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The association between the body mass index of first-year female university students and their weight-related perceptions and practices, psychological health, physical activity and other physical health indicators

Published online by Cambridge University Press:  02 January 2007

Janetta Cilliers ,
Marjanne Senekal  and
Ernesta Kunneke
Janetta Cilliers*
Affiliation:
Department of Physiological Sciences, University of Stellenbosch, PO Box X1, Matieland1, 7602, South Africa:
Marjanne Senekal
Affiliation:
Department of Physiological Sciences, University of Stellenbosch, PO Box X1, Matieland1, 7602, South Africa:
Ernesta Kunneke
Affiliation:
Department of Dietetics, University of the Western Cape, Belville, South Africa
*
*Corresponding author: Email janetta@sun.ac.za
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Abstract

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Objective

To investigate the association between the weight status of first–year female students (FYFS) and various weight management–related characteristics to identify possible components of a weight management programme for students.

Design

Cross‐sectional study.

Setting

Female residences at a South African university.

Subjects

A total of 360 FYFS.

Results

Mean (± standard deviation (SD)) body mass index (BMI) of the FYFS was 21.8 ± 2.6 kg m−2, with 7.2% being underweight, 81.9% normal‐weight, 10.0% overweight and 0.8% obese. Underweight, normal–eight and overweight students differed with regard to their perception of their weight (P < 0.001), weight goals (P < 0.001) and previous weight–loss practices (P < 0.001). Mean ± SD score on the 26-item Eating Attitudes Test (EAT–26) was 8.5 ± 9.0 with 8.4% classified as high scorers. Mean ± SD score on the 34-item Body Shape Questionnaire (BSQ) was 87.7 ± 32.2, with 76.1% classified as low, 11.9% as medium and 11.9% as high scorers. The self-concept questionnaire indicated that 36.7% had a high, 43.9% a medium and 19.4% a low self-concept. Higher BMI correlated with a higher BSQ score (P < 0.001), a lower self-concept (P = 0.029) and a higher EAT-26 score (P < 0.001). Smoking was prevalent amongst 13.1% of students, and 51.2% used vitamin and/or mineral supplements. Students who quitted smoking had higher (P = 0.006) BMI (22.7 ± 2.9 kg m-2) than those who never smoked before (21.6 ± 2.5 kg m−2). Normal-weight students were more physically active than underweight or overweight students (P = 0.038).

Conclusions

The specific weight management-related needs of FYFS include information about supplement use, smoking, realistic weight goals, safe and sound weight-loss methods, weight cycling, body-shape perceptions, eating attitudes and behaviours, self-concept and physical activity. Interventions aimed at correcting these problems should target all students, regardless of their BMI.

Keywords

Female studentsBody mass indexWeight goalsWeight-loss practicesWeight perceptionEating attitudesSelf-conceptBody shapePhysical activityWeight management
Type
Research Article
Information
Public Health Nutrition , Volume 9 , Issue 2 , April 2006 , pp. 234 - 243
Copyright
Copyright © The Authors 2006

References

1Hendricks, KM, Herbold, NH. Diet, activity, and other health-related behaviors in college-age women. Nutrition Reviews 1998; 56(3): 65–75.CrossRefGoogle ScholarPubMed
2Sax, LJ. Health trends among college freshmen. Health Trends 1997; 45: 252–62.Google ScholarPubMed
3Adlaf, EM, Gliksman, L, Demers, A, Newton-Taylor, B. The prevalence of elevated psychological distress among Canadian undergraduates: findings from the 1998 Canadian Campus Survey. Journal of the American College of Health 2001; 50(2): 67–72.CrossRefGoogle ScholarPubMed
4Hesse-Biber, S, Marino, M. From high school to college: changes in women's self-concept and its relationship to eating problems. Journal of Psychology 1991; 125(2): 199–216.Google ScholarPubMed
5Page, A, Fox, KR. Is body composition important in young people's weight management decision-making?. International Journal of Obesity and Related Metabolic Disorders 1998; 22(8): 786–92.CrossRefGoogle ScholarPubMed
6Roberts, R, Golding, J, Towell, T, Weinreb, I. The effects of economic circumstances on British students' mental and physical health. Journal of the American College of Health 1999; 48(3): 103–9.CrossRefGoogle ScholarPubMed
7Striegel-Moore, RH, Silberstein, LR, French, P, Rodin, J. A prospective study of disordered eating among college students. International Journal of Eating Disorders 1989; 8(5): 499–509.3.0.CO;2-A>CrossRefGoogle Scholar
8Cogan, JC, Bhalla, SK, Sefa-Dedeh, A, Rothblum, EM. A comparison of United States and African students on perceptions obesity and thinness. Journal of Cross-Cultural Psychology 1996; 27: 98–113.CrossRefGoogle Scholar
9Senekal, M. Factors related to weight gain experienced by first year female students at the University of Stellenbosch. MNutr thesis, University of Stellenbosch, Stellenbosch, South Africa, 1988.Google Scholar
10Senekal, M, Steyn, NP, Mashego, TB, Nel, JH. Evaluation of body shape, eating disorders and weight management related parameters in black female students of rural and urban origins. South African Journal of Psychology 2001; 31(1): 45–53.CrossRefGoogle Scholar
11Douglas, KA, Collins, JL, Warren, C, Kann, L, Gold, R, Clayton, S. Results from the 1995 National College Health Risk Behavior Survey. Journal of the American College of Health 1997; 46(2): 55–66.CrossRefGoogle ScholarPubMed
12Koszewski, WM, Kuo, M. Factors that influence the food consumption behavior and nutritional adequacy of college women. Journal of the American Dietetic Association 1996; 96(12): 1286–8.CrossRefGoogle ScholarPubMed
13Kurtzman, FD, Yager, J, Landsverk, J, Wiesmeier, E, Bodurka, DC. Eating disorders among selected female student populations at UCLA. Journal of the American Dietetic Association 1989; 89(1): 45–50.CrossRefGoogle ScholarPubMed
14Heatherton, TF, Nichols, P, Mahamedi, F, Keel, P. Body weight, dieting, and eating disorder symptoms among college students, 1982 to 1992. American Journal of Psychiatry 1995; 152(11): 1623–9.Google ScholarPubMed
15Hesse-Biber, S. Eating patterns and disorders in a college population: are college women's eating problems a new phenomenon?. Sex Roles 1989; 20: 71–89.CrossRefGoogle Scholar
16Nelson, WL, Hughes, HM, Katz, B, Searight, HR. Anorexic eating attitudes and behaviors of male and female college students. Adolescence 1999; 34(135): 621–33.Google ScholarPubMed
17Prouty, AM, Protinsky, HO, Canady, D. College women: eating behaviors and help-seeking preferences. Adolescence 2002;37(146): 354–63.Google ScholarPubMed
18Health Systems Trust. South African Health Review. Durban: The Press Gang, 2002. Also available at http://www.hst.org.za/sahr/. Accessed 12 12 2002.Google Scholar
19World Health Organization (WHO). Obesity: Preventing and Managing the Global Epidemic.Report of a WHO Consultation on Obesity, 3–5 June 1997. Technical Report Series No. 894. Geneva: WHO, 1998.Google Scholar
20Suminski, RR, Petosa, R, Utter, AC, Zhang, JJ. Physical activity among ethnically diverse college students. Journal of the American College of Health 2002; 51(2): 75–80.CrossRefGoogle ScholarPubMed
21Wadden, TA, Foster, GD, Brownell, KD. Obesity: responding to the global epidemic. Journal of Consulting and Clinical Psychology 2002; 70(3): 510–25.CrossRefGoogle Scholar
22Lee, RD, Nieman, DC. Nutritional Assessment, 3rd ed. Madison, WI: Brown & Benchmark Publishers, 2003.Google Scholar
23Bastow, MD. Anthropometrics revisited. Proceedings of the Nutrition Society 1982; 41(3): 381–8.CrossRefGoogle ScholarPubMed
24Frisancho, AR. Anthropometric Standards for the Assessment of Growth and Nutritional Status. Ann Arbor, MI: University of Michigan Press, 1990; Appendix B, Table 16.CrossRefGoogle Scholar
25Southern African Society for the Study of Obesity (SASSO). Guidelines for the Prevention and Management of Overweight and Obesity in South Africa. Johannesburg: SASSO, 2003.Google Scholar
26Krummel, D. Nutrition in hypertension. In: Mahan, LK, Escott-Stump, S, eds. Krause's Food, Nutrition, & Diet Therapy, 10th ed. Philadelphia, PA: WB Saunders Company, 2000; 596–610.Google Scholar
27Baecke, JAH, Burema, J, Frijters, JER. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. American Journal of Clinical Nutrition 1982; 36(5): 936–42.CrossRefGoogle Scholar
28Albanes, D, Conway, JM, Taylor, PR, Moe, PW, Judd, J. Validation and comparison of eight physical activity questionnaires. Epidemiology 1990; 1(1): 65–71.CrossRefGoogle ScholarPubMed
29Cauley, JA, LaPorte, RE, Sandler, RB, Schramm, MM, Kriska, AM. Comparison of methods to measure physical activity in post menopausal women. American Journal of Clinical Nutrition 1987; 45(1): 14–22.CrossRefGoogle Scholar
30Miller, DJ, Freedson, PS, Kline, GM. Comparison of activity levels using the Caltrac accelerometer and five questionnaires. Medicine and Science in Sports and Exercise 1994; 26(3): 376–82.CrossRefGoogle ScholarPubMed
31Jacobs, DR, Ainsworth, BE, Hartman, TJ, Leon, AS. A simultaneous evaluation of ten commonly used physical activity questionnaires. Medicine and Science in Sports and Exercise 1993; 25(1): 81–91.Google ScholarPubMed
32Pols, MA, Peeters, PHM, Bueno-de-Mesquita, HB, Ocke, MC, Wentink, CA, Kemper, HC, Collette, HJ. Validity and repeatability of a modified Baecke questionnaire on physical activity. International Journal of Epidemiology 1995; 24(2): 381–8.CrossRefGoogle ScholarPubMed
33Richardson, MT, Ainsworth, BE, Wu, H, Jacobs, DR, Leon, AS. Ability of the atherosclerosis risk in communities (ARIC)/Baecke questionnaire to assess leisure-time physical activity. International Journal of Epidemiology 1995; 24(4): 685–93.CrossRefGoogle ScholarPubMed
34Cooper, PJ, Taylor, MJ, Cooper, Z, Fairburn, CG. The development and validation of the Body Shape Questionnaire. International Journal of Eating Disorders 1987; 6: 485–94.3.0.CO;2-O>CrossRefGoogle Scholar
35Rosen, JC, Jones, A, Ramirez, E, Waxman, S. Body Shape Questionnaire: studies of validity and reliability. International Journal of Eating Disorders 1996; 20(3): 315–9.3.0.CO;2-Z>CrossRefGoogle ScholarPubMed
36Garner, DM, Olmsted, MP, Bohr, Y, Garfinkel, PE. The eating attitudes test: psychometric features and clinical correlates. Psychological Medicine 1982; 12(4): 871–8.CrossRefGoogle ScholarPubMed
37Button, EJ, Whitehouse, A. Subclinical anorexia nervosa. Psychological Medicine 1981; 11(3): 509–16.CrossRefGoogle ScholarPubMed
38Clarke, MG, Palmer, RL. Eating attitudes and neurotic symptoms in university students. British Journal of Psychiatry 1983; 142: 299–304.CrossRefGoogle ScholarPubMed
39Thompson, MG, Schwartz, M. Life adjustment of women with anorexia and anorexic-like behaviour. International Journal of Eating Disorders 1982; 1: 47–60.Google Scholar
40Mann, AH, Wakeling, A, Wood, K, Monck, E, Dobbs, R, Szmukler, G. Screening for abnormal eating attitudes and psychiatric morbidity in an unselected population of 15-year-old schoolgirls. Psychological Medicine 1983; 13(3): 573–80.CrossRefGoogle Scholar
41Garner, DM, Garfinkel, PE. The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine 1979; 9(2): 273–9.CrossRefGoogle ScholarPubMed
42Vrey, JD, Venter, ME. Manual to the Adolescent Self-Concept Scale. Pretoria: University of South Africa, 1983.Google Scholar
43Fitts, WH. Tennessee Self-Concept Scale Manual: Counselor Recordings and Tests. Nashville, TN: Psychological Corp., 1965.Google Scholar
44Brace, N, Kemp, R, Snelgar, R. SPSS for Psychologists: A Guide to Data Analysis using SPSS for Windows. 2nd ed. New York: Palgrave Macmillan, 2003.Google Scholar
45Driskell, JA. Vitamin–mineral supplementation habits and beliefs of male and female graduate students. Journal of Family and Consumer Sciences 1999; 91: 99–102.Google Scholar
46Dundas, ML, Keller, JR. Herbal, vitamin and mineral supplement use and beliefs of university students. Topics in Clinical Nutrition 2003; 18(1): 49–53.CrossRefGoogle Scholar
47Rigotti, N, Lee, JE, Wechsler, H. US college students' use of tobacco products: results of a national survey. Journal of the American Medical Association 2000; 284(6): 699–705.CrossRefGoogle ScholarPubMed
48Steptoe, A, Wardle, J, Cui, W, Baban, A, Glass, K, Pelzer, K, et al. An international comparison of tobacco smoking, beliefs and risk awareness in university students from 23 countries. Addiction 2002; 97(12): 1561–71.CrossRefGoogle ScholarPubMed
49Janzon, E, Hedblad, B, Berglund, G, Engstrom, G. Changes in blood pressure and body weight following smoking cessation in women. Journal of Internal Medicine 1998; 255(2): 266–72.CrossRefGoogle Scholar
50French, SA, Perry, CL, Leon, GR, Fulkerson, JA. Weight concerns, dieting behaviour and smoking initiation among adolescents: a prospective study. American Journal of Public Health 1994; 84(11): 1818–20.CrossRefGoogle ScholarPubMed
51Potter, BK, Pederson, LL, Chan, SS, Aubut, JA, Koval, JJ. Does a relationship exist between body weight, concerns about weight, and smoking among adolescents? An integration of the literature with an emphasis on gender. Nicotine & Tobacco Research 2004; 6(3): 397–425.CrossRefGoogle ScholarPubMed
52Tanoue, LT. Cigarette smoking and women's respiratory health. Clinics in Chest Medicine 2000; 21(1): 47–65.CrossRefGoogle ScholarPubMed
53Saarni, SE, Silventoinen, K, Rissanen, A, Sarlio-Lahteenkorva, S, Kaprio, J. Intentional weight loss and smoking in young adults. International Journal of Obesity and Related Metabolic Disorders 2004;28(6): 796–802.CrossRefGoogle ScholarPubMed
54Adame, DD, Frank, RE, Serdula, MK, Cole, SP, Abbas, MA. The relationship of self-perceived weight to actual weight, body image, and health behaviors of college freshman. Wellness Perspectives 1990; 7(1): 31–40.Google Scholar
55Kelley, FJ, Thomas, SA, Friedman, E. Health risk behaviors in smoking and non-smoking young women. Journal of the American Academy of Nurse Practitioners 2003; 15(4): 179–84.CrossRefGoogle ScholarPubMed
56Sherward, D. Prevalence of eating disorders at three universities in the Western Cape. Masters thesis, University of Cape Town, Cape Town South Africa, 1995.Google Scholar
57Bellisle, F, Monneuse, M-O, Steptoe, AWardle, J. Weight concerns and eating patterns: a survey of university students in Europe. International Journal of Obesity and Related Metabolic Disorders 1995; 19(10): 723–30.Google ScholarPubMed
58Schulken, ED, Pinciaro, PJ, Sawyer, RG, Jensen, JG, Hoban, MT. Sorority women's body size perceptions and their weight-related attitudes and behaviors. Journal of the American College of Health 1997; 46(2): 69–74.CrossRefGoogle ScholarPubMed
59Akan, GE, Grilo, CM. Socio-cultural influences on eating attitudes and behaviours, body image and psychological functioning: a comparison of African-American, Asian-American and Caucasian college women. International Journal of Eating Disorders 1995; 18(2): 181–7.3.0.CO;2-M>CrossRefGoogle Scholar
60DiGioacchino DeBate, R, Topping, M, Sargent, RG. Racial and gender differences in weight status and dietary practices among college students. Adolescence 2001; 36(144): 819–33.Google Scholar
61Medical Research Council and Macro International. South African Demographic and Health Survey. Pretoria: Department of Health, 1998.Google Scholar
62Bailey, S, Goldberg, JP. Eating patterns and weight concerns of college women. Journal of the American Dietetic Association 1989; 89(1): 95–8.CrossRefGoogle ScholarPubMed
63Sciacca, JP, Melby, CL, Hyner, GC, Brown, AC, Femea, PL. Body mass index and perceived weight status in young adults. Journal of Community Health 1991; 16(3): 159–68.CrossRefGoogle ScholarPubMed
64Stephens, NM, Schumaker, JF, Sibiya, TE. Eating disorders and dieting behavior among Australian and Swazi university students. Journal of Social Psychology 1999; 139(2): 153–8.CrossRefGoogle ScholarPubMed
65Georgiou, CC, Betts, NM, Hoerr, SL, Keim, K, Peters, PK, Stewart, B, et al. Among young adults, college students and graduates practiced more healthful habits and made more healthful food choices than did nonstudents. Journal of the American Dietetic Association 1997; 97(7): 754–9.CrossRefGoogle ScholarPubMed
66Evans, C, Dolan, B. Body Shape Questionnaire: derivation of shortened ‘alternate forms’. International Journal of Eating Disorders 1993; 13(3): 315–21.3.0.CO;2-3>CrossRefGoogle ScholarPubMed
67Brookings, JB, Wilson, JF. Personality and family-environment predictors of self-reported eating attitudes and behaviours. Journal of Personality Assessment 1994; 63(2): 313–26.CrossRefGoogle Scholar
68Martz, DM, Graves, KD, Sturgis, ET. A pilot peer-leader eating disorders prevention program for sororities. Eating Disorders: Journal of Treatment and Prevention 1997; 5: 294–308.CrossRefGoogle Scholar
69Heatherton, TF, Mahamedi, F, Striepe, M, Field, AE, Keel, P. A 10-year longitudinal study of body weight, dieting, and eating disorder symptoms. Journal of Abnormal Psychology 1997; 106(1): 117–25.CrossRefGoogle ScholarPubMed
70Hesse-Biber, S. Report on a panel longitudinal study of college women's eating patterns and eating disorders: noncontinuum versus continuum measures. Health Care for Women International 1992; 13(4): 375–91.CrossRefGoogle ScholarPubMed
71Senekal, M. Weight fluctuations experienced by female students at university and guidelines for long-term weight management. PhD dissertation, University of Stellenbosch, Stellenbosch, South Africa, 1994.Google Scholar
72Senekal, M, Albertse, EC, Momberg, DJ, Groenewald, CJ, Visser, EM. A multidimensional weight-management program for women. Journal of the American Dietetic Association 1999; 99(10): 1257–64.CrossRefGoogle ScholarPubMed
73Pate, RR, Pratt, M, Blair, SN, Haskell, WL, Macera, CA, Bouchard, C, et al. Physical activity and public health: a recommendation from the Centers for Disease Control and the American College of Sports Medicine. Journal of the American Medical Association 1995; 273(5): 402–7.CrossRefGoogle Scholar
74Haberman, S, Luffey, D. Weighing in college students' diet and exercise behaviors. Journal of the American College of Health 1998; 46(4): 189–92.CrossRefGoogle ScholarPubMed