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      Body Weight Dissatisfaction Among Israeli Jewish and Arab Women With Normal or Overweight-Obese Body Mass Index, Israeli INHIS-1, 2003-2004

      research-article
      , DrPh , , PhD, , RD, MSc, , MD, PhD
      Preventing Chronic Disease
      Centers for Disease Control and Prevention

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          Abstract

          Introduction

          In Israel, 58.9% of Jewish and Arab Israeli women aged 25 to 64 years are overweight or obese (body mass index ≥25 kg/m 2). The objective of this analysis is to describe body weight dissatisfaction differences between Jewish and Arab Israeli women with normal or overweight-obese body mass index.

          Methods

          This analysis included 1,393 Jewish and Arab women who participated in the Israeli National Health Interview Survey, 2003-2004. The survey covered a random sample of the Israeli general population aged 21 years or older. All variables were based on self-report. Body weight dissatisfaction was a multiple-choice question in the survey that offered the following responses: very satisfied, satisfied, reasonably satisfied, not satisfied, or very unsatisfied. Univariate and multivariate analyses were conducted.

          Results

          Overall, 39.1% of Jewish women reported body weight dissatisfaction, compared with 29.1% of Arab women. Older overweight-obese Arab women had a lower prevalence of body weight dissatisfaction than Jewish women of the same age group, which indicates cultural differences in body weight dissatisfaction among older overweight-obese women. However, cultural differences do not appear to influence body weight dissatisfaction among younger Jewish and Arab women of normal weight.

          Conclusion

          This study suggests that Jewish and Arab women differ in their perceptions of body weight. Interventions tailored to each group are needed to promote healthy dietary and physical activity behaviors.

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          Most cited references18

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          Accuracy of self-reported height and weight in women: an integrative review of the literature.

          Height and weight are two of the most commonly used anthropometric measurements in clinical practice and research. Self-reported height and weight measurement is a simple, efficient, inexpensive, and non-invasive method of collecting data from large numbers of people. This integrative review of the published research examined the accuracy of self-reported height and weight measurements in women. Twenty-six studies examined the accuracy of self-reported height in 39,244 women. Twenty-one of the studies found that women overestimate height. Thirty-four studies reviewed the accuracy of self-reported weight in 57,172 women, and all 34 studies reported that women underestimated weight. Although mean variations between self-reported and measured values were small, a significant percentage of women in study groups had very large errors. Inaccurate measurements of both height and weight can cause significant inaccuracies in calculation of body mass index, which is used as a guide for identifying persons at risk for disease. These findings indicate that direct measurement of height and weight should be performed whenever possible for optimal measurements in clinical practice and clinically oriented research.
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            The non-regulation of food intake in humans: hope for reversing the epidemic of obesity.

            Few doubt that human feeding behavior is part of larger biology regulatory system of energy stores, but the extent to which eating behavior is controlled by these biology systems and how much is due to responses to environmental stimuli is presently under debate. The results of a series of studies are presented which have attempted to determine the responsiveness of human feeding behavior to some of the "classic" biological variables that have conventionally been used to argue the biological basis of eating behavior. When humans are challenged with either overfeeding, underfeeding, or alterations of the caloric density of the diet, they fail to demonstrate precise caloric compensation. When challenged with changes in environmental stimuli, on the other hand, humans appear to be very sensitive to changes in portion size, the number of people with whom they eat, the amount that others eat and the variety of foods available. Other more chronic influences demonstrate that body weight appears to change when people move from one area of the world to another, when they enter the college environment, or when they either marry or break up. It is argued that because humans appear to be more responsive to the external environment than internal biological cues, it should be possible to curb or even reverse the epidemic of obesity by changing aspects of the external environment or human interactions with environmental variables rather than changing their internal environment through pharmacology.
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              Is Open Access

              Ethnic variation in validity of classification of overweight and obesity using self-reported weight and height in American women and men: the Third National Health and Nutrition Examination Survey

              Background Few data have been published on the validity of classification of overweight and obesity based on self-reported weight in representative samples of Hispanic as compared to other American populations despite the wide use of such data. Objective To test the null hypothesis that ethnicity is unrelated to bias of mean body mass index (BMI) and to sensitivity of overweight or obesity (BMI >= 25 kg/m2) derived from self-reported (SR) versus measured weight and height using measured BMI as the gold standard. Design Cross-sectional survey of a large national sample, the Third National Health and Nutrition Examination Survey (NHANES III) conducted in 1988–1994. Participants American men and women aged 20 years and over (n = 15,025). Measurements SR height, weight, cigarette smoking, health status, and socio-demographic variables from home interview and measured weight and height. Results In women and Mexican American (MA) men SR BMI underestimated true prevalence rates of overweight or obesity. For other men, no consistent difference was seen. Sensitivity of SR was similar in non-Hispanic European Americans (EA) and non-Hispanic African Americans (AA) but much lower in MA. Prevalence of obesity (BMI >= 30 kg/m2) is consistently underestimated by self-report, the gap being greater for MA than for other women, but similar for MA and other men. The mean difference between self-reported and measured BMI was greater in MA (men -0.37, women -0.76 kg/m2) than in non-Hispanic EA (men -0.22, women -0.62 kg/m2). In a regression model with the difference between self-reported and measured BMI as the dependent variable, MA ethnicity was a significant (p < 0.01) predictor of the difference in men and in women. The effect of MA ethnicity could not be explained by socio-demographic variables, smoking or health status. Conclusion Under-estimation of the prevalence of overweight or obesity based on height and weight self-reported at interview varied significantly among ethnic groups independent of other variables.
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                Author and article information

                Contributors
                Office of Preparedness and Emergency Operations, Assistant Secretary for Preparedness and Response, US Department of Health and Human Services. At the time this article was prepared, Dr Niskar was affiliated with Tel Aviv University, Tel Aviv, Israel
                ,
                University of Haifa, Israel
                University of Haifa, Israel
                University of Haifa, Israel
                Journal
                Prev Chronic Dis
                Preventing Chronic Disease
                Centers for Disease Control and Prevention
                1545-1151
                April 2009
                15 March 2009
                : 6
                : 2
                : A51
                Affiliations
                Office of Preparedness and Emergency Operations, Assistant Secretary for Preparedness and Response, US Department of Health and Human Services. At the time this article was prepared, Dr Niskar was affiliated with Tel Aviv University, Tel Aviv, Israel
                University of Haifa, Israel
                University of Haifa, Israel
                University of Haifa, Israel
                Article
                PCDv62_08_0118
                2687857
                19288994
                5f5c3fac-43ab-49c4-ace1-2d60fb9f67bb
                History
                Categories
                Original Research
                Peer Reviewed

                Health & Social care
                Health & Social care

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