J Korean Acad Oral Health.  2024 Dec;48(4):192-200. 10.11149/jkaoh.2024.48.4.192.

The effects of objective body type and subjective body image on self-perceived oral health by sex

• Tak NY
• Cho HA

• KMID: 2563484
• DOI: http://doi.org/10.11149/jkaoh.2024.48.4.192

Abstract

Objectives
This study compares and analyzes the effects of objective body mass index (BMI) and subjective body image on self-perceived oral health among Korean adults based on sex differences.
Methods
Raw data were obtained from the 7th (2016-2018), 8th (2019), and 9th (2022) Korea National Health and Nutrition Examination Surveys. The study included 24,817 adults, with objective body type and subjective body image as the independent variables and self-perceived oral health status as the dependent variable. The results were analyzed by sex using complex sample logistic regression analysis with IBM SPSS Statistics.
Results
An analysis of the impact of objective body type on poor self-perceived oral health status showed no significant difference for males, whereas the odds ratio was significant for females, with objective obesity at 1.167 (P<0.001). An analysis of the effect of subjective body image on poor self-perceived oral health status revealed that the odds ratio was significant for males with subjective obesity (OR 1.482, P<0.001). For females, the odds ratio was 1.225 for subjective overweight and 1.379 for subjective obesity, indicating that females were significantly more likely to perceive their oral health as poor (P<0.001).
Conclusions
Both males and females were more influenced by subjective body image than objective body type, and females were more sensitive than males to the impact of body type on their self-perceived oral health status. Although males were generally less sensitive about their body type, they were more likely than females to perceive their oral health negatively.

Keyword

Body image; Body mass index; Obesity; Oral health

Reference

References

1. World Health Organization (WHO). 2024. Obesity and overweight [Internet]. World Health Organization;Geneva: Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. cited 2024 Oct 19.

2. Mohajan D, Mohajan HK. 2023; 1. Obesity and its related diseases: a new escalating alarming in global health. JMRI. 2:12–23. DOI: 10.56397/JIMR/2023.03.04.

3. Malik VS, Willet WC, Hu FB. 2020; 2. Nearly a decade on - trends, risk factors and policy implications in global obesity. Nat Rev Endocrinol. 16:615–616. DOI: 10.1038/s41574-020-00411-y. PMID: 32873971. PMCID: PMC7461756.

4. Kim SJ, Yoo SW. 2021; How society defines obesity: The effects of obesity stigma and prejudice on communication behavior and health behavior intention of obese individuals. Korean PR Acad Conf. 43.

5. Fioravanti G, Bocci Benucci S, Ceragioli G, Casale S. 2022; How the exposure to beauty ideals on social networking sites influences body image: A systematic review of experimental studies. Adolesc Res Rev. 7:419–458. DOI: 10.1007/s40894-022-00179-4.

6. Kim JH, Yoo JW. 2022; Emotional tendencies towards appearance-oriented society and perception of fashion. JKAIS. 23:303–313. DOI: 10.5762/KAIS.2022.23.4.303.

7. Jiotsa B, Naccache B, Duval M, Rocher B, Grall-Bronnec M. 2021; Social media use and body image disorders: Association between frequency of comparing one's own physical appearance to that of people being followed on social media and body dissatisfaction and drive for thinness. Int J Environ Res Public Health. 18:1–14. DOI: 10.3390/ijerph18062880. PMID: 33799804. PMCID: PMC8001450.

8. Kim DH, Kim KS, Kim EH, Yoo EH, Jeon DS, Han CJ. 2023; The impact of subjective body shape perception on the quality of life of adult women. Journal of Culture &. Arts (JICA). 4:1–18. DOI: 10.46506/jica.2023.4.1.001.

9. Kwon MJ, Kim SA. 2019; Influencing factors of subjective body shape perception on the quality of life of adult women. Journal of Korea Academia-Industrial cooperation Society (JKAIS). 20:297–305.

10. Jeong SR. 2024; Relationship between depression and stress and oral-health behavior among Koreans before and during the COVID-19 pandemic. J Korean Acad Oral Health. 48:124–132. DOI: 10.11149/jkaoh.2024.48.3.124.

11. Bae JH, Choi DY, Hong MH. 2023; The mediating effects of psychological factors on the relationship between stress and subjective oral health status in some university students. J Korean Soc Oral Health Sci. 11:75–83. DOI: 10.33615/jkohs.2023.11.4.75.

12. Baiju RM, Peter E, Varghese NO, Sivaram R. 2017; Oral Health and Quality of Life: Current Concepts. J Clin Diagn Res. 11:ZE21–ZE26. DOI: 10.7860/JCDR/2017/25866.10110. PMID: 28764312. PMCID: PMC5535498.

13. White U. 2023; Adipose tissue expansion in obesity, health, and disease. Front Cell Dev Biol. 11:1–4. DOI: 10.3389/fcell.2023.1188844. PMID: 37181756. PMCID: PMC10169629.

14. Kim SY, Roh IS. 2024; The relationship between BMI, subjective body shape perception, and mental health among middle-aged women: Analysis using the National Health and Nutrition Survey data. Journal of Business Convergence. 9:189–194. DOI: 10.31152/JB.2024.08.9.4.189.

15. Checa-Ros A, Hsueh WC, Merck B, González-Torres H, Bermúdez V, D'Marco L, et al. 2024; Obesity and oral health: The link between adipokines and periodontitis. touch REV Endocrinol. 20:25–31. DOI: 10.17925/EE.2024.20.1.7. PMID: 38812668. PMCID: PMC11132655.

16. AlJameel A, AlSaleh L, Bawazir N, AlOmair A, Almalki S. 2023; How mental health correlates with subjective oral health status: a cross-sectional study among a group of university students. Niger J Clin Pract. 26:1716–1722. DOI: 10.4103/njcp.njcp_330_23. PMID: 38044778.

17. Hong MH, Lee JM. 2023; The mediating effect of subjective oral symptoms on the relationship between oral health beliefs and oral health-related quality of life among hotel employees. Asia-pacific Journal of Convergent Research Interchange (APJCRI). 9:225–236. DOI: 10.47116/apjcri.2023.02.18.

18. Lee JH, Jeon MS, Yoon HK. 2015; Relationship between objective oral health status and subjective oral health perception in the elderly in Gimcheon area. J Korean Acad Dent Hyg Educ. 15:417–424. DOI: 10.13065/jksdh.2015.15.03.417.

19. Korea Disease Control and Prevention Agency (KDCA). 2022. National Health Statistics, Korea National Health and Nutrition Examination Survey, Ninth Edition (2022). KDCA;Cheongju:

20. Kim MJ, Lim CY. 2017; The Association Between Self-Perceived Oral Health Status and Objective Oral Health Status in Adults. JKAIS. 18:375–381.

21. Hong MH. 2018; The Association Between Oral Health Behaviors, Chronic Diseases, and Periodontal Diseases in Middle-Aged and Older Adults by Gender. JKAIS. 19:403–410.

22. Lim JY, Nam HS. 2021; Comparison of Oral Health Status Based on Bedtime Toothbrushing Practices in Adults: Using Data from the 7th Korea National Health and Nutrition Examination Survey. JKAIS. 22:379–386. DOI: 10.5762/KAIS.2021.22.10.379.

23. Manthey J, Shield KD, Rylett M, Hasan OSM, Probst C, Rehm J. 2019; Global alcohol exposure between 1990 and 2017 and forecasts until 2030: A modelling study. Lancet. 393:2493–2502. DOI: 10.1016/S0140-6736(18)32744-2. PMID: 31076174.

24. Lipsky MS, Su S, Crespo CJ, Hung M. 2021; Men and oral health: A review of sex and gender differences. American Journal of Men'. s Health. 15:1–8. DOI: 10.1177/15579883211016361. PMID: 33993787. PMCID: PMC8127762.

25. Park S, Lee S, Hwang J, Kwon JW. 2017; The impact of weight misperception on health-related quality of life in Korean adults (KNHANES 2007-2014): a community-based cross-sectional study. BMJ Open. 7:1–10. DOI: 10.1136/bmjopen-2017-016098. PMID: 28645975. PMCID: PMC5726076.

26. Park HR, Moon SJ. 2013; The relationship between subjective oral health perception, oral health knowledge, and oral health behavior in some adults. Jour of KoCona. 13:300–310. DOI: 10.5392/JKCA.2013.13.01.300.

27. Shin BM, Choi YG, Bae SM, Lee HJ. 2018; Factors affecting awareness of the relationship between systemic diseases and oral health among dental patients and the need for related education. Jour of KoCona. 18:607–615.

28. Kamoda T, Komatsuzaki A, Ono S, Tanaka S, Yokoi Y. 2020; Association between drinking habits and oral symptoms: A cross-sectional study based on Japanese National Statistical Data. Int J Dent. 2020:1–8. DOI: 10.1155/2020/8874587. PMID: 33488717. PMCID: PMC7787800.

29. Ford PJ, Rich AM. 2021; Tobacco use and oral health. Addiction. 116:3531–3540. DOI: 10.1111/add.15513. PMID: 33822437.

30. Iba B, Adamu V. 2021; Tooth brushing: An effective oral hygiene measure. Orap J. 2:1–7.

31. Grogan S. 2021. Body image: Understanding body dissatisfaction in men, women and children: Routledge;2021. Routledge;Understanding body dissatisfaction in men, women and children: DOI: 10.4324/9781003100041.

32. Taghat N, Lingström P, Mossberg K, Fändriks L, Eliasson B, Östberg AL. 2022; Oral health by obesity classification in young obese women-a cross-sectional study. Acta Odontol Scand. 80:596–604. DOI: 10.1080/00016357.2022.2063942. PMID: 35876084.

33. Carneiro DO, Gomes-Filho IS, da Cruz SS, Trindade SC, Santos KOB, Sarmento VA, et al. 2022; Obesity in young women is positively associated with periodontitis. Clin Oral Investig. 26:6139–6149. DOI: 10.1007/s00784-022-04563-1. PMID: 35624385.

34. Kim DS. 2021; Body image distortion and appearance management behaviors in women and their policy implications. Health and Welfare Forum. 299:40–58.

35. Sonneville KR, Thurston IB, Milliren CE, Gooding HC, Richmond TK. 2016; Weight misperception among young adults with overweight/obesity associated with disordered eating behaviors. J Eat Disord. 49:937–946. DOI: 10.1002/eat.22565. PMID: 27218865. PMCID: PMC5064910.

36. Jung EH, Jun MK. 2022; Relationship between risk factors related to eating disorders and subjective health and oral health. Children (Basel). 9:1–13. DOI: 10.3390/children9060786. PMID: 35740722. PMCID: PMC9221852.

37. Tsai SA, Lv N, Xiao L, Ma J. 2015; Gender differences in weight-related attitudes and behaviors among overweight and obese adults in the United States. World J Mens Health. 10:389–398. DOI: 10.1177/1557988314567223. PMID: 25595019.

38. Park ES. 2018; Association of obesity and oral health status in adults. Jour of KoCona. 18:196–204.

39. Ministry of Health and Welfare. 2024. Guide to community integrated health promotion in 2024 (Executive Summary). Ministry of Health and Welfare;Sejong: p. 1–187.