Weight status underestimation and weight management goals among adults in the rural South of the United States.

IF 3.1 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES Journal of Rural Health Pub Date : 2024-10-26 DOI:10.1111/jrh.12892

Haakim A Waraich, Michael D Wirth, Serge Wandji, Janessa M Graves, Demetrius A Abshire

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Abstract

Purpose: To examine factors associated with weight status underestimation and the relationship between weight status underestimation and weight loss as a weight management goal among adults living in the rural South.

Methods: An anonymous survey was distributed at six primary care clinics and two churches in rural, South Carolina counties. Weight status underestimation was determined based on the difference between perceived weight status using standard body mass index (BMI) categories (underweight, normal weight, overweight, and obese) and BMI category from self-reported height and weight. Participants reported whether their weight management goal was to lose, maintain, or gain weight. Chi-square and binary logistic regressions were used for data analysis.

Findings: A total of 185 respondents (76% female) at least partially completed the survey. Nearly 60% underestimated their weight status. Increasing BMI was associated with higher odds of weight status underestimation (OR: 1.10, 95%: 1.04, 1.15) and perceptions of being in fair or poor health was associated with lower odds of weight status underestimation relative to perceiving health as good or better (OR: 0.21, 95% CI: 0.06, 0.66). Among those with overweight and obesity, the association between underestimating weight status and having weight loss as a weight management goal was strong but not statistically significant (OR: 0.20, 95% CI: 0.04, 1.04).

Conclusions: Underestimating weight status was common among adults in the rural US South and was related to BMI and health status. Research is needed to determine if improving the accuracy of weight perceptions can promote weight management in the rural South.

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美国南部农村地区成年人对体重状况的低估和体重管理目标。

目的：研究与体重状况低估相关的因素，以及体重状况低估与南方农村地区成年人体重管理目标--减肥之间的关系：方法：在南卡罗来纳州农村地区的六个初级保健诊所和两个教堂发放匿名调查问卷。体重状况低估是根据标准体重指数（BMI）类别（体重不足、正常体重、超重和肥胖）与自我报告身高和体重的 BMI 类别之间的差异来确定的。参与者报告了他们的体重管理目标是减轻、保持还是增加体重。数据分析采用了卡方和二元逻辑回归：共有 185 名受访者（76% 为女性）至少完成了部分调查。近 60% 的受访者低估了自己的体重状况。体重指数越高，体重状况被低估的几率越高（OR：1.10，95%：1.04，1.15），而相对于认为健康状况良好或较好而言，认为健康状况一般或较差与体重状况被低估的几率较低（OR：0.21，95% CI：0.06，0.66）。在超重和肥胖症患者中，低估体重状况与将减轻体重作为体重管理目标之间的关联性很强，但无统计学意义（OR：0.20，95% CI：0.04，1.04）：低估体重状况在美国南部农村地区的成年人中很常见，并且与体重指数和健康状况有关。需要开展研究，以确定提高体重认知的准确性是否能促进南方农村地区的体重管理。

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来源期刊

Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

6.10%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Rural Health, a quarterly journal published by the NRHA, offers a variety of original research relevant and important to rural health. Some examples include evaluations, case studies, and analyses related to health status and behavior, as well as to health work force, policy and access issues. Quantitative, qualitative and mixed methods studies are welcome. Highest priority is given to manuscripts that reflect scholarly quality, demonstrate methodological rigor, and emphasize practical implications. The journal also publishes articles with an international rural health perspective, commentaries, book reviews and letters.