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  • Original Article
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Secular trends in desired weight of adults

International Journal of Obesity volume 30, pages 1375–1381 (2006)Cite this article

An Erratum to this article was published on 29 August 2006

Abstract

Context:

The prevalence of overweight and obese adults in the United States is at record levels.

Objective:

The primary purpose is to describe secular trends in desired weight among adults from 1994 to 2003, and secondarily, to examine the hypothetical impact of achieving desired weight on obesity prevalence.

Design:

Data were from the Behavioral Risk Factor Surveillance System (1994, 1996, 1998, 2000, 2003), a random-digit-dialed telephone survey.

Setting:

Sample included respondents from 47 states and the District of Columbia.

Participants:

Non-institutionalized adults aged 18 years or older were included (N=703 286).

Main Outcome Measures:

Primary outcome measures included reported weight and desired weight.

Results:

Means for desired weight increased 2.3 kg between 1994 and 2003, and reported weights increased 3.9 kg. The increased trend was observed across several subgroups for age, race/ethnicity and education. Within subgroups of weight status, the trend has remained relatively stable, particularly when examined in relation to the difference between reported and desired weight as a percentage of reported body weight. Generally, overweight men desired weights approximately 4.5% less than their reported weight, and obese men desired weights approximately 15% less than their reported weight for each corresponding year. For women, approximate values of desired weight were 12% less than reported weight for overweight women and 24% less for obese women. The prevalence of obesity would decrease to 4.4% if individuals weighed their desired weight.

Conclusions:

Americans are shifting their desired weight upward, concomitantly with an increase in their reported body weight.

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References

  1. Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM . Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA 2004; 291: 2847–2850.

    Article  CAS  Google Scholar 

  2. Flegal KM, Carroll MD, Ogden CL, Johnson CL . Prevalence and trends in obesity among US adults, 1999–2000. JAMA 2002; 288: 1723–1727.

    Article  Google Scholar 

  3. Mokdad AH, Serdula MK, Dietz WH, Bowman BA, Marks JS, Koplan JP . The spread of the obesity epidemic in the United States, 1991–1998. JAMA 1999; 282: 1519–1522.

    Article  CAS  Google Scholar 

  4. Mokdad AH, Bowman BA, Ford ES, Vinicor F, Marks JS, Koplan JP . The continuing epidemics of obesity and diabetes in the United States. JAMA 2001; 286: 1195–1200.

    Article  CAS  Google Scholar 

  5. US Department of Health and Human Services. Healthy People 2010: Understanding and Improving Health. US Government Printing Office: Washington, DC, November 2000.

  6. Wilson PW, D'Agostino RB, Sullivan L, Parise H, Kannel WB . Overweight and obesity as determinants of cardiovascular risk: the Framingham experience. Arch Intern Med 2002; 162: 1867–1872.

    Article  Google Scholar 

  7. Ford ES, Williamson DF, Liu S . Weight change and diabetes incidence: findings from a national cohort of US adults. Am J Epidemiol 1997; 146: 214–222.

    Article  CAS  Google Scholar 

  8. Resnick HE, Valsania P, Halter JB, Lin X . Relation of weight gain and weight loss on subsequent diabetes risk in overweight adults. J Epidemiol Community Health 2000; 54: 596–602.

    Article  CAS  Google Scholar 

  9. Finkelstein EA, Fiebelkorn IC, Wang G . National medical spending attributable to overweight and obesity: how much, and who's paying? Health Aff 2003; (Suppl): W3-219–W3-226.

  10. Kruger J, Galuska DA, Serdula MK, Jones DA . Attempting to lose weight: specific practices among US adults. Am J Prev Med 2004; 26: 402–406.

    Article  Google Scholar 

  11. Green KL, Cameron R, Polivy J, Cooper K, Liu L, Leiter L et al. Weight dissatisfaction and weight loss attempts among Canadian adults. Can Med Assoc J 1997; 157: 17S–25S.

    Google Scholar 

  12. Chang VW, Christakis NA . Self-perception of weight appropriateness in the United States. Am J Prev Med 2003; 24: 332–339.

    Article  Google Scholar 

  13. Kamel EG, McNeill G . Men are less aware of being overweight than women. Obes Res 2000; 8: 604.

    Article  CAS  Google Scholar 

  14. McCreary DR, Sadava SW . Gender differences in relationships among perceived attractiveness, life satisfaction, and health in adults as a function of body mass index and perceived weight. PsycholMen Masculinity 2001; 2: 108–116.

    Article  Google Scholar 

  15. McCreary DR . Gender and age differences in the relationship between body mass index and perceived weight: exploring the paradox. Intl J Men's Health 2002; 1: 31–42.

    Article  Google Scholar 

  16. Caccamese SM, Kolodner K, Wright SM . Comparing patient and physician perception of weight status with body mass index. Am J Med 2002; 112: 662–666.

    Article  Google Scholar 

  17. Fitzgibbon ML, Blackman LR, Avellone ME . The relationship between body image discrepancy and body mass index across ethnic groups. Obes Res 2000; 8: 582–589.

    Article  CAS  Google Scholar 

  18. Paeratakul S, White MA, Williamson DA, Ryan DH, Bray GA . Sex, race/ethnicity, socioeconomic status, and BMI in relation to self-perception of overweight. Obes Res 2002; 10: 345–350.

    Article  Google Scholar 

  19. Rand CSW, Kuldau JM . The epidemiology of obesity and self-defined weight problem in the general population: gender, race, age, and social class. Int J Eat Disord 1990; 9: 329–343.

    Article  Google Scholar 

  20. Nelson DA, Holtzman D, Waller M, Leutzinger CL, Condon K . Objectives and design of the behavioral risk factor surveillance system. Proceedings of the Survey Research Methods Section. American Statistical Association: Baltimore, MD, 2003.

    Google Scholar 

  21. Mokdad AH, Stroup DF, Giles WH . Public health surveillance for behavioral risk factors in a changing environment: recommendations from the Behavioral Risk Factor Surveillance Team. MMWR Recomm Rep 2003; 52, RR-9; 1–12.

    PubMed  Google Scholar 

  22. National Institutes of Health/National Heart, Lung and Blood Institute. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report 1998. NIH publication, No 98-4083, September 1998, National Institutes of Health, website: http://www.nhlbi.nih.gov/guidelines/obesity/ob-gdlns.htm.

  23. Greenland S . Quantitative methods in the review of epidemiologic literature. Epidemiology 1987; 9: 1–30.

    Article  CAS  Google Scholar 

  24. Neter J, Wasserman W, Kutner MH . Applied Linear Statistical Models. Richard D Irwin: Home-wood, IL, 1985.

    Google Scholar 

  25. Sas Institute. SAS/Stat User's Guide. Version 6. SAS Institute Inc.: Cary, NC, 1990.

  26. Shah BV, Barnwell BG, Bieler GS . SUDAAN Users' Manual. Release 7.5. Research Triangle Institute: Research Triangle Park, NC, 1997.

    Google Scholar 

  27. Kuczmarski MF, Kuczmarski RJ, Najjar M . Effects of age on validity of self-reported height, weight, and body mass index: findings from the Third National Health and Nutrition Examination Survey, 1988–1994. J Am Diet Assoc 2001; 101: 28–34.

    Article  CAS  Google Scholar 

  28. Kottke TE, Clark MM, Aase LA, Brandel CL, Brekke MJ, Brekke LN et al. Self-reported weight, weight goals, and weight control strategies of a Midwestern population. Mayo Clin Proc 2002; 77: 114–121.

    Article  Google Scholar 

  29. Anderson LA, Eyler AA, Galuska DA, Brown DR, Brownson RC . Relationship of satisfaction with body size and trying to lose weight in a national survey of overweight and obese women aged 40 and older, United States. Prev Med 2002; 35: 390–396.

    Article  Google Scholar 

  30. Rand CS, Resnick JL . The ‘good enough’ body size as judged by people of varying age and weight. Obes Res 2000; 8: 309–316.

    Article  CAS  Google Scholar 

  31. National Heart, Lung and Blood Institute Obesity Education Initiative Expert Panel on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults – the evidence report. Obes Res 1998; 6: 51S–209S.

  32. Foster GD, Wadden TA, Phelan S, Sarwer DB, Sanderson RS . Obese patients' perceptions of treatment outcomes and the factors that influence them. Arch Intern Med 2001; 161: 2133–2139.

    Article  CAS  Google Scholar 

  33. Foster GD, Wadden TA, Vogt RA, Brewer G . What is a reasonable weight loss? Patients' expectations and evaluations of obesity treatment outcomes. J Consult Clin Psychol 1997; 65: 79–85.

    Article  CAS  Google Scholar 

  34. Galuska DA, Will JC, Serdula MK, Ford ES . Are health care professionals advising obese patients to lose weight? JAMA 1999; 282: 1576–1578.

    Article  CAS  Google Scholar 

  35. Wadden TA, Didie E . What's in a name? Patients' preferred terms for describing obesity. Obes Res 2003; 11: 1140–1146.

    Article  Google Scholar 

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Authors and Affiliations

  1. Division of Nutrition and Physical Activity, Chronic Disease Nutrition Branch, NCCDPHP, Centers for Disease Control and Prevention, Atlanta, GA, USA

    L M Maynard, M K Serdula, D A Galuska & C Gillespie

  2. Division of Adult and Community Health, NCCDPHP, Centers for Disease Control and Prevention, Atlanta, GA, USA

    A H Mokdad

Authors
  1. L M Maynard
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  2. M K Serdula
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  3. D A Galuska
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  4. C Gillespie
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  5. A H Mokdad
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Corresponding author

Correspondence to L M Maynard.

Additional information

The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

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Maynard, L., Serdula, M., Galuska, D. et al. Secular trends in desired weight of adults. Int J Obes 30, 1375–1381 (2006). https://doi.org/10.1038/sj.ijo.0803297

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