Abstract

Nutritional disorders are now spreading worldwide both in developed and developing countries. Body image ideals and dissatisfaction have been linked to a number of poor health outcomes, including nutritional disorders. While previous studies have offered insight into weight status and body image perception of immigrants in North America, very few studies have analysed these aspects in migrants from Africa to Europe. Our review examines the effects of the migration process on beauty ideals and body dissatisfaction in African immigrants in Europe compared to residents in their own countries. The PubMed, PsycINFO and Google Scholar databases were searched for studies published from January 2000 till November 2015. Of the 730 titles identified, 26 met the inclusion criteria and were included in the present review. Among African residents, the body preferences depend on the country of residence and their socio-cultural status. Ethnic groups living in great isolation or with low incomes still have an ancestral idea of beauty, preferring a shapely body. However ethnic groups living in urban areas are moving toward Westernization of beauty ideals, preferring underweight or normal weight bodies. This review highlights that both residents and migrants are at high risk of nutritional disorders due to the adoption of Western beauty ideals. The results suggest that body dissatisfaction and BMI are increasing from Southern Africa to Europe according to a geographical gradient (described for females by Spearman’s coefficient and linear regression, respectively). We emphasize the need for monitoring of the weight and psychological status of immigrants and the development of specific preventive strategies in European countries.

Highlights

  • A wide body of research has described the relationships between health and weight status in different populations and environmental contexts

  • Description of included studies Twenty-six studies were included in this review on the basis of available data on samples of African origin living in Europe (EU) or still in their own countries (Table 1)

  • The data analysis in the present review revealed a wide variability of body weight/image perception in Africa: African residents generally showed a preference for heavier body size than their immigrant peers, but differences in preferences were evident in relation to the area of residence, ethnicity, and social and cultural factors even in the same population (i.e. Moroccans)

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Summary

Introduction

A wide body of research has described the relationships between health and weight status in different populations and environmental contexts. The categorization of weight status by BMI is a simple way to estimate underweight or overweight for a given height for general assessment of health status in a population. The increasing incidence of overweight and obesity worldwide is reaching alarming proportions. As an effect of the nutritional transition, these diseases concern both developed and developing countries. The latter are facing a dual burden of malnutrition, with a high prevalence of both underweight and overweight/obesity [1,2,3]. Body image perception is one of the psycho-social factors that can affect the weight status.

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