of self-reported measures vs. BMI & waist to height ratio among Mexican women
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In Mexico 72.5% of adults are overweight, yet many are unaware of their excessive weight, meaning not taking action to lose weight. We compared BMI-measured (BMIM) with (1) BMI-reported (BMIR) calculated with self-reported weight and height, (2) own figure identified on Figure Rating Scale and (3) perception metric of Weight Status (WS). We also evaluated whether any of three metrics predicted Waist-to-Height-Ratio (WHtR), a better indicator than BMI of cardio-metabolic risks. 280 female students had measures and self-reports taken. Linear regression and ROC curves were calculated. Majority of participants had average BMIM (69%), yet 52% were at cardio-metabolic risk based on WHtR≥0.5. Majority knew well their height and weight (BMIR explained 90% of BMIM variance), yet it did not necessarily mean they knew their Weight Status. When asked about WS 27% indicated a different weight category than one identified based on BMIM. None of three proxy-measures predicted well WHtR, indicating the need for establishing such, and for building awareness of waist circumference. Results suggest that numbers such as own weight and height can be easily retrieved from memory, yet their meaning come from socio-cultural context.
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Altabe, M. N. & Thompson, J. K., (1996). Body Image: A Cognitive Self-Schema Construct. Cognitive Therapy and Research, 20(2), 171-193. Available via https://doi.org/10.1007/bf02228033
Ashwell, M. & Gibson, S. (2016). Waist-to-height ratio as an indicator of ‘early health risk’: simpler and more predictive than using a ‘matrix’ based on BMI and waist circumference. BioMedical Journal Open 6:e010159. Available via http://dx.doi.org/10.1136/bmjopen-2015-010159
Ashwell, M., Gunn, P., & Gibson, S. (2012). Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obesity Reviews, 13(3), 275-286. Available via https://doi.org/10.1111/j.1467-789X.2011.00952.x
Browning L. M., Hsieh, S. D., & Ashwell, M. (2010). A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0.5 could be a suitable global boundary value. Nutrition Research Reviews, 23(2), 247-269. Available via https://doi.org/10.1017/S0954422410000144
Browning, L. M., Hsieh, S. D., & Ashell, M. (2010). A systematic review of waist-to height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: .5 could be a suitable global boundary value. Nutrition Research Reviews, 23, 247-269. Available via https://doi.org/10.1017/S0954422410000144
Bulik, C. M., Wade, T. D., Heath, A. C., Martin, N. G., Stunkard, A. J., & Eaves, L. J. (2001). Relating body mass index to figural stimuli: population-based normative data for Caucasians, International Journal of Obesity, 25, 1517–1524. Available via https://doi.org/10.1038/sj.ijo.0801742
Calleja, H. M. & Sánchez, D. C. (2013). Relación entre circunferencia abdominal e índice de masa corporal con los niveles de colesterol total y triglicéridos en los pacientes que acuden al centro de salud rural disperso Santa María la Asunción de enero a diciembre 2012 [Tesis de licenciatura, Médico Cirujano, Universidad Autónoma del Estado de México]. México: UAEM. Retreived from RI: http://ri.uaemex.mx/handle/123456789/14192
Choi, J., Bender, M. S., Arai, S., & Fukuoka, Y. (2015). Factors associated with underestimation of weight status among Caucasian, Latino, Filipino, and Korean Americans—DiLH Survey. Ethnicity & disease, 25(2), 200-207. Retreived from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4534087/
Cleveland Clinic. (2016). Heart Health Survey: Know Your Numbers. Retrieved from https://newsroom.clevelandclinic.org/wp-content/uploads/sites/4/2017/02/Love-Your-Heart-Survey-2017-Methodology.pdf
Craig, B. M. & Adams, A. K. (2009). Accuracy of Body Mass Index Categories Based on Self-Reported Height and Weight among Women in the United States. Maternal Child Health, 13, 489–496. Available via https://doi.org/10.1007/s10995-008-0384-7
Domínguez-Reyes, T., Quiróz-Vargas, I., Salgado-Bernabé, A. B., Salgado Goytia, L., Muñoz-Valle, J. F., & Parra-Rojas, I. (2017). Las medidas antropométricas como indicadores predicitvos de riesgo metabólico en la población mexicana. Nutrición Hospitalaria, 34(1). Available via https://dx.doi.org/10.20960/nh.983
Easton, J.F., Stephens, C.R., & Sicilia, H.R. (2017). An Analysis of Real, Self-Perceived, and Desired BMI: Is There a Need for Regular Screening to Correct Misperceptions and Motivate Weight Reduction? Frontiers in Public Health, 5(12). Available via https://doi: 10.3389/fpubh.2017.00012
Fanghänel, G., Sánchez-Reyes, L., Félix-García, L., Violante-Ortiz, R., Campos-Franco, E., & Alcocer, L. A. (2011). Impacto de la disminución del perímetro de la cintura en el riesgo cardiovascular de pacientes obesos sujetos a tratamiento. Cirugía y Cirujanos, 79, 175-181. Retreived from https://www.ncbi.nlm.nih.gov/pubmed/21631979
Feingold, A. & Mazzella, R. (1998). Gender differences in body image are increasing. Psychological Science, 9(3), 190-195. Available via https://doi.org/10.1111/1467-9280.00036
Gabinete de Comunicación Estratégica. (Nov. 28th, 2016). Un estudio revela que más del 70% de los mexicanos prioriza la belleza. Retrieved on 5th January 2016 from http://noticias.universia.net.mx/cultura/noticia/2016/11/28/1146916/estudio-revela-70-mexicanos-prioriza-belleza.html
Gregory, C. O., Blanck, H. M., Gillespie, C., Maynard, L. M., & Serdula, M. K. (2008). Health perceptions and demographic characteristics associated with underassessment of body weight. Obesity, 16(5), 979-986. Available via https://doi.org/10.1038/oby.2008.22
Hidalgo-Rasmussen, C. A. & Hidalgo-San Martín, A. (2011). Percepción del peso corporal, comportamiento de control de peso y calidad de vida en adolescentes mexicanos estudiantes de secundaria. Revista Mexicana de Trastornos Alimentarios, 2(2), 71-81. Retreived from http://www.redalyc.org/articulo.oa?id=425741616003. ISSN: 2007 - 1523
Jung, J. & Lennon, S. (2003). Body Image, Appearance Self‐Schema, and Media Images. Family and Consumer Sciences Research Journal, 32(1), 27-51. Available via https://doi.org/10.1177/1077727X03255900
Kaufer-Horwitz, M., Martínez, J., Goti-Rodríguez, L. M., & Ávila-Rosas, H. (2006). Association between measured BMI and self-perceived body size in Mexican adults. Annals of Human Biology, 33(5–6), 536–545. Availabe via https://doi.org/10.1080/03014460600909281
Labarge, A. S., Cash, T. F., & Brown, T. A. (1998). Use of a Modified Stroop Task to Examine Appearance-Schematic Information Processing in College Women. Cognitive Therapy and Research, 22, 179-190. Available via https://doi.org/10.1023/A:101873242346
Markus, H. (1977). Self-schemata and processing of information about the self. Journal of Personality and Social Psychology, 35, 63-78. Available via https://doi.org/10.1037/0022-3514.35.2.63
Markus, H., Hamill, R., & Sentis, K. P. (1987). Thinking fat: Self-schemas for body weight and the processing of weight relevant information. Journal of Applied Social Psychology, 17, 50-71. Available via https://doi.org/10.1111/j.1559-1816.1987.tb00292.x
Markus, H. R. & Kitayama, S. (1991). Culture and the Self Implications for Cognition, Emotion, and Motivation. Psychological Review, 98, 224-253. Available via https://doi. org/10.1037/0033-295X.98.2.224
Markus, H. & Kunda, Z. (1986). Stability and malleability of the self-concept. Journal of Personality and Social Psychology, 51, 858-866. Available via https://doi.org/10.1037/0022-3514.51.4.858
Maupin, J. N. & Hruschka, D. J. (2014). Assessing the accuracy of two proxy measures for BMI in a semi-rural, low-resource setting in Guatemala. BioMed Central Public Health, 14, 973-979. Available via https://doi.org/10.1186/1471-2458-14-973
Mills, J. S., Shannon, A., & Hogue, J. (2017). Beauty, body image, and the media. In M. Levine (Hrsg.), Perception of beauty (pp. 145–157). London: Intech Open. Available via https://doi.org/10.5772/66021
Muttarak, R. (2018). Normalization of Plus Size and the Danger of Unseen Overweight and Obesity in England. Obesity, 26(10), 1529-1529. Available via https://doi.org/10.1002/oby.22204
Oliaz, G., Rivera, J., Shamah, T., Rojas, R., Villalpando, S., Hernández, M., & et al. (2006). Encuesta Nacional de Salud y Nutrición 2006. México: Instituto Nacional de Salud Pública. Retreived from https://ensanut.insp.mx/informes/ensanut2006.pdf. ISBN 970-9874-17-9
Osuna-Ramírez, I., Hernández-Prado, B., Campuzano J. C., & Salmerón, J. (March-April, 2006). Índice de masa corporal y percepción de la imagen corporal en una población adulta mexicana: la precisión del autorreporte. Salud pública México, 48(2), 94-103. Retrieved from http://www.scielo.org.mx/pdf/spm/v48n2/29722.pdf
Petty, R. & Cacioppo, J. (1986). The elaboration likelihood model of persuasion. Advances in Experimental Social Psychology, 19, 123–205. Available via https://doi.org/ 10.1558/ijsll.v14i2.309
Pérez-Lugo, A. L., Gabino-Campos, M., & Baile, J. I. (2016). Análisis de los estereotipos estéticos sobre la mujer en nueve revistas de moda y belleza mexicanas. Revista Mexicana de Trastornos Alimentarios, 7(1), 40-45. Available via https://doi.org/10.1016/j.rmta.2016.02.001
Robinson E. (2017). Overweight but unseen: a review of the underestimation of weight status and a visual normalization theory. Obesity Reviews, 18, 1200–1209. Available via https://doi.org/10.1111/obr.12570
Rogol, A. D., Clark, P. A., & Roemmich, J. N. (2000). Growth and pubertal development in children and adolescents: effects of diet and physical activity. The American Journal of Clinical Nutrition, 72(2), 521S–528S. Available via https://doi.org/10.1093/ajcn/72.2.521S
Schneider, H. J., Friedrich, N., Klotsche, J., Pieper, L., Nauck, M., John, U., et al. (2010). The Predictive Value of Different Measures of Obesity for Incident Cardiovascular Events and Mortality. The Journal of Clinical Endocrinology & Metabolism, 95(4), 1777–1785. Available via https://doi.org/10.1210/jc.2009-1584
Secretaría de Salud. Instituto Nacional de Salud Pública. (2006). Encuesta Nacional de Salud y Nutrición de Medio Camino 2016. Informe final de resultados. México: Secretaría de Salud. Retreived from https://www.insp.mx/images/stories/2017/Avisos/docs/180315encuesta_nacional_de_salud_y_nutricion_de_medio_Ca.pdf. ISBN: 978-607-511-160-5
Secretaría de Salud. Instituto Nacional de Salud Pública. (2016). La Encuesta Nacional de Salud y Nutrición de Medio Camino 2016. Informe final de resultados. Retrieved from http://promocion.salud.gob.mx/dgps/descargas1/doctos_2016/ensanut_mc_2016-310oct.pdf
Southerland, J., Wang, L., Richards, K., Pack, R., & Slawson, D. L. (2013). Misperceptions of overweight: associations of weight misperception with health-related quality of life among normal-weight college students. Public Health Reports, 128(6), 562-568. Available via https://doi.org/10.1177/003335491312800617
Stommel, M. & Schoenborn, C.A. (2009). Accuracy and usefulness of BMI measures based on self-reported weight and height: findings from the NHANES & NHIS 2001-2006. BioMed Central Public Health, 9(42), 1-11. Available via https://doi.org/10.1186/1471-2458-9-421
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