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      Overweight or about right? A norm comparison explanation of perceived weight status

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          Summary

          Objectives

          Body‐weight norms may explain why personal evaluations of weight status are often inaccurate. Here, we tested a ‘norm comparison’ explanation of weight status perceptions, whereby personal evaluations of weight status are biased by perceived body‐weight norms.

          Methods

          Study 1 examined whether perceptions of how one's own body weight compares to an average person predict personal evaluations of weight status. Study 2 examined whether manipulating perceptions of how one's own body weight compares to an average person influences whether or not a person identifies their own weight status as being overweight.

          Results

          In Study 1, if participants rated their body weight as being similar to the body weight of an average person, they were less likely to identify their weight status as being overweight. In Study 2, participants that were led to believe that their body weight was heavier than the average person were more likely to perceive their own weight status as being overweight.

          Conclusions

          Personal perceptions of weight status are likely to be shaped by a ‘norm comparison’ process. As overweight becomes more normal, underestimation of weight status amongst individuals with overweight and obesity will be more common.

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          Most cited references38

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          SPSS and SAS procedures for estimating indirect effects in simple mediation models.

          Researchers often conduct mediation analysis in order to indirectly assess the effect of a proposed cause on some outcome through a proposed mediator. The utility of mediation analysis stems from its ability to go beyond the merely descriptive to a more functional understanding of the relationships among variables. A necessary component of mediation is a statistically and practically significant indirect effect. Although mediation hypotheses are frequently explored in psychological research, formal significance tests of indirect effects are rarely conducted. After a brief overview of mediation, we argue the importance of directly testing the significance of indirect effects and provide SPSS and SAS macros that facilitate estimation of the indirect effect with a normal theory approach and a bootstrap approach to obtaining confidence intervals, as well as the traditional approach advocated by Baron and Kenny (1986). We hope that this discussion and the macros will enhance the frequency of formal mediation tests in the psychology literature. Electronic copies of these macros may be downloaded from the Psychonomic Society's Web archive at www.psychonomic.org/archive/.
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            Changing perceptions of weight in Great Britain: comparison of two population surveys

            Objectives To examine changes in public perceptions of overweight in Great Britain over an eight year period. Design Comparison of data on self perceived weight from population surveys in 1999 and 2007. Setting Household surveys of two representative samples in Great Britain. Participants 853 men and 944 women in 1999, and 847 men and 989 women in 2007. Main outcome measures Participants were asked to report their weight and height and classify their body size on a scale from “very underweight” to “obese.” Results Self reported weights increased dramatically over time, but the weight at which people perceived themselves to be overweight also rose significantly. In 1999, 81% of overweight participants correctly identified themselves as overweight compared with 75% in 2007, demonstrating a decrease in sensitivity in the self diagnosis of overweight. Conclusions Despite media and health campaigns aiming to raise awareness of healthy weight, increasing numbers of overweight people fail to recognise that their weight is a cause for concern. This makes it less likely that they will see calls for weight control as personally relevant.
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              Do you see what I see? Weight status misperception and exposure to obesity among children and adolescents.

              Obesity prevention in childhood is important. However, changing children's lifestyle behaviors to reduce overweight is a substantial challenge. Accurately perceiving oneself as overweight/obese has been linked to greater motivation to change lifestyle behaviors. Children and adolescents may be less likely to perceive themselves as overweight/obese if they are exposed to overweight/obese people in their immediate environments. This study examined whether youth who are exposed to overweight parents and schoolmates were more likely to misperceive their own weight status. The Quebec Child and Adolescent Health and Social Survey was a provincially representative, school-based survey of children and adolescents conducted between January and May 1999. 3665 children and adolescents (age 9, n=1267; age 13, n=1186; age 16, n=1212) from 178 schools. Mean body mass index (BMI) was 17.5, 20.6 and 22.2 kg/m(2), respectively. The misperception score was calculated as the standardized difference between self-perception of weight status (Stunkard Body Rating Scale) and actual BMI (from measured height and weight). Exposure to obesity was based on parent and schoolmate BMI. Overweight and obese youth were significantly more likely to misperceive their weight compared with non-overweight youth (P<0.001). Multilevel modeling indicated that greater parent and schoolmate BMI were significantly associated with greater misperception (underestimation) of weight status among children and adolescents. Children and adolescents who live in environments in which people they see on a daily basis, such as parents and schoolmates, are overweight/obese may develop inaccurate perceptions of what constitutes appropriate weight status. Targeting misperception may facilitate the adoption of healthy lifestyle behaviors and improve the effectiveness of obesity prevention interventions.
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                Author and article information

                Contributors
                eric.robinson@liv.ac.uk
                Journal
                Obes Sci Pract
                Obes Sci Pract
                10.1002/(ISSN)2055-2238
                OSP4
                Obesity Science & Practice
                John Wiley and Sons Inc. (Hoboken )
                2055-2238
                25 January 2017
                March 2017
                : 3
                : 1 ( doiID: 10.1002/osp4.v3.1 )
                : 36-43
                Affiliations
                [ 1 ] Psychological SciencesUniversity of Liverpool LiverpoolUK
                Author notes
                [*] [* ]Address for correspondence: Dr Eric Robinson, Psychological Sciences, University of Liverpool, Eleanor Rathbone Building, Liverpool L69 7ZA, UK. E‐mail: eric.robinson@ 123456liv.ac.uk
                Article
                OSP489 OSP4-2016-09-0058.R1
                10.1002/osp4.89
                5358078
                b56d7f24-c10f-474d-be5b-f01114b691bb
                © 2017 The Authors. Obesity Science & Practice published by John Wiley & Sons Ltd, World Obesity and The Obesity Society.

                This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 07 September 2016
                : 15 November 2016
                : 16 November 2016
                Page count
                Figures: 0, Tables: 4, Pages: 8, Words: 4050
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                osp489
                March 2017
                Converter:WILEY_ML3GV2_TO_NLMPMC version:5.0.9 mode:remove_FC converted:23.03.2017

                body image,norms,perceived weight,weight status misperceptions

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