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Perceptions about body weight and weight reduction in Spain

Published online by Cambridge University Press:  02 January 2007

MA Martinez-González ,
MIS Martín-Almendros ,
MJ Gibney ,
JM Kearney  and
JA Martinez
MA Martinez-González
Affiliation:
Department of Epidemiology and Public Health, University of Navarra, Pamplona, Spain
MIS Martín-Almendros
Affiliation:
Department of Epidemiology and Public Health, University of Navarra, Pamplona, Spain
MJ Gibney
Affiliation:
Institute for European Food Studies, Trinity College, Dublin 2, Ireland
JM Kearney
Affiliation:
Institute for European Food Studies, Trinity College, Dublin 2, Ireland
JA Martinez*
Affiliation:
Department of Physiology and Nutrition, University of Navarra, Pamplona, Spain
*
*Corresponding author: Email: [email protected]
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Abstract

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Objective:

To assess the more prevalent beliefs about body weight and the factors involved in weight changes in the Spanish adult population.

Design:

A national survey was carried out according to an established protocol on Spanish subjects selected by a multistage procedure following a random route model, which was quota-controlled for several sociodemographic variables. This study was undertaken by the Spanish arm of a pan-European survey and was performed with a validated questionnaire. It contained questions to evaluate some aspects concerning the relationship between obesity, physical activity and health. We also estimated the proportion of self-reported overweight and obesity.

Setting:

Spain.

Subjects:

The sample included 1000 subjects aged 15 years or older.

Results:

Eleven per cent of the sample were obese (body mass index, BMI > 30 kg m-2) and an additional 32% were overweight (BMI > 25 and < 30 kg m-2). Obesity prevalence was higher among older individuals, those with lower education and socioeconomic levels, and among housewives and retired or unemployed people. Most Spanish people believed that fat intake (51%) and the amount of food consumption (44%) were the major factors involved in weight gain, while physical activity was less mentioned (12%). The method most frequently used to lose weight was diet (9%). Individuals from central and southern regions payed more attention to genetics (20–27%) and physical activity (12–20%) as determinants of weight gain than people living in the north or northwest regions (15–17% and 8–9%, respectively). Normal weight people participated more often in some physical activity during their leisure time.

Conclusions:

The Spanish population is not familiar with factors influencing weight gain. Health promotion strategies should emphasize the role of physical activity, especially among older individuals, retired or unemployed subjects, those from lower educational or socioeconomic levels and among people living in the north or northwest of Spain.

Keywords

Body weightSpainBMIPhysical activityMediterraneanPerceptionsBeliefs
Type
Research Article
Information
Public Health Nutrition , Volume 2 , Issue 4 , April 1999 , pp. 557 - 563
Copyright
Copyright © CABI Publishing 1999

References

1: WHO. Preventing and Managing the Obesity Epidemia. Geneva: World Health Organization, 1998.Google Scholar
2: VanItallie, TB. Worldwide epidemiology of obesity. Pharmacoeconomics 1994; 5: 1–7.CrossRefGoogle ScholarPubMed
3: Wilding, J. Obesity treatment. BMJ 1997; 315: 997–1000.CrossRefGoogle ScholarPubMed
4: Abdulwahab, Naser A-I. Temporal changes in body mass index and prevalence of obesity among Kuwait men. Ann. Nutr. Metab. 1997; 41: 307–14.Google Scholar
5: Lissner, L. Diagnosis and risks of obesity. Pharmacoeconomics 1993; 5: 8–17.CrossRefGoogle Scholar
6: Gutierrez-Fisac, JL, Regidor, E, Rodríguez, C. Prevalencia de la obesidad en Espana. Med. Clin. (Barc.) 1994; 102: 10–13.Google Scholar
7: Trichopoulou, A, Lagiou, P. Healthy traditional Mediterranean diet: an expression of culture, history, and lifestyle. Nutr. Rev. 1997; 55: 383–9.CrossRefGoogle ScholarPubMed
8: Willett, WC, Sacks, F, Trichopoulou, A, et al. Mediterranean diet pyramid: a cultural model for healthy eating. Am. J. Clin. Nutr. 1995; 61: 402–6.CrossRefGoogle ScholarPubMed
9: Aranceta, J, Pérez-Rodrigo, C, Serra-Majem, L, et al. Prevalencia de la obesidad en Espana: estudio SEEDO’97. Grupo Colaborativo Español para el Estudio de la Obesidad. Med. Clin. (Barc.) 1998; 111: 441–5.Google Scholar
10: Gutierrez-Fisac, JL, Regidor, E, Rodríguez, C. Trends in obesity differences by educational level in Spain. J. Clin. Epidemiol. 1996; 49: 351–4.CrossRefGoogle ScholarPubMed
11: Serra-Majem, L, Ribas, L, Tresserras, R, Ngo, J, Salleras, L. How could changes in diet explain changes in coronary heart disease mortality in Spain? The Spanish paradox. Am. J. Clin. Nutr. 1995; 1: 1351–9.CrossRefGoogle Scholar
12: Aracil, Rodríguez E, Banegas, Banegas JR, Bengoechea, Bartolome E, et al. Sistema Grafico de Informacion Sanitaria en Espana. Madrid: Artursa, 1996.Google Scholar
13: Serra-Majem, L, Ribas, L, Lloveras, G, Salleras, L. Changing patterns of fat consumption in Spain. Eur. J. Clin. Nutr. 1993; 47: 13–20.Google ScholarPubMed
14: Rodríguez, Artalejo F, Banegas, JR, Graciani, MA, Hernandez, Vecino R. El consumo de alimentos y nutrientes en España en el periodo 1940-1988. Analisis de su consistencia con la dieta mediterranea. Med. Clin. (Barc.) 1996; 106: 161–8.Google Scholar
15: Rodríguez, Artalejo F, Graciani, MA, Banegas, JR, Martín-Moreno, JM, Sabaté, J, Rey, Calero J. El consumo de alimentos y nutrientes en Espana en el periodo 1940–1988 (y II). Un estudio comparativo de las principales fuentes de informacion sobre el consumo alimentario. Med. Clin. (Barc.) 1996; 107: 446–52.Google Scholar
16: Wolk, A, Rössner, S. Effects of smoking and physical activity on body weight: developments in Sweden between 1986 and 1989. J. Intern. Med. 1995; 237: 287–91.Google Scholar
17: Hirsch, J, Wing, RL. Obesity. Prev. Med. 1994; 23: 560–2.CrossRefGoogle ScholarPubMed
18: Paxton, SJ, Sculthorpe, A, Gibbons, K. Weight-loss strategies and beliefs in high and low socioeconomic areas of Melbourne. Aust. J. Public Health 1994; 18: 412–17.CrossRefGoogle ScholarPubMed
19: Kearney, M, Kearney, JM, Gibney, MJ. Methods used to conduct the survey on consumer attitudes to food, nutrition and health on nationally representative samples of adults from each Member State of the European Union. Eur. J. Clin. Nutr. 1997; 51: S3–7.Google ScholarPubMed
20: Institute of European Food Studies, Trinity College (Dublin) and European Commision (DG-V). A Pan-EU Survey on Consumer Attitudes to Physical Activity, Body-weight and Health. Luxembourg: Office for Official Publications of the European Communities, 1999.Google Scholar
21: Bray, GA, Bouchard, C, James, WPT. Handbook of Obesity. New York: Marcel Decker, 1998.Google Scholar
22: Rosenbaum, M, Leibel, RL, Hirsch, J. Obesity. N. Engl. J. Med. 1997; 337: 396–404.CrossRefGoogle ScholarPubMed
23: McLean, Baird I. Obesity and insurance risk. Pharmacoeconomics 1994; 5: 62–5.Google Scholar
24: Ching, PLYH, Willet, WC, Rimm, EB, Colditz, GA, Gortmaker, SL, Stampfer, MJ. Activity level and risk of overweight in male health professionals. Am. J. Public Health 1996; 86: 25–30.CrossRefGoogle ScholarPubMed
25: Martínez-González, MA, López-Azpiazu, I, Kearney, J, Gibney, M, Martinez, JA. Definition of healthy eating in the Spanish adult population: a national sample in a pan-European survey. Public Health 1998; 112: 95–101.Google Scholar
26: Whitley, HA, Humphreys, SM, Samra, JS, et al. Metabolic responses to isoenergetic meals containing different proportions of carbohydrate and fat. Br. J. Nutr. 1997; 78: 15–26.CrossRefGoogle ScholarPubMed
27: Bellisle, F, McDevitt, R, Prentice, AM. Meal frequency and energy balance. Br. J. Nutr. 1997; 77: S57–70.CrossRefGoogle ScholarPubMed
28: Kassirer, JP, Angell, M. Losing weight: an ill-fated new years's resolution. N. Engl. J. Med. 1998; 338: 52–4.CrossRefGoogle Scholar
29: National Task Force on the Prevention and Treatment of Obesity. Weight cycling. JAMA 1994; 272: 1196–202.CrossRefGoogle Scholar
30: Stamler, J. Epidemic obesity in the United States. Arch. Intern. Med. 1993; 153: 1040–4.CrossRefGoogle ScholarPubMed
31: NIH Consensus Development Panel on Physical Activity and Cardiovascular Health. Physical activity and cardiovascular health. JAMA 1996; 276: 241–6.Google Scholar