Abstract
Background
Concurrent with the dramatic cultural and economic shifts occurring as mainland China
becomes increasingly “Westernized,” the weight perceptions, ideal body weight, and
weight management goals and practices of Chinese females have also undergone significant
changes.
Objective
To investigate relationships between overweight status, weight perception patterns,
and weight management goals and practices in Chinese female college students.
Design/participants/setting
A cross-sectional analysis was conducted with data from 902 female subjects aged 18
to 25 years participating in the China Seven Cities Study, a health promotion and
smoking prevention study conducted in mainland China in 2003.
Main outcome measures/statistical analyses
Logistic regression models were used to explore associations between overweight status,
weight perception, specific weight management goals and practices, and current levels
of vigorous-intensity physical activity and food consumption.
Results
Based on World Health Organization standards for Asian adults, 16.7% of college females
were overweight or obese, although 50.8% considered themselves to be “too heavy.”
Among participants perceiving themselves as overweight (n=458), 69.2% (n=371) were
inaccurate and did not meet criteria for overweight or obese. The percentage of participants
attempting weight loss was 48.2%, and 33.1% wanted to maintain their current weight.
Attempts to lose or maintain weight were related to actual and perceived weight status,
but not to increased vigorous-intensity physical activity or fruit and vegetable intake,
nor to decreased consumption of sweets, soda, Western fast foods, and fried foods.
Only 21.5% of participants desiring weight loss or maintenance reported using a combination
of vigorous-intensity physical activity and a reduced-fat and -calorie diet, whereas
20.2% tried extreme methods such as fasting, using diet pills, vomiting, or smoking.
Conclusions
Our findings underscore the need to promote healthy weight management practices among
Chinese female college students, with an emphasis on diet and physical activity strategies
that encourage balance rather than extremes.
Keywords
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References
- The global obesity pandemic: Shaped by global drivers and local environments.The Lancet. 2011; 378: 804-814
- The growing burden of overweight and obesity in contemporary China.CVD Prev Control. 2009; 4: 19-26
- Temporal trends in overweight and obesity of children and adolescents from nine Provinces in China from 1991–2006.Int J Pediatr Obes. 2010; 5: 365-374
- Prevalence and risk factors of overweight and obesity in China.Obesity (Silver Spring). 2007; 15: 10-18
- The emerging epidemic of obesity, diabetes, and the metabolic syndrome in China.Cardiol Res Pract. 2012; 2012: 1-5
- Weight perception and weight-related sociocultural and behavioral factors in Chinese adolescents.Prev Med. 2006; 42: 229-234
- Overweight and obesity in China.BMJ. 2006; 333: 362-363
- Body dissatisfaction, engagement in body change behaviors and sociocultural influences on body image among Chinese adolescents.Body Image. 2010; 7: 156-164
- Body dissatisfaction among Chinese undergraduates and its implications for eating disorders in Hong Kong.Int J Eat Disord. 1996; 20: 77-84
- Association between actual weight status, perceived weight and depressive, anxious symptoms in Chinese adolescents: A cross-sectional study.BMC Public Health. 2010; 10: 594
- The nutrition transition and obesity in the developing world.J Nutr. 2001; 131: 871S-873S
- Weight perception and psychological factors in Chinese adolescents.J Adolesc Health. 2003; 33: 202-210
- Body dysmorphic disorder, social anxiety and depressive symptoms in Chinese medical students.Soc Psychiatry Psychiatr Epidemiol. 2010; 45: 963-971
- Predictors of changes in weight esteem among Mainland Chinese adolescents: A longitudinal analysis.Dev Psychol. 2009; 45: 1618-1629
- Perceptions of body weight, weight management strategies, and depressive symptoms among US college students.J Am Coll Health. 2010; 59: 43-50
- A two-stage epidemiologic study on prevalence of eating disorders in female university students in Wuhan, China.Soc Psychiatry Psychiatr Epidemiol. 2014; 49: 499-505
- Prevalence of eating disorders: a comparison of Western and non-Western countries.Medscape Gen Med. 2004; 6: 49
- Obesity concerns, weight satisfaction and characteristics of female dieters: a study on female Taiwanese college students.J Am Coll Nutr. 1999; 18: 194-200
- Nutritional knowledge, food habits and health attitude of Chinese university students: a cross sectional study.Nutr J. 2005; 4: 4
- Chinese and American college studentsnd hea-image: perceived body shape and body affect.Percept Mot Skills. 1998; 87: 395-403
- Young urban women and the nutrition transition in China: A familiar pattern emerges.Glob Health Promot. 2010; 17: 43-51
- Weight perception and dietary intake among Chinese youth, 2004-2009.Int J Behav Med. 2014; 21: 691-699
- Influence of the desire to lose weight on food habits, and knowledge of the characteristics of a balanced diet, in a group of Madrid university students.Eur J Clin Nutr. 2003; 57: S90-S93
- Perceived stress, depression and food consumption frequency in the college students of China Seven Cities.Physiol Behav. 2007; 92: 748-754
- The China Seven Cities Study (CSCS) consortium: Adapting evidence-based prevention science from west to east.Transl Behav Med. 2011; 1: 283-288
- Reliability of the Youth Risk Behavior Survey Questionnaire.Am J Epidemiol. 1995; 141: 575-580
- Tobacco use among youth and adults in Mainland China: The China Seven Cities Study.Public Health. 2006; 120: 1156-1169
Obesity Guidelines for Asia Pacific. Regional Office for the Western Pacific, World Health Organisation/The International Association for the Study of Obesity/International Obesity Task Force; 2000:18. http://www.scribd.com/doc/33508685/Obesity-Guidelines-for-Asia-Pecific. Accessed January 28, 2014.
- Reliability of the 1999 Youth Risk Behavior Survey Questionnaire.J Adolesc Health. 2002; 31: 336-342
- Methodology of the youth risk behavior surveillance system.MMWR Recomm Rep Morb Mortal Wkly Rep Recomm Rep Cent Dis Control. 2004; 53: 1-13
- Weight perception, academic performance, and psychological factors in Chinese adolescents.Am J Health Behav. 2006; 30: 115-124
- A study on body weight perception and weight control behaviours among adolescents in Hong Kong.Hong Kong Med J. 2007; 13: 16-21
- Weight Perception and Dieting Behavior Among Korean Adolescents.J Sch Nurs. 2009; 25: 427-435
- Smoking, weight loss intention and obesity-promoting behaviors in college students.J Am Coll Nutr. 2006; 25: 348-353
- Relationships among subjective social status, weight perception, weight control behaviors, and weight status in adolescents: Findings from the 2009 Korea Youth Risk Behaviors web-based survey.J Sch Health. 2013; 83: 273-280
- Interventions for preventing eating disorders in children and adolescents.Cochrane Database Syst Rev. 2002; : CD002891
- Onset of adolescent eating disorders: Population based cohort study over 3 years.BMJ. 1999; 318: 765-768
- Efficacy trial of a selective prevention program targeting both eating disorders and obesity among female college students: 1- and 2-year follow-up effects.J Consult Clin Psychol. 2013; 81: 183-189
- Can we simultaneously work toward the prevention of obesity and eating disorders in children and adolescents?.Int J Eat Disord. 2005; 38: 220-227
- Prevention of obesity and eating disorders: A consideration of shared risk factors.Health Educ Res. 2006; 21: 770-782
- Integrated prevention of obesity and eating disorders: Barriers, developments and opportunities.Public Health Nutr. 2012; 15: 2295-2309
Healthy People—HP2010 Final Review. http://www.cdc.gov/nchs/healthy_people/hp2010/hp2010_final_review.htm. Accessed June 11, 2015.
- The association between internet and television access and disordered eating in a Chinese sample.Int J Eat Disord. 2014;
Biography
H. C. Tanenbaum is a PhD student, School of Community and Global Health, Claremont Graduate University, Claremont, CA.
Biography
J. Q. Felicitas is a PhD student, School of Community and Global Health, Claremont Graduate University, Claremont, CA.
Biography
P. H. Palmer is an associate professor, School of Community and Global Health, Claremont Graduate University, Claremont, CA.
Biography
K. D. Reynolds is a professor, School of Community and Global Health, Claremont Graduate University, Claremont, CA.
Biography
C. Anderson Johnson is a professor, School of Community and Global Health, Claremont Graduate University, Claremont, CA.
Biography
B. Xie is an associate professor, School of Community and Global Health, Claremont Graduate University, Claremont, CA.
Biography
Y. Li is an assistant professor, School of Social Work, San Diego State University, CA.
Biography
M. Tobias is a research assistant, UCSD Moores Cancer Center, La Jolla, CA; at the time of the study, she was an MPH student, School of Community and Global Health, Claremont Graduate University, Claremont, CA.
Biography
C.-P. Chou is a professor, Keck School of Medicine, University of Southern California, Los Angeles.
Biography
D. Spruijt-Metz is an adjunct associate professor, Keck School of Medicine, University of Southern California, Los Angeles.
Article Info
Publication History
Published online: August 07, 2015
Accepted:
June 26,
2015
Received:
August 15,
2014
Footnotes
STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
FUNDING/SUPPORT The data used in this manuscript were originally collected as part of the China Seven Cities Study, which was supported by the University of Southern California Transdisciplinary Tobacco Use Research Center (TTURC), funded by the National Institutes of Health (grant #1 P50 CA84735-01 ), and the Sidney R. Garfield Endowment. The preparation of this manuscript was partially supported by a research grant from the National Institutes of Health (1 R03 CA172985-01).
Identification
Copyright
© 2016 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.
