Interaction Effect between Weight Perception and Comorbidities on Weight Control Behavior in Overweight and Obese Adults: Is There a Sex Difference?

• Published in: Journal of Korean medical science Vol. 30; no. 8; pp. 1017 - 1024
• Main Authors: Hwang, Jun Hyun, Ryu, Dong Hee, Park, Soon-Woo
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Academy of Medical Sciences 01.08.2015; 대한의학회
• Subjects: Adult; Aged; Aged, 80 and over; Body Image; Body Mass Index; Comorbidity; Educational Status; Female; Health Behavior; Humans; Male; Middle Aged; Obesity - epidemiology; Obesity - prevention & control; Original; Patient Compliance - statistics & numerical data; Prevalence; Republic of Korea - epidemiology; Risk Factors; Sex Characteristics; Sex Distribution; Smoking - epidemiology; Socioeconomic Factors; Treatment Outcome; Weight Perception; Weight Reduction Programs - utilization; Young Adult; 의학일반; Republic of Korea; Weight Perception; Body Image; Obesity; Comorbidity
• ISSN: 1011-8934; 1598-6357; 1598-6357
• DOI: 10.3346/jkms.2015.30.8.1017

We investigated the interaction effect between body weight perception and chronic disease comorbidities on body weight control behavior in overweight/obese Korean adults. We analyzed data from 9,138 overweight/obese adults ≥20 yr of age from a nationally representative cross-sectional survey. Multiple logistic regression using an interaction model was performed to estimate the effect of chronic disease comorbidities on weight control behavior regarding weight perception. Adjusted odds ratios for weight control behavior tended to increase significantly with an increasing number of comorbidities in men regardless of weight perception (P<0.05 for trend), suggesting no interaction. Unlike women who perceived their weight accurately, women who under-perceived their weight did not show significant improvements in weight control behavior even with an increasing number of comorbidities. Thus, a significant interaction between weight perception and comorbidities was found only in women (P=0.031 for interaction). The effect of the relationship between accurate weight perception and chronic disease comorbidities on weight control behavior varied by sex. Improving awareness of body image is particularly necessary for overweight and obese women to prevent complications.