Abstract
Purpose
This study investigated Korean women in between age 30 to 60 who were obese or overweight in order to explore their self-perception based on lifetime phase.
Methods
Focus group interviews were performed four times with six to eight participants in each group (a total of 27). Data were analyzed using inductive thematic analysis.
Results
The data analysis from the interviews revealed recurring common themes: heavy heart, heavy body, resigned acceptance of their own condition, and compromise. The study also found that each age group had different concerns: concerning others' gaze on their obese appearances (30s), realizing their aging obese appearances (40s), recognizing red flags of their health with obesity (50s), and becoming ambivalent about their obese appearances (60s). Overall, their perceptions of being overweight were negative and stressful. Women in their 30s and 40s were more interested in their appearances, and thus were more obsessive about weight gain. In contrast, women in their 50s and 60s were more accepting of their physical appearances, and thus were more concerned about living healthy than losing weight.
Conclusion
These results may be useful to consider when developing tailored weight-control programs for obese and overweight Korean women. Additionally, strategic approaches for successful and effective programs targeting healthy weight should be based on better understanding about women's self-perceptions and motivations.
References
1. World Health Organization (WHO). Obesity and overweight [Internet]. Geneva: WHO;2016. cited 2016 November 3. Available from http://www.who.int/mediacentre/factsheets/fs311/en/.
2. Dishman RK, Heath GW, Lee IM. Physical activity epidemiology. 2nd ed. Champaign, IL: Human Kinetics;2013.
3. National Center for Health Statistics. Health, United States, 2008 with chartbook. Hyattsville, MD: National Center for Health Statistics;2009.
4. Ministry of Health & Welfare. Korea health statistics 2012: Korea national health and nutrition examination survey (KNHANESV-3). Sejong: Ministry of Health & Welfare;2013.
5. Statistics Korea. Women's lives through statistics in 2014. Daejeon: Statistics Korea;2014.
6. Boo S. Body mass index and weight loss in overweight and obese Korean women: the mediating role of body weight perception. Asian Nurs Res (Korean Soc Nurs Sci). 2013; 7(4):191–197. DOI: 10.1016/j.anr.2013.09.003.
7. Lemon SC, Rosal MC, Zapka J, Borg A, Andersen V. Contributions of weight perceptions to weight loss attempts: differences by body mass index and gender. Body Image. 2009; 6(2):90–96. DOI: 10.1016/j.bodyim.2008.11.004.
8. Jung HJ, Cha JH, Kwon JH. Comparison of daily behavior and health-related fitness in middle-aged women by BMI. Korean J Growth Dev. 2009; 17(2):81–87.
9. Moon SS. A study of health behavior through comparative analysis of self-perceived health status and health examination results [dissertation]. Seoul: Seoul National University;2001. 1–146.
10. Krasner DL. Qualitative research: a different paradigm - part 1. J Wound Ostomy Continence Nurs. 2001; 28(2):70–72.
12. Kitzinger J. Qualitative research: introducing focus groups. BMJ. 1995; 311(7000):299–302. DOI: 10.1136/bmj.311.7000.299.
14. Sandelowski M. Rigor or rigor mortis: the problem of rigor in qualitative research revisited. Advances in Nursing Science. 1993; 16(2):1–8.
15. Chang VW, Christakis NA. Self-perception of weight appropriateness in the United States. Am J Prev Med. 2003; 24(4):332–339. DOI: 10.1016/S0749-3797(03)00020-5.
16. Schwartz MB, Brownell KD. Obesity and body image. Body Image. 2004; 1(1):43–56. DOI: 10.1016/S1740-1445(03)00007-X.
17. Annis NM, Cash TF, Hrabosky JI. Body image and psychosocial differences among stable average weight, currently over-weight, and formerly overweight women: the role of stigmatizing experiences. Body Image. 2004; 1(2):155–167. DOI: 10.1016/j.bodyim.2003.12.001.
18. O'Brien K, Venn BJ, Perry T, Green TJ, Aitken W, Bradshaw A, et al. Reasons for wanting to lose weight: different strokes for different folks. Eat Behav. 2007; 8(1):132–135. DOI: 10.1016/j.eatbeh.2006.01.004.
19. Boo S. Misperception of body weight and associated factors. Nurs Health Sci. 2014; 16(4):468–475. DOI: 10.1111/nhs.12154.
20. Gregory CO, Blanck HM, Gillespie C, Maynard LM, Serdula MK. Perceived health risk of excess body weight among overweight and obese men and women: differences by sex. Prev Med. 2008; 47(1):46–52. DOI: 10.1016/j.ypmed.2008.01.008.
21. Bhanji S, Khuwaja A, Siddiqui F, Azam I, Kazmi K. Underestimation of weight and its associated factors among overweight and obese adults in Pakistan: a cross sectional study. BMC Public Health. 2011; 11:363.
22. Annunziatoa RA, Loweb MR. Taking action to lose weight: toward an understanding of individual differences. Eat Behav. 2007; 8(2):185–194. DOI: 10.1016/j.eatbeh.2006.04.004.
23. El-Sherbiny NA, Mashahit MA, Sheir RE. Assessment of public awareness about body measurements among Fayoum population. Health. 2014; 6(3):212–217. DOI: 10.4236/health.2014.63031.
25. Neumark-Sztainer D, Haines J. Psychosocial and behavioral consequences of obesity. In : Thompson JK, editor. Handbook of eating disorders and obesity. New York: Wiley;2004. p. 349–371.
26. Tiggemann M, Lacey C. Shopping for clothes: body satisfaction, appearance investment, and functions of clothing among female shoppers. Body Image. 2009; 6(4):285–291. DOI: 10.1016/j.bodyim.2009.07.002.
27. Reboussin BA, Rejeski WJ, Martin KA, Callahan K, Dunn AL, King AC, et al. Correlates of satisfaction with body function and body appearance in middle- and older aged adults: the activity counseling trial (ACT). Psychol Health. 2000; 15(2):239–254. DOI: 10.1080/08870440008400304.
28. Boo S, Froelicher E. Cardiovascular risk factors and 10-year risk for coronary heart disease in Korean women. Asian Nurs Res (Korean Soc Nurs Sci). 2012; 6(1):1–8. DOI: 10.1016/j.anr.2012.02.001.
29. Kim HK, Lee SL. The research on the values and life-styles of Koreans. J Educ Cult. 2014; 20(4):281–314.
30. Kim MK. Women's place in relation-cultural context: pastoral counseling for married women (Ajumma) from a multicultural point of view. J Couns Gospel. 2005; 5:253–284.