Background/Objective

We aimed to examine the prevalence of distorted body weight perception (BWP) and the choice of weight control strategies to investigate the associations between the psychological features and the different strategies for controlling body weight. Method: We used a representative nationwide 39-item survey to randomly select 1,000 participants. The extrapolated number (eN) to the whole national population was also reported. Self-BWP, weight control strategies, and obesity-related psychological conditions including anxiety, self-esteem, body satisfaction, obesity-related quality-of-life (QoL), and eating attitudes were assessed. Results: Among men, 39.30% (eN = 5,887,137) underestimated, whereas 24.90% (eN = 3,290,847) of women overestimated their weight. In contrast to 2% (eN = 271,745) of men, 15.20% (eN = 2,012,262) of women sought medical support to control their weight. Men and women who used medical support for weight management and women who overestimated their weight reported the most unfavorable psychological conditions (anxiety, self-esteem, body satisfaction, QoL, and eating attitudes; p < .05). Conclusions: A prevalent burden of psychological problems related to distorted BWP and weight control strategies was revealed. People with distorted BWP and using medical procedures for their weight control could be at a higher risk of psychological disorders. Therefore, body weight-related psychological problems call for urgent public health policies.

中文翻译：

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体重偏低者的药物治疗对心理健康的影响：一项代表性研究

背景/目标

我们旨在检查体重感知扭曲（BWP）的患病率和体重控制策略的选择，以研究心理特征与控制体重的不同策略之间的关联。方法：我们使用了一项具有代表性的全国性39个项目的调查，随机选择了1,000名参与者。还报告了向全国人口推算出的数字（eN）。评估了自我BWP，体重控制策略以及与肥胖相关的心理状况，包括焦虑，自尊，身体满意度，与肥胖相关的生活质量（QoL）和饮食态度。结果：男性中，低估了39.30％（eN = 5,887,137），而女性中有24.90％（eN = 3,290,847）高估了体重。男性为2％（eN = 271,745），而男性为15.20％（eN = 2,012，262）名妇女寻求医疗支持以控制体重。使用医疗支持进行体重控制的男女和高估体重的女性报告了最不利的心理状况（焦虑，自尊，身体满意度，生活质量和饮食态度；p <.05）。结论：揭示了与扭曲的BWP和体重控制策略有关的心理问题的普遍负担。BWP畸形并使用医疗程序控制体重的人可能会有更高的心理疾病风险。因此，与体重有关的心理问题需要紧急的公共卫生政策。