Being overweight not such a stigma for African American women
From the article:
While all obese women are less satisfied with the weight-related quality of their lives than women of 'normal' weight, black women report a higher quality of life than white women of the same weight. In addition, black women appear to be more concerned about the physical limitations resulting from their obesity, than by the potential psychological consequences of being overweight or obese. These findings by Dr. Tiffany L. Cox, and her team from the University of Alabama at Birmingham, the Neuropsychiatric Research Institute in Fargo, ND, and Obesity and Quality of Life Consulting in Durham, NC, are published online in Springer's journal Applied Research in Quality of Life.
It is well accepted that obesity does not only increase the risk of subsequent disease, disability and premature death, it also impacts the quality of life of obese individuals. In the United States, approximately 80 percent of black women over the age of 20 are overweight or obese (BMI* equal to or greater than 25).
Cox and colleagues examined the link between BMI and weight-related quality of life in a high-risk sample of obese women (172 black and 171 white) using data collected between 2000 and 2010. An obesity-specific quality of life questionnaire was used to examine five areas: physical function, self-esteem, sexual life, public distress and work.
The researchers found that for all women, as BMI rose, quality of life fell. However, there were notable differences in weight-related quality of life between black and white women. At similar BMIs, black women consistently scored higher on quality of life measures than white women, with self-esteem being particularly higher among black women.
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Abstract
Obesity not only increases risk for morbidity/mortality, but also impacts the quality of life of obese individuals. In the United States, black women have the highest prevalence of obesity of any other group with approximately 80% of black women over age 20 having a body mass index (BMI) ≥ 25 kg/m2. We aimed to examine the association between BMI and quality of life in this high risk population compared to this association in white women, using the Impact of Weight on Quality of Life (IWQOL)-Lite questionnaire. Data from 172 black women (mean BMI = 35.7; age = 40.5) and 171 white women (mean BMI = 35.5; age = 40.4) were collected between 2000 and 2010 analyzed in 2010. The mean IWQOL-Lite total score was 81.6 for black women compared to 66.9 for white women, a statistically significant difference. Hierarchical linear regression models revealed a significant BMI-by-race interaction indicating that the relationship between BMI and IWQOL-Lite score was moderated by race. Our findings suggest notable differences in weight-related quality of life in black and white women. At similar BMIs, black women consistently reported better quality of life than white women on all IWQOL-Lite subscales. The greatest difference in IWQOL-Lite scores between black and white women was seen in the self-esteem subscale. Additional research is needed to understand how to incorporate the weight perspectives of black women into weight management messages and interventions.'
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