ArticleObesity facts2021
Development of a BMI-Assigned Stunkard Scale for the Evaluation of Body Image Perception Based on Data of the SOS Reference Study.
Article in Obesity facts, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
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- The progressive power program: An exercise intervention to improve health outcomes in adults with overweight and obesity.MethodsX · 2026Article
- Examining Nutritional Vulnerability in an Under-Resourced Community in Northeastern Connecticut.Nutrients · 2026Article
- Associations Between Stress Level, Environment, and Emotional and Behavioral Characteristics in Service Sector Employees.International journal of environmental research and public health · 2025Article
- Elaborating and Testing Erotic Target Identity Inversion Theory in Three Paraphilic Samples.Archives of sexual behavior · 2025Article
- Intramyocellular lipid use is altered with exercise in males with childhood-onset obesity despite no differences in substrate oxidation.International journal of obesity (2005) · 2025Article
- Exploring the interplay between diet, obesity, mental health, and the gut microbiota: the MIND-GUT intervention study, study protocol.Frontiers in nutrition · 2025Article
- An assessment of a health education program addressing overweight, obesity and lifestyle modification in Ghana.PloS one · 2025Article
- Development, Content Validity and Usability of a Self-Assessment Instrument for the Lifestyle of Breast Cancer Survivors in Brazil.Nutrients · 2024Article
- Factors influencing the intention of young adults to adopt genotype-based personalised advice on diet and physical activity according to perceived weight status.Journal of nutritional science · 2024Article
- Long-term changes in body image after bariatric surgery: An observational cohort study.PloS one · 2022Observational
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionStunkard's figure rating scale is a widely used tool to assess weight status and, more recently, body image perception in people with obesity. However, large population-based studies on Europeans linking this scale's silhouettes with measured BMI values are lacking. Therefore, we used measured weight and height data from the Swedish Obese Subjects (SOS) reference cohort to assign a mean BMI to each of the 9 Stunkard Scale silhouettes and to define silhouette cutoff values for categorizing people with obesity and overweight.
methodsA total of 1,128 participants from the SOS reference cohort were included (54% females, BMI = 25.2 [ranging from 17.6 to 45.4] ±3.8 kg/m2, and age = 50 [ranging from 36 to 62] ±7 years [means ± standard deviation]). Patients estimated their own body size by choosing a silhouette of the Stunkard Scale. A mean BMI, based on measured weight and height, was assigned to each male and female silhouette of the Stunkard Scale. Measured BMI values were compared with BMI values calculated by simple linear regression analysis. ROC analysis was used to test accuracy of discrimination and the Youden index to assess optimal cutoff.
resultsFigure ratings and BMI were strongly correlated in men, r (518) = 0.76, p < 0.001 and women, r (606) = 0.80, p < 0.001. Silhouette selection significantly predicted BMI values in men, β = 16.03, t (518) = 25.30, p < 0.001, and women, β = 12.06, t (606) = 32.98, p < 0.001, and explained a significant proportion of variance in BMI values in men, R2 = 0.55, F (1, 518) = 639.98, p < 0.001, and women, R2 = 0.64, F (1, 606) = 1,087.88, p < 0.001. ROC curve analyses resulted in an optimal cutoff value of 6 for identifying people with obesity and 5 for overweight.
conclusionStunkard's figure rating scale can be used with confidence to assess weight status. Silhouette selection accurately classifies subjects as overweight or obese.
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