Health Policy Manag.  2018 Mar;28(1):3-14. 10.4332/KJHPA.2018.28.1.3.

Association of a Combination between Actual Body Mass Index Status and Perceived Body Image with Anxiety and Depressive Condition in Korean Men and Women: The Fifth and Sixth Korea National Health and Nutrition Examination Survey (2010–2014)

Affiliations
  • 1Department of Operative Nursing, Armed Forced Gangneung Hospital, Gangneung, Korea.
  • 2Department of Health Policy and Management, Yonsei University Graduate School of Public Health, Seoul, Korea. wchung@yuhs.ac
  • 3Health Insurance Policy Research Institute, National Health Insurance Service, Wonju, Korea.
  • 4College of Pharmacy, Yonsei University, Incheon, Korea.

Abstract

BACKGROUND
Both objective body shape and perceived body image have been known to influence the mental health. The purpose of this study was to explore the relationship of a combination between actual body mass index (BMI) status and perceived body image with anxiety·depressive condition (ADC) in Korean men and women.
METHODS
This cross-sectional study analyzed data of 26,239 subjects ≥20 years old from the National Health and Nutrition Examination Survey (2010-2014). This study performed a Rao-Scott chi-square and multivariate logistic regression analyses reflecting survey characteristics and used a variety of independent variables such as socio-demographics and health behavior factors.
RESULTS
With all independent variables considered, people with normal weight who perceived themselves as overweight were more likely associated with ADC than a referent group with normal weight who perceived themselves as normal weight, as shown for both men (odds ratio [OR], 1.52; confidence interval [CI], 1.07-2.15) and women (OR, 1.25; CI, 1.06-1.48). Meanwhile, compared to the referent group, men with underweight who perceived themselves as underweight showed a lower association with ADC (OR, 0.63; CI, 0.41-0.97), whereas women with underweight who perceived themselves as underweight showed its higher association (OR, 1.47; CI, 1.10-1.96).
CONCLUSION
A certain group of people categorized as a combination between actual BMI status and perceived body image showed a relatively high likelihood of having ADC, and the gender difference in the likelihood of having the condition for a group was clear. Therefore, this study suggests the need to identify the group at a high risk of ADC on the basis of actual BMI status and perceived body image and to develop an appropriate mental health management program for the group.

Keyword

Actual weight; Perceived weight; Anxiety and depressive condition; Gender; Korean National Health and Nutrition Examination Survey

MeSH Terms

Anxiety*
Body Image*
Body Mass Index*
Cross-Sectional Studies
Female
Health Behavior
Humans
Korea*
Logistic Models
Male
Mental Health
Nutrition Surveys*
Overweight
Thinness
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