Relationships between body size satisfaction and weight control practices among US adults

Rachel A. Millstein, Susan A. Carlson, Janet E. Fulton, Deborah A. Galuska, Jian Zhang, Heidi M. Blanck, Barbara Ainsworth

    Research output: Contribution to journalArticle

    68 Citations (Scopus)

    Abstract

    Context: Few studies of US adults have specifically examined body size satisfaction. Objectives: Describe correlates of body size satisfaction and examine whether satisfaction was associated with trying to lose weight or specific weight control practices among US adults using a national sample of women and men. Design, Setting & Participants: The National Physical Activity and Weight Loss Survey (NPAWLS) was a population-based, cross-sectional telephone survey of US adults (n = 9740). Main Outcome Measures: Participants reported their weight, height, body size satisfaction, and weight loss practices. Adjusted odds ratios (ORs) and 95% confidence intervals (Cls) were calculated for each dependent variable. Results: Among women and men, higher body mass index (BMI) was significantly associated with body size dissatisfaction. Dissatisfaction, compared with being very satisfied was positively associated with trying to lose weight among women and men. This association was modified by BMI for women (OR normal weight = 19.69, overweight = 8.79, obese = 4.05; P < .01 for interaction) but not men (OR normal weight = 8.72, overweight = 10.50, obese = 7.86; P = 0.93 for interaction). Compared with women who were very satisfied, dissatisfied women used diet more (OR = 2.03), but not physical activity/exercise (OR = 0.55) or both strategies (OR = 0.63), to try to lose weight. Men who were somewhat satisfied, compared with those who were very satisfied, were more likely to use physical activity/exercise (OR = 1.64) and both diet and physical activity/exercise (OR = 1.54) to try to lose weight. Conclusion: These findings highlight the sex differences in body size satisfaction, actions taken to try to lose weight, and the importance of considering body size satisfaction when designing weight-management programs.

    Original languageEnglish (US)
    Article number119
    JournalMedGenMed Medscape General Medicine
    Volume10
    Issue number5
    StatePublished - 2008

    Fingerprint

    Body Size
    Body Weight
    Weights and Measures
    Odds Ratio
    Exercise
    Weight Loss
    Body Mass Index
    Diet
    Telephone
    Sex Characteristics
    Cross-Sectional Studies
    Outcome Assessment (Health Care)
    Confidence Intervals

    ASJC Scopus subject areas

    • Medicine(all)

    Cite this

    Millstein, R. A., Carlson, S. A., Fulton, J. E., Galuska, D. A., Zhang, J., Blanck, H. M., & Ainsworth, B. (2008). Relationships between body size satisfaction and weight control practices among US adults. MedGenMed Medscape General Medicine, 10(5), [119].

    Relationships between body size satisfaction and weight control practices among US adults. / Millstein, Rachel A.; Carlson, Susan A.; Fulton, Janet E.; Galuska, Deborah A.; Zhang, Jian; Blanck, Heidi M.; Ainsworth, Barbara.

    In: MedGenMed Medscape General Medicine, Vol. 10, No. 5, 119, 2008.

    Research output: Contribution to journalArticle

    Millstein, RA, Carlson, SA, Fulton, JE, Galuska, DA, Zhang, J, Blanck, HM & Ainsworth, B 2008, 'Relationships between body size satisfaction and weight control practices among US adults', MedGenMed Medscape General Medicine, vol. 10, no. 5, 119.
    Millstein RA, Carlson SA, Fulton JE, Galuska DA, Zhang J, Blanck HM et al. Relationships between body size satisfaction and weight control practices among US adults. MedGenMed Medscape General Medicine. 2008;10(5). 119.
    Millstein, Rachel A. ; Carlson, Susan A. ; Fulton, Janet E. ; Galuska, Deborah A. ; Zhang, Jian ; Blanck, Heidi M. ; Ainsworth, Barbara. / Relationships between body size satisfaction and weight control practices among US adults. In: MedGenMed Medscape General Medicine. 2008 ; Vol. 10, No. 5.
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    abstract = "Context: Few studies of US adults have specifically examined body size satisfaction. Objectives: Describe correlates of body size satisfaction and examine whether satisfaction was associated with trying to lose weight or specific weight control practices among US adults using a national sample of women and men. Design, Setting & Participants: The National Physical Activity and Weight Loss Survey (NPAWLS) was a population-based, cross-sectional telephone survey of US adults (n = 9740). Main Outcome Measures: Participants reported their weight, height, body size satisfaction, and weight loss practices. Adjusted odds ratios (ORs) and 95{\%} confidence intervals (Cls) were calculated for each dependent variable. Results: Among women and men, higher body mass index (BMI) was significantly associated with body size dissatisfaction. Dissatisfaction, compared with being very satisfied was positively associated with trying to lose weight among women and men. This association was modified by BMI for women (OR normal weight = 19.69, overweight = 8.79, obese = 4.05; P < .01 for interaction) but not men (OR normal weight = 8.72, overweight = 10.50, obese = 7.86; P = 0.93 for interaction). Compared with women who were very satisfied, dissatisfied women used diet more (OR = 2.03), but not physical activity/exercise (OR = 0.55) or both strategies (OR = 0.63), to try to lose weight. Men who were somewhat satisfied, compared with those who were very satisfied, were more likely to use physical activity/exercise (OR = 1.64) and both diet and physical activity/exercise (OR = 1.54) to try to lose weight. Conclusion: These findings highlight the sex differences in body size satisfaction, actions taken to try to lose weight, and the importance of considering body size satisfaction when designing weight-management programs.",
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