SHIELD Study Group: Perceived body image in men and women with type 2 diabetes mellitus: correlation of body mass index with the figure rating scale

Louisville Metabolic and Atherosclerosis Research Center, Louisville, KY, USA.
Nutrition Journal (Impact Factor: 2.6). 12/2009; 8(1):57. DOI: 10.1186/1475-2891-8-57
Source: PubMed


Body mass index (BMI) is often used as an objective surrogate estimate of body fat. Increased BMI is directly associated with an increase in metabolic disease, such as type 2 diabetes mellitus (T2DM). The Stunkard Figure Rating Scale (FRS) is a subjective measure of body fat, and self-perceptions of body image conceivably impact the development and treatment of T2DM. This study examined the self-perception of body image to various levels of BMI among those with T2DM.
Respondents (n = 13,887) to the US Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes (SHIELD) 2006 survey self-reported their weight and height for BMI calculation. On the gender-specific Stunkard FRS, respondents selected the figure most closely resembling their body image. Spearman correlation was computed between perceived body image and BMI for men and women separately. Student's t-test analysis compared the mean BMI differences between respondents with and without T2DM.
Men with T2DM did not significantly differ from men without diabetes mellitus in mean BMI per body image figure except at the extremes in body figures. Women with T2DM had a significantly higher BMI for the same body figure compared with women without diabetes mellitus for most figures (p < 0.05).
Individuals, particularly women, with T2DM may differ in their perception of body image compared with those without diabetes mellitus. It is unclear if these perceived differences increase the risk of T2DM, or if the diagnosis of T2DM alters body image perceptions.

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    • "All 2082 participants were asked to fill out a questionnaire regarding selfperceived body image and 2065 completed the questionnaire. People who had been diagnosed with type 2 diabetes during the follow-up period were excluded (n = 323), as the diagnosis of type 2 diabetes may alter a person's body image perception (Bays et al., 2009). Furthermore, people who were underweight (BMI b 18.5) were excluded, as this group was extremely small (n = 9). "
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    • "Considering that figure rating scales were used in previous studies [16,17], the objective of the present study springs from concern with the need for valid methods to measure body image and body dissatisfaction in Brazilian adolescents. Childress and coworkers [18] adapted a scale to evaluate body contour based upon the body contour figures developed by Stunkard & Sorensen [19]. "
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    • "These figures were developed by Stunkard , Sorensen, and Schulsinger [18]. This figure scale has been widely used to assess perceived body images among many populations, such as people of various ages [19] [20], people with type 2 diabetes mellitus [21], different ethnic groups [22] [23], and people from different countries [24]. In this study, participants were asked to select their perceived and ideal body shapes. "
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