Overweight Perception: Associations with Weight Control Goals, Attempts, and Practices among Chinese Female College Students

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• 作者：Hilary C. Tanenbaum ; MPH ; MS ; RD ; ^{hilary.tanenbaum@cgu.edu" class="auth_mail" title="E-mail the corresponding author}Author Vitae ; Jamie Q. Felicitas ; MPHAuthor Vitae ; Yawen Li ; PhDAuthor Vitae ; Malaika Tobias ; MPHAuthor Vitae ; Chih-Ping Chou ; PhDAuthor Vitae ; Paula H. Palmer ; PhDAuthor Vitae ; Donna Spruijt-Metz ; PhDAuthor Vitae ; Kim D. Reynolds ; PhDAuthor Vitae ; C. Anderson Johnson ; PhDAuthor Vitae ; Bin Xie ; PhDAuthor Vitae
• 关键词：Weight perception ; Weight control practices
• 刊名：Journal of the Academy of Nutrition and Dietetics
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：116
• 期：3
• 页码：458-466
• 全文大小：251 K

文摘

Concurrent with the dramatic cultural and economic shifts occurring as mainland China becomes increasingly “Westernized,” the weight perceptions, ideal body weight, and weight management goals and practices of Chinese females have also undergone significant changes.

Objective

To investigate relationships between overweight status, weight perception patterns, and weight management goals and practices in Chinese female college students.

Design/participants/setting

A cross-sectional analysis was conducted with data from 902 female subjects aged 18 to 25 years participating in the China Seven Cities Study, a health promotion and smoking prevention study conducted in mainland China in 2003.

Main outcome measures/statistical analyses

Logistic regression models were used to explore associations between overweight status, weight perception, specific weight management goals and practices, and current levels of vigorous-intensity physical activity and food consumption.

Results

Based on World Health Organization standards for Asian adults, 16.7% of college females were overweight or obese, although 50.8% considered themselves to be “too heavy.” Among participants perceiving themselves as overweight (n=458), 69.2% (n=371) were inaccurate and did not meet criteria for overweight or obese. The percentage of participants attempting weight loss was 48.2%, and 33.1% wanted to maintain their current weight. Attempts to lose or maintain weight were related to actual and perceived weight status, but not to increased vigorous-intensity physical activity or fruit and vegetable intake, nor to decreased consumption of sweets, soda, Western fast foods, and fried foods. Only 21.5% of participants desiring weight loss or maintenance reported using a combination of vigorous-intensity physical activity and a reduced-fat and -calorie diet, whereas 20.2% tried extreme methods such as fasting, using diet pills, vomiting, or smoking.

Conclusions

Our findings underscore the need to promote healthy weight management practices among Chinese female college students, with an emphasis on diet and physical activity strategies that encourage balance rather than extremes.