Concept of healthy body image in Spanish women

  1. Fabiola Gónzalez-Barros Medina 1
  2. Mario Them Álvarez 2
  3. Diana Sorina Tuliciu 2
  4. Julia Carracedo Añón 3
  5. Ana Alaminos Torres 4
  6. María Dolores Marrodán Serrano 5
  1. 1 Master de Biosanitaria. Facultad de Biología. Universidad Complutense de Madrid..Madrid. España
  2. 2 Master de Biosanitaria. Facultad de Biología. Universidad Complutense de Madrid. España
  3. 3 Departamento de Genética, Fisiología y Microbiología. Facultad de Biología. Universidad Complutense de Madrid. Madrid. España
  4. 4 Grupo de Investigación EPINUT. Departamento de Biodiversidad, Ecología y Evolución. Facultad de Biologia. Universidad Complutensede Madrid. España
  5. 5 Sociedad Española de Dietética y Ciencias de la Alimentación (SEDCA). España
Journal:
Nutrición clínica y dietética hospitalaria

ISSN: 0211-6057

Year of publication: 2022

Volume: 42

Issue: 4

Pages: 156-162

Type: Article

More publications in: Nutrición clínica y dietética hospitalaria

Metrics

SCImago Journal Rank

  • Year 2022
  • SJR Journal Impact: 0.164
  • Best Quartile: Q4
  • Area: Medicine (miscellaneous) Quartile: Q4 Rank in area: 2093/2502
  • Area: Nutrition and Dietetics Quartile: Q4 Rank in area: 109/133

Scopus CiteScore

  • Year 2022
  • CiteScore of the Journal : 0.7
  • Area: Medicine (miscellaneous) Percentile: 23
  • Area: Nutrition and Dietetics Percentile: 13

Journal Citation Indicator (JCI)

  • Year 2022
  • Journal Citation Indicator (JCI): 0.07
  • Best Quartile: Q4
  • Area: NUTRITION & DIETETICS Quartile: Q4 Rank in area: 101/109

Abstract

Introduction: For the prevention and treatment of eatingdisorders and obesity, the population should have an ade-quate perception of a healthy body image, and that may beinfluenced by nutritional status. Objective: The aim of this study was to evaluate the per-ception of healthy body image among Spanish women ac-cording to their nutritional status diagnosed by body massindex (BMI).Material and Methods: This work was carried out on7,008 Spanish women, between 18 and 75 years old. To di-agnose the nutritional condition, weight and height weremeasured to calculate the BMI and categorize according tothe Worl Health Organization (WHO) cut-off points. In addi-tion, each participant completed a silhouette questionnairein which she/he indicated that considered to be the health-iest. Mean and Standar deviation were calculated to de-scribe the profile of anthropometric parameters and ANOVAwas carried out to compare variation with age. A Chi-Squaretest was used to analyze the possible association betweenthe nutritional category of BMI and the nutritional categoryconsidered “healthy” based on the silhouette identified inthe test. The relationship between the ideal of a healthy fig-ure and the autonomous community of residence was alsoanalyzed. Statistical analysis was performed with the IBMSPSS.21.0 program.Results: The results showed a significant association be-tween nutritional status and healthy body image perceived.The identification percentage of a silhouette representativeof “normal weight” as a healthy body image ranged from94% (in normal weight women), 92% (in overweightwomen), dropping to 88% (in obese class 1) and 83% (inobese class 2 and 3). No woman chose a silhouette corre-sponding to an obese BMI as a reference for a healthy im-age. As for the silhouette identifying overweight, it was cho-sen as healthy in a variable proportion between 2% (Madrid)and 15% (Balearic Islands).Conclusions: There is a significant relationship betweennutritional status and body image considered healthy. Thehigher the BMI of women, the greater the tendency to choosea representative image of overweight as the ideal of health

Bibliographic References

  • Obesidad y sobrepeso [Internet]. Who.int. [cited 2022 Nov 24]. Available from: https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight.
  • Córdova Villalobos J A. 2016. Obesity: the real pandemic of the 21st century. Cir. Cir. 2016; 84(5):351-355. doi:10.1016/j.circir.2016.08.001.
  • Aslibekyan, S., Garvey, W. Obesity and cardiometabolic disease — more than meets the eye. Nat. Rev. Endocrinol. 2017;13,566–568. https://doi.org/10.1038/nrendo.2017.112
  • Guo F, Moellering DR & Garvey WT. The progression of cardiometabolic disease: validation of a new cardiometabolic disease staging system applicable to obesity. Obesity 2014. 22, 110–118.
  • Bakhtiyari M, Kazemian E, Kabir K et al. Contribution of obesity and cardiometabolic risk factors in developing cardiovascular disease: a population-based cohort study. Sci. Rep. 12. 2022; 1544. https://doi.org/10.1038/s41598-022-05536-w
  • De Siqueira JVV, Almeida LG, Zica BO, Brum IB, Barceló A, de Siqueira Galil AG. Impact of obesity on hospitalizations and mortality, due to COVID-19: A systematic review. Obes. Res. Clin. Pract. 2020;14(5):398–403 https://doi.org/10.1016/j.orcp.2020.07.005.
  • World Health Organization. Regional Office for Europe. WHO European regional obesity report 2022. World Health Organization. Regional Office for Europe; 2022.
  • Instituto Nacional de Estadística. European Survey of Health in Spain (ESHS) Year 2020. Available at: https://www.ine.es/en/prensa/eese_2020_en.pdf.
  • Sociedad Española de Obesidad (SEEDO). La obesidad acelera su paso en España, mientras que la actividad física se estanca. Available at: https://seedo.es/images/site/NdP_Di%C3%ACa_Mundial_Obesidad_y_Encuesta_SEE.
  • Flórez-Aristazábal LV. 2018. Componentes mental y físico en universitarios con obesidad. Revista Médica Risaralda. 23(1): 4-9.
  • García W.M. 2017. Trastorno de ansiedad generalizada como factor asociada a la obesidad en pacientes adultos del Hospital Belén de Trujillo. Tesis Doctoral Inédita. Universidad Privada Antenor Orrego, Facultad de Medicina Humana, Perú.
  • Hinman, J. 2016. An assessment of obesity-related knowledge and beliefs among overweight and obese hispanic women in an urban Phoenix heatlh center. Doctoral Dissertation. University of Arizona, Faculty of the College of Nursing, Arizona.
  • Ramos P, Rivera F, Pérez R, Lara L & Moreno C. 2016. Diferencias de género en la imagen corporal y su importancia en el control de peso. Escritos de Psicología. 2016; 9(1): 42-50.
  • Uribe-Carvajal R, Jiménez-Aguilar A, Morales-Roan M, Salazar-Coronel A & Shamah-Levy T. 2018. Percepción del peso corporal y de la probabilidad de desarrollar obesidad en adultos mexicanos. Salud Pública de México. 60(3): 254-262. Doi: 10.21149/8822.
  • Ariza-Vargas L, Salas-Morillas A, López-Bedoya J, & Vernetta-Santana M. 2021. Percepción de la imagen corporal en adolescentes practicantes y no practicantes de gimnasia acrobática (Perception of body image in adolescent participants and non-participants in acrobatic gymnastics). Retos. 39, 71–77. https://doi.org/10.47197/retos.v0i39.78282.
  • Rabito-Alcón M & Rodríguez-Molina J. 2016. Body dissatisfaction differences and similarities among people with eating disorders, people with gender dysphoria and university students. Rev psicopatol psicol clín. 21(2): 97-104.
  • Castejón MA, Berengüí R, Garcés de los Fayos EJ. 2015. Relación del índice de masa corporal, percepción del peso y variables relacionadas con los trastornos de conducta alimentaria en estudiantes universitarios. Nutr. Clin. y Diet. Hosp. 36(1): 54-63. Doi: 10.12873/361castejon.
  • Brierley ME, Brooks KR, Mond J, Stevenson RJ, Stephen ID. 2016. The Body and the Beautiful: Health, Attractiveness and Body Composition in Men’s and Women’s Bodies. PLOS ONE. 11(6): e0156722. doi:10.1371/journal.pone.0156722.
  • Mohamed Rguibi, Rekia Belahsen. 2006. Body size preferences and sociocultural influences on attitudes towards obesity among Moroccan Sahraoui women. Body Image. 3(4): 395-400. https://doi.org/10.1016/j.bodyim.2006.07.007.
  • Oliva-Peña Y, Ordóñez-Luna M, Santana-Carvajal A, Dioné Marín-Cárdenas A, Andueza Peche G & Gómez Castillo IA. 2016. Concordancia del IMC y la percepción de la imagen corporal en adolescentes de una localidad suburbana de Yucatán. Rev. Bioméd. 27(2):49-60. https://bit.ly/2FTgYMY.
  • Cruz V, Urbina C, Alvear MG, Ortiz L, Morán IC. 2018. Percepción del cuerpo saludable y su relación con la insatisfacción corporal en adolescentes mexicanos. Revista de Salud Pública y Nutrición. 17(1): 23-29.
  • Cruz-Sáez MS, Salaberria K, Rodríguez S, Echeburúa E. 2014. Imagen corporal y realización de dieta: diferencias entre adolescentes españolas y latinoamericanas. Univ. Psychol. 12 (3): 699-708. Doi: 10.11144/Javeriana.UPSY12-3.icrd.
  • Cruzat-Mandich C, Díaz-Castrillón F, Lizana P, Aravena M, Haemmerli C. 2017. Diferencias en imagen corporal de jóvenes con normopeso y con sobrepeso/obesidad. Nutr. Hosp. 34(4): 847-855. Doi: 10.20960/nh.824.
  • Sánchez Álvarez M, González Montero de Espinosa M, Marrodán MD. 2012. Comparación entre el Índice de Masa Corporal auto-referido, auto-percibido y antropométrico en adolescentes madrileños. Antropo. 2012; 26, 91-97. ISSN 1578-2603.
  • Fernández-Bustos JG, González-Martí I, Contreras O, Cuevas R. 2015. Relación entre imagen corporal y autoconcepto físico en mujeres adolescentes. Rev. Latinoam. Psicol. 47(1): 25-33.
  • Magallares A, Carbonero-Carreño R. Ruiz-Prieto, I. e Jauregui-Lobera, I. 2016. Beliefs about obesity and their relationship with dietery restriction and body imagen perception. An. Psicol. 32(2): 349-354. Doi: 10.6018/analesps.32.2.215251.
  • Marrodán MD, Martínez-Álvarez JR, Villarino A, Alférez-García I, González-Montero de Espinosa M, López-Ejeda N, Sánchez-Álvarez M, Cabañas MD. 2013. Utilidad de los datos antropométricos auto-declarados para la evaluación de la obesidad en la población española; estudio EPINUT-ARKOPHARMA. Nutri. Hosp. 28, 657-663.
  • Blachman-Braun R, Talavera JO, Pérez-Rodríguez M, Roy-García I, Rivas-Ruiz R, Huitrón-Bravo G, Salmerón-Castro J. 2021. Self-reported body silhouettes: a diagnostic instrument for anthropometric parameters. Public Health. 200 (21): 39-46, https://doi.org/10.1016/j.puhe.2021.09.001.
  • Acevedo P, Lopez-Ejeda N, Alferez-García I, Martínez-Alvarez JR, Villarino A, Cabanas MD, Marrodan MD. 2014. Body mass index through self-reported data and body image perception in Spanish adults attending dietary consultation. Nutrition. 30(6):679-84. doi: 10.1016/j.nut.2013.11.006.
  • WMA - World Medical Association. Helsinki Declaration - Ethical principles for medical research involving human subjects. 64th WMA General Assembly. Fortaleza, Brazil. 2013.
  • Cabañas MD, Esparza F. Compendio de Cinentropometria. Edición color. España: Editorial CTO Medicina; 2009.
  • Grupo de investigación “Epinut.ucm. Análisis de la percepción de la propia imagen[Internet].Available at: https://epinut-ucm.es/.
  • WHO - World Health Organization. Obesity and overweight. Fact Sheet. 2016. Available at: http://www.who.int/mediacentre/factsheets/fs311/en/.
  • De la Cruz E, Abril-Ulloa V, Arévalo C, Palacio M. 2018. Subestimación del índice de masa corporal a través de la autopercepción de la imagen corporal en sujetos con sobrepeso y obesidad. AVFT. 37(3): 235-240.
  • Parente EB, Dahlström EH, Harjutsalo V, Inkeri J, Mutter S, Forsblom C, et al. on behalf of the FinnDiane Study Group, Response to Comment on Parente et al. The Relationship Between Body Fat Distribution and Nonalcoholic Fatty Liver in Adults With Type 1 Diabetes. Diabetes Care 2021;44:1706–1713. Diabetes Care 2022; 45 (1): e8–e9.
  • Klarqvist MDR, Agrawal S, Diamant N et al. 2022. Silhouette images enable estimation of body fat distribution and associated cardiometabolic risk. npj Digit. Med. 5, 105. https://doi.org/10.1038/s41746-022-00654-1.
  • Britton K, Massaro J, Murabito J, et al. 2013. Body Fat Distribution, Incident Cardiovascular Disease, Cancer, and All-Cause Mortality. J Am Coll Cardiol. 62 (10) 921–925.
  • Marrodán MD, Martínez-Álvarez JR, Sánchez-Álvarez M, López-Ejeda N,. Alférez-García I, Villarino A. 2016. Prevalence of the metabolically healthy phenotype in overweight and obese Spanish adults. Rev. Esp. Cardiol. 69, 216-217.
  • Robinson E, Kirkham T. 2014. Is he a healthy weight? Exposure to obesity changes perception of the weight status of others. Int. J. Obes. 38, 663–667. https://doi.org/10.1038/ijo.2013.154.
  • Stewart SJF, Ogden J. 2021. The role of social exposure in predicting weight bias and weight bias internalisation: an international study. Int. J. Obes. https://doi.org/10.1038/s41366-021-00791-9.
  • Ministerio de Sanidad. Gobierno de España. Encuestas Nacionales de Salud 2021. Available at: https://www.sanidad.gob.es/estadEstudios/estadisticas/encuestaNacional/home.htm.