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KMID : 0387320180280010003
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Korean Journal of Health Policy and Administration
2018 Volume.28 No. 1 p.3 ~ p.14
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Association of a Combination between Actual Body Mass Index Status and Perceived Body Image with Anxiety and Depressive Condition in Korean Men and Women: The Fifth and Sixth Korea National Health and Nutrition Examination Survey (2010?2014)
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Lee Hyo-Min
Chung Woo-Jin
Lim Seung-Ji
Han Eun-A
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Abstract
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Background: Both objective body shape and perceived body image have been known to influence the mental health. The purpose of this study was to explore the relationship of a combination between actual body mass index (BMI) status and perceived body image with anxiety?depressive condition (ADC) in Korean men and women.
Methods: This cross-sectional study analyzed data of 26,239 subjects ≥20 years old from the National Health and Nutrition Examination Survey (2010?2014). This study performed a Rao-Scott chi-square and multivariate logistic regression analyses reflecting survey characteristics and used a variety of independent variables such as socio-demographics and health behavior factors.
Results: With all independent variables considered, people with normal weight who perceived themselves as overweight were more likely associated with ADC than a referent group with normal weight who perceived themselves as normal weight, as shown for both men (odds ratio [OR], 1.52; confidence interval [CI], 1.07?2.15) and women (OR, 1.25; CI, 1.06?1.48). Meanwhile, compared to the referent group, men with underweight who perceived themselves as underweight showed a lower association with ADC (OR, 0.63; CI, 0.41?0.97), whereas women with underweight who perceived themselves as underweight showed its higher association (OR, 1.47; CI, 1.10?1.96).
Conclusion: A certain group of people categorized as a combination between actual BMI status and perceived body image showed a relatively high likelihood of having ADC, and the gender difference in the likelihood of having the condition for a group was clear. Therefore, this study suggests the need to identify the group at a high risk of ADC on the basis of actual BMI status and perceived body image and to develop an appropriate mental health management program for the group.
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KEYWORD
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Actual weight, Perceived weight, Anxiety and depressive condition, Gender, Korean National Health and Nutrition Examination Survey
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