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The Diabetes Educator

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Health Education & Behavior
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Relationship Between Attitudes and Indicators of Obesity for Midlife Women

Noriko Sudo, PhD, RD

Department of Health Promotion, National Institute of Public Health, Saitama, Japan, norikosu{at}niph.go.jp

Dennis Degeneffe, MBA

Department of Applied Economics, University of Minnesota, St. Paul

Houa Vue, PhD, RD

Children's Hospital, St. Paul, Minnesota

Emily Merkle, MA

Ameriprise Financial Services, Inc., Minneapolis, Minnesota

Jean Kinsey, PhD

Department of Applied Economics, University of Minnesota, St. Paul

Koel Ghosh, PhD

Department of Applied Economics, University of Minnesota, St. Paul

Marla Reicks, PhD, RD

Department of Food Science and Nutrition, University of Minnesota, St. Paul

This study uses segmentation analyses to identify five distinct subgroups of U.S. midlife women (n = 200) based on their prevailing attitudes toward food and its preparation and consumption. Mean age of the women is 46 years and they are mostly White (86%), highly educated, and employed. Attitude segments (clusters of women sharing similar attitudes) are a significant predictor of obesity indicators. Mean body mass index and percentage of body fat are lower for the "concerned about nutrition" attitude segment compared with the "guiltridden dieter" and "impulsive eater" attitude segments. Mean waist circumference is highest in "impulsive eater" compared with the "concerned about nutrition" segment. Those in the "busy cooking avoider" segment have a significantly higher energy intake compared with women in other attitude segments. Tailoring a weight management intervention according to attitude segments of midlife women may enhance effectiveness.

Key Words: midlife women • attitudes • obesity • cluster analysis • segmentation

This version was published on December 1, 2009

Health Education & Behavior, Vol. 36, No. 6, 1082-1094 (2009)
DOI: 10.1177/1090198109335653
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