![]() ![]() A high prevalence of weight misperception has been reported among youth in Pakistan, a developing country, with 42.4% overall weight misperception seen in the total youth population. Weight misperception has been reported in the literature among the youths and adults of different countries. The discordance between actual body weight and perceived body weight is associated with depression, inappropriate weight control practices, and negative body image, which are precursors of health-related quality of life impairments. ![]() Subjective evaluation of health has been shown to have a link with misperception. It has been hypothesized that weight misperception among overweight and obese individuals might deter their adoption of healthy weight reduction behaviors. This will eventually affect interventions toward overweight prevention, control, and management. Weight misperception has been a public health concern, since it can result in large numbers of overweight and obese individuals failing to understand the need for weight control or losing weight. Weight underestimation is a situation in which overweight individuals consider themselves to be underweight whereas they are overweight, while weight overestimation is when individuals with normal or underweight considers themselves to be overweight as determined by body mass index (BMI). Weight misperception is the disagreement between an individual’s actual weight status and the person’s perception of his or her weight, which can be categorized into body weight underestimation and body weight overestimation. This misperception of weight can hinder the prevention, control, and management of overweight and obesity. Some overweight and obese individuals do misperceive their body weight. Appropriate weight perception is of utmost importance, as this would stimulate the need to reduce weight by individuals who are either overweight or obese. Self-perceived weight has been documented to have positive associations with effective weight control and weight loss behaviors in adults. Weight perception is a concept of how an individual perceives his or her weight appropriateness. JMIR Public Health Surveill 2017 3(3):e56 ![]() More men were not happy with their body weight, and participants in the young adult age group were more dissatisfied with their body weight. Age (young adult) was a predictor of weight dissatisfaction with an odds ratio of 2.37 (95% CI 1.62-3.46).Ĭonclusions: More than half of the participants misperceived their body weight as either underweight or normal weight, and the majority of them were women. About 41.1% (n=233) of the participants were dissatisfied with their weight, of whom 30.0% (n=70) were men. The strongest predictor of weight perception was sex (female) with an odds ratio of 1.63 (95% CI 1.13-2.35). The strength of agreement between the actual body mass index and weight perception was very poor (κ=.032, SE. Results: We recruited 567 participants, of whom more than half (n=304, 53.6%) misperceived their weight as either underweight or normal weight, and 61.2% (n=186) of whom were women. We assessed body weight perception and dissatisfaction through their responses to the following: “How do you describe your weight?” and “I feel bad about myself because of my weight.” Data for this study were collected between November 2012 and March 2013. We followed the World Health Organization guidelines for conducting community surveys in recruiting overweight and obese participants. For this study, we randomly selected only overweight and obese adults (≥18 years old) who consented to participate in the study from 15 enumeration areas in Alimosho Local Government Area of Lagos State, Nigeria. Methods: This study was part of a larger cross-sectional study that was designed to plan an intervention for overweight and obese adults in an urban African setting. Objective: This study was carried out to assess the body weight misperception and dissatisfaction among overweight and obese adults in an urban African setting. Correct perception of one’s body weight is a step in seeking healthy help toward weight reduction in overweight and obese individuals. School of Research and Postgraduate StudiesĮmail: The increase in the prevalence of overweight and obesity in low- and medium-income countries has a negative impact on overall health. Mukadas Oyeniran Akindele, BMR(PT), MSc, PhD
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