Korean J Fam Pract. 2017; 7(6): 851-857  https://doi.org/10.21215/kjfp.2017.7.6.851
Difference of Subjective Body Image Perception in Diabetic and Non-Diabetic Subjects
Yeonhee Kim, Juhyun Lee*, Soshin Kye, Kichul Kim, Kyuha Lee, Mina Cho, Hankyu Choi
Department of Family Medicine, National Police Hospital, Seoul, Korea
Juhyun Lee
Tel: +82-2-3400-1253, Fax: +82-2-3400-1366
E-mail: nphlee@police.go.kr
Received: March 8, 2017; Revised: June 6, 2017; Accepted: July 26, 2017; Published online: December 20, 2017.
© Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Obesity is known as a risk factor of type 2 diabetes mellitus (T2DM) and its complications, and maintaining appropriate weight is important for patients with DM. According to a study from western country, there was difference in subjective body image (SBI) perception between subjects with and without DM. We conducted a study to investigate the subject in Korean population.
Methods: Total 4,475 adult subjects were included from the 2014 Korean national health and imaging survey data, and divided into DM group and non-DM group.
Results: Mean age, mean body mass index (BMI), mean abdominal circumference, smoking rate, and prevalence of hypertension were higher in DM group (P<0.001), whereas weight control effort and physical activity were lower in DM group (P<0.001). In male subjects, there was no significant difference of SBI between DM and non-DM group, except for subjective perception of ‘very thin’ and ‘mild obesity’. In SBI perception female, BMI of were higher in DM group (P<0.001), except for subjective perception of ‘severe obesity’. Also, in both the male and female subjects, proportion of patients who are actually overweight perceiving their SBI as normal or skinny was higher in the DM group.
Conclusion: Difference exists between the SBI of DM and non-DM group. Intervention is needed to increase the agreement between objective degree of obesity and SBI perception of DM patients, which might aid management of DM and its complications. Also, considering the medical expense of DM patients, reduction of total social medial expense is expected.
Keywords: Diabetes Mellitus; Body Mass Index; Obesity
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