The results of this study point to a large discrepancy between actual and perceived overweight among overweight Canadian adolescents. The importance of understanding weight status underestimation in this population to tackle the obesity epidemic has been highlighted previously.66 Targeting weight status underestimation in this population should be a target of future weight management programs and public health strategies taken towards the overweight and obesity epidemic.146 However, the actual relationship between weight status underestimation and health outcomes (including physical health and psychosocial well-being) is not yet understood and remains an area of future research. Through increased engagement in weight management behaviours, these adolescents decrease their risk of developing obesity-related pathology such as
cardiovascular disease and type II diabetes. However, they are also more likely to engage in unhealthy weight management behaviours. Further, these adolescents also tend to have poorer psychosocial well-being, experiencing more depressive symptoms and having lower self-esteem. The best approach to addressing weight status underestimation among overweight Canadian adolescents is not yet known—but the solution will need to be one that incorporates the complex nature of weight status underestimation for both physical and psychosocial well-being.
103
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