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Weight self-misperception and obesity-related knowledge, attitudes, lifestyle behaviours and cardio-metabolic markers among Chinese school-aged children and adolescents

OBJECTIVE: The relationships between childhood weight self-misperception and obesity-related factors particularly health markers have not been extensively discussed. This study aims to examine the associations between weight self-misperception and obesity-related knowledge, attitudes, lifestyles and...

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Autores principales: Liu, Jieyu, Ma, Qi, Wang, Xinxin, Chen, Manman, Ma, Tao, Cui, Mengjie, Jiang, Jun, Li, Yanhui, Gao, Di, Ma, Ying, Yuan, Wen, Chen, Li, Zhang, Yi, Guo, Tongjun, Ma, Jun, Dong, Yanhui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10410384/
https://www.ncbi.nlm.nih.gov/pubmed/37092759
http://dx.doi.org/10.1017/S1368980023000630
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author Liu, Jieyu
Ma, Qi
Wang, Xinxin
Chen, Manman
Ma, Tao
Cui, Mengjie
Jiang, Jun
Li, Yanhui
Gao, Di
Ma, Ying
Yuan, Wen
Chen, Li
Zhang, Yi
Guo, Tongjun
Ma, Jun
Dong, Yanhui
author_facet Liu, Jieyu
Ma, Qi
Wang, Xinxin
Chen, Manman
Ma, Tao
Cui, Mengjie
Jiang, Jun
Li, Yanhui
Gao, Di
Ma, Ying
Yuan, Wen
Chen, Li
Zhang, Yi
Guo, Tongjun
Ma, Jun
Dong, Yanhui
author_sort Liu, Jieyu
collection PubMed
description OBJECTIVE: The relationships between childhood weight self-misperception and obesity-related factors particularly health markers have not been extensively discussed. This study aims to examine the associations between weight self-misperception and obesity-related knowledge, attitudes, lifestyles and cardio-metabolic markers among Chinese paediatric population. DESIGN: Cross-sectional study. SETTING: Data sourced from a national survey in Chinese seven provinces in 2013. PARTICIPANTS: Children and adolescents aged 5–19 years. RESULTS: Of the total 14 079 participants, there were 14·5 % and 2·2 % participants over-estimated and under-perceived their weight, respectively. Multi-variable logistic regression was applied to calculate OR and 95 % CI (95 % Cl) of obesity-related behaviours and cardio-metabolic markers by actual and perceived weight status. Individuals who perceived themselves as overweight/obese were more likely to have prolonged screen time, insufficient dairy intake and over sugar-sweetened beverages consumption (all P < 0·05), regardless of their weight. Furthermore, actual overweight/obese individuals had higher odds of abnormal cardio-metabolic markers, but a smaller magnitude of association was found among weight under-estimators. Among non-overweight/obese individuals, weight over-estimation was positively associated with abdominal obesity (OR: 10·49, 95 % CI: 7·45, 14·76), elevated blood pressure (OR: 1·30, 95 % CI: 1·12, 1·51) and dyslipidemia (OR: 1·43, 95 % CI: 1·29, 1·58). CONCLUSIONS: Weight over-perception was more prevalent than under-estimation, particularly in girls. Weight over-estimators tended to master better knowledge but behave more unhealthily; both weight over-perception and actual overweight/obesity status were associated with poorer cardio-metabolic markers. Future obesity intervention programmes should additionally pay attention to the population with inaccurate estimation of weight who were easily overlooked.
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spelling pubmed-104103842023-09-26 Weight self-misperception and obesity-related knowledge, attitudes, lifestyle behaviours and cardio-metabolic markers among Chinese school-aged children and adolescents Liu, Jieyu Ma, Qi Wang, Xinxin Chen, Manman Ma, Tao Cui, Mengjie Jiang, Jun Li, Yanhui Gao, Di Ma, Ying Yuan, Wen Chen, Li Zhang, Yi Guo, Tongjun Ma, Jun Dong, Yanhui Public Health Nutr Research Paper OBJECTIVE: The relationships between childhood weight self-misperception and obesity-related factors particularly health markers have not been extensively discussed. This study aims to examine the associations between weight self-misperception and obesity-related knowledge, attitudes, lifestyles and cardio-metabolic markers among Chinese paediatric population. DESIGN: Cross-sectional study. SETTING: Data sourced from a national survey in Chinese seven provinces in 2013. PARTICIPANTS: Children and adolescents aged 5–19 years. RESULTS: Of the total 14 079 participants, there were 14·5 % and 2·2 % participants over-estimated and under-perceived their weight, respectively. Multi-variable logistic regression was applied to calculate OR and 95 % CI (95 % Cl) of obesity-related behaviours and cardio-metabolic markers by actual and perceived weight status. Individuals who perceived themselves as overweight/obese were more likely to have prolonged screen time, insufficient dairy intake and over sugar-sweetened beverages consumption (all P < 0·05), regardless of their weight. Furthermore, actual overweight/obese individuals had higher odds of abnormal cardio-metabolic markers, but a smaller magnitude of association was found among weight under-estimators. Among non-overweight/obese individuals, weight over-estimation was positively associated with abdominal obesity (OR: 10·49, 95 % CI: 7·45, 14·76), elevated blood pressure (OR: 1·30, 95 % CI: 1·12, 1·51) and dyslipidemia (OR: 1·43, 95 % CI: 1·29, 1·58). CONCLUSIONS: Weight over-perception was more prevalent than under-estimation, particularly in girls. Weight over-estimators tended to master better knowledge but behave more unhealthily; both weight over-perception and actual overweight/obesity status were associated with poorer cardio-metabolic markers. Future obesity intervention programmes should additionally pay attention to the population with inaccurate estimation of weight who were easily overlooked. Cambridge University Press 2023-08 2023-04-24 /pmc/articles/PMC10410384/ /pubmed/37092759 http://dx.doi.org/10.1017/S1368980023000630 Text en © The Authors 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited
spellingShingle Research Paper
Liu, Jieyu
Ma, Qi
Wang, Xinxin
Chen, Manman
Ma, Tao
Cui, Mengjie
Jiang, Jun
Li, Yanhui
Gao, Di
Ma, Ying
Yuan, Wen
Chen, Li
Zhang, Yi
Guo, Tongjun
Ma, Jun
Dong, Yanhui
Weight self-misperception and obesity-related knowledge, attitudes, lifestyle behaviours and cardio-metabolic markers among Chinese school-aged children and adolescents
title Weight self-misperception and obesity-related knowledge, attitudes, lifestyle behaviours and cardio-metabolic markers among Chinese school-aged children and adolescents
title_full Weight self-misperception and obesity-related knowledge, attitudes, lifestyle behaviours and cardio-metabolic markers among Chinese school-aged children and adolescents
title_fullStr Weight self-misperception and obesity-related knowledge, attitudes, lifestyle behaviours and cardio-metabolic markers among Chinese school-aged children and adolescents
title_full_unstemmed Weight self-misperception and obesity-related knowledge, attitudes, lifestyle behaviours and cardio-metabolic markers among Chinese school-aged children and adolescents
title_short Weight self-misperception and obesity-related knowledge, attitudes, lifestyle behaviours and cardio-metabolic markers among Chinese school-aged children and adolescents
title_sort weight self-misperception and obesity-related knowledge, attitudes, lifestyle behaviours and cardio-metabolic markers among chinese school-aged children and adolescents
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10410384/
https://www.ncbi.nlm.nih.gov/pubmed/37092759
http://dx.doi.org/10.1017/S1368980023000630
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