Abstract
African American (AA) women’s preference for a larger body size and underestimation of their body weight may affect the relationship between their body weight and weight-related quality of life (QOL). We wanted to examine the relationship between weight-related QOL and body mass index (BMI) in a sample of overweight AA women. Thirty-three overweight AA women completed a clinic visit to measure height, weight, and complete surveys including the Impact of Weight on Quality of Life-Lite (IWQOL-Lite) and the Stunkard Figure Rating Scale. BMI was calculated using measured height and weight. Correlations and linear regression models were estimated using SAS v 9.1. In this sample, the mean total quality of life score was 78.00 ± 17.68 on a 100 point scale. There was a modest correlation between BMI and total weight-related QOL (r = −0.034, p = 0.053). Body image dissatisfaction was the strongest predictor of total quality of life score (p = 0.04). African American women’s unique cultural perception of body image may play a key role in weight-related QOL.
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References
Abrams, K. K., Allen, L. R., & Gray, J. J. (1993). Disordered eating attitudes and behaviors, psychological adjustment, and ethnic identity: A comparison of black and white female college students. International Journal of Eating Disorders, 14, 49–57.
Ard, J. A., Greene, L. F., Malpede, C. Z., & Jefferson, W. K. (2007). Association between body image disparity and culturally specific factors that affect weight in black and white women. Ethnicity and Disease, 17(suppl 2), S2-34–S2-39.
Bulik, C. M., Wade, T. D., Heath, A. C., Martin, N. G., Stunkard, A. J., & Eaves, L. J. (2001). Relating body mass index to figural stimuli: Population-based normative data for Caucasians. International Journal of Obesity, 25, 1517–1524.
Colditz, G. A., Willett, W. C., Stampfer, M. J., et al. (1990). Weight as a risk factor for clinical diabetes in women. American Journal of Epidemiology, 132, 501–513.
Field, A. E., et al. (2001). Impact of overweight on the risk of developing common chronic diseases during a 10-year period. Archives of Internal Medicine, 161, 1581–1586.
Fitzgibbon, M. L., Blackman, L. R., & Avellone, M. E. (2005). The relationship between body image dissatisfaction and body mass index across ethnic groups. Obesity Research, 8, 582–589.
Flynn, K. J., & Fitzgibbon, M. (1998). Body images and obesity risk among Black females: A review of the literature. Annals of Behavioral Medicine, 20(1), 13–24.
Fontaine, K. R., & Barofsky, I. (2001). Obesity and health-related quality of life. Obesity Reviews, 2, 173–182.
Gary, T. L., Gross, S. M., Browne, D. C., & LaVeist, T. A. (2006). The College Health and Wellness Study: Baseline correlates of overweight among African Americans. Journal of Urban Health, 83, 253–265.
Kolotkin, R. L., & Crosby, R. D. (2002). Psychometric evaluation of the impact of weight on quality of life-lite questionnaire (IWQOL-lite) in a community sample. Quality of Life Research, 11(2), 157–171.
Kolotkin, R. L., Head, S., Hamilton, M., & Tse, C. K. (1995). Assessing impact of weight on quality of life. Obesity Research, 3, 49–56.
Kumanyika, S., Wilson, J. F., & Guilford-Davenport, M. (1993). Weight-related attitudes and behaviors of black women. Journal of the American Dietetic Association, 93, 416–422.
Li, C., Ford, E. S., McGuire, L. C., & Mokdad, A. H. (2007). Increasing trends in waist circumference and abdominal obesity among U.S. adults. Obesity, 15(1), 216–224.
Lynch, E., Liu, K., Wei, G., Spring, B., Keife, C., & Greenland, P. (2009). The relation between body size perception and change in body mass index over 13 years. American Journal of Epidemiology, 169, 857–866.
NHANES Data on the prevalence of overweight and obesity among adults: United States, 2003-2004. National Center for Health Statistics.
Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. Journal of the American Medical Association, 295(13), 1549–1555.
Paeratakul, S., White, M. A., Williamson, D. A., Ryan, D. H., & Bray, G. A. (2002). Sex, race/ethnicity, socioeconomic status and BMI in relation to self-perception of overweight. Obesity Research, 10(5), 345–350.
Patt, M. R., Lane, A. E., Finney, C. P., Yanek, L. R., & Becker, D. M. (2002). Body image assessment: Comparison of figure rating scales among urban Black women. Ethnicity and Disease, 12, 54–62.
Prospective Studies Collaboration. (2009). Body-mass index and cause-specific mortality in 900,000 adults: Collaborative analyses of 57 prospective studies. Lancet, 373(9669), 1083–1096.
Sanchez, A. M., Reed, D. R., & Price, R. A. (2000). Reduced mortality associated with body mass index (BMI) in African Americans relative to Caucasians. Ethnicity and Disease, 10, 24–30.
Stein, C. J., & Colditz, G. A. (2004). The epidemic of obesity. The Journal of Clinical Endocrinology & Metabolism, 89(6), 2522–2525.
Stephens, Q., Kirby, T., Buckworth, J., Devor, S., & Hamlin, R. (2007). Aerobic exercise improves cardiorespiratory fitness but does not reduce blood pressure in prehypertensive African American women. Ethnicity and Disease, 17, 55–58.
Stunkard, A. J., Sorensen, T., & Schulsinger, F. (1983). Use of the Danish Adoption Register for the study of obesity and thinness. In S. S. Kety, L. P. Rowland, R. L. Sidman, & S. W. Matthysse (Eds.), The genetics of neurological and psychiatric disorders (pp. 115–120). New York: Raven Press.
Tehard, B., van Liere, M. J., Com Nougue, C., & Clavel-Chapelon, F. (2002). Anthropometric measurements and body silhouette of women: Validity and perception. Journal of the American Dietetic Association, 102, 1779–1784.
Torquati, A., Lutfi, R., & Richards, W. O. (2007). Predictors of early quality-of-life improvement after laparoscopic gastric bypass surgery. American Journal of Surgery, 193(4), 471–475.
U.S. Department of Health and Human Services. (2001) The Surgeon General’s call to action to prevent and decrease overweight and obesity. [Rockville, MD]: U.S. Department of Health and Human Services, Public Health Service, Office of the Surgeon General. Available from: US GPO, Washington.
Williamson, D. A., Womble, L. G., Zucker, N. L., Read, D. L., White, M. A., & Blouin, D. C. (2000). Body image assessment for obesity (BIA-O): Development of a new procedure. International Journal of Obesity and Related Metabolic Disorders, 24, 1326–1332.
Wing, R. R., Adams-Campbell, L. L., March, M. D., & Janney, C. A. (1993). Effect of ethnicity and geographical location on body weight, dietary restraint, and abnormal eating attitudes. Obesity Research, 1, 193–198.
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Cox, T.L., Zunker, C., Wingo, B. et al. Body Image and Quality of Life in a Group of African American Women. Soc Indic Res 99, 531–540 (2010). https://doi.org/10.1007/s11205-010-9602-y
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DOI: https://doi.org/10.1007/s11205-010-9602-y