Abstract
BackgroundObesity’s increasing follows decreased perception of weight status in obese persons, mainly female, undergoing age-related changes.ObjectiveTo study weight perception and psychological alterations associated to MS and T2DM.Methods200 patients selected from Metabolic Syndrome Outpatient Clinic of University of Campinas. Instruments: Beck Depression and Beck Anxiety Inventories’, Toronto Alexithymia Scale-26s, questionnaire and data from reports. Approved by Unicamp Research Ethic Committee.ResultsPatients aged 18–40 years perceived their weight higher than actual (A < D) (p = 0.0272), amongst untreated hypertensive (p = 0.037). ≥41 years old patient’s subdivided into A = D and A > D. A = D had 4.3 more chances to be alexithymic than A < D. 35% of A < D accepted their physical appearance, contrarily A = D (66%) and A > D (69%) (p = 0.0018). 50% of A < D felt offended by social aggression due to their weight; A = D (20%) and A > D (34%) (p = 0.007). 3.6 more chances of A > D than A < D using anti-hypertensive drugs (p = 0.021) (≥41 years old) and 3.5 more chances to perceive A = D (41–60 years old) (p = 0.023). A = D presented 3.8 more chances of depression than A < D and 4.3 more chances of alexithymia than A < D (62% of 41–60 year-old patients with higher cholesterol, mainly LDL and hyper-triglycerides). A = D with alexithymia, partially linked with higher cholesterol, suggests neuroinflammation due to hypertriglycerides. Females, who declared had been anteriorly made diet as treatment to lose weight were exactly those who perceived their weight A > D (45%, p = 0.0091).ConclusionsAge as a period of development, in which cultural influences occurs, was a factor in weight misperception. A < D and A > D were distinct in age, history of obesity and BMI.
Highlights
Obesity’s increasing follows decreased perception of weight status in obese persons, mainly female, undergoing age-related changes
The Metabolic syndrome (MetS) has been recognized by the WHO and other important institutions such as: The National Cholesterol Education Program (NCEP), and The Adults Treatment Panel inflammation due to higher BMI (III) (APTIII) [11]
Sample: 200 patients was, randomly, selected from 800 patients attended per year, in Metabolic Syndrome Outpatient Clinic of the State University of Campinas (Brazil); they accepted to participate in the study using the Free and Informed Consented Form
Summary
Obesity’s increasing follows decreased perception of weight status in obese persons, mainly female, undergoing age-related changes. Female were likelier than male, to consider themselves as overweight across each BMI category, and more attempted to lose weight. Both males and females with higher BMI were associated. MetS has been considered a pre-diabetes state [8]. It can be caused by genetic associations [9] and other factors as obesity, medications for anxiety, depression, psychoses, HIV, allergies, respiratory diseases and frequent exposure to high levels of cortisol in prolonged stress [10]. The MetS has been recognized by the WHO and other important institutions such as: The National Cholesterol Education Program (NCEP), and The Adults Treatment Panel III (APTIII) [11]
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