Abstract P353: Cardiometabolic Risk is Related to Body Size Misperception and Knowledge of Cardiovascular Disease in Young Hispanic Women
Introduction: Body size perception as well as knowledge and awareness of cardiovascular disease (CVD) are considerations that may contribute to cardiometabolic risk. Compared to non-Hispanic white women, Hispanic women are more likely to misperceive body size and have lower CVD knowledge.
Hypothesis: To explore how body size misperception and CVD knowledge relate to cardiometabolic risk in Hispanic women, we assessed the relationship between body size perception and presence of cardiometabolic risk factors (CMRF), as well as the relationship between CVD knowledge and presence of CMRF.
Methods: Women ≥18 years of age (n= 253) completed a 7-page standardized questionnaire adapted from the validated Centers for Disease Control and Prevention BRFSS. Perception of size was assessed using validated Stunkard figural stimuli. CMRF included obesity, hypertension, hyperlipidemia, smoking history, and type-2 diabetes. Obesity was defined by body mass index (BMI) calculated from measured height and weight. Remaining CMRF were self-reported.
Results: Participants were Hispanic (82.2%, 208/253), African American (11.1%, 28/253), non-Hispanic white (4.0%, 10/253), Asian/Pacific Islander (1.2%, 3/253), and other (1.6%, 4/253). Mean age was 38.8 ± 7.5 years (24-64 years); mean education was 11.8 ± 3.3 years (1-20 years). Nearly half (47.4%, 120/253) had > 1 CMRF including obesity (30.4%, 77/253), hypertension (15.0%, 38/253), hyperlipidemia (10.3%, 26/253), smoking history (7.9%, 20/253), and type-2 diabetes (4.7%, 12/253). More than half were overweight (37.2%, 94/253) or obese (30.4%, 77/253) and 32% (81/253) were normal weight.
While 53.8% (136/253) accurately perceived their size, over one-third (37.5%, 95/253) underestimated size. Among overweight and obese women, 35.1% (33/94) and 71.4% (55/77) respectively, underestimated size versus 8.6% (7/81) of normal weight women (both p<0.001). Women with CMRF were more likely to underestimate size than those without CMRF (64.2% [61/95] vs. 35.8% [34/95], p<0.001).
Of the women, 27.8% (70/252) correctly chose heart disease as the leading cause of death among U.S. women. Additionally, 66.3% (167/252) identified the signs and symptoms of a heart attack. Women with CMRF were more likely to know the leading cause of death than those with no CMRF (60% [42/70] vs. 40% [28/70], p<0.05) which is possibly related to health-provider interactions prompted by existing CMRF.
Conclusions: Though usually assumed that younger women are at low risk for CVD, nearly half had ≥1 CMRF. Underestimation of true size was common, especially among those with CMRF. Furthermore, less than one-third recognized heart disease as the leading cause of death. Innovative strategies to enable recognition of abnormal weight and to improve CVD knowledge, particularly among young obese Hispanic women, are necessary to combat obesity and subsequent CMRF leading to CVD.
Author Disclosures: D.E. Hayes: None. J.K. Rodriguez: None. R.R. Sciacca: None. E.V. Giardina: None.
- © 2015 by American Heart Association, Inc.