Dataset Information

Higher central fat and poor self-body image in short-stature overweight/obese women living in Brazilian shantytowns.

ABSTRACT:

Background

Short stature in adult life, a possible consequence of poor perinatal conditions, is associated with higher risk of mortality and social disabilities. We aimed to determine whether low-income, overweight/obese, short-stature (SS) women show alterations in body composition, self-body-image perception, and biochemical profile compared to their non-short (NS) counterparts.

Methods

A cross-sectional study was conducted with women living in shantytowns and mother or relatives to undernourished children treated in a center for recuperation and nutritional education. Inclusion criteria were: (1) age, 19-45 years; (2) stature < 152.3 cm or > 158.7 cm; and (3) body mass index > 25 kg/m². Socioeconomic, anthropometric, biochemical, and body image data were collected. We analyzed 56 SS and 57 NS women.

Results

The SS group showed a higher waist-to-height ratio (WHtR) (mean: 0.63; standard deviation: 0.06 for SS and mean: 0.60; standard deviation: 0.07 for the NS group; p = 0.02), and, in the adjusted analysis, showed lower fat-free mass (Estimated Marginal Mean for the SS group: 45.7 kg 95% confidence intervals (CI) (45.2-46.2) and for the NS group: 46.9 kg 95% CI (46.4-47.4); p < 0.01) and higher fat mass (Estimated Marginal Mean for the SS group: 32.5 95% CI (31.9-33.0) and for the NS group: 31.4 kg 95% CI (30.9-31.9); p < 0.01). Body mass index was a better predictor of current self-body-image perception for NS women. The SS coefficient values were ? = 0.141, SE = 0.059, and R²-Nagelkerke = 0.107, and the NS coefficients values were ? = 0.307, SE = 0.058, and R²-Nagelkerke = 0.491 (Z = 2.006; p < 0.05). Considering the obese subgroup, six out of 32 (18.8%) SS women and 14 out of 33 (42.4%) NS women perceived themselves as obese (?² = 4.27; p = 0.03). This difference remained significant even after adjustment by age, schooling, and number of children (p = 0.04). Only the total thyroxin showed significant differences between groups, lower in SS women (p = 0.04).

Discussion

Overweight/obese, low-income SS women have more central adiposity and impaired self-body image perception, and the body mass index is a weaker predictor of it, compared to NS women. Misperception about body size may be linked with an overestimation of health and underestimation of risk, which may lead to a lower utilization of the health care system and inadequate physician counseling. These features may account, at least partially, for the higher mortality risk seen in SS adults.

SUBMITTER: Bueno NB

PROVIDER: S-EPMC5068392 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature

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Publications

Higher central fat and poor self-body image in short-stature overweight/obese women living in Brazilian shantytowns.

Bueno Nassib Bezerra NB Florêncio Telma Toledo TT Cavalcante Fabiana Albuquerque FA Lins Isabela Lopes IL Clemente Ana Grotti AG Sawaya Ana Lydia AL

PeerJ 20161006

<h4>Background</h4>Short stature in adult life, a possible consequence of poor perinatal conditions, is associated with higher risk of mortality and social disabilities. We aimed to determine whether low-income, overweight/obese, short-stature (SS) women show alterations in body composition, self-body-image perception, and biochemical profile compared to their non-short (NS) counterparts.<h4>Methods</h4>A cross-sectional study was conducted with women living in shantytowns and mother or relative ...[more]

PMID: 27761335

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Dataset Information

Higher central fat and poor self-body image in short-stature overweight/obese women living in Brazilian shantytowns.

Background

Methods

Results

Discussion

Publications

Higher central fat and poor self-body image in short-stature overweight/obese women living in Brazilian shantytowns.

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