Self-comparisons as motivators for healthy behavior.

Shakya, Holly B; Christakis, Nicholas A; Fowler, James H · Obesity (Silver Spring) · 2015

cross_sectional · Level IV

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Abstract

We explored whether individuals' comparison of themselves to their social contacts, specifically feeling fitter or thinner than friends, is a significant predictor of three weight-loss behaviors (dieting, reducing alcohol, exercising). We used a longitudinal survey of a national sample of Americans (N = 20,373) to measure respondents' personal social networks and their self-comparisons to their social contacts at two annual waves. Participants who felt thinner than friends in Wave 1 had 1.16 lower odds of dieting in Wave 2. Those who felt fitter than friends in Wave 1 had 1.10 times higher odds of reducing alcohol and 1.18 times higher odds of exercising in Wave 2. We found that 20% of the relationship between feeling thin at baseline and subsequent dieting may be because feeling heavier than friends makes one want to lose weight. This same dynamic accounts for 25% of the relationship between feeling fit and dieting and 12% of the relationship between feeling thin and reducing alcohol. These results suggest that normative self-comparison with important others is a potentially salient determinant of obesity-related health behavior and appears to work differently depending upon the behavior. Interventions may benefit from exploiting social comparisons in targeted ways.

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