{"title":"How does body mass index impact self-perceived health? A pan-European analysis of the European Health Interview Survey Wave 2.","authors":"Joana Narciso, Natasha Croome","doi":"10.1136/bmjnph-2022-000439","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Obesity remains a major global public health issue, despite numerous attempts to address it. Health behaviour theories suggest that a misconception of how excess weight affects general health may be preventing individuals from taking action towards addressing it. The present study explores this relationship in European countries.</p><p><strong>Methods: </strong>This study analysed cross-sectional secondary data collected as part of the European Health Interview Survey Wave 2 (2013-2015), with a total sample of 299 846 participants. The association between body mass index and self-perceived health was analysed using logistic regression models. Age, sex, country, degree of urbanisation and level of education were included in the model to determine excess weight's independent contribution to self-perceived health over and above these variables.</p><p><strong>Results: </strong>The majority of the sample was in the excess weight category (52.92%; n=155 812), with only Austria and Luxembourg reporting a higher proportion of normal weight than excess weight. An analysis of self-perceived health revealed that most individuals perceived themselves to be in good health (42.88%; n=128 579). Logistic regression results show that overweight individuals were more likely to report being in poorer self-perceived health (OR=1.27, 95% CI 1.25 to 1.29) compared with normal weight individuals. The same effect was observed for individuals in the obese class I (OR=2.00, 95% CI 1.96 to 2.05), obese class II (OR=3.00, 95% CI 2.88 to 3.13) and obese class III (OR=4.38, 95% CI 4.07 to 4.71) categories. However, this study did not find a rigid pattern of association between excess weight and self-perceived health across European countries.</p><p><strong>Conclusion: </strong>In general, a higher body mass index category is associated with poorer self-perceived health, suggesting that the majority of the study population have a correct perception of how their weight affects their health. However, in some key countries this relationship is not observed and should be further explored.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":null,"pages":null},"PeriodicalIF":3.3000,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/15/bmjnph-2022-000439.PMC9813638.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Nutrition, Prevention and Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/bmjnph-2022-000439","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/12/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Obesity remains a major global public health issue, despite numerous attempts to address it. Health behaviour theories suggest that a misconception of how excess weight affects general health may be preventing individuals from taking action towards addressing it. The present study explores this relationship in European countries.
Methods: This study analysed cross-sectional secondary data collected as part of the European Health Interview Survey Wave 2 (2013-2015), with a total sample of 299 846 participants. The association between body mass index and self-perceived health was analysed using logistic regression models. Age, sex, country, degree of urbanisation and level of education were included in the model to determine excess weight's independent contribution to self-perceived health over and above these variables.
Results: The majority of the sample was in the excess weight category (52.92%; n=155 812), with only Austria and Luxembourg reporting a higher proportion of normal weight than excess weight. An analysis of self-perceived health revealed that most individuals perceived themselves to be in good health (42.88%; n=128 579). Logistic regression results show that overweight individuals were more likely to report being in poorer self-perceived health (OR=1.27, 95% CI 1.25 to 1.29) compared with normal weight individuals. The same effect was observed for individuals in the obese class I (OR=2.00, 95% CI 1.96 to 2.05), obese class II (OR=3.00, 95% CI 2.88 to 3.13) and obese class III (OR=4.38, 95% CI 4.07 to 4.71) categories. However, this study did not find a rigid pattern of association between excess weight and self-perceived health across European countries.
Conclusion: In general, a higher body mass index category is associated with poorer self-perceived health, suggesting that the majority of the study population have a correct perception of how their weight affects their health. However, in some key countries this relationship is not observed and should be further explored.
背景:肥胖仍然是一个主要的全球公共卫生问题,尽管有许多尝试解决它。健康行为理论表明,对超重如何影响整体健康的误解可能会阻止个人采取行动解决问题。本研究探讨了欧洲国家的这种关系。方法:本研究分析了作为欧洲健康访谈调查第二波(2013-2015)的一部分收集的横断面二手数据,总样本为299846名参与者。采用logistic回归模型分析体重指数与自我感知健康之间的关系。该模型包括年龄、性别、国家、城市化程度和教育水平,以确定超重对自我感知健康的独立贡献。结果:绝大多数样本属于超重类别(52.92%);n=155 812),只有奥地利和卢森堡报告的正常体重比例高于超重。自我健康感知分析显示,大多数个体认为自己健康状况良好(42.88%);579 n = 128)。逻辑回归结果显示,与正常体重的个体相比,超重个体更有可能报告自我感觉健康状况较差(OR=1.27, 95% CI 1.25至1.29)。在肥胖I类(OR=2.00, 95% CI 1.96至2.05)、肥胖II类(OR=3.00, 95% CI 2.88至3.13)和肥胖III类(OR=4.38, 95% CI 4.07至4.71)中也观察到同样的效果。然而,这项研究并没有发现欧洲国家超重和自我健康之间存在严格的联系模式。结论:总体而言,较高的身体质量指数类别与较差的自我感知健康相关,这表明大多数研究人群对体重如何影响健康有正确的认识。然而,在一些主要国家没有观察到这种关系,应该进一步探讨。