Browse > Article
http://dx.doi.org/10.7475/kjan.2016.28.6.701

Self-portrait of Obese and Overweight Korean Women based on Lifetime Phase  

Shin, Nah-Mee (College of Nursing, Korea University)
Park, Eunyoung (Department of Nursing Science, Sangji University)
Choi, Jiwon (School of Nursing, University of California)
Park, Young-Joo (College of Nursing, Korea University)
Jung, Sunyoung (School of Nursing, Yale University)
Publication Information
Korean Journal of Adult Nursing / v.28, no.6, 2016 , pp. 701-708 More about this Journal
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.
Keywords
Overweight; Obesity; Women; Health; Perception;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
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 Nursing Research. 2013;7(4):191-7. http://dx.doi.org/10.1016/j.anr.2013.09.003   DOI
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):90-6. http://dx.doi.org/10.1016/j.bodyim.2008.11.004   DOI
8 Jung HJ, Cha JH, Kwon JH. Comparison of daily behavior and health-related fitness in middle-aged women by BMI. The Korean Journal of Growth and Development. 2009;17(2):81-7.
9 Krasner DL. Qualitative research: a different paradigm - part 1. Journal of Wound, Ostomy, and Continence Nursing. 2001;28(2):70-2.   DOI
10 Morgan DL. Focus groups. Annual Review Sociology. 1996;22:129-52.   DOI
11 Kitzinger J. Qualitative research: introducing focus groups. British Medical Journal. 1995;311(7000):299-302. http://dx.doi.org/10.1136/bmj.311.7000.299   DOI
12 Braun V, Clarke C. Using thematic analysis in psychology. Qualitative Research Psychology. 2006;3(2):77-101.   DOI
13 Sandelowski M. Rigor or rigor mortis: the problem of rigor in qualitative research revisited. Advances in Nursing Science. 1993;16(2):1-8.
14 Chang VW, Christakis NA. Self-perception of weight appropriateness in the United States. American Journal of Preventive Medicine. 2003;24(4):332-9. http://dx.doi.org/10.1016/S0749-3797(03)00020-5   DOI
15 Schwartz MB, Brownell KD. Obesity and body image. Body Image. 2004;1(1):43-56. http://dx.doi.org/10.1016/S1740-1445(03)00007-X   DOI
16 Annis NM, Cash TF, Hrabosky JI. Body image and psychosocial differences among stable average weight, currently overweight, and formerly overweight women: the role of stigmatizing experiences. Body Image. 2004;1(2):155-67. http://dx.doi.org/10.1016/j.bodyim.2003.12.001   DOI
17 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. Preventive Medicine. 2008;47(1):46-52. http://dx.doi.org/10.1016/j.ypmed.2008.01.008   DOI
18 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. p. 1-146.
19 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. Eating Behaviors. 2007;8(1):132-5. http://dx.doi.org/10.1016/j.eatbeh.2006.01.004   DOI
20 Boo S. Misperception of body weight and associated factors. Nursing & Health Sciences. 2014;16(4):468-75. http://dx.doi.org/10.1111/nhs.12154   DOI
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.   DOI
22 Annunziatoa RA, Loweb MR. Taking action to lose weight: toward an understanding of individual differences. Eating Behaviors. 2007;8(2):185-94. http://dx.doi.org/10.1016/j.eatbeh.2006.04.004   DOI
23 El-Sherbiny NA, Mashahit MA, Sheir RE. Assessment of public awareness about body measurements among Fayoum population. Health. 2014;6(3):212-7. http://dx.doi.org/10.4236/health.2014.63031   DOI
24 Puhl R, Brownell KD. Bias, discrimination, and obesity. Obesity Research. 2001;9(12):788-805.   DOI
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. 349-71.
26 Kim MK. Women's place in relation-cultural context: pastoral counseling for married women (Ajumma) from a multicultural point of view. Journal of Counseling and Gospel. 2005;5:253-84.
27 Tiggemann M, Lacey C. Shopping for clothes: body satisfaction, appearance investment, and functions of clothing among female shoppers. Body Image. 2009;6(4):285-91. http://dx.doi.org/10.1016/j.bodyim.2009.07.002   DOI
28 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). Psychology & Health. 2000;15(2):239-54. http://dx.doi.org/10.1080/08870440008400304   DOI
29 Boo S, Froelicher E. Cardiovascular risk factors and 10-year risk for coronary heart disease in Korean women. Asian Nursing Research. 2012;6(1):1-8. http://dx.doi.org/10.1016/j.anr.2012.02.001   DOI
30 Kim HK, Lee SL. The research on the values and lifestyles of Koreans. Journal of Education & Culture. 2014;20(4):281-314.   DOI