Evidence map›Paper›PMID 38458795›Full record

ArticleBMJ open2024

Silhouette showcards confirm altered obesity-associated body image perception in international cohort study of African-origin populations.

Candice Choo-Kang, Tyler O Reese, Lisa K Micklesfield, Pascal Bovet, Kweku Bedu-Addo, Terrence Forrester, Jack A Gilbert, Julia H Goedecke, Jacob Plange-Rhule, Estelle V Lambert and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. [Self-report of body silhouettes to discriminate high abdominal adiposity in adolescents].Revista medica del Instituto Mexicano del Seguro Social · 2025
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 10 institutions in 7 countries.

Candice Choo-KangPublic Health Scienes, Loyola University Chicago, Maywood, Illinois, USA cchookang@luc.edu.ORCID 0000-0001-9150-1131
Tyler O ReeseDepartment of Medicine, University of Colorado Denver School of Medicine, Aurora, Colorado, USA.
Lisa K MicklesfieldSAMRC/Wits Developmental Pathways for Health Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg-Braamfontein, Gauteng, South Africa.ORCID 0000-0002-4994-0779
Pascal BovetUniversity Center for Primary Care and Public Health (Unisanté), Lausanne, Switzerland.
Kweku Bedu-AddoDepartment of Physiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Terrence ForresterSolutions for Developing Countries, The University of the West Indies, Kingston, Jamaica.
Jack A GilbertDepartment of Pediatrics, University of California San Diego, La Jolla, California, USA.
Julia H GoedeckeNon-Communicable Diseases Research Unit, South African Medical Research Council, Cape Town, South Africa.
Jacob Plange-RhuleDepartment of Physiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Estelle V LambertHealth through Physical Activity, Lifestyle and Sport Research Centre, University of Cape Town, Rondebosch, South Africa.
Brian T LaydenDivision of Endocrinology, Diabetes, and Metabolism, University of Illinois Chicago, Chicago, Illinois, USA.
Dale E RaeHealth through Physical Activity, Lifestyle and Sport Research Centre, University of Cape Town, Rondebosch, South Africa.
Bharathi ViswanathanUnit for Prevention and Control of Cardiovascular Disease, Republic of Seychelles Ministry of Health, Mont Fleuri, Seychelles.
Amy LukePublic Health Sciences, Loyola University Chicago, Chicago, Illinois, USA.
Lara DugasPublic Health Sciences, Loyola University Chicago, Chicago, Illinois, USA.
University of Cape Town · ZAKwame Nkrumah University of Science and Technology · GHLoyola University Chicago · USSouth African Medical Research Council · ZACentre universitaire de médecine générale et santé publique, Lausanne · CHMinistry of Health · SCUniversity of California San Diego · USUniversity of Colorado Denver · USUniversity of Illinois Chicago · USUniversity of the West Indies · JM

Funding

Gut microbiota, short chain fatty acids, and adiposity across the epidemiologic transitionR01DK111848 · NIDDK · LOYOLA UNIVERSITY CHICAGO · PI DUGAS, LARA RUTH · 2017 to 2021
$3.0M
Modeling the epidemiologic transition: Energy expenditure, obesity and diabetesR01DK080763 · NIDDK · LOYOLA UNIVERSITY CHICAGO · PI LUKE, AMY H · 2009 to 2012
$2.4M
NIDDK NIH HHS R01 DK080763NIDDK NIH HHS R01 DK111848
6 · The paper itself

Abstract

objectivesGiven the increasing prevalence of obesity and need for effective interventions, there is a growing interest in understanding how an individual's body image can inform obesity prevention and management. This study's objective was to examine the use of silhouette showcards to measure body size perception compared with measured body mass index, and assess body size dissatisfaction, in three different African-origin populations spanning the epidemiological transition. An ancillary objective was to investigate associations between body size perception and dissatisfaction with diabetes and hypertension.

settingResearch visits were completed in local research clinics in respective countries.

participantsSeven hundred and fifty-one African-origin participants from the USA and the Republic of Seychelles (both high-income countries), and Ghana (low/middle-income country). PRIMARY AND SECONDARY OUTCOME MEASURES: Silhouette showcards were used to measure perceived body size and body size dissatisfaction. Objectively measured body size was measured using a scale and stadiometer. Diabetes was defined as fasting blood glucose ≥126 mg/dL and hypertension was defined as ≥130 mm Hg/80 mm Hg.

resultsMost women and men from the USA and Seychelles had 'Perceived minus Actual weight status Discrepancy' scores less than 0, meaning they underestimated their actual body size. Similarly, most overweight or obese men and women also underestimated their body size, while normal weight men and women were accurately able to estimate their body size. Finally, participants with diabetes were able to accurately estimate their body size and similarly desired a smaller body size.

conclusionsThis study highlights that overweight and obese women and men from countries spanning the epidemiological transition were unable to accurately perceive their actual body size. Understanding people's perception of their body size is critical to implementing successful obesity prevention programmes across the epidemiological transition.

Indexed as

Diabetes MellitusHypertensionBody ImageBody Mass IndexBody WeightCohort StudiesFemaleHumansMaleObesityOverweightEpidemiologyEPIDEMIOLOGYPublic health

Identifiers

PMID38458795
PMCPMC10928747
OpenAlexW4392765954

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.