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Overweight and obese midlife women in Israel: cultural differences in perceived weight status

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objectives

To examine cultural differences in Weight status misperception (WSMP) and identify associations between weight perception and weight control efforts among overweight/obese midlife women in Israel.

Methods

Data from the nationally representative Women’s-Health-in-Midlife-National-Study were used. Participants included overweight (25 ≤ BMI < 30) and obese (BMI ≥ 30) midlife women (45–64 years) from three cultural groups: Long-Term Jewish Residents (LTJR), Immigrants from the former USSR, and Arabs. Interviews included measures of BMI, weight perception, lifestyle, and socio-demographics.

Results

Most overweight/obese women (88 %) perceived their weight status correctly. No significant differences were found in overall WSMP rates across cultural groups. Overweight women of Arab origin were significantly more likely (p < 0.001) to perceive their weight as “about right” relative to LTJR and Immigrants. WSMP was associated with several unhealthy eating patterns [eating red meat (OR = 2.1, 95 % CI = 1.13–3.97), white bread (OR = 2.4, 95 % CI = 1.26–4.58)] and with more perceived barriers to exercising (OR = 1.8, 95 % CI = 1.00–3.42).

Conclusions

Health care providers are encouraged to pay attention to overweight/obese women who misperceive their weight status. These women are more likely to consume unhealthy foods and to be at higher risks of suffering from medical complications associated with obesity.

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Acknowledgments

This study was funded by the Israel National Institute for Health Policy and Health Services Research, Grant Number 63/02.

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Correspondence to Roni Elran-Barak.

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Elran-Barak, R., Blumstein, T., Boyko, V. et al. Overweight and obese midlife women in Israel: cultural differences in perceived weight status. Int J Public Health 61, 39–47 (2016). https://doi.org/10.1007/s00038-015-0753-0

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  • DOI: https://doi.org/10.1007/s00038-015-0753-0

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